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Authors:Claudia S. Estcourt, Jennifer MacDonald, John Saunders, Rak Nandwani, Ingrid Young, Jamie Frankis, Dan Clutterbuck, Nicola Steedman, Lisa McDaid, Jenny Dalrymple, Paul Flowers Abstract: Claudia S. Estcourt, Jennifer MacDonald, John Saunders, Rak Nandwani, Ingrid Young, Jamie Frankis, Dan Clutterbuck, Nicola Steedman, Lisa McDaid, Jenny Dalrymple, Paul Flowers Zero new HIV infections could become a reality if HIV pre-exposure prophylaxis (PrEP) programs are successfully implemented but the World Health Organization recognises that large-scale roll out is challenging. We used implementation science research tools in novel ways to evaluate one of the world’s first national PrEP programs, to develop evidence-based recommendations for use across a range of settings to improve PrEP uptake and initiation. Adopting these recommendations could enable governments and societies to better address HIV prevention goals.
Citation: Sexual Health PubDate: 2023-05-15 DOI: 10.1071/SH22170
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Authors:Karen McKinnon, Fatima Jaafar, Jean-Marie Alves-Bradford, Taylor Weinstein, Alma Zurita McKinnon, Elizabeth Hughes, Daria Boccher-Lattimore, Francine Cournos Abstract: Karen McKinnon, Fatima Jaafar, Jean-Marie Alves-Bradford, Taylor Weinstein, Alma Zurita McKinnon, Elizabeth Hughes, Daria Boccher-Lattimore, Francine Cournos Sexual healthcare is not only critical to controlling sexually transmitted infections for people with serious mental illness, it is also an equity and social justice issue. New approaches to helping people with mental health disorders recover their health and functioning have prompted clinicians and care systems to re-think how to address sexual health; we found inequitable access to sexual health services in community mental health settings. Staff training in sexual health services delivery is needed to improve health and recovery.
Citation: Sexual Health PubDate: 2023-05-09 DOI: 10.1071/SH22199
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Authors:Dan Luo, Kechun Zhang, Yaqi Chen, Dahui Chen, Heping Zhao, Ganfeng Luo, Wujian Ke, Shaomin Wu, Linghua Li, He Cao, Bolin Cao, Yong Cai, Zixin Wang, Qihui Lin, Xiaojun Meng, Huachun Zou Abstract: Dan Luo, Kechun Zhang, Yaqi Chen, Dahui Chen, Heping Zhao, Ganfeng Luo, Wujian Ke, Shaomin Wu, Linghua Li, He Cao, Bolin Cao, Yong Cai, Zixin Wang, Qihui Lin, Xiaojun Meng, Huachun Zou Sexual transmission has been the main mode of HIV transmission, and data on sexual risk behaviours among factory workers from various industries are scarce in China. Sexual risk behaviours that showed associations with certain characteristics and experience of sexual debut were prevalent among factory workers in Shenzhen, China. There are massive labour forces in China, indicating an urgent need to strengthen sexual health education and promote safer sexual behaviours among factory workers.
Citation: Sexual Health PubDate: 2023-05-01 DOI: 10.1071/SH23033
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Authors:Lin Zhang, Yi Mou, Jilong Wang Abstract: Lin Zhang, Yi Mou, Jilong Wang A total of 1286 female college students in China was surveyed to investigate their sexual behaviours. The results show that between those students in the east (Shanghai and Nanjing) and those in the west (Chongqing and Chengdu), their rate of sexual intercourse experience, rate of safer sex, conservative sexual values, authority sex education, unofficial sex knowledge access and HIV knowledge level were different. Compared with the eastern students, western students have a higher rate of sexual activity, but lower rate of safer sex. The regional disparities in economy, social development and culture affect individuals’ sexual behaviours saliently.
