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P2.164 High STI Rates in a Nurse Delivered Outreach Service For Sex Workers-SWISH Clinic
  1. R Turner1,
  2. M Campbell2,
  3. S Day1,
  4. A Sullivan1
  1. 1Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
  2. 2Terrence Higgins Trust, London, UK

Abstract

Background Sex Workers into Sexual Health; the SWISH service, was established to meet the specific needs of individuals who sell sex but may not attend mainstream sexual health clinics. It is run in collaboration with the Terrence Higgins Trust, and moved to a new location in January 2012 within an NHS Primary Care practise. SWISH is run as a walk in service though individuals can also book appointments. The aim of this study was to determine the rates of sexually transmitted infections amongst individuals attending SWISH.

Methods Notes review of clients accessing the SWISH clinic between 1st January and 31st December 2012.

Results Ninety-six patients attended SWISH during the study period; 58 were male (60%), 25 were female (26%) and 13 were transgender females (14%). The overall STI prevalence was 23% (Table)

Rates of sexually transmitted infections by gender:

Abstract P2.164 Table 1

Discussion This study highlights the significant prevalence of sexually transmitted infections amongst patients who sell sex. The findings show the need to continue targeting sex workers in the community to encourage regular screening. The significantly higher rates in men and transgender female warrants further investigation, especially in relation to risk taking behaviours and associated factors.

  • Nurse led
  • Sex worker
  • STI

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