We all have a right to a safe, healthy, and pleasurable sex life – but some people face more barriers than others.
September still holds that back-to-school feeling for many of us, no matter how long ago we left the classroom. For many young people looking forward to freshers’ week or returning to their studies, though, the continuing rise in sexually-transmitted infections might be good reason to revise guidance on safer sex and condom use to ensure their studies aren’t interrupted by an unwelcome infection.
Reflecting broader European trends, Ireland – where my own research on sexual health is based – has also experienced a significant spike in STI cases. Health surveillance data show between 2019 and 2022, cases of chlamydia rose by 20%, gonorrhoea by 45%, and syphilis by 14%. Data on STI rates among migrants in Ireland are sparse, however, among new HIV diagnoses, the rate of bacterial STI co-infection was 17%, rising to 26% among MSM. Significant proportions of new HIV diagnoses were among people from Latin America and sub-Saharan Africa .
Compared to those born in their country of residence, the EMIS study reported higher rates of condomless sex among refugees, asylum seekers and those who migrated to live openly as gay or bisexual. For example, the proliferation of smartphone technology has meant an increase in the use of online dating apps and the ready availability of pornography. There is evidence that increased pornography use is associated with higher likelihoods of engaging in condomless sex, while dating app users report higher rates of gonorrhoea and chlamydia.
Inward migration to Ireland increased by 31% in 2023 and this may play a role. Barriers to accessing sexual health services for migrants are well documented. Concerns about access to condoms has been raised by national migrant rights organisation, Nasc.
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