Citation: Sexual Health PubDate: 2023-04-24 DOI: 10.1071/SH22025
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Authors:Wen Zhi Ng, Khairul Ariffin, Peter Kay Chai Tay, Mukul Prasad, Calvin Tan, Chronos Kwok, Rayner Kay Jin Tan Abstract: Wen Zhi Ng, Khairul Ariffin, Peter Kay Chai Tay, Mukul Prasad, Calvin Tan, Chronos Kwok, Rayner Kay Jin Tan This is the first study in Singapore to assess the prevalence of alcohol use disorder, substance use disorder, and depression, anxiety and stress among users of sexual health services. We found a high prevalence of problematic alcohol (20.4%) and drug use (12.1%) among individuals using sexual health services. These findings support the integration of alcohol use and substance use disorder screening in sexual health services to ensure better interventions that reduce risks for poor sexual and mental health outcomes.
Citation: Sexual Health PubDate: 2023-04-24 DOI: 10.1071/SH23023
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Authors:Payam Roshanfekr, Leila Moftakhar, Sakineh Narouee, Delaram Ali, Meroe Vameghi Abstract: Payam Roshanfekr, Leila Moftakhar, Sakineh Narouee, Delaram Ali, Meroe Vameghi Female sex workers are a very vulnerable group of society. These women usually have this job due to financial needs. Many of these women are usually at a high risk of unwanted pregnancies due to having unprotected sexual relationships, and the majority of them seek abortion, which are at high risk of mortality.
Citation: Sexual Health PubDate: 2023-04-24 DOI: 10.1071/SH22169
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Authors:Tahlee B. Stevenson, Alice Rumbold, Emily Callander, Pip Buckingham, Anisa Assifi, Danielle Mazza, Luke E. Grzeskowiak Abstract: Tahlee B. Stevenson, Alice Rumbold, Emily Callander, Pip Buckingham, Anisa Assifi, Danielle Mazza, Luke E. Grzeskowiak Despite the fact that access to contraception it is key to reproductive autonomy, initiating and continuing use of hormonal contraception in Australia can be costly and logistically challenging. This mapping review aimed to identify and comment on the number and accessibility of online platforms providing prescriptions for and supply of hormonal contraception within Australia. We found that despite addressing some of the identified barriers, these services are unlikely to be truly accessible to all consumers.
Citation: Sexual Health PubDate: 2023-04-04 DOI: 10.1071/SH22138
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Authors:Lisa McHugh, Amalie Dyda, Christine Guglielmino, Cameron Buckley, Colleen L. Lau, Amy V. Jennison, David G. Regan, James Wood, David Whiley, Ella Trembizki Abstract: Lisa McHugh, Amalie Dyda, Christine Guglielmino, Cameron Buckley, Colleen L. Lau, Amy V. Jennison, David G. Regan, James Wood, David Whiley, Ella Trembizki Our 5-year Queensland study demonstrates the potential for molecular surveillance to track the changing epidemiology, movement and antimicrobial resistance of Neisseria gonorrhoeae in Australia. This is increasingly important, because potential prevalent gonococcal strains are not captured well by current methods, and we found evidence of bridging from male-dominant networks to heterosexual networks, which has serious implications for current public health practise. Genotyping is also necessary to monitor the transiency of dominant genogroups to allow a more targeted and tailored approach to treatment.
Citation: Sexual Health PubDate: 2023-03-28 DOI: 10.1071/SH22118
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Authors:Sarah Eddy, Caitlin Douglass, Michelle Raggatt, Alexander Thomas, Megan Lim Abstract: Sarah Eddy, Caitlin Douglass, Michelle Raggatt, Alexander Thomas, Megan Lim Young people aged 15–29 years account for more than 70% of sexually transmissible infections (STIs) reported in Australia. This study surveyed self-reported STI testing, sexual behaviours, pornography use, and sexual health knowledge in samples of young Victorians over the period of 2015–21, captured through an online survey. Results provide current trends in sexual health behaviours and knowledge to help inform effective public health interventions for young people.
Citation: Sexual Health PubDate: 2023-03-27 DOI: 10.1071/SH22122
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Authors:Jason J. Ong, Joseph D. Tucker Abstract: Jason J. Ong, Joseph D. Tucker This editorial introduces the incoming co-Editors-in-Chief of the journal, and their plans to taking the journal in four directions focused on clinical impact, open science, building capacity, and improving the submission process.
