JournalTOCs

Sexual Health
Journal Prestige (SJR): 0.747

Citation Impact (citeScore): 1
Number of Followers: 4

Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1448-5028
Published by CSIRO Publishing

[21 journals]

Understanding how young cisgender heterosexual men navigate sexual health
conversations and practices during casual sex: a qualitative study
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  Authors: Andrea Waling
  Abstract: Andrea Waling
  Young cisgender heterosexual men in Australia are the least likely population group to ensure barrier method use during casual sex. There is limited information about how these young men might be navigating sexual health conversations with potential partners, whereby findings note that they choose to avoid the discussion or expect women to take responsibility. There is need to focus on educating young men concerning their responsibility for sexual health in casual sex encounters.
  
  Citation: Sexual Health
  PubDate: 2023-06-01
  DOI: 10.1071/SH23012
Gay, bisexual, and queer men’s confidence in the Undetectable
equals Untransmittable HIV prevention message: longitudinal qualitative
analysis of the sexual decision-making of pre-exposure prophylaxis users
over time
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  Authors: Daniel Grace, Emerich Daroya, Mark Gaspar, Alex Wells, Mark Hull, Nathan Lachowsky, Darrell H. S. Tan
  Abstract: Daniel Grace, Emerich Daroya, Mark Gaspar, Alex Wells, Mark Hull, Nathan Lachowsky, Darrell H. S. Tan
  We conducted three rounds of interviews with gay, bisexual, and queer men who had experience using PrEP (2020–22). Participants described how U=U informed sexual decision-making: (1) U=U confidence (increasing trust in U=U); (2) PrEP confidence (accounts of self-reliance and PrEP as sufficient HIV protection); (3) combination confidence (trusting U=U and PrEP as a package); and (4) partner confidence (uncertainties about medication adherence). Although many men embraced U=U as significant to their sexual lives, longitudinal analysis revealed its varied and uneven adoption across time.
  
  Citation: Sexual Health
  PubDate: 2023-06-01
  DOI: 10.1071/SH23015
Syphilis in pregnancy: a qualitative investigation of healthcare provider
perspectives on barriers to syphilis screening during pregnancy in
south-east Queensland
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  Authors: Sarah Warzywoda, James A. Fowler, Clare Nourse, Mandy Wu, Sumudu Britton, Diane Rowling, Paul Griffin, Mattea Lazarou, Zoe Hamilton, Judith A. Dean
  Abstract: Sarah Warzywoda, James A. Fowler, Clare Nourse, Mandy Wu, Sumudu Britton, Diane Rowling, Paul Griffin, Mattea Lazarou, Zoe Hamilton, Judith A. Dean
  Over the past decade, the rates of syphilis in pregnancy and congenital syphilis are continuing to rise in south-east Queensland (SEQ). Screening for syphilis during antenatal care is an important factor for prevention. In our study, SEQ healthcare providers identified system-level and individual-level barriers that prevent adequate screening. It is important that these barriers be identified and addressed to improve screening to promote maternal health and prevent congenital syphilis in SEQ.
  
  Citation: Sexual Health
  PubDate: 2023-05-29
  DOI: 10.1071/SH22193
Agreement of and discussion with clients about Undetectable equals
Untransmissible among general practitioners in Australia: a
cross-sectional survey
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  Authors: Jason Wu, Christopher K. Fairley, Daniel Grace, Eric P. F. Chow, Jason J. Ong
  Abstract: Jason Wu, Christopher K. Fairley, Daniel Grace, Eric P. F. Chow, Jason J. Ong
  The message that having an undetectable HIV viral load equals untransmissible (U=U) is important to reduce HIV stigma. It is unclear whether general practitioners (GPs) discuss U=U with their clients and what are the factors associated with this. We found that one in four GPs were neutral or disagreed with U=U, and U=U agreement was associated with greater odds of discussing U=U. Increasing health professionals’ confidence in U=U could help more clients become aware of and comfortable with U=U.
  
  Citation: Sexual Health
  PubDate: 2023-05-29
  DOI: 10.1071/SH23051
Improving HIV pre-exposure prophylaxis (PrEP) uptake and initiation:
process evaluation and recommendation development from a national PrEP
program †
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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
Sexual health services in urban, suburban, and rural outpatient mental
healthcare settings in New York: findings from a survey of practices and
gaps
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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
Sexual risk behaviours among factory workers in Shenzhen, China: a
cross-sectional study
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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
East–west disparities in safer sex inside China: a
sociocultural perspective
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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
Prevalence and risk factors for alcohol use disorders, substance use
disorders, and depression anxiety and stress among users of sexual health
services in Singapore: a cross-sectional survey study
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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
Prevalence and predictor factor of lifetime abortion in female sex workers
in Iran: results of the national rapid assessment and response in 2017
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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
Online platforms for prescription and supply of hormonal contraception in
Australia: a mapping review
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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
The changing epidemiology of Neisseria gonorrhoeae genogroups and
antimicrobial resistance in Queensland, Australia, 2010–15: a case
series analysis of unique Neisseria gonorrhoeae isolates
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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
Trends in testing of sexually transmissible infections (STIs), sexual
health knowledge and behaviours, and pornography use in cross-sectional
samples of young people in Victoria, Australia, 2015–21
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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
Sparking light in sexual health
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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
Thank you for the privilege
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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
A qualitative evaluation of a Nudgeathon event for the co-design of sexual
health campaign images targeting overseas-born men who have sex with men
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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
Interim position statement on doxycycline post-exposure prophylaxis
(Doxy-PEP) for the prevention of bacterial sexually transmissible
infections in Australia and Aotearoa New Zealand – the Australasian
Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM)
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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
Would men who have sex with men support less frequent screening for
asymptomatic chlamydia and gonorrhoea to improve antibiotic stewardship' A
qualitative study
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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
Self-efficacy mediates the effect of providing HIV self-testing kits on
HIV testing frequency among Chinese men who have sex with men: results
from a randomised controlled trial
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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
Pornography consumption and sexual health among emerging adults from
Malaysia: an observational study
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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
Sexual mixing patterns in men who have sex with men: network approaches
for smart resource allocation
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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
Efficacy and acceptability of ‘nudges’ aimed at promoting
pre-exposure prophylaxis (PrEP) use: a survey of overseas born men who
have sex with men
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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
Sexually transmitted infection testing and prevalence among MSM using
event-based dosing HIV pre-exposure prophylaxis
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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
Prevalence of five curable sexually transmitted infections and associated
risk factors among tertiary student men who have sex with men in Nairobi,
Kenya: a respondent-driven sampling survey †
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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
Clinician views and experiences with reproductive coercion screening in a
family planning service
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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