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. 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

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.




Educational history
Educational History

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






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.





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 world phone calls listened into all 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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