‘How Old Are You, Boy?’ An Autobiographical History of Working as a Sexual Health Adviser in 1980s Britain

This is an autobiographical history of working as a sexual health adviser in the mid-1980s, a time of significant change in UK sexual health services. There are very few first-hand accounts of health advising in the literature. Autobiography is an increasingly accepted method that uses the historian's personal experience to understand the past. My work as a health adviser comprised two distinct elements. First, I saw patients with gonorrhoea, syphilis or non-specific urethritis in the clinic, and encouraged them to inform their sexual contacts, sought information on their contacts in case they did not attend, and provided a health education intervention. If the patient defaulted, or if the contacts did not attend, I sought them in the community. The second role involved providing counselling for those undertaking testing for HIV. My account provides unique testimony of lived experience in, and reflections on key issues concerning, 1980s UK sexual health services.