Hepatitis C virus infection in HIV-infected men in Singapore, 2006 & #x2013;2018: incidence and associated factors
Li Wei Ang, Chiaw Yee Choy, Oon Tek Ng, Yee Sin Leo, Chen Seong Wong The epidemiology of hepatitis C virus (HCV) infection in people living with HIV has been evolving, with increasing evidence of sexual transmission identified predominantly in HIV-positive men who have sex with men (MSM). This retrospective cohort study revealed an increasing trend of HCV incidence rate and associated factors included younger age at HIV diagnosis, HIV acquisition via MSM exposure and recent syphilis acquisition. Preventive and behavioural interventions should be targeted at HIV-infected individuals engaged in high-risk sexual behaviour. (S...
Source: Sexual Health - June 21, 2021 Category: Sexual Medicine Authors: Li Wei Ang Chiaw Yee Choy Oon Tek Ng Yee Sin Leo Chen Seong Wong Source Type: research
Internal and external sexual consent during events that involved alcohol, cannabis, or both
Malachi Willis, Tiffany L. Marcantonio, Kristen N. Jozkowski Many people engage in drunk sex or high sex and still label that experience as consensual. We found that feelings related to sexual consent did not differ across sexual events that included only alcohol, only marijuana, or neither substance; however, these feelings diminished during sexual events that involved both substances. Sexual health education programs should develop nuanced approaches to teaching people how to navigate sexual consent and substance use – particularly when greater amounts are consumed or multiple drugs are used. (...
Source: Sexual Health - June 17, 2021 Category: Sexual Medicine Authors: Malachi Willis Tiffany L. Marcantonio Kristen N. Jozkowski Source Type: research
Cross-sectional study of sexual behaviour and health of gay and bisexual men in suburban Sydney, New South Wales, Australia: contrasts between sex venue and clinic attendees
Catriona Ooi, Basil Donovan, David A. Lewis Men attending sex-on-premises-venues (SOPV: premises for anonymous sex between men) are at risk of STIs and HIV. We compare men-who-have-sex-with-men (MSM) attending a SOPV and those attending a traditional sexual health clinic and find SOPV attenders were more likely to have a female partner. The men attending the SOPV were also more likely to have some sexually transmissible infections. These findings would be of use in health promotion messaging and future design of health services. (Source: Sexual Health)
Source: Sexual Health - May 20, 2021 Category: Sexual Medicine Authors: Catriona Ooi Basil Donovan David A. Lewis Source Type: research
Attractiveness, profile-picture face visibility and unprotected receptive anal intercourse in young men who have sex with men using online dating applications
Val Wongsomboon, Emils Sietins, Gregory D. Webster In young men who have sex with men (YMSM), those who showed less-visible faces on their online dating applications had lower confidence in their ability to use a condom. This, in turn, was associated with higher frequencies of unprotected sex with male sexual partners they met from online dating applications. However, these findings were observed only in highly attractive YMSM. (Source: Sexual Health)
Source: Sexual Health - May 19, 2021 Category: Sexual Medicine Authors: Val Wongsomboon Emils Sietins Gregory D. Webster Source Type: research
Women & #x2019;s experiences of accessing a medical termination of pregnancy through a Queensland regional sexual health service: a qualitative study
Colette Cashman, Sandra G. Downing, Darren Russell Unintended pregnancy and abortion are a relatively common experience in women’s reproductive lives. Women living in regional and rural settings have limited access to abortion services; this study has demonstrated the acceptability of service provision through a regional Australian sexual health service. Primary healthcare settings are well placed to reduce the inequity in access to abortion services experienced by women living outside of major metropolitan settings. (Source: Sexual Health)
Source: Sexual Health - May 14, 2021 Category: Sexual Medicine Authors: Colette Cashman Sandra G. Downing Darren Russell Source Type: research
Extent and sufficiency of STD/HIV disease intervention specialists in the United States of America, 2016
