Gayan Perera, Senior Analyst,

Tri-borough Public Health teamgperera@westminster.gov.uk

Sexual Health demographics in Inner Northwest London

Sexual Health demographics in Inner Northwest London

For Sexual health needs assessment please visit our JSNA website: www.jsna.info

• Population

• Under 18 conceptions

• Contraception

• HIV/AIDS

• Acute STIs

Content

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

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

BackgroundBackground

Westminster217,000 resident

249,000 registered

Kensington and Chelsea

170,000 resident189,000 registered

Hammersmith and Fulham

181,000 resident188,000 registered

DemographicsDemographics

Far fewer younger people

than London and England

0%

2%

4%

6%

8%

10%

12%

14%

16%Age profile

England

London

INWL

Fewer older people than

England

Big working age population

DemographicsDemographics

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

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

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

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

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%

DeprivationDeprivation

Church St

Queen’s Park/ Harrow RdNorth

Kensington

White City

Poor health mostly in areas of deprivation and high density social housing

Poor health mostly in areas of deprivation and high density social housing

Under 18 conception rate, 2010Rate per 1,000 women aged 15-17 . Source TPU

Local differencesSignificantly higher in: College Park & Old Oak, Wormholt & White City, Queen’s Park, Harrow Road and Church Street

Rate, 2010 •High in H&F•Similar in Westminster •Lower in K&C

Two thirds of <18 conceptions end in abortion

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

HIV/AIDS resident patients (2006-2010)

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)

Number of HIV/ AIDS patients over time(Source: SOPHID)

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

Acute STI diagnosis rate per 100 000, 2011 from HPA analysis

0.0

500.0

1000.0

1500.0

2000.0

2500.0

3000.0

Lam

beth

Hac

kney

Sout

hwar

kH

amm

ersm

ith &

Ful

ham

Islin

gton

Tow

er H

amle

tsH

arin

gey

Wan

dsw

orth

New

ham

Wes

tmin

ster

Bren

tW

alth

am F

ores

tKe

nsin

gton

& C

hels

eaCa

mde

nCr

oydo

nLo

ndon

Lew

isha

mG

reen

wic

hEa

ling

Mer

ton

Bark

ing

& D

agen

ham

Hill

ingd

onKi

ngst

on u

pon

Tham

esH

ouns

low

City

of L

ondo

nEn

glan

dEn

field

Sutt

onBa

rnet

Hav

erin

gRe

dbri

dge

Rich

mon

d up

on T

ham

esH

arro

wBr

omle

yBe

xley

***

H&F 4th highest in London

Westminster and K&C both higher than London and England

All a

cute

STI

dia

gnos

is ra

te /

100,

000

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)

Soho and West End

Paddington

Earl’s Court

Hammersmith & West

Kensington

White City and Shepherd’s Bush

North Kensington

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

• 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

Summary