Improving the sexual health of homeless people: Does providing care within hostels improve contraceptive use and uptake of sexual health screening?

Abstract

Aim: To improve sexual health of homeless adults at St Mungo’s Broadway hostels through establishing a Nurse–led service at three hostels in north London. Mixed Methodology utilised epidemiological data, questionnaires, qualitative interviews with hostel service users and staff. Primary outcome was number of women starting contraception and number of men and women screened for Sexually Transmitted Infections (STIs). Findings/Results: Residents utilised clinics, STIs and Blood Borne Viruses (BBVs) were diagnosed and managed. Contraception was initiated and vaccination programmes instigated. Three main themes emerged: risk related to sexual health, domestic violence and service use issues. Conclusion: Residents in homeless hostels are at increased risk of STIs, unplanned pregnancy and BBVs. On-site services are acceptable and effective.