Jami S. Leichliter, Dan Lentine, Gretchen Weiss In 2016, we surveyed all state health departments in the USA and the District of Columbia (DC). We identified 1610 STD/HIV DIS positions in the USA (85% filled) and 379 DIS supervisory positions. States with more primary and secondary syphilis cases had more DIS. DIS participated in public health emergencies in 57% of states. Most states indicated that the DIS workforce was not sufficient for STD/HIV prevention. (Source: Sexual Health)
Source: Sexual Health - May 12, 2021 Category: Sexual Medicine Authors: Jami S. Leichliter Dan Lentine Gretchen Weiss Source Type: research
Meet the Editors
Stephen Bell, Christy Newman, Ligang Yang - Volume 18(2)
Merging fires can lead to rapid increases in fire intensity and spread rate. To better understand their behaviour, several field-scale experiments were conducted during April 2019 on harvested wheat fields in western Victoria, Australia. Quantitative analysis of fire behaviour of merging fire fronts and comparison with previous findings were performed. (Source: Sexual Health)
Source: Sexual Health - May 7, 2021 Category: Sexual Medicine Authors: Stephen Bell Christy Newman Ligang Yang Source Type: research
Social self-efficacy and sexual communication among adolescents in the United States: a cross-sectional study
This study found that adolescent girls who have greater social self-efficacy (or confidence in their ability to successfully manage social relationships) are more likely to be assertive and have greater self-efficacy to communicate with their partners about sex. Including a social self-efficacy-strengthening component within sexual health programs for adolescents may be warranted. (Source: Sexual Health)
Source: Sexual Health - April 30, 2021 Category: Sexual Medicine Authors: Julia Brasileiro Laura Widman Reina Evans Hannah Javidi Source Type: research
Challenges of providing HIV pre-exposure prophylaxis across Australian clinics: qualitative insights of clinicians
Anthony K J Smith, Bridget Haire, Christy E. Newman, Martin Holt The clinical delivery of the HIV prevention method, pre-exposure prophylaxis (PrEP), has rapidly changed in Australia, particularly since the transition from research studies to general prescribing. We investigated clinicians’ perspectives on providing PrEP in different clinical settings. Clinicians described concerns about access to PrEP for people without Medicare, tensions between different types of clinicians who can provide PrEP, and discomfort advising patients about non-daily dosing strategies, suggesting these issues need to be addressed...
Source: Sexual Health - April 28, 2021 Category: Sexual Medicine Authors: Anthony K J Smith Bridget Haire Christy E. Newman Martin Holt Source Type: research
Pilot study of pharyngeal Chlamydia trachomatis in HIV-positive and HIV-negative men who have sex with men
Keshinie Samarasekara, Colin Fitzpatrick, Fionnuala Finnerty, Daniel Richardson Pharyngeal chlamydia is poorly understood in men who have sex with men (MSM). We reviewed cases of pharyngeal chlamydia in MSM during 2019. The prevalence of pharyngeal chlamydia was 75/6613 (1.13%; 95% confidence interval (CI) = 0.9–1.14). Four (5%) reported sore throat and 20 (26%) were HIV+. MSM also had concomitant infection: rectal chlamydia [39 (52%)], urethral chlamydia [12 (16%)], early syphilis [2 (3%)] and gonorrhoea [14 (19%)]. HIV-positive MSM with pharyngeal chlamydia were older (P = 0.02) and more likely...
Source: Sexual Health - April 27, 2021 Category: Sexual Medicine Authors: Keshinie Samarasekara Colin Fitzpatrick Fionnuala Finnerty Daniel Richardson Source Type: research
Increase in congenital syphilis cases and challenges in prevention in Japan, 2016 & #x2013;2017
Mizue Kanai, Yuzo Arima, Tomoe Shimada, Narumi Hori, Takuya Yamagishi, Tomimasa Sunagawa, Yuki Tada, Takuri Takahashi, Makoto Ohnishi, Tamano Matsui, Kazunori Oishi In Japan, the increase in congenital syphilis has become a public health concern. Of the 13 mothers who participated in this case series, seven had regular prenatal care visits, including four who had tested negative at their first trimester syphilis screening. Raising awareness for syphilis prevention during pregnancy, partner testing, and considering additional syphilis testing at the third trimester of pregnancy during times of increased syphilis prevalence ...
