Latest

These articles are the latest published in the journal. Sexual Health is published under a continuous publication model. More information is available on our Continuous Publication page.

Published online 17 December 2024

SH24103Sexual satisfaction among people living with HIV in the era of biomedical prevention: enduring impacts of HIV-related stigma?

Thomas Norman , Adam Bourne, Jack Thepsourinthone, Dean Murphy, John Rule, G. J. Melendez-Torres and Jennifer Power

 

For people living with HIV (PLHIV), sexual satisfaction can be challenging because of stigma, discrimination, or fears surrounding onward transmission. This article investigates sexual satisfaction among PLHIV, demonstrating high levels of sexual dissatisfaction associated with avoiding sex due to HIV status, concerns about drug use, older age, and poor self-reported health. These findings highlight that supporting PLHIV extends beyond biomedical considerations (e.g. HIV treatment), demanding a holistic approach that tackles stigma and other health concerns.

SH24103 Abstract  |  SH24103 Full Text  | SH24103PDF (398 KB)   Open Access Article

Published online 17 December 2024

SH24211Higher identity resilience – self-efficacy is associated with sexual risk behaviours in gay men

Rusi Jaspal and Asrin Yenihayat

 

Understanding the relationship between psychological constructs, such as self-efficacy, and sexual risk-taking behaviours is key. This study examines associations between identity resilience – self-efficacy and frequency of both condomless sexual encounters and drug use in sexualised settings in a sample of heterosexual and gay men. Higher identity resilience – self-efficacy was found to be associated with greater sexual risk-taking behaviours in gay men only.

SH24211 Abstract  | PDF (169 KB) - $35.00 

Published online 16 December 2024

SH24016Sexual dissatisfaction and its association with health status among older adults in China: a nationwide study

Yiwen Diao , Yan Sun, Joseph D. Tucker and Fan Yang

 

More than one in five Chinese adults aged 50 years or older might face sexual dissatisfaction, and compared with men, women are more likely to experience sexual dissatisfaction. Sexual dissatisfaction was linked to poor health status, such as depressive symptoms and comorbidities of common chronic diseases. Sexual satisfaction, a corner stone of sexual health, warrants scholarly and medical attention, especially for older adults and women, to ensure health longevity.

This article belongs to the collection: Sexual health among older adults: A multi-disciplinary collection.

SH24016 Abstract  |  SH24016 Full Text  | SH24016PDF (427 KB)   Open Access Article

Published online 12 December 2024

SH24173Comparing the impact of sexualised drug use with and without chemsex on sexual behaviours among men who have sex with men in China: a national multi-site cross-sectional study

Jiajun Sun , Bingyang She, Phyu M. Latt, Jason J. Ong , Xianglong Xu, Yining Bao, Christopher K. Fairley , Lin Zhang, Weiming Tang and Lei Zhang

 

This study examined how drug use during sex affects sexual behaviours among men who have sex with men in China. Through a nationwide survey of 796 participants, we found that men who used specific psychoactive drugs during sex (chemsex) showed different patterns compared to other groups. They reported more sexual partners, engaged in a wider variety of sexual activities, and showed distinct patterns of sequential sexual behaviours. These findings help identify risks and inform targeted health interventions.

SH24173 Abstract  |  SH24173 Full Text  | SH24173PDF (684 KB)  | SH24173Supplementary Material (2.5 MB)   Open Access Article

Published online 09 December 2024

SH24112Preferences for the delivery of early abortion services in Australia: a discrete choice experiment

Jody Church , Marion Haas, Deborah J. Street, Deborah Bateson and Danielle Mazza

 

There is limited understanding of the preferences of the general public for the provision of early abortion services, including surgical and early medical abortion. Discrete choice experiments are an ideal means to investigate the preferences for abortion services in Australia. There is a pressing need for increased education and awareness regarding the types of abortion services available and the range of healthcare providers capable of delivering safe and effective abortion services.

SH24112 Abstract  |  SH24112 Full Text  | SH24112PDF (315 KB)  | SH24112Supplementary Material (1.6 MB)   Open Access Article

Published online 05 December 2024

SH23149Co-creation and community engagement in implementation research with vulnerable populations: a co-creation process in China

Liyuan Zhang, Katherine T. Li, Tong Wang, Danyang Luo, Rayner K. J. Tan, Gifty Marley, Weiming Tang , Rohit Ramaswamy, Joseph D. Tucker and Dan Wu

 

Co-creation is a community engagement methodology that aims to create a shared leadership role of program beneficiaries in the development and implementation of programs. We conducted a co-creation process to develop a community-engaged implementation strategy to enhance service uptake among a sexual minority sub-population in China. This paper describes the co-creation process and may help inform future co-creation practices in generating contextually appropriate public health solutions.

