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 22 April 2025

SH24149Renal impairment risk in Indigenous and non-Indigenous people who take HIV pre-exposure prophylaxis (PrEP): a retrospective cohort study

D. Drak , H. McManus, T. Vickers, J. Salerno, M. Tobin, J. T. Hughes, D. A. Lewis, A. Carter , D. Russell, M. Gunathilake, H. Ali, R. Guy, C. C. O’Connor, J. Ward, D. M. Gracey and

 

Pre-exposure prophylaxis (PrEP) is a key tool in HIV prevention, but its current regimens come with a risk of kidney dysfunction. Whether this risk is higher in Aboriginal and Torres Strait Islander peoples, who have higher rates of chronic kidney disease, is unknown. Our study demonstrates that the risk of kidney dysfunction with PrEP is similar between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians.

SH24149 Abstract  | PDF (366 KB) - $35.00 

Published online 22 April 2025

SH24175#TheHealthYouthWant: a qualitative analysis of a global crowdsourcing open call for innovative ideas to promote adolescent health and well-being in countries with a high HIV burden

Takhona G. Hlatshwako , Ifeoma Obionu, Yang Zhao, Kelechi Chima , Brian Ahimbisibwe, Chisom Obiezu-Umeh, Eleanor Namusoke Magongo, Onyekachukwu Anikamadu, Oliver Ezechi, Dorian Ho, Yusha Tao, Susan Vorkoper, Rachel Sturke, Juliet lwelunmor, Damilola Walker and Joseph D. Tucker

 

Treatment coverage, viral load suppression and survival rates among adolescents living with HIV are lagging behind other groups, and yet adolescents are rarely involved in shaping HIV programs and policies. Adolescents and young people in our study suggested leveraging education and entertainment, new digital technologies, such as unstructured supplemental service delivery, and peer-based interventions to improve HIV outcomes. These ideas offer actionable steps for HIV policymakers to develop more effective programs that center the adolescent experience and perspective.

SH24175 Abstract  |  SH24175 Full Text  | SH24175PDF (794 KB)  | SH24175Supplementary Material (212 KB)   Open Access Article

Published online 07 April 2025

SH24027Can network-based testing services have an impact beyond testing for HIV?

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

 

Efficient modalities of finding people with STIs or bloodborne infections are necessary to control these epidemics. Network-based testing services, including partner services, social network testing, and family/household testing,, are effective at case-finding and linkage to care for HIV, but less is known about their effectiveness for other infections, or for providing prevention services. In this article we argue for integration of partner service delivery to achieve testing, linkage, treatment, and prevention goals for HIV, STIs, and viral hepatitis.

SH24027 Abstract  |  SH24027 Full Text  | SH24027PDF (503 KB)   Open Access Article

Published online 03 April 2025

SH24042Assessing sexual health literacy: a systematic review of measures

Tiffany Chenneville , Morgan Haskett , Kaitlyn Ligman , Sarah M. Gardy , Camielle Crampsie and Trevor A. Hart

 

Sexual health literacy has received little attention, despite adverse sexual health outcomes associated with limited sexual knowledge and behavioral skills (e.g. unintended pregnancies, sexually transmitted infections). A systematic review of sexual health literacy measures reveals the lack of reliable and valid instruments to assess sexual health literacy. Current findings support the need to develop a psychometrically sound, culturally sensitive sexual health literacy scale that can be used across clinical, research and educational settings to promote sexual health.

SH24042 Abstract  | PDF (630 KB) - $35.00 

Published online 31 March 2025

SH24081Changing the model of HIV PrEP delivery – nurse-led telehealth in a metropolitan sexual health service: a retrospective analysis

Jewel Wai , Arthur Wong , Natalie Ovington, Paul Robinson and Rick Varma

 

A new model of delivering HIV prevention medication could make a big difference in reaching more people at risk, especially those facing barriers such as cost or stigma. By using nurse-led consultations, telehealth and online testing platforms, this approach offers a convenient and effective way to help individuals access HIV prevention medication without needing to visit a clinic in person. This model could reshape HIV prevention efforts, particularly for underserved populations, by breaking down traditional healthcare barriers and improving access to essential treatments.

