QUESTIONS & ANSWERS - CATIE

QUESTIONS & ANSWERS:

PREVENTION OF SEXUALLY TRANSMITTED AND BLOOD BORNE INFECTIONS AMONG OLDER ADULTS

PROTECTING CANADIANS FROM ILLNESS

TO PROMOTE AND PROTECT THE HEALTH OF CANADIANS THROUGH LEADERSHIP, PARTNERSHIP, INNOVATION AND ACTION IN PUBLIC HEALTH.

--Public Health Agency of Canada

?galement disponible en fran?ais sous le titre : Questions et r?ponses : Pr?vention des infections transmissibles sexuellement et par le sang chez les adultes ?g?s

To obtain additional information, please contact: Public Health Agency of Canada Address Locator 0900C2 Ottawa, ON K1A 0K9 Tel.: 613-957-2991 Toll free: 1-866-225-0709 Fax: 613-941-5366 TTY: 1-800-465-7735 E-mail: publications@hc-sc.gc.ca

This publication can be made available in alternative formats upon request. ? Her Majesty the Queen in Right of Canada, as represented by the Minister of Health, 2015 Publication date: April 2015 This publication may be reproduced for personal or internal use only without permission provided the source is fully acknowledged.

Cat.: HP40-137/2015E-PDF ISBN: 978-1-100-25834-8 Pub.: 140519

QUESTIONS & ANSWERS: PREVENTION OF SEXUALLY TRANSMITTED AND BLOOD BORNE INFECTIONS AMONG OLDER ADULTS

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QUESTIONS & ANSWERS:

PREVENTION OF SEXUALLY TRANSMITTED AND BLOOD BORNE INFECTIONS AMONG OLDER ADULTS

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QUESTIONS & ANSWERS: PREVENTION OF SEXUALLY TRANSMITTED AND BLOOD BORNE INFECTIONS AMONG OLDER ADULTS

QUESTIONS & ANSWERS: PREVENTION OF SEXUALLY TRANSMITTED AND BLOOD BORNE INFECTIONS AMONG OLDER ADULTS

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TABLE OF CONTENTS

PREFACE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ACKNOWLEDGEMENTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 INTRODUCTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

LIMITATION.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 WHAT DO WE KNOW ABOUT SEXUALLY TRANSMITTED AND BLOOD BORNE INFECTIONS (STBBIS) AMONG OLDER ADULTS IN CANADA?. . . . . . . . . . . . . . . . 5 WHAT ARE THE INDIVIDUAL AND BEHAVIOURAL FACTORS THAT IMPACT SEXUALLY TRANSMITTED AND BLOOD BORNE INFECTION (STBBI) PREVENTION FOR OLDER ADULTS?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

KNOWLEDGE AND AWARENESS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ATTITUDE.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 RISK BEHAVIOURS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 WHAT ARE THE INTERPERSONAL, SOCIAL, AND COMMUNITY NETWORK FACTORS THAT IMPACT SEXUALLY TRANSMITTED AND BLOOD BORNE INFECTION (STBBI) PREVENTION FOR OLDER ADULTS.? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 RELATIONSHIP STATUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 RELATIONSHIP ENVIRONMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 HEALTH CARE PROVIDERS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 TRAVEL AND SNOWBIRDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 WHAT ARE THE SOCIAL, STRUCTURAL, AND ECONOMIC DETERMINANTS THAT IMPACT SEXUALLY TRANSMITTED AND BLOOD BORNE INFECTION (STBBI) PREVENTION AMONG OLDER ADULTS?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 DISCRIMINATION AND AGEISM.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 MENTAL HEALTH AND MENTAL ILLNESS. . . . . . . . . . . . . . . . . . . . . . . . . . 9 SOCIAL CONNECTEDNESS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 SOCIOECONOMIC STATUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 GENDER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 SEXUAL ORIENTATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 WHAT ARE THE KEY CONSIDERATIONS FOR SEXUALLY TRANSMITTED AND BLOOD BORNE INFECTION (STBBI) PREVENTION AMONG OLDER ADULTS?. . . . . . . . . . . . 13 CO-MORBIDITIES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 CHALLENGES IN DIAGNOSIS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 BIOLOGICAL AND PHYSIOLOGICAL CHANGE.S. . . . . . . . . . . . . . . . . . . . . 14 COGNITIVE IMPAIRMENTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

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