SH23149 Abstract  |  SH23149 Full Text  | SH23149PDF (4.1 MB)   Open Access Article

Published online 05 December 2024

SH24166The association between antimicrobial resistance mutations and treatment outcomes for Mycoplasma genitalium infections from 2018 to 2022: a cross-sectional study from Auckland, New Zealand

Shivani Fox-Lewis, Rose Forster , Indira Basu, Matthew Blakiston and Gary McAuliffe

 

New Zealand has high rates of antimicrobial resistance in Mycoplasma genitalium. We correlated treatment outcomes with resistance markers and found excellent outcomes for macrolide-sensitive infections, or those without parC mutations, with first-line resistance-guided therapies. There were lower cure rates for infections with both macrolide and parC mutations, offering opportunities to refine management of M. genitalium infections.

SH24166 Abstract  | PDF (227 KB) - $35.00 

Published online 02 December 2024

SH24101Comparison of IgG serum antibodies, electronic health records and self-report in estimating past infection with Chlamydia trachomatis in a cohort of men who have sex with men

Mary Bridget Waters , Lindley A. Barbee , Kevin Hybiske, Katherine Newman, Ren Ikeda, Angela LeClair, Matthew R. Golden, Olusegun O. Soge, Lisa E. Manhart and Christine M. Khosropour

 

The best method for measuring a history of Chlamydia trachomatis (CT) infections is unknown. We examined the reliability of three methods as markers of past CT infections: IgG serum antibodies, the electronic health record (EHR) and self-report. Self-report may be more reliable than the EHR when determining past CT infections in some contexts, whereas serum antibodies measured using newer seroassays can capture asymptomatic and/or undiagnosed infections.

SH24101 Abstract  | PDF (204 KB) - $35.00 

Published online 21 November 2024

SH24143Community-engaged strategies to improve sexual health services for adults aged 45 and above in the United Kingdom: a qualitative data analysis

Michel Nunez, Yoshiko Sakuma , Hayley Conyers , Suzanne Day, Fern Terris-Prestholt, Jason J. Ong , Stephen W. Pan, Tom Shakespeare, Joseph D. Tucker , Eneyi E. Kpokiri and Dan Wu

 

Sexual health research and community engagement projects often focus on youth and neglect middle-aged and older adults. This research demonstrates that crowdsourcing open calls and co-creation activities focused on sexual health are feasible among middle-aged and older adults, including those with disabilities. Key findings from this study suggest that improving sexual health services for middle-aged and older adults must be addressed at various levels of healthcare service delivery.

This article belongs to the collection: Sexual health among older adults: A multi-disciplinary collection.

SH24143 Abstract  |  SH24143 Full Text  | SH24143PDF (866 KB)  | SH24143Supplementary Material (26.4 MB)   Open Access Article

Published online 21 November 2024

SH24094Relationship status and sexual health service engagement among young people in the United Kingdom: a cross-sectional survey study

Jack Large, Selma Vieira, Cora Sargeant, Clare Scholfield and Heather L. Armstrong

 

Sexual health service engagement among young people is important and needs may vary depending on relationship status. We explored use of five different sexual health services and found that, in general, engagement was low and those in relationships were more likely to have used services for free condoms, to start the pill, and for pregnancy testing. Healthcare and relationship and sexual education providers should encourage all young people to engage with sexual health services, whatever their relationship status.

SH24094 Abstract  | PDF (223 KB) - $35.00 

Published online 12 November 2024

SH23195Perceptions, experiences and concerns with sexually transmitted infections among current and former PrEP users: a longitudinal qualitative study of gay, bisexual and queer men in Canada

Emerich Daroya , Alex Wells, Mark Gaspar, Jad Sinno, Mark Hull, Nathan J. Lachowsky, Darrell H. S. Tan and Daniel Grace

 

PrEP has been attributed to increased rates of STIs due to condomless anal sex, but little is known about how gay, bisexual and queer men (GBQM) perceive PrEP and STIs and how these perceptions influence sexual behaviours. This study is the first longitudinal qualitative research that explores the experiences and attitudes of GBQM using PrEP in Canada. Understanding GBQM’s perspectives can inform the development of more effective strategies to promote safer sexual practices and mitigate the spread of STIs within and beyond GBQM communities.

