Transcript Slide 1

Sexual Health demographics in Inner Northwest
London
Gayan Perera,
Senior Analyst,
Tri-borough Public Health team
[email protected]
For Sexual health needs assessment please visit our JSNA website: www.jsna.info
Content
• Population
• Under 18 conceptions
• Contraception
• HIV/AIDS
• Acute STIs
Background
Hammersmith and
Fulham
181,000 resident
188,000 registered
Westminster
217,000 resident
249,000 registered
Densely populated:
•568,000 residents
•19 square miles
Population increases in
daytime in Westminster:
•workers
•tourists
Huge variation:
•wealth
•culture
Kensington and
Chelsea
170,000 resident
189,000 registered
Specific issues:
•Homeless population in
Westminster
•Prison population in
H&F
Demographics
Age profile
16%
14%
12%
Far fewer
younger people
than London and
England
Big working
age population
England
London
INWL
10%
8%
6%
4%
2%
0%
Fewer older
people than
England
Demographics
Ethnicity
H&F
K&C
West
London
White British
58%
50%
49%
60%
White Other
20%
29%
25%
11%
Black
11%
7%
7%
11%
Asian
4%
5%
9%
12%
Other/ Mixed
7%
10%
10%
6%
BME
22%
21%
26%
29%
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
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
Deprivation
North
Kensington
Queen’s Park/
Harrow Rd
Church St
White City
Poor health mostly in
areas of deprivation
and high density
social housing
Under 18 conception rate, 2010
Rate 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
Rate of GP-prescribed LARC in London, 2010/11
Long 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
HIV/AIDS resident patients (2006-2010)
HIV prevalence in
the ‘tri-borough’
area is amongst the
highest in the
country
Number of HIV/ AIDS patients over time
(Source: SOPHID)
(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)
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
Lambeth
Hackney
Southwark
Hammersmith & Fulham
Islington
Tower Hamlets
Haringey
Wandsworth
Newham
Westminster
Brent
Waltham Forest
Kensington & Chelsea
Camden
Croydon
London
Lewisham
Greenwich
Ealing
Merton
Barking & Dagenham
Hillingdon
Kingston upon Thames
Hounslow
City of London
England
Enfield
Sutton
Barnet
Havering
Redbridge
Richmond upon Thames
Harrow
Bromley
Bexley
All acute STI diagnosis rate /100,000
Acute STI diagnosis rate per 100 000, 2011
2000.0
*
*
*
from HPA analysis
3000.0
H&F 4th highest in London
2500.0
Westminster and K&C both higher than
London and England
1500.0
1000.0
500.0
0.0
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)
STI diagnosis rate by area
Some parts of the
‘tri-borough’ area
have among the
highest rates in
London
White City and
Shepherd’s Bush
per 100,000 population aged 15-59 2010. Source HPA GUMCAD
North
Kensington
Paddington
Soho and
West End
Hammersmith
& West
Kensington
Earl’s Court
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