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Enhancing Sexual Wellbeing In Scotland: A Sexual Health Relationship Strategy
Footnotes - paper 1
1. Abortions includes therapeutic abortions and miscarriages
2. Recurrence describes episodes where patients have been free of warts for three months or more and also those patients in whom warts persist for more than three months despite treatment
3.
Further information can be found in: Sexually Transmitted Infections in the UK: New episodes seen at Genitourinary Medicine Clinics, 1991-2001" available to download from:
http://www.hpa.org.uk/infections/topics_az/hiv_and_sti/publications/sti_report2002.pdf for full publication or tables
http://www.hpa.org.uk/infections/topics_az/hiv_and_sti/publications/sti_report2002_tables.pdf
4. CMR = Continuous Morbidity Recording system involves recording data from patient consultations by a number of GP practices across Scotland. The participating practices are chosen to reflect the population profile of Scotland. Whilst it is recognised that this data is limited and is likely to be incomplete, it does provide an insight into GP consultation.
Footnotes - Paper 2
a.
http://www.who.int/reproductive-health/gender/sexual_health.html. This was discussed at an international WHO Technical Consultation on Sexual Health (28-31 Jan 2002), then refined and amended by a small working group thereafter.
b. One negative sexual health outcome that seems to be unrelated to deprivation is sexual violence.
c. The term prostitution is used here in preference to 'sex work' or 'work in the sex industry' which some feel suggest prostitution is something that people choose to do and that it can be legitimised as an acceptable form of work.
d. During the engagement exercise, the range of target groups suggested included young women and men, young people looked after or leaving care, LGBT people, teenage mothers, teenage fathers, disabled people, people with learning disabilities, women experiencing domestic abuse, homeless people, gypsies and travellers, BME communities, drug users, men who have sex with men, young offenders, the prison population, prostitutes/commercial sex workers, refugees and asylum seekers, individuals with HIV or AIDs, older people, parents. Some submissions stated that focussing on specific groups was not appropriate.
Footnotes - Paper 3
a. see
www.medialit.org/cml for more information about media literacy.
Footnotes - Paper 4
1. Denominational and non denominational schools are subject to the same statutory and legislative requirements in terms of school curriculum and are thus governed by policies from the Scottish Office Education Department and inspection framework from HMIE.
2. NATSAL defines sexual competence by assessing variables relating to first intercourse: regret, willingness, autonomy of decision and contraception use.
Footnotes - Paper 5a
1. General practice refers to all members of the multi-disciplinary team which may/may not have a lead GP clinician; the model will be dependent on needs of population and the interest of individual practitioners
2. In Lothian 63% of women will see both GP and nurse - contraception will be prescribed by GP. 9% are seen by a nurse alone. (Craig 2002unpub)
Footnotes - Paper 5c
1. If a patient visits health care services after contact with a sexual health advisor, this will constitute a successful outcome. This will have to be agreed locally as current data collection deficiencies do not allow for the tracking of patient attendances across different settings. Improvements in data collection should address this (see para x)
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