SH23195 Abstract  |  SH23195 Full Text  | SH23195PDF (276 KB)   Open Access Article

Published online 12 November 2024

SH24137Sexual health in an aging world: a global call to action for more resilient services for older and disabled adults

Sophia Randazzo, Suzanne Day, Isabella Kritzer, Huachun Zou , Hayley Conyers, Yoshiko Sakuma, Dan Wu , Eneyi E. Kpokiri , Lianne Gonsalves and Joseph D. Tucker

 

Many sexual health services neglect older adults, defined here as people 60 years and older. Physicians sometimes assume that older adults do not have sex. This editorial describes why we should focus more on the sexual health of older adults. More research, programs, and policies are needed to support sexual health among older people.

This article belongs to the Collection Sexual health among older adults: A multi-disciplinary collection.

SH24137 Abstract  |  SH24137 Full Text  | SH24137PDF (160 KB)   Open Access Article

Published online 12 November 2024

SH24018Prescribing pre-exposure prophylaxis for HIV prevention: a cross-sectional survey of general practitioners in Australia

Jason Wu , Christopher K. Fairley , Daniel Grace , Benjamin R. Bavinton , Doug Fraser, Curtis Chan , Eric P. F. Chow and Jason J. Ong

 

Pre-exposure prophylaxis (PrEP) is a medication used to stop people from acquiring the HIV virus and is a key part of reducing HIV rates worldwide. We investigated the Australian GP perspective on PrEP, and found half of our participants lacked knowledge on PrEP, half were not confident prescribing it, and key barriers were difficulty identifying suitable patients and lack of time. GPs need support to provide PrEP, with paid training and Medicare item numbers that encourage PrEP prescribing.

SH24018 Abstract  |  SH24018 Full Text  | SH24018PDF (248 KB)  | SH24018Supplementary Material (1.2 MB)   Open Access Article

Published online 07 November 2024

SH23188Rising incidence of gonorrhea in Taiwan amid the COVID-19 pandemic: a nationwide surveillance study

Hsing-Yuan Chen, Yi-Hsiang Sung, Chung-Chu Chen , Shun-Long Weng, Bo-Huang Liou, Chun-Yan Yeung, Chi-Hone Lien, Chao-Hsu Lin, Hsin Chi, Liang-Yen Lin, Nan-Chang Chiu and Chien-Yu Lin

 

Amid the COVID-19 pandemic, societal shifts prompted a retrospective study on sexually transmitted infections in Taiwan. Gonorrhea cases surged despite pandemic measures, contrasting declines in syphilis, HIV, and enterovirus during the pandemic. This highlights gonorrhea’s resilience and calls for deeper investigations into its dynamics amid crises. The study underscores the complexity of public health management during pandemics and emphasizes the importance of comprehensive surveillance.

SH23188 Abstract  | PDF (876 KB) - $35.00   | SH23188Supplementary Material (2.1 MB)

Published online 04 November 2024

SH24067Telehealth for HIV care and management among people living with HIV in Australia: results from an online survey

Juan Martinez-Andres , Christopher K. Fairley , Timothy Krulic, Jason J. Ong , Louise Owen, Anna McNulty , Melanie Bissessor, Caroline Thng , Charlotte Bell, Mahesh Ratnayake, Dean Murphy , Eric P. F. Chow and Tiffany R. Phillips

 

As a consequence of COVID-19, sexual health clinics in Australia adopted the use of telehealth for the routine care of people living with HIV. Telehealth has been positively evaluated among this population. Hybrid models between in-person and telehealth conjunction were suggested for the future care model.

SH24067 Abstract  |  SH24067 Full Text  | SH24067PDF (238 KB)   Open Access Article

More content

Just Accepted

These articles have been peer reviewed and accepted for publication. They are still in production and have not been edited, so may differ from the final published form.

SH24184, Accepted 17 December 2024

Young people’s preferences and motivations for STI partner notification: observational findings from the 2024 Sex, Drugs and Rock ‘n’ Roll survey

Stephanie Munari , Jane Goller , Jacqueline Coombe , Ana Orozco , Sarah Eddy , Jane Hocking , Margaret Hellard and Megan Lim

 

SH24184Abstract

SH23085, Accepted 30 November 2024

High interest for long-acting injectable PrEP among Men who have Sex with Men at most risk for HIV in San Francisco, 2021.

Christopher Hernandez , Caitlin Turner, Dillon Trujillo, Moranda Tate, Jerry Quintana, Glenda Baguso, Katherine McNaughton, Sean Arayasirikul, Willi McFarland and Erin Wilson

 

SH23085Abstract

SH24027, Accepted 14 August 2024

Can network-based testing services have an impact beyond testing for HIV?

Aliza Monroe-Wise , Magdalena Barr-DiChiara, Antons Mozalevskis, Busisiwe Msimanga-Radebe, Maeve Brito de Mello, Kafui Senya, Niklas Luhmann, Cheryl Johnson and Rachel Baggaley

 

SH24027Abstract

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