Gayan Perera, Senior Analyst, Tri-borough Public Health team gperera@westminster.uk

1. Sexual Health demographics in Inner Northwest London Gayan Perera, Senior Analyst, Tri-borough Public Health team gperera@westminster.gov.uk For Sexual health needs assessment please visit our JSNA website: www.jsna.info

2. Content • Population • Under 18 conceptions • Contraception • HIV/AIDS • Acute STIs

3. Background • Densely populated: • 568,000 residents • 19 square miles • Population increases in daytime in Westminster: • workers • tourists • Huge variation: • wealth • culture • Specific issues: • Homeless population in Westminster • Prison population in H&F Westminster 217,000 resident 249,000 registered Hammersmith and Fulham 181,000 resident 188,000 registered Kensington and Chelsea 170,000 resident 189,000 registered

4. Demographics Far fewer younger people than London and England

5. Demographics Ethnicity • Inner NW London has many residents from the ‘White Other’ and ‘Other’ BME groups • Some affluent and others more vulnerable • - America • - Australia • - Western European • Middle East/N Africa • Philippines/China The population in INWL is influenced by inward and outward migration Net movement out from around age 30 onwards, particularly families with young children. Huge working-age population More stable population in social housings

6. Deprivation Queen’s Park/ Harrow Rd Poor health mostly in areas of deprivation and high density social housing North Kensington Church St White City

7. Under 18 conception rate, 2010Rate per 1,000 women aged 15-17 . Source TPU • Rate, 2010 • High in H&F • Similar in Westminster • Lower in K&C • Two thirds of <18 conceptions end in abortion Local differences Significantly higher in: College Park & Old Oak, Wormholt & White City, Queen’s Park, Harrow Road and Church Street

8. Rate of GP-prescribed LARC in London, 2010/11Long acting reversible contraception (LARC) per 1,000 GP-registered women 15-44. Source: APHO Sexual Health Balanced Scorecard • Rates are very low in the 3 boroughs and are the lowest in the country

9. HIV/AIDS resident patients (2006-2010) Number of HIV/ AIDS patients over time (Source: SOPHID) • HIV prevalence in the ‘tri-borough’ area is amongst the highest in the country • (based on 15-59 population) • Since 2006, there has been an increase in INWL: • 23% (Westminster) • 14% (H&F) • 11% (K&C) • The rise in Westminster is across all transmission types (but females rising faster) 7th highest rate in England 2010 (of which 64% were MSM) 4th highest rate in England 2010 (of which 74% were MSM) 11th highest rate in England 2010 (of which 71% were MSM)

10. HIV/AIDS patients numbers by area Source SOPHID Greatest concentration in Soho/ West End in Westminster High numbers in Earl’s Court/ West Kensington and Notting Hill/ Bayswater

11. Acute STI diagnosis rate per 100 000, 2011 from HPA analysis H&F 4th highest in London Westminster and K&C both higher than London and England All acute STI diagnosis rate /100,000 * * *

12. Acute STI rates per 100 000 by type, 2010 from HPA website H&F have the highest rate of warts in England. Herpes is also significantly high in H&F compared to England Syphilis rates are significantly high in K&C and Westminster (4th and 7th highest in England respectively)

13. STI diagnosis rate by area per 100,000 population aged 15-59 2010. Source HPA GUMCAD Some parts of the ‘tri-borough’ area have among the highest rates in London North Kensington Paddington White City and Shepherd’s Bush Soho and West End Hammersmith & West Kensington Earl’s Court

14. Summary • Generally, under 18 conception rates are higher in H&F and deprived wards in INWL • Abortions carried out when gestational age is less than 10 weeks is 80% of total abortions • INWL rate of GP-prescribed LARC is among the lowest in England • INWL prevalence rates of HIV/ AIDS is among the highest in England • INWL rate of warts, herpes, syphilis and other acute STIs are among the highest in England