Clinician views and experiences with reproductive coercion screening in a family planning service
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 reprod...
Source: Sexual Health - January 24, 2023 Category: Sexual Medicine Authors: Yan Cheng Claire Rogers Clare J. Boerma Jessica R. Botfield Jane Estoesta Source Type: research

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 & #x2020;
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. (Source: Sexual Health)
Source: Sexual Health - January 24, 2023 Category: Sexual Medicine Authors: Samuel Waweru Mwaniki Peter Mwenda Kaberia Peter Mwangi Mugo Thesla Palanee-Phillips Source Type: research

Changing trends in transgender demographics and morbidity: baseline data from a Spanish cohort
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 progre...
Source: Sexual Health - January 19, 2023 Category: Sexual Medicine Authors: Pedro Gonz & #xe1;lez Fern & #xe1;ndez Gema Grau Bolado Carmen Fern & #xe1;ndez L & #xf3;pez Susana Ponce de Le & #xf3;n Saenz de Navarrete Mar & #xed;a Luisa Guadilla Fern & #xe1;ndez Federico V & #xe1;zquez San Miguel Virginia Bellido Itxaso Rica Echeva Source Type: research

Barriers and facilitators to accessing sexual health services for older LGBTQIA+ adults: a global scoping review and qualitative evidence synthesis
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+...
Source: Sexual Health - January 19, 2023 Category: Sexual Medicine Authors: Hayley Conyers Dan Wu Eneyi Kpokiri Qihang Zhang Sharron Hinchliff Tom Shakespeare Joseph Tucker Source Type: research

Case report of a man with HIV presenting with malignant syphilis
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. (Source: Sexual Health)
Source: Sexual Health - December 13, 2022 Category: Sexual Medicine Authors: Myong Gyu Kim Vasanth Kamath Marianne Martinello Kristen Overton Source Type: research

The effect of pre-exposure prophylaxis (PrEP) on negotiating casual sex between gay men: disclosure, assumptions, and communication
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. (Source: Sexual Health)
Source: Sexual Health - December 13, 2022 Category: Sexual Medicine Authors: Johann Kolstee Garrett Prestage Steven Philpot Benjamin Bavinton Mohamed Hammoud Phillip Keen Martin Holt Source Type: research

Migrant and refugee youth perspectives on sexual and reproductive health and rights in Australia: a systematic review
Sharanya Napier-Raman, Syeda Zakia Hossain, Mi-Joung Lee, Elias Mpofu, Pranee Liamputtong, Tinashe Dune This review examines how migrant and refugee youth in Australia understand their sexual and reproductive health and rights, as well as the socioecological factors that shape these understandings. While youth responses to socioecological factors were varied, we identified certain shared experiences, particularly in education, parental and family interactions, institutional engagement, and cross-cultural navigation. This review provides crucial information on how practice and policy can be improved to deliver to this popul...
Source: Sexual Health - December 2, 2022 Category: Sexual Medicine Authors: Sharanya Napier-Raman Syeda Zakia Hossain Mi-Joung Lee Elias Mpofu Pranee Liamputtong Tinashe Dune Source Type: research

Isolated middle cerebral artery stenosis caused by syphilitic vasculitis
We report the case of a patient with cerebral infraction and severe isolated middle cerebral artery (MCA) stenosis, who was evaluated by serial high-resolution vessel wall magnetic resonance imaging (HR-VWI). The follow-up HR-VWI showed that concentric parietal thickening and contrast enhancement of the arterial walls were found in the patient, and the complete loss of contrast enhancement with slight residual stenosis 6 months after IV penicillin G treatment. HR-VWI is an important diagnostic tool for SV and could serve as a biomarker for assessing the response to anti-syphilis treatment in the future. (Source: Sexual Health)
Source: Sexual Health - December 2, 2022 Category: Sexual Medicine Authors: Ping Zhang Lei Chen Shiyue Chen Tao Wu Yongwei Zhang Source Type: research

Sexting and sexual behaviour in Australian adolescents
Tasha A. Falconer, Sylvia Kauer, Christopher M. Fisher Is sexting deviant or a normal part of adolescence? Many reports of sexting in adolescence have noted that it is a deviant behaviour, considering it part of a grouping of risky sexual behaviour that includes unprotected sex. In a national study of Australian adolescents, there were no differences between sexters and non-sexters in STI rates and contraceptive use&#x003B; indicating that sexting is not part of a group of risky sexual behaviours and is instead a normative part of adolescents exploring their sexual selves. (Source: Sexual Health)
Source: Sexual Health - December 1, 2022 Category: Sexual Medicine Authors: Tasha A. Falconer Sylvia Kauer Christopher M. Fisher Source Type: research

Sexual activities and condom use among heterosexual men and women engaged in mixed-gender group sex events in Melbourne, Australia
Chen Lew, Christopher K. Fairley, Julien Tran, Tiffany R. Phillips, Jason J. Ong, Ei T. Aung, Kate Maddaford, Catriona S. Bradshaw, Marcus Y. Chen, Eric P. F. Chow Group sex has been identified as a risk factor for HIV and STI. In this cross-sectional study of 3277 heterosexual men and women, we found that 5% had engaged in group sex in the past 3 months. Of those who had vaginal sex in the most recent group sex event, only 35% used condoms consistently and changed condoms between consecutive partners. Safe sex messages on changing condoms between partners and between sexual activities should be reinforced f...
Source: Sexual Health - November 22, 2022 Category: Sexual Medicine Authors: Chen Lew Christopher K. Fairley Julien Tran Tiffany R. Phillips Jason J. Ong Ei T. Aung Kate Maddaford Catriona S. Bradshaw Marcus Y. Chen Eric P. F. Chow Source Type: research

