Why risk matters for STI control: who are those at greatest risk and how are they identified?
Michael Traeger, Mark Stoové Identifying groups most at risk of sexually transmissible infections (STIs) is important for prioritising screening and targeting prevention strategies&#x003B; however, this is complicated by the diversification of STI epidemics beyond traditional risk groups characterised by demographics. In this review, we describe the epidemiology of STIs among traditional and emerging risk groups, explore contemporary approaches to risk determination, and review the evidence on the benefits and harms of risk-guided versus population-based screening for STIs among key populations. (Source: Sexual Health)
Source: Sexual Health - June 16, 2022 Category: Sexual Medicine Authors: Michael Traeger Mark Stoov & #xe9; Source Type: research
Do we DARE? Improving digital ano-rectal examination in men who have sex with men living with HIV: a quality improvement initiative
Shannon C. Woodward, Alexandra H. Tyson, Sarah J. Martin Annual digital ano-rectal examination (DARE) is recommended in Australian Guidelines as an anal cancer screening test for people aged ≥45 years living with HIV. We assessed the baseline frequency of DARE discussion and recommendation to men who have sex with men attending our clinic for HIV care and used a quality improvement approach to increase DARE recommendations to this patient group. This audit can be replicated in other services. (Source: Sexual Health)
Source: Sexual Health - June 16, 2022 Category: Sexual Medicine Authors: Shannon C. Woodward Alexandra H. Tyson Sarah J. Martin Source Type: research
Hepatitis A testing and susceptibility in men who have sex with men: an unintended benefit of PrEP
Mahmoud Gouda, Colin Fitzpatrick, Deborah Williams, Daniel Richardson Hepatitis A is a sexually transmitted enteric infection in men who have sex with men (MSM) and vaccination is recommended to prevent outbreaks. In this paper, we evaluated if screening and susceptibility has changed due to HIV-PrEP. MSM were significantly more likely to be screened for Hepatitis A susceptibility in 2021 (201/206, 93%) than in 2019 (208/372, 56%) however susceptibility to Hepatitis A did not change between in 2021 (96/216, 48%) and 2019 (98/372, 47%). De-medicalising HIV-PrEP is important as it will increase overall uptake. However, coupl...
Source: Sexual Health - June 16, 2022 Category: Sexual Medicine Authors: Mahmoud Gouda Colin Fitzpatrick Deborah Williams Daniel Richardson Source Type: research
Digital sexually transmitted infection and HIV services across prevention and care continuums: evidence and practical resources
Joseph D. Tucker, Jane Hocking, David Oladele, Claudia Estcourt This narrative review examines digital sexual health services for clinical settings. The manuscript summarises evidence, guidelines, and practical resources. (Source: Sexual Health)
Source: Sexual Health - June 16, 2022 Category: Sexual Medicine Authors: Joseph D. Tucker Jane Hocking David Oladele Claudia Estcourt Source Type: research
Outness and its correlates among gay and bisexual men attending university in China: a cross-sectional study
Yuqing Hu, Song Fan, Peiyang Li, Hongbo Jiang, Yinguang Fan, Tanwei Yuan, Xinyi Zhou, Yanxiao Gao, Leiwen Fu, Yuewei Zhan, Huicui Meng, Yawen Jiang, Jinqiu Yuan, Xiaojun Meng, Huachun Zou Studies have reported the associations between outness and mental and sexual health among gay and bisexual men, but the conclusions are inconsistent. Our study was the first to focus on outness and associated factors and found group sex was correlated with outness among GBM attending university. The results indicate that more attention needs to focus on non-disclosed GBM attending university through peer education or other ways. (Source: Sexual Health)
Source: Sexual Health - June 8, 2022 Category: Sexual Medicine Authors: Yuqing Hu Song Fan Peiyang Li Hongbo Jiang Yinguang Fan Tanwei Yuan Xinyi Zhou Yanxiao Gao Leiwen Fu Yuewei Zhan Huicui Meng Yawen Jiang Jinqiu Yuan Xiaojun Meng Huachun Zou Source Type: research
Burden of trichomoniasis among older adults in the United States: a systematic review