Source: Sexual Health - April 22, 2021 Category: Sexual Medicine Authors: Mizue Kanai Yuzo Arima Tomoe Shimada Narumi Hori Takuya Yamagishi Tomimasa Sunagawa Yuki Tada Takuri Takahashi Makoto Ohnishi Tamano Matsui Kazunori Oishi Source Type: research
Sexually transmissible infections and sexual risk behaviour among deployed, ship-assigned USA Navy and Marine Corps personnel
Daniel P. Triplett, Judith Harbertson, Braden Hale The pervasive assumption that USA military personnel acquire STIs in foreign ports persists without examining partner type and sexual risk behaviours. We compare personnel sexual risk behaviour for those with: (1) regular; (2) casual; or (3) mixed casual and regular sex partners, and report that the highest proportions of non-condom use, alcohol before sex and same-sex partners are in those with mixed sex partners. Targeting these military personnel for prompt testing and treatment could interrupt transmission across military and civilian populati...
Source: Sexual Health - April 14, 2021 Category: Sexual Medicine Authors: Daniel P. Triplett Judith Harbertson Braden Hale Source Type: research
Diagnosis of pelvic inflammatory disease and barriers to conducting pelvic examinations in Australian general practice: findings from an online survey
Helen Bittleston, Jacqueline Coombe, Meredith Temple-Smith, Deborah Bateson, Jill Hunady, Lena Sanci, Jane S. Hocking, Jane L. Goller Pelvic inflammatory disease (PID) remains an important reproductive health issue for women, and timely diagnosis and management is imperative to reduce the risk of complications. We explored the diagnostic practices of Australian general practitioners (GPs), finding that many GPs do not routinely perform pelvic examinations for patients with symptoms suggestive of PID due to multiple barriers. Pelvic examinations are an important diagnostic tool for PID; finding the best way to ...
Source: Sexual Health - April 9, 2021 Category: Sexual Medicine Authors: Helen Bittleston Jacqueline Coombe Meredith Temple-Smith Deborah Bateson Jill Hunady Lena Sanci Jane S. Hocking Jane L. Goller Source Type: research
Serum sex hormone-binding globulin is associated with symptomatic late-onset hypogonadism in aging rural males: a community-based study
This study found that the serum SHBG level was the strongest predictor of health-related symptoms for men with hypogonadism in comparison with other sex hormones and serum lipid levels. These results suggest that lower waist circumference will have a greater clinical effect on and can better identify the risk of developing symptoms of hypogonadism than BMI. SHBG should be used to predict the symptoms of hypogonadism. (Source: Sexual Health)
Source: Sexual Health - March 15, 2021 Category: Sexual Medicine Authors: Guoqing Liang Yuxuan Song Xiao Wang Jianhui Li Huijuan Shi Qianxi Zhu Junbiao Zheng Xiaohua Yu Zheng Li Shucheng Zhang Zengguang Wang Xiaoqiang Liu Source Type: research
Delayed HIV testing and treatment seeking, and associated support needs among people living with HIV in Malaysia: a qualitative study
Susan C. S. Chong, Adeeba Kamarulzaman, Iskandar Azwa, Rong-Xiang Ng, Meng-Li Chong, Nishaan Raman, Adam Bourne People at-risk of HIV infection in Malaysia are testing and seeking treatment late in the course of their infection, despite the availability of current and heavily subsidised therapies. The delay is due to belief of low risk of infection, perceptions of stigma and discrimination, limited health literacy, and minimal knowledge about HIV antiretroviral therapy. These jeopardise efforts to improve treatment uptake and engagement with biomedical prevention and care technologies. (Source: Sexual Health)
Source: Sexual Health - March 15, 2021 Category: Sexual Medicine Authors: Susan C. S. Chong Adeeba Kamarulzaman Iskandar Azwa Rong-Xiang Ng Meng-Li Chong Nishaan Raman Adam Bourne Source Type: research
