TY - JOUR T1 - Promoting long-acting reversible contraceptives and HIV testing: more work for harassed GPs? JF - British Journal of General Practice JO - Br J Gen Pract SP - 895 LP - 896 DO - 10.3399/bjgp09X473123 VL - 59 IS - 569 AU - Pippa Oakeshott AU - Adamma Aghaizu AU - Katia Prime AU - Phillip Hay Y1 - 2009/12/01 UR - http://bjgp.org/content/59/569/895.abstract N2 - The UK needs to focus on sexual health as 2007 statistics showed another bad year. There were 40 298 conceptions in women aged <18 years (rate 42 per 1000), of which 51% were terminated.1 Nearly 8000 of these pregnancies were in girls aged <16, a rate that (despite government spin) has changed little since 2001.1 Of 271 000 chlamydia tests in young people aged <25 years who were screened by the English National Chlamydia Screening Programme, 9.5% of tests in females and 8.4% in males were positive.2 There were also 702 new diagnoses of HIV in young people aged 16–24 years (incidence 10 per 100 000).2 Nearly half (48%) of these were in men who have sex with men, most of whom were white and probably infected in the UK. A similar proportion were in heterosexuals, mainly black Africans who were most likely infected abroad.2However, there are some grounds for optimism. Most genitourinary medicine clinics are now achieving the 48-hour access target.3 The National Chlamydia Screening Programme reported that nearly 25% of under 25s were screened for chlamydia in 2008, although men and ethnic minorities were under-represented.It is likely that many more chlamydia tests could be done in general practice, particularly in high-risk young people with a recent change of sexual partner or history of chlamydial infection in the past 3 months. (It can takes less than 3 minutes of a GP's or practice nurse's time to organise a young person to complete the form and take a self-administered sample.) But the UK still has … ER -