Reproductive Health of London Women aged 25-49 years
PHE ePoster Library. Lo J. Sep 13, 2016; 138132; 232
Dr. Janice Lo
Dr. Janice Lo
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Abstract
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Abstract IntroductionMany research and efforts have focused on sexual and reproductive health in specific risk groups e.g. teenagers and young adults, but often neglect older adult women. Our objective was to describe the sexual and reproductive health of women aged 25 to 49 years in London in order to identify their particular needs.MethodWe obtained contraception, fertility, abortion and sexually transmitted infection (STI) data from 2009-2014 provided by the Health & Social Care Information Centre, Office for National Statistics and Public Health England. We compared burden and trends within London and to England.ResultsThere was a higher use of long acting reversible contraceptives in older age groups (>35 years) compared to those aged 25-34 years. Conceptions peaked at 30-34 years in London, later than the England average. There was a steady increase in women receiving IVF treatment in London between 2009-2013. The abortion rate of all ages was higher in London (21.8 per 1,000 women) than England (16.5 per 1,000 women) and 60% of all abortions were in women aged >25 years. The number of STIs increased during this time frame. Older women also had larger burden of HIV infections than younger women, with 45% of women living with HIV aged 45 years and over.ConclusionAdult women in London have different reproductive health needs and disease burden. The results highlighted the potential missed opportunities for contraception with high abortion rates, and the need to recognise target age for health education and campaign may be different in London.
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