SH24081 Abstract  | PDF (325 KB) - $35.00 

Published online 27 March 2025

SH24186Improving engagement with sexual and reproductive health services among young African migrants in Australia

Humaira Maheen , Negin Mirzaei Damabi and Zohra S. Lassi

 

Young African migrants and refugees in Australia face barriers to accessing sexual and reproductive health services, such as limited knowledge about the services, cultural stigma, and mistrust of general practitioners. This study underscores the importance of school-based sex education in addressing these challenges and building trust in health services. Pairing this with youth-friendly, culturally sensitive services can create safe spaces, empowering young people to make informed health decisions and improve their overall well-being.

SH24186 Abstract  |  SH24186 Full Text  | SH24186PDF (286 KB)   Open Access Article

Published online 27 March 2025

SH24235A digital citizen science intervention to reduce HIV stigma and promote HIV testing: a randomized clinical trial among adolescents and young adults in Kazakhstan

Alissa Davis , Laura Nyblade, Yihang Sun, Olga Balabekova, Sara E. Landers, Denis Gryazev, Joseph D. Tucker , Valera Gulyaev, Susan L. Rosenthal, Karsten Lunze, Weiming Tang , Azamat Kuskulov, Assel Terlikbayeva, Sholpan Primbetova, Mingway Chang, Alfiya Y. Denebayeva, Aikerim Utegulovna Akhmetova, Ainur Absemetova, Sholpan Karzhaubayeva, Sairankul Kassymbekova, Marina Maximova, Zhannat Mussina, Gulnar Bekenova, Zhamilya Nugmanova, Zhanna Kalmatayeva, Ludmila Polyakova, Zhanneta Kanaevna Zhazykbaeva, Vitaliy Vinogradov, Amir Shaikezhanov, Meruyert Darisheva, Bella Orynbetova, Elena Norakidze, Mashirov Kozhakhmet, Akbota Tolegenova, Aknur Imadillda, Dariga Satkhozhina, Alikhan Kartamyssov, Zhamilya Kanieva, Albina Aleshina, Olzhas Makhan, Aida Muravyova, Adema Rahimzanova, Arman Duisenbayev , Zhanerke Tursynbek, Nurgazy Dias, Malika Beken, Miras Murzakhan, Zhandos Ali Brown, Daniyal Maitekov, Artur Li, Sandizaira Mergen, Dautali Mergenov, Amirali Kuanysh, Anuar Rakhimbekov, Yenlik Baisbay, Alibek Aruzhan, Zhasmina Kozhambet, Denis Grebenchishikov, Dmitriy Bekker, Sultan Kozhamberdiev, Dauren Salykov, Madina Sagimbayeva, Kamila Yussupova and Gaukhar Mergenova

 

High HIV stigma contributes to low HIV testing uptake among adolescents and young adults. We evaluated the effects of a digital youth-crowdsourced intervention on reducing HIV stigma and promoting HIV self-testing among adolescents and young adults in Kazakhstan, finding that the youth-crowdsourced intervention reduced HIV testing stigma 2 months post-intervention compared with conventional public health messaging. Implementing crowdsourced interventions in communities impacted by growing HIV epidemics could help decrease HIV stigma and increase engagement in the HIV care continuum in resource-constrained settings globally.

SH24235 Abstract  |  SH24235 Full Text  | SH24235PDF (355 KB)  | SH24235Supplementary Material (485 KB)

Published online 17 March 2025

SH24179Exploring sexual desire and fantasies: a cross-sectional online study on gender differences on Iranian adults

Rezvan Shekarchi and Filippo Maria Nimbi

 

This study explores the relationship between sexual fantasies, sexual desire and sexual functioning among Iranian adults, focusing on gender differences. The findings show that men report more explicit and diverse fantasies, whereas women tend to have more romantic and emotional fantasy.

SH24179 Abstract  | PDF (342 KB) - $35.00   | SH24179Supplementary Material (244 KB)

Published online 17 March 2025

SH24185Epidemiological trends of chlamydia, gonorrhoea, trichomoniasis, genital herpes and syphilis in India from 1990 to 2019: analysis from the Global Burden of Disease study (GBD 2019)

Ashu Kumari, Kumari Akanksha, Omprokash Dutta, Farah Deeba and Nasir Salam

 

India has a substantial burden of STIs. The incidence rate for chlamydia, trichomoniasis and genital herpes increased, the incidence rate for syphilis declined, whereas the incidence rate for gonococcal infection did not show any substantial change. Most of the disability-adjusted life years and deaths in 2019 were contributed by syphilis.