Citation: Sexual Health PubDate: 2023-03-27 DOI: 10.1071/SH23041
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Authors:Christopher K. Fairley, Roy K. Chan Abstract: Christopher K. Fairley, Roy K. Chan This editorial, by the retiring Editors Christopher Fairley and Roy Chan, tells the story of the founding of Sexual Health in 2004 and its journey. They express their gratitude for privilege they have enjoyed as Editors-in-Chief of the journal.
Citation: Sexual Health PubDate: 2023-03-27 DOI: 10.1071/SH23039
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Authors:Julien Tran, Ivo Vlaev, Daniel Read, Kelly Ann Schmidtke, Eric P. F. Chow, David Lee, James Tapa, Jason J. Ong Abstract: Julien Tran, Ivo Vlaev, Daniel Read, Kelly Ann Schmidtke, Eric P. F. Chow, David Lee, James Tapa, Jason J. Ong We evaluated a 4-h online Nudgeathon aimed to co-design a digital advertisement campaign for HIV pre-exposure prophylaxis (PrEP) among overseas-born men who have sex with men. All interviewees were satisfied with the end-product they co-designed with their group, which proved to be as productive in co-designing solutions as past Nudgeathons conducted in person, lasting 1–2 days. Online co-design workshops can be a fast and efficient option for developing potential solutions to sensitive issues, such as PrEP.
Citation: Sexual Health PubDate: 2023-03-23 DOI: 10.1071/SH22125
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Authors:Vincent J. Cornelisse, Jason J. Ong, Nathan Ryder, Catriona Ooi, Arthur Wong, Penny Kenchington, Massimo Giola, Basil Donovan, Judith A. Dean, Jean-Michel Molina, Nicholas A. Medland Abstract: Vincent J. Cornelisse, Jason J. Ong, Nathan Ryder, Catriona Ooi, Arthur Wong, Penny Kenchington, Massimo Giola, Basil Donovan, Judith A. Dean, Jean-Michel Molina, Nicholas A. Medland This interim position statement from the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) outlines evidence for the effectiveness of doxycycline prophylaxis to prevent bacterial sexually transmitted infections (STI), namely syphilis, chlamydia and gonorrhoea, and outlines potential risks of this prevention strategy. This position statement aims to provide clinicians in Australia with the information needed to conduct evidence-based conversations with patients about this STI prevention strategy.
Citation: Sexual Health PubDate: 2023-03-17 DOI: 10.1071/SH23011
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Authors:Amelia Margaret Wardley, Henrietta Williams, Jacqueline Coombe, Cassandra Caddy, Christopher Kincaid Fairley, Jane Simone Hocking Abstract: Amelia Margaret Wardley, Henrietta Williams, Jacqueline Coombe, Cassandra Caddy, Christopher Kincaid Fairley, Jane Simone Hocking Current sexually transmitted infection (STI) guidelines recommend that men who have sex with men (MSM) taking pre-exposure prophylaxis (PrEP) should be tested every 3 months for chlamydia and gonorrhoea regardless of symptoms. However, these guidelines have not led to a noticeable reduction of gonorrhoea and chlamydia rates and there is increasing concern about antibiotic consumption among this group and its impact on antimicrobial resistance. We interviewed MSM to explore their attitudes to 3-monthly screening and how they would feel about screening less frequently.
Citation: Sexual Health PubDate: 2023-03-16 DOI: 10.1071/SH22139
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Authors:Ci Zhang, Daoping Huang, Lloyd A. Goldsamt, Honghong Wang, James Wiley, Yan Shen, Yuanyuan Chi, Xianhong Li Abstract: Ci Zhang, Daoping Huang, Lloyd A. Goldsamt, Honghong Wang, James Wiley, Yan Shen, Yuanyuan Chi, Xianhong Li HIV self-testing (HIVST) has the potential to promote HIV tests; however, knowledge about the mechanisms by which providing HIVST kits impacts the uptake of HIV testing is limited. This study was performed to examine how self-efficacy mediated the association between HIVST provision and HIV testing uptake. Our findings indicate HIVST provision could improve HIV testing self-efficacy, and self-efficacy mediated the predicted relationship between supplying HIVST kits and HIV testing frequency. Improving self-efficacy might be an effective way to increase HIV testing among Chinese MSM.
