WELCOME to our Webinar Older Adults and Sexual

WELCOME to our Webinar: “Older Adults and Sexual Health Guide Training” Mon. Feb. 6, 2017, at 12: 30 – 1: 30 PM To Join us and listen along with reading the slides: 1. 2. 3. 4. 5. Please DIAL IN to hear this webinar Click the “I will call in –blue button” on your Web. Ex screen Dial: 1 -518 -549 -0500 OR 1 -844 -633 -8697 Enter this Meeting ID Number: 634 587 108 Enter this Password: # (pound sign or your attendee ID)

WELCOME to: “Older Adults and Sexual Health” NYSADSA Conference Wednesday, October 25, 2017

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

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).

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

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.

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

USA AIDS Cases Over Age 50 - CDC 130000 120000 1100000 90000 80000 70000 60000 50000 40000 30000 20000 10000 0 1995 2005

Concurrent Diagnoses

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

Sex in Later Life National Social Life, Health and Aging Project (NSHAP) 2005 -2006

National Survey of Sexual Health & Behavior, Indiana University, 2010

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

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.

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…

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.

Why a Sexual Health Guide for Older Adults? 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 a few responses from providers. What have you heard? tor: c e r i D r e t n e C Senior two e v a h y l n o e “W is h t n i s e l p u o c married need o n s i e r e h t , r cente for a guide…” Senior Center Social Worker : “They will nev er want to tal k about sex, it’s embarrassing !” se: r u N r e t n e C r io Sen ay m n io t a m r o f in “The they t u b , m e h t lp e not h their h it w it e r a h s n ca grandkids…”

“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) http: //www-news. uchicago. edu/releases/07/pdf/070822. sexualattitudes. pdf

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

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 • Pr. EP 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

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” ?

How are you planning to incorporate the “Older Adults Sexual Health Guide” into your work?

Questions, Answers, Resources & Contact Information • ACRIA training@acria. org • AIDS Institute -- HIV Education and Training Robert. Curry@health. ny. gov (518) 474 -3045 • NYSOFA Erin. Purcell@aging. ny. gov (518) 474 -5478

“The Older Adults Sexual Health Guide” https: //aging. ny. gov/nysofa/publications. cfm