The prevalence of chlamydia infection in youth offenders in hmp yoi holloway june 2003 june 2005
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The Prevalence of Chlamydia Infection in Youth Offenders in HMP/YOI Holloway June 2003 – June 2005 PowerPoint PPT Presentation


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The Prevalence of Chlamydia Infection in Youth Offenders in HMP/YOI Holloway June 2003 – June 2005. THERESA BURNS, SEXUAL HEALTH ADVISER Women’s Health Clinic, HMP/YOI Holloway & Marlborough Clinic, Royal Free Hospital. Methodology. Health Adviser led session.

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The Prevalence of Chlamydia Infection in Youth Offenders in HMP/YOI Holloway June 2003 – June 2005

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The prevalence of chlamydia infection in youth offenders in hmp yoi holloway june 2003 june 2005

The Prevalence of Chlamydia Infectionin Youth Offenders in HMP/YOI HollowayJune 2003 – June 2005

THERESA BURNS, SEXUAL HEALTH ADVISER

Women’s Health Clinic, HMP/YOI Holloway & Marlborough Clinic, Royal Free Hospital


Methodology

Methodology

  • Health Adviser led session.

  • Working with the support of unit officers who often helped with recruitment to the study.

  • Evening sessions held on Young Offenders Unit during association time (time for women to take baths, domestic chores and to mix with each other for 11/2 hrs each evening).

  • Limited space allowing for privacy. Interviews held in places such as dining room and TV room.


Methodology1

Methodology

  • Opportunistic testing – approaching individuals and explaining who I was and why I was there.

  • Administered questionnaire.

  • Chlamydia urine NATT.

  • Total number of patients = 289


Aims of study

Aims of Study

  • To determine the prevalence of chlamydia infection and associated lifestyle risk factors in young women from the Young Offenders Unit in HMP Holloway.

  • To raise awareness of chlamydia in this vulnerable group.


Age range

Age Range


Ethnicity

Ethnicity


Educational history

Educational History

Since age 11, how many years did you spend in full-time education?


Drug use part i

Drug Use part I


Drug use part ii

Drug Use Part II


Current sexual partners

Current Sexual Partners


Age of first sexual experience

Age of First Sexual Experience


Commercial sex work

Commercial Sex Work

53 (18.4%) of the 289 women interviewed admitted

at some time being involved in the commercial

sex industry.

This was mainly to support their own and their

partner’s drug use.


Number of sexual partners

Number of Sexual Partners

THE LAST THREE MONTHS PRIOR TO COMING INTO PRISON


Condom use

Condom Use

  • 56 (19.8%) of women interviewed reported a condom was used at last intercourse.

  • 122 (43%) reported that they never used condoms.

  • 122 (43%) reported occasional use.

  • 40 (14.1%) reported 100% condom use.


Contraception

Contraception


Pregnancy

Pregnancy


Previous sti infection

Previous STI Infection


Chlamydia results

Chlamydia Results

  • Verbal results after one week, hard copy after a fortnight

  • Positive results given to women either on the unit or in the clinic. If transferred to another prison, that health care unit contacted and told of the need for treatment. If released, letter sent if address was available.

  • Appointment in the Women’s Health Clinic within 48 hours for treatment and an offer of full sexual health screen including HIV, hepatitis B and C if indicated.


Partner notification

Partner Notification

  • Difficult due to woman's circumstances:in prison

    limited contact with the outside worldphone calls listened intoall mail is read by unit officers before posting

  • Women often refused to contact partners due to worries over:Possible violence

    Confidentiality

    Embarrassment

  • Provider referral offered, only possible in a smallnumber of cases


Results

Results

  • Prevalence of chlamydia infection was 12.2%.

  • All the young women who took part in this research were offered an appointment for a full sexual health screen.


Results1

Results

No association with a chlamydia diagnosis

- age

- drug and alcohol use

- sex worker- educational history- social history


Recommendations

Recommendations

  • Chlamydia testing offered to all women admitted to the Youth Offender Unit

  • Educational session to raise awareness

  • Assertiveness training around condom use

  • Targeted health promotion programmes

  • Multi agency working i.e. drug services


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