Chlamydia: Lived Experience Report

The Chlamydia Lived Experience Report provides insights into the low uptake of chlamydia online self-testing among young people in West Sussex compared to national averages.

What we did

The project was formed of 3 phases. 

Phase 1: We co-designed a survey, developed with Sussex Sexual Health Team, which was promoted on social media. Analysed responses. Recruited young people for Phase 2.

Phase 2: Conducted interviews with 15 young people to gather deeper insights. Recruited young people for Phase 3.

Phase 3: Created a report outlining data analysis from Phase 1 & 2. Ran focus groups with six young people to co-design a social media campaign to raise awareness and share information.

Key Findings

  1. Barriers to Testing:

    • Lack of awareness and knowledge about chlamydia testing.
    • Stigma, embarrassment, and fear of judgment.
    • Concerns about confidentiality.
    • Cultural and religious restrictions.
  2. Preferred Sources of Information:

    • Young people primarily seek sexual health information online or via social media.
    • Schools and GPs are secondary sources, though school education is often deemed insufficient.
  3. Perceptions and Knowledge:

    • Many respondents demonstrated limited understanding of STIs, testing processes, and consequences of untreated chlamydia.
    • While some had good knowledge of STI prevention (e.g., using condoms), misconceptions were noted, especially among males who trusted their partners to the extent of not testing unless symptomatic.
  4. Experience with Testing Services:

    • Mixed responses about sexual health services, with some praising confidentiality and ease, while others highlighted difficulties in accessing appointments and embarrassment in interactions.
  5. Survey Insights:

    • From 185 young respondents, 56% rated their sexual health knowledge as good, but gaps in specific areas like testing guidelines were noted.
    • Over half had used the online testing service, yet many cited barriers like lack of awareness, time constraints, and mistrust.

Recommendations

  1. Awareness Campaigns:

    • Develop engaging, youth-focused campaigns on social media platforms.
    • Use influencers, role models, and videos co-designed with young people.
  2. Education Initiatives:

    • Improve sexual health education in schools, colleges, and universities.
    • Provide clear information about the importance and processes of STI testing.
  3. Service Improvements:

    • Enhance accessibility to confidential testing options, such as anonymous online kits and community collection points.
    • Integrate digital tools like health apps and mobile testing units to broaden outreach.
  4. Breaking Stigma:

    • Normalise conversations about sexual health through peer-led discussions and public health events.
    • Involve parents and community leaders to foster supportive environments.

Chlamydia Lived Experience Report

Download the full Chlamydia: Lived Experience Report. 

Chlamydia Lived Experience Report

Thank you

A massive shoutout to our incredible young volunteers who brought this project to life! Your enthusiasm and dedication made all the difference – thank you for your amazing work! 

If you've been thinking volunteering, whether you have a few hours to spare occasionally or you are looking for a regular commitment, contact jo.tuck@healthwatchwestsussex.co.uk to find out more. 

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