Australian sexually transmitted infection (STI) management guidelines for use in primary care 2022 update
Jason J. Ong, Christopher Bourne, Judith A. Dean, Nathan Ryder, Vincent J. Cornelisse, Sally Murray, Penny Kenchington, Amy Moten, Courtney Gibbs, Sarah Maunsell, Tyler Davis, Jessica Michaels, Nicholas A. Medland This major review of the ‘Australian Sexually Transmitted Infection (STI) Management Guidelines For Use In Primary Care’ highlights important aspects of the guidelines and provides the rationale for significant changes. (Source: Sexual Health)
Source: Sexual Health - November 11, 2022 Category: Sexual Medicine Authors: Jason J. Ong Christopher Bourne Judith A. Dean Nathan Ryder Vincent J. Cornelisse Sally Murray Penny Kenchington Amy Moten Courtney Gibbs Sarah Maunsell Tyler Davis Jessica Michaels Nicholas A. Medland Source Type: research

Prevalence of anti-hepatitis B core in men who have sex with men attending a sexual health clinic in Brighton, UK, from 2012 to 2019
Mahmoud Gouda, Colin Fitzpatrick, Deborah Williams, Daniel Richardson Hepatitis B is sexually transmitted among men who have sex with men (MSM) and anti-hepatitis B core (anti-HBc) determines current or previous infection. A total of 331/3342 (10%) of MSM had a positive anti-HBc (0.3% had active hepatitis B), which was associated with being aged >30 years, previous hepatitis C, previous syphilis and being non-UK born (but not living with HIV, or having gonorrhoea or chlamydia), and the proportion testing positive reduced significantly between 2012 and 2019. Hepatitis B is endemic in MSM locall...
Source: Sexual Health - November 11, 2022 Category: Sexual Medicine Authors: Mahmoud Gouda Colin Fitzpatrick Deborah Williams Daniel Richardson Source Type: research

Sexually transmitted infection testing among transgender and non-binary persons: results of a community-based cross-sectional survey
Ashley Lacombe-Duncan, Shanna K. Kattari, Leonardo Kattari, Ayden I. Scheim, Brayden A. Misiolek Studies demonstrate higher rates of sexually transmitted infections (STIs) among transgender (trans) and non-binary (TNB) persons, particularly trans women. We expand the literature by examining non-HIV STI testing and including trans men and non-binary persons. We found high rates of lifetime non-HIV STI testing (82.1%, 79.6%, 86.7%, and 77.1% among trans women, trans men, non-binary persons assigned male at birth, and non-binary persons assigned female at birth, respectively), with no statistically significant differences acr...
Source: Sexual Health - November 9, 2022 Category: Sexual Medicine Authors: Ashley Lacombe-Duncan Shanna K. Kattari Leonardo Kattari Ayden I. Scheim Brayden A. Misiolek Source Type: research

Men of refugee and migrant backgrounds in Australia: a scoping review of sexual and reproductive health research
Zelalem Mengesha, Alexandra J. Hawkey, Mazen Baroudi, Jane M. Ussher, Janette Perz Refugee and migrant men in Australia are currently under-represented and generally marginalised in fertility and sexual and reproductive health program development, research conceptualisation and implementation. This review indicates that sexual and reproductive health literature on refugee and migrant men largely focuses on sexually transmitted infections, meaning other areas such as contraception, fertility, the impact of gender roles and psychosexual health are poorly understood. This knowledge is needed to evaluate and inform national an...
Source: Sexual Health - October 20, 2022 Category: Sexual Medicine Authors: Zelalem Mengesha Alexandra J. Hawkey Mazen Baroudi Jane M. Ussher Janette Perz Source Type: research

Evaluating the time of HIV infection, diagnosis and treatment delays based on HIV notification data in Northwest China, 2008 & #x2013;19
Rui Zhao, Hailan Zhang, Xin Zhao, Tianyi Zhuang, Christopher K. Fairley, Jason J. Ong, Shiyi He, Lu Bai, Jane Hocking, Lei Zhang, Xiaoli Wei, Guihua Zhuang We estimate the time from HIV infection to initiation of ART and the proportion of undiagnosed HIV infections, based on HIV notification data from Northwest China during 2008–19 and found: first, we estimated about that two-thirds of HIV cases remain undiagnosed and this proportion was even higher among heterosexuals&#x003B; and second, the time from HIV diagnosis to ART initiation has reduced significantly over the past decade. (Source: Sexual Health)
Source: Sexual Health - September 29, 2022 Category: Sexual Medicine Authors: Rui Zhao Hailan Zhang Xin Zhao Tianyi Zhuang Christopher K. Fairley Jason J. Ong Shiyi He Lu Bai Jane Hocking Lei Zhang Xiaoli Wei Guihua Zhuang Source Type: research