This article reviews the reported burden of trichomoniasis, a sexually transmitted infection (STI), in older adults in the United States. Among adults aged 45+ years, the estimated prevalence of trichomoniasis during the years 1993–2016 ranged widely, from 0.2% to 21.4%. The risk of trichomoniasis in this population is still understudied, and some older adults may be at an underappreciated risk for STIs. (Source: Sexual Health)
Source: Sexual Health - June 7, 2022 Category: Sexual Medicine Authors: Alyssa R. Lindrose Kyaw Zin Htet Samantha O & #x2019;Connell James Marsh Patricia J. Kissinger Source Type: research
Intimate partner violence before and during the COVID-19 lockdown: findings from a cross-sectional study in Singapore
Caitlin Alsandria O’Hara, Rayner Kay Jin Tan This paper describes a cross-sectional study done in Singapore in 2020, and reports findings concerning intimate partner violence (IPV) before and during COVID-19 lockdown measures, and its associated socio-demographic factors. Notably, factors associated with IPV both before and during lockdown include: being non-heterosexual, being younger and having more young people in the household. Support systems for IPV victim-survivors should be more accessible, trauma-informed and victim-centric, keeping in mind unique demographic groups that may be more vulnerable to IPV. (...
Source: Sexual Health - May 31, 2022 Category: Sexual Medicine Authors: Caitlin Alsandria O & #x2019;Hara Rayner Kay Jin Tan Source Type: research
Mycoplasma genitalium: enhanced management using expanded resistance-guided treatment strategies
Emma L. Sweeney, David M. Whiley, Gerald L. Murray, Catriona S. Bradshaw Mycoplasma genitalium is an emerging sexually transmitted bacterium that is becoming increasingly resistant to antimicrobial treatment, creating a range of challenges for successful patient management. Within this review, we discuss the emergence of antimicrobial resistance and their implications for successful treatment practices&#x003B; we also provide recommendations for testing but not screening for M. genitalium and highlight the importance of expanding individualised treatment strategies. (Source: Sexual Health)
Source: Sexual Health - May 27, 2022 Category: Sexual Medicine Authors: Emma L. Sweeney David M. Whiley Gerald L. Murray Catriona S. Bradshaw Source Type: research
Comparing the effectiveness of secondary distribution of HIV/syphilis dual self-testing to testing card referral in promoting HIV testing among gay, bisexual, and other men who have sex with men in Guangzhou, China: a quasi-experimental study
Yongjie Sha, Yuan Xiong, Jason J. Ong, Yehua Wang, Mengyuan Cheng, Yuxin Ni, Ying Lu, Joseph D. Tucker, Weiming Tang Men who have sex with men in China have disproportionately high HIV prevalence while facing barriers (e.g. stigma) to facility-based testing. This quasi-experimental study revealed that secondary distribution of blood-based HIV/syphilis dual self-testing kits engaged more Chinese MSM to distribute and receive HIV tests compared to testing card referral. The findings would be of use in increasing HIV testing uptake among MSM in China. (Source: Sexual Health)
Source: Sexual Health - May 26, 2022 Category: Sexual Medicine Authors: Yongjie Sha Yuan Xiong Jason J. Ong Yehua Wang Mengyuan Cheng Yuxin Ni Ying Lu Joseph D. Tucker Weiming Tang Source Type: research
Fanconi syndrome in a patient receiving pre-exposure prophylaxis for HIV infection: case report
Douglas Drak, Jasper Lin, Andrew Gowers, David M. Gracey This is the first reported case of Fanconi syndrome in a patient receiving HIV pre-exposure prophylaxis (PrEP) in Australia. This case highlights the potential for significant kidney injury with PrEP use, but also demonstrates how such injuries can be reversed on prompt discontinuation of PrEP. Regular monitoring of kidney function, particularly for older patients or those with pre-existing kidney disease, is therefore essential. (Source: Sexual Health)
Source: Sexual Health - May 26, 2022 Category: Sexual Medicine Authors: Douglas Drak Jasper Lin Andrew Gowers David M. Gracey Source Type: research
Increasing attendance at pre-booked sexual health consultations: a systematic review
