Community Health Intervention:

Seniors Sexual Health

Lynae Baker Melissa Chua Yasmine Sinkhada Maria Sofia Monica Venegas
● Anyone can get an STD at any age
● 82,938 cases of gonorrhea, syphilis, and
chlamydia reported among Americans 45
and older in 2016 which is about a 20%
increase over 2015
● Factors leading to an increase:
Overview of
○ new medications Health Topic
○ higher divorce rates
○ lack of sexual education
○ low severity perception
Community Assessment

Newly Diagnosed HIV Rates by County of Newly Diagnosed Early Syphilis Rates by
Residence at Diagnosis, 2017 County of Residence at Diagnosis, 2017

Data Source: enhanced HIV/AIDS Reporting System (eHARS) (data as of Data Source: North Carolina Electronic Disease Surveillance System (NC
June 27, 2018). EDSS) (data as of June 28, 2018).
Community
Community
Assessment
Assessment
STD Diagnoses within NC (per 100,000 population)

Syphilis

Age 15-24 6.5

HIV
Age 20-24 15.9
Age 15-19 25.3
Age 55-64 3.2
Age 20-24 160.4
Age 65+ 0.4
Age 55-59 715.0
Gonorrhea
Age 60-64 498.1
Age 15-19 620.9
Age 65+ 164.7
Age 20-24 1,024

Age 55-64 30.5

Data Source: 2017 North Carolina HIV/STD/Hepatitis
Surveillance Report (as of June 28, 2018).
Age 65+ 4.7
Literature Review

● High STD rates among seniors is not a newly discovered

issue-literature dating back to 1990s.
● Misconceptions and lack of awareness among seniors
○ Outdated sex education, no concern for pregnancy, perceptions
of the types people who have STDs
● Misconceptions and lack of awareness among healthcare
professionals
○ Cultural attitude that seniors are uninterested in sex, discomfort
with the topic, fear of offending
○ This can lead seniors to internalize that safe sex is not an
appropriate concern for them.
Smith Senior Center
• Located in Southeast Greensboro
• Offers services to residents of Guildford
County age 55 and over
• “The YMCA for seniors age 55 and above”
 ● Smith Senior Center aims to provides a
variety of social and health services.
○ tax-aide, legal aid, Medicare insurance
Organization counseling.
○ health screenings: balance and bone
Reflection density, blood glucose, blood pressure
and hearing.
● Organizational Needs?
○ Sexual health education
Organization Logic Model
Literature Review -
Interventions
● Should be culturally sensitive and use open, respectful
language
● Brochures and pamphlets should be appropriate for all
literacy levels
● Information on STDs, how they are spread, and how to
prevent them
● Clear information on how to use condoms is essential
 Lack of access to information regarding
sexual health practices.

Brochure, expo, pamphlet? Comfort and

Product accessibility.

Creation &
Reflection Layout chosen due to the familiarity with
the monthly newsletter.

Unveil misconceptions and encourage

conversations around taboo subjects.
Product: Pamphlet

● Challenges:
○ Content/graphics
○ Concise or informational?
● Choosing what to put on?
○ Choice of topics
○ Resources
 Larger Themes

Infer needs for Health

Education Based on Community Exclusion
Assessment Findings

Delivery of Health Leadership

Education Demonstration