Citation: Sexual Health PubDate: 2023-02-28 DOI: 10.1071/SH22110
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Authors:Pei Hwa Goh, Li Ann Phuah, Yi Hwa Low Abstract: Pei Hwa Goh, Li Ann Phuah, Yi Hwa Low The prevalence of pornography consumption remains high in Malaysia despite governmental efforts in banning sexually explicit content. The current research revealed that the attitudes and behaviours related to pornography consumption among Malaysian emerging adults match trends that have been observed globally, and that pornography use can be particularly beneficial or detrimental for women. Findings highlight the need for comprehensive sex education to be provided to adolescents and emerging adults in Malaysia to promote sexual health literacy, especially among women.
Citation: Sexual Health PubDate: 2023-02-28 DOI: 10.1071/SH22181
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Authors:M. Kumi Smith, Matthew Graham, Katherine Harripersaud, Qiuying Zhu, Guanghua Lan, Zhiyong Shen, Shuai Tang Abstract: M. Kumi Smith, Matthew Graham, Katherine Harripersaud, Qiuying Zhu, Guanghua Lan, Zhiyong Shen, Shuai Tang ‘Who has sex with whom'’ is the primary question that dictates how HIV and other sexually transmitted infections spread in populations. We used such sexual network data from a sample of Chinese men who have sex with men (to further answer, ‘who transmits to whom'’ Our findings – that most HIV transmission originates in men who have sex with men shortly after sexual debut – can guide the targeting of resources to the highest-need subgroups to arrest HIV spread.
Citation: Sexual Health PubDate: 2023-02-27 DOI: 10.1071/SH22163
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Authors:Nicholas Fidler, Ivo Vlaev, Kelly Ann Schmidtke, Eric P. F. Chow, David Lee, Daniel Read, Jason J. Ong Abstract: Nicholas Fidler, Ivo Vlaev, Kelly Ann Schmidtke, Eric P. F. Chow, David Lee, Daniel Read, Jason J. Ong Nudge theory argues that a large portion of human behaviour is the result of how choices are presented to us, as opposed rational considerations such as which choices are in our best interests. ‘Nudges’ are interventions that allow policy makers to cheaply alter behaviour without significantly changing economic incentives. We investigate the use of these techniques as tools to increase awareness of pre-exposure prophylaxis, an effective HIV prevention strategy, among overseas-born men who have sex with men in Australia.
Citation: Sexual Health PubDate: 2023-02-23 DOI: 10.1071/SH22113
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Authors:Kiersten Simmons, Colin Fitzpatrick, Daniel Richardson Abstract: Kiersten Simmons, Colin Fitzpatrick, Daniel Richardson Men who have sex with men (MSM) can choose between either daily or event-based dosing (EBD) for HIV pre-exposure prophylaxis. In our clinic-based study of 418 individuals on PrEP, EBD-PrEP users had a lower number of sexual partners and tested for sexually transmitted infections (STI) less frequently than daily PrEP users, but were diagnosed with a similar number of STIs. More research is needed to understand the optimal frequency for STI testing in MSM using EBD-PrEP, and we need to increase opportunities for STI testing for MSM using EBD-PrEP.
Citation: Sexual Health PubDate: 2023-01-30 DOI: 10.1071/SH22192
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Authors:Samuel Waweru Mwaniki, Peter Mwenda Kaberia, Peter Mwangi Mugo, Thesla Palanee-Phillips Abstract: Samuel Waweru Mwaniki, Peter Mwenda Kaberia, Peter Mwangi Mugo, Thesla Palanee-Phillips Young gay, bisexual and other men who have sex with men (YMSM) are disproportionately affected by sexually transmitted infections (STIs). Our study tested and found that more than half of the sampled 248 college and university YMSM in Nairobi, Kenya, had at least one of five curable STIs. There is thus need for concerted efforts to address the high burden of STIs in this population.