Rebecca Clarke, Gemma Heath, Jonathan D. C. Ross, Claire Farrow Attendance at sexual health clinics can help reduce STI transmission, yet many individuals at risk of STIs do not attend the sexual health appointments they have booked. Delivering an intervention with reliable sources, SMS appointment reminders, and information regarding relevant health consequences was found to increase attendance at sexual health appointments. Future research is needed to explore how successful different combinations of techniques are at increasing attendance. (Source: Sexual Health)
Source: Sexual Health - May 26, 2022 Category: Sexual Medicine Authors: Rebecca Clarke Gemma Heath Jonathan D. C. Ross Claire Farrow Source Type: research
Rumination, risk, and response: a qualitative analysis of sexual health anxiety among online sexual health chat service users
Sarah Watt, Travis Salway, Oralia Gómez-Ramírez, Aidan Ablona, Lindsay Barton, Hsiu-Ju Chang, Heather Pedersen, Devon Haag, Joelle LeMoult, Mark Gilbert Anxiety is common among sexual health service users, yet little is known about anxiety in online sexual health settings. Using data from an online sexual health service chat service staffed by sexual health nurses, we explored anxiety among chat users. Our findings suggest that anxiety related to sexual health – in particular HIV – is a source of persistent distress among chat users, and highlight opportunities to improve...
Source: Sexual Health - May 23, 2022 Category: Sexual Medicine Authors: Sarah Watt Travis Salway Oralia G & #xf3;mez-Ram & #xed;rez Aidan Ablona Lindsay Barton Hsiu-Ju Chang Heather Pedersen Devon Haag Joelle LeMoult Mark Gilbert Source Type: research
Descriptive norms about condom use predict odds of using a condom during last sexual experience in a large, national survey of adolescents from Australia
Molly McCarthy, Sylvia Kauer, Christopher Fisher Social norms impact sexual health behaviours, particularly among young people. In a large, national survey of Australian youth aged 14–18 years, over half of sexually active respondents reported condom use during their last sexual experience&#x003B; condom use was more frequent among respondents who perceived that all same-aged peers used condoms. Future sexuality education interventions may emphasise that most young people choose to use condoms. (Source: Sexual Health)
Source: Sexual Health - May 13, 2022 Category: Sexual Medicine Authors: Molly McCarthy Sylvia Kauer Christopher Fisher Source Type: research
Associations between impulsive personality traits and HIV-related knowledge, beliefs and behaviours among college students in Chengdu, China: a cross-sectional study
Bin Yu, Yuling Huang, Rong Pei, Jiayu Han, Shujuan Yang Little research exists on impulsive personality traits (IPTs) in first- and second-year college students who are curious about sex but lack HIV knowledge and safe sex awareness. This cross-sectional study revealed that the students with a greater level of IPTs were more likely to have a high level of HIV stigma and a low level of HIV knowledge and HIV prevention beliefs. Our findings provoke thinking about future campus health education. (Source: Sexual Health)
Source: Sexual Health - May 10, 2022 Category: Sexual Medicine Authors: Bin Yu Yuling Huang Rong Pei Jiayu Han Shujuan Yang Source Type: research
& #x2018;The chances are zero & #x2019;: a qualitative study on perceived susceptibility to pregnancy among women experiencing homelessness
Annalynn M. Galvin, Ashvita Garg, Stacey B. Griner, Anelise K. Diener, Erika L. Thompson As women experiencing homelessness are at higher risk of unintended pregnancy and have less access to contraception, this study explored how contraception affected perceived risk of pregnancy. The 19 women experiencing homelessness were asked about how contraception affected pregnancy risk, pregnancy desire, pregnancy attitudes, and current contraception use. Interview themes included contraception efficacy, positive pregnancy desire, and abstinence, which may explain the lack of actual contraception use and better explain contraceptio...
Source: Sexual Health - May 2, 2022 Category: Sexual Medicine Authors: Annalynn M. Galvin Ashvita Garg Stacey B. Griner Anelise K. Diener Erika L. Thompson Source Type: research