SH24185 Abstract  | PDF (1.4 MB) - $35.00   | SH24185Supplementary Material (2.5 MB)

Published online 17 March 2025

SH24200HIV pre-exposure prophylaxis re-initiation among men who have sex with men: a multi-center cohort study in China

Yifan Dai , Zhuoheng Yin , Chunyan Li, Chengxin Fan, Heping Zhao, Haojie Huang, Quanmin Li, Songjie Wu, Aniruddha Hazra, Jonathan Lio, Ke Liang, Linghua Li, Renslow Sherer, Joseph D. Tucker , Cheng Wang and Weiming Tang

 

Many men who have sex with men (MSM) stop using PrEP, a medication that prevents HIV, even though they remain at risk. Our study found that MSM are more likely to re-initiate their PrEP prescription if they continue engaging in concurrent sexual partnerships, use drugs, or are influenced by their partners. These insights are crucial for developing strategies that support consistent PrEP use and prevent new HIV infections in key populations.

SH24200 Abstract  | PDF (570 KB) - $35.00 

Published online 06 March 2025

SH24237Assessing and projecting the global impacts of female infertility: a 1990–2040 analysis from the Global Burden of Disease study

Hanjin Wang and Bengui Jiang

 

The projected global burden of female infertility is expected to increase significantly from 2021 to 2040, with notable regional disparities. Central sub-Saharan Africa and south Asia are anticipated to experience higher burdens. Regions with a higher sociodemographic index generally have lower female infertility burdens, with notable trends observed in Europe and Asia.

SH24237 Abstract  |  SH24237 Full Text  | SH24237PDF (1.3 MB)  | SH24237Supplementary Material (775 KB)   Open Access Article

Published online 03 March 2025

SH24171Service delivery of at-home STI testing using self-collected samples: a qualitative investigation of values and preferences among adults in Rakai, Uganda

Yasmin P. Ogale , M. Kathryn Grabowski, Proscovia Nabakka, Herman Mukiibi, Frank Lukabwe, Neema Nakyanjo, Fred Nalugoda, Joseph Kagaayi, Godfrey Kigozi, Charlotte A. Gaydos , Julie A. Denison and Caitlin E. Kennedy

 

At-home self-collection programs for STI testing (SCS/STI testing) can expand STI diagnosis in low-resource settings, but data on client service delivery values and preferences are limited. This study found that clients most valued timely service and the health professionals’ knowledge. When building a framework for a SCS/STI testing program, it is critical to include systems for meeting clients’ needs; these formative data can guide program managers in the development of client-centered SCS/STI testing services in low-resource settings.

SH24171 Abstract  | PDF (271 KB) - $35.00   | SH24171Supplementary Material (468 KB)

Published online 27 February 2025

SH24214Understanding the role of patient communication protocols in sexually transmissible infections point-of-care testing among Aboriginal and Torres Strait Islander peoples in remote communities: a qualitative study

Robert Monaghan, Louise Causer, James Ward, Belinda Hengel , Kirsty Smith, Kelly Andrewartha, Christopher Fairley , Lisa Maher, Donna Mak, Caitlyn White, Jessica Leonard, Rebecca Guy, Lise Lafferty and on behalf of the TTANGO2 Collaboration

 

This qualitative research sought to understand how healthcare providers communicate sexually transmissible infection testing using molecular point-of-care diagnostics with Aboriginal and Torres Strait Islander peoples in remote communities. Drawing on interviews with 20 trained point-of-care testing operators across seven health clinics, this analysis identifies patient communication strategies that can normalise STI testing by reducing shame and stigma, and that the role of opportunistic testing may be an impetus for patient education opportunities regarding sexual health care. Offering STI POC testing in a culturally safe and competent manner has the potential to increase the sexual healthcare engagement of Aboriginal and Torres Strait Islander peoples living in remote communities.

SH24214 Abstract  |  SH24214 Full Text  | SH24214PDF (252 KB)   Open Access Article

Published online 24 February 2025

SH24071Determinants of intention to test for sexually transmitted infections among late adolescent women in the United States

Alyssa M. Lederer and Callie Patterson Perry

 

Sexually transmitted infections (STIs) are common and consequential among young people in the United States, especially late adolescent women, but STI testing rates are low. This research identified beliefs associated with STI testing, with the primary finding that the Reasoned Action Approach, a prominent health behavior theory, is a useful framework for understanding influential factors. Study results should be integrated into future interventions to improve STI testing among young women in the United States, thereby improving sexual health outcomes.

