Inequity in Prevention of Sexually Transmitted Infections: An Analysis of Online Survey Responses

Ragnar Anderson, Sexual Wellbeing Aotearoa
Nathan Monk, University of Otago
Beth Messenger, Sexual Wellbeing Aotearoa
Sue Reid, Sexual Wellbeing Aotearoa
Amy Beliveau, Formerly Sexual Wellbeing Aotearoa
Tania Huria, Sexual Wellbeing Aotearoa

Background New Zealand data shows persistent inequities in STI exposure, particularly among Maori, Pacific Peoples and young people. Little is known about STI prevention and how it may vary between demographic groups. Methods A retrospective analysis of online survey data collected from June 2023. Survey items queried access to STI prevention (testing, knowledge, healthcare, and condoms). Analysis included a descriptive summary of respondent demographic characteristics, and survey item responses. Logistic regression was applied to compare survey item responses between demographic groups (adjusted for age and gender). Results Among the 969 respondents, descriptive statistics indicate some gaps in access to STI prevention. Condom access for Maori and Pacific Peoples is worse than for non-Maori/non-Pacific peoples. People under 30 are less likely to report having enough understanding about STIs to avoid getting or giving on and when to test for STIs. Conclusions Not everyone in New Zealand has equal access to the tools needed to prevent STIs. The inequities in STI prevention appear to align with inequities in STI exposure in young people, Maori and Pacific Peoples. It is vital that STI prevention efforts consider drivers of inequity and those groups most affected are involved in design solutions to address these inequities.

Keywords: Sexual and Reproductive Health and Rights

See paper.