2. WELCOME to our Webinar:
“Older Adults and Sexual Health Guide Training”
Mon. Feb. 6, 2017, at 12:30 – 1:30 PM
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3. WELCOME to:
“Older Adults and Sexual Health” NYSADSA Conference Wednesday, October 25, 2017

5. Today’s Presenters Erin Purcell, NYSOFA
Robert Curry, NYS DOH AIDS Institute
Reference Materials Provided by ACRIA

7. Older Adults and Sexual Health: A Guide for Aging Services Providers
Older Adults and Sexual Health: A Guide for Aging Services Providers was developed by ACRIA
with support from the New York State Department of Health (NYSDOH) AIDS Institute and in collaboration with the New York State Office for the Aging (NYSOFA).

8. The Issue
Older adults are becoming infected in the same ways younger people are becoming infected by HIV and STIs.
Providers do not always discuss safe sex practices or HIV and STI testing with older adults

9. Background Older Adults and Sexual Health:
A Guide for Aging Services Providers
ACRIA and the New York State Office for the Aging had a chance to meet with senior center staff & seniors themselves to hear their concerns and what they would like to know more about. Those conversations helped inform the content of the guide.
Senior centers, congregate meal sites, and community centers are some of the places that wellness, health promotion, and disease prevention programs for older adults are offered.
Training on “The Guide” was first delivered via webinars in 2016.

10. The number of AIDS cases among people over 50 in the US has remained steady over time.
A.) True B.) False

11. USA AIDS Cases Over Age 50 - CDC
130000
120000
110000
100000
90000
80000
70000
60000
50000
40000
30000
20000
10000
1995
2005 11 11

12. As people age, they are more likely to have a concurrent HIV & AIDS diagnosis upon being tested. The percentage rises significantly over time – among those aged in the US who are living with HIV, 44% also have an AIDS diagnosis, among those aged in the US who are living with HIV, 49% also have an AIDS diagnosis. Among those aged 60+ in the US who are living with HIV, 55% also have an AIDS diagnosis. These statistics are according to CDC surveillance data between
Concurrent Diagnoses

13. What percentage of people in their mid 50s to mid 60s reported having sex at least twice a month?
A.) 0% B.) 25% C.) 50% D.) 75%

14. Sex in Later Life
This is the most comprehensive study of its type with a large N (sample size) of over 3000 adults over age 57.
National Social Life, Health and Aging Project (NSHAP)
Lindau ST, Schumm LP, Laumann EO, Levinson W, O’Muircheartaigh CA, Waite LJ. A study of sexuality and health among older adults in the United States. N Engl J Med. 2007;357(8):
People are continuing to have sex later in life, contrary to the beliefs of many healthcare providers. As people age, they generally become less sexually active for a variety of reasons.
According to the study, 73% of people aged reported being sexually active
According to the study, 53% of people aged reported being sexually active
According to the study, 26% of people aged reported being sexually active
National Social Life, Health and Aging Project (NSHAP)

15. National Survey of Sexual Health & Behavior, Indiana University, 2010
National Survey of Sexual Health and Behavior (NSSHB). Findings from the National Survey of Sexual Health and Behavior, Centre for Sexual Health Promotion, Indiana University. Journal of Sexual Medicine, Vol. 7, Supplement 5.
National Survey of Sexual Health & Behavior, Indiana University, 2010

16. Older women & younger women are at equal risk for HIV transmission.
True
False

17. Older Women at Higher Risk
After menopause, a natural thinning of the vaginal walls occurs in many women and lubrication reduces -- causing an increased risk of tearing during intercourse which makes older women more susceptible to HIV infection. 

18. Older Women at High Risk
Many post-menopausal women feel that since they do not need to prevent pregnancy, that there is no real reason to wear a condom…

19. Older Adults and Sexual Health: A Guide for Aging Services Providers:
Response to rising rates of Sexually Transmitted Infections (STIs) among older adults, including HIV.
Supportive resource for New York State older adults service providers recognizing older adults are having sex at all ages.
Provide context around healthy aging & sex and to provide ideas on how to address some concerns aging service providers may have about these issues.
This guide encourages providers to consider how important information on sexual health for older adults can be provided in these and other community settings.

20. Why a Sexual Health Guide for Older Adults?
Senior Center Social Worker: “They will never want to talk about sex, it’s embarrassing!”
ACRIA conducted interviews and focus groups with older adults service providers to find out the needs of older adults and to develop a sexual health guide for seniors…. Here are a few responses from providers. What have you heard?
Senior Center Nurse:
“The information may not help them, but they can share it with their grandkids…”
Senior Center Director: “We only have two married couples in this center, there is no need for a guide…”

21. “Although sexuality has long been thought to deteriorate inevitably with age, we found that health is a more important indicator for many aspects of sexuality than is age alone…” -Lindau
Stacy Lindau: University of Chicago Assistant Professor of Obstetrics/Gynecology & Medicine-Geriatrics
National Social Life, Health & Aging Project (NSHAP)

22. If well managed, older adults can live long lives with HIV
If well managed, older adults can live long lives with HIV. The presence of HIV disease may be a predictor of accentuated aging.
If well managed, older adults can live long lives with HIV. The presence of HIV disease may be a predictor of accentuated aging. 22

23. Older Adults and Sexual Health: A Guide for Aging Services Providers:
Content
Aging and Sexual Health Challenges
Sex and Aging
Sexually Transmitted Infections (STIs) & Aging
HIV and Aging
LGBT Aging & Sexual Health
Condoms
PrEP and PEP
HIV Testing
Preparing to Conduct Sexual Health Discussion Groups for Older Adults
Checklist to Plan a Successful Discussion Session
Sample Training / Workshop Outline 101
Resources

24. Discussion Questions
What kind of responses do you get when you bring up sexual health with older adults?
What will be the challenges of doing sexual health workshops with older adults?
What are some ways to get past these challenges?
What’s your comfort in “talking about sex and sexuality” ?

25. How are you planning to incorporate the “Older Adults Sexual Health Guide” into your work?
Here you can talk about examples for how to use the guide

26. Questions, Answers, Resources & Contact Information
ACRIA
AIDS Institute -- HIV Education and Training
(518)
NYSOFA
(518)

27. “The Older Adults Sexual Health Guide”