SH24071 Abstract  | PDF (586 KB) - $35.00 

Published online 24 February 2025

SH24152Australian veteran sexual health: ‘…you are the first person I’ve spoken to about it.’

Kosta Douvos , Louise Bourchier , Meredith J. Temple-Smith and Sue Malta

 

Veterans experience poor sexual health and functioning outcomes due to the physical, psychological and social costs of military service, as well as the transition back to civilian life and its associated obstacles. Although research in other countries explores the sexual health of veterans, there is limited research in the Australian context. Our study found that although Australian veterans experience significant difficulties in the domain of sexual health, this area is not often on the radar of healthcare and research professionals.

SH24152 Abstract  |  SH24152 Full Text  | SH24152PDF (282 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.

SH25010, Accepted 16 April 2025

Empowering Adolescent Girls in Pakistan: Development and Feasibility of the Girls’ Voices Curriculum for Advocacy and Leadership

Komal Rahim, Zohra Lassi , Sarmad Muhammad Soomar and Salima Meherali

 

SH25010Abstract

SH24208, Accepted 15 April 2025

Diagnoses of sexually transmissible infections in HIV-serodiscordant male couples in Australia, Brazil, and Thailand

James Gray , Fengyi (Jeff) Jin, Nittaya Phanuphak , Ruth Friedman, Christopher Fairley , David Templeton, Iryna Zablotska-Manos, Jennifer Hoy, David Baker, Mayara Silva, Andrew Grulich and Benjamin Bavinton

 

SH24208Abstract

SH24210, Accepted 12 April 2025

Financial sustainability of HIV services for key populations in four countries in Asia: a mixed-methods study

James Tapa , Matthew Kusen, Felicity Young, Mike Merrigan and Jason Ong

 

SH24210Abstract

SH25026, Accepted 10 April 2025

Do Australian sexual health clinics have the capacity to meet demand? A mixed methods survey of Directors of sexual health clinics in Australia

Christopher Fairley , Jason Ong , Lei Zhang , Rick Varma , Louise Owen, Darren Russell, Sarah Martin , Joseph Cotter, Caroline Thng , Nathan Ryder , Eric P.F. Chow and Tiffany Renee Phillips

 

SH25026Abstract

SH24196, Accepted 07 April 2025

Engaging citizens to conduct large-scale qualitative research: Lessons learnt from a community-engaged research project on queer men’s lived experiences of health in Singapore

Shao Yuan Chong , Benedict Xin Hao Tan, Daniel Ho, Ye Xuan Wee , Muhammad Hafiz bin Jamal, Rayner Kay Jin Tan and Rainbow+ -

 

SH24196Abstract

SH24233, Accepted 27 March 2025

Strategies to Sustain HIV Prevention Interventions Among Adolescents and Young Adults: Analysis of Data from a Crowdsourcing Open Call in Nigeria

Ujunwa Onyeama , Lauren Fidelak, Weiming Tang , Susan Nkengasong, Titilola Gbaja-biamila, Lateef Akeem, Adesola Musa, Folahanmi Akinsolu, Tomilola Musari-Martins , Jane Okwuzu, Aishat Koledowo, Suzanne Day, Ojo Temitope, Olufunto Olusanya, Kadija Tahlil, Donaldson Conserve, Oluwaseun Bamodu, Nora Rosenberg, Ucheoma Nwaozuru, Chisom Obiezu-Umeh, Collins Airhihenbuwa, Oliver Ezechi, Juliet Iwelunmor and Joseph Tucker

 

SH24233Abstract

SH25035, Accepted 27 March 2025

Assessment and Implementation of Expedited Partner Therapy at an Academic Medical Center.

Alena Hoover , Leroy R Thacker and FE Casey

 

SH25035Abstract

SH24201, Accepted 22 March 2025

Blind Spots in Community-Based Participatory Research with Sex Workers in Singapore: Lessons Learned and Assumptions Uncovered in the Context of a Diverse, Hierarchical, and Stigmatized Key Population

Sook Lin Toh, Vanessa Ho, Raksha Mahtani, Shermaine Koh, Nur Binte Sarah Pancadarma, Audrey Kang, Chen Seong Wong, Brooke West, Rayner Kay Jin Tan and Pei Hua Lee

 

SH24201Abstract

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1. Understanding the role of patient communication protocols in sexually transmissible infections point-of-care testing among Aboriginal and Torres Strait Islander peoples in remote communities: a qualitative study

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