Citation: Sexual Health PubDate: 2023-01-24 DOI: 10.1071/SH22114
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Authors:Hayley Conyers, Dan Wu, Eneyi Kpokiri, Qihang Zhang, Sharron Hinchliff, Tom Shakespeare, Joseph Tucker First page: 9 Abstract: Hayley Conyers, Dan Wu, Eneyi Kpokiri, Qihang Zhang, Sharron Hinchliff, Tom Shakespeare, Joseph Tucker Sexual health services are often built for young, otherwise healthy individuals, framing heterosexual sex above all else, creating a paucity of services for older LGBTQIA+ adults who fall outside of scope. Older LGBTQIA+ adults have specific and unique sexual health considerations which cause them to seek care, but are stymied by stigma, inappropriate services, and insensitive providers. By addressing the barriers and facilitators of sexual health care access for older LGBTQIA+ adults, we have identified practical strategies to improve their care.
Citation: Sexual Health PubDate: 2023-01-19 DOI: 10.1071/SH22144
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Authors:Yan Cheng, Claire Rogers, Clare J. Boerma, Jessica R. Botfield, Jane Estoesta First page: 71 Abstract: Yan Cheng, Claire Rogers, Clare J. Boerma, Jessica R. Botfield, Jane Estoesta This paper explores the views and experiences of clinicians undertaking a reproductive coercion screening program at a family planning service in New South Wales, Australia. Clinicians involved in the program believed screening was an important and relevant component of their practice. They identified that ongoing education and training with relevant resources, and establishment of effective referral pathways with a multi-disciplinary collaborative response, would support clinicians in undertaking screening and responding to disclosures of reproductive coercion.
Citation: Sexual Health PubDate: 2023-01-24 DOI: 10.1071/SH22143
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Authors:Pedro González Fernández, Gema Grau Bolado, Carmen Fernández López, Susana Ponce de León Saenz de Navarrete, María Luisa Guadilla Fernández, Federico Vázquez San Miguel, Virginia Bellido, Itxaso Rica Echevarria First page: 96 Abstract: Pedro González Fernández, Gema Grau Bolado, Carmen Fernández López, Susana Ponce de León Saenz de Navarrete, María Luisa Guadilla Fernández, Federico Vázquez San Miguel, Virginia Bellido, Itxaso Rica Echevarria The number of transgender people requesting specialised treatment is rapidly increasing worldwide, especially among minors. We have studied the changes over time in the characteristics of transgender persons who have sought hormone treatment in a specialised clinic in Spain for the past 12 years, observing a progressive decrease in their age, an increase in their academic level and a better health profile. These findings probably reflect favourable changes in how the group is treated by society and public health services.
Citation: Sexual Health PubDate: 2023-01-19 DOI: 10.1071/SH22171
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Authors:Johann Kolstee, Garrett Prestage, Steven Philpot, Benjamin Bavinton, Mohamed Hammoud, Phillip Keen, Martin Holt First page: 64 Abstract: Johann Kolstee, Garrett Prestage, Steven Philpot, Benjamin Bavinton, Mohamed Hammoud, Phillip Keen, Martin Holt With the rapid uptake of pre-exposure prophylaxis (PrEP) in Australia, norms and expectations about discussion and disclosure of HIV status may have changed. Many participants assumed their partners would find information about their HIV status or PrEP use on their online profiles or that partners would ask, if necessary. Building a stronger, shared understanding among gay men that disclosure and discussion no longer automatically occur before sexual encounters may be useful.
Citation: Sexual Health PubDate: 2022-12-13 DOI: 10.1071/SH22095
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Authors:Myong Gyu Kim, Vasanth Kamath, Marianne Martinello, Kristen Overton First page: 83 Abstract: Myong Gyu Kim, Vasanth Kamath, Marianne Martinello, Kristen Overton Malignant syphilis is a rare manifestation of secondary syphilis and is usually associated with HIV infection. Disseminated syphilis can pose a diagnostic dilemma, often a masquerade for other conditions including fungal endophthalmitis. Syphilis remains a disease of concern and has continued to rise in prevalence in the past decade.
Citation: Sexual Health PubDate: 2022-12-13 DOI: 10.1071/SH22161
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