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Sexual Health Sexual Health Society
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Sexual Health

Sexual Health

Volume 22 Number 1 2025

Mpox, a viral zoonotic disease, recently emerged as a growing public health concern in the United States. During the 2022 outbreak, a disease investigation team was established by a local health department as part of its emergency response. This report presents an evaluation of the range of outcomes achieved by this team; a composite score was calculated to determine that the team achieved almost two outcomes for every completed investigation. Health departments may consider similar approaches to conduct program evaluations.

SH24075Cascade of testing for chlamydia and gonorrhoea inclusive of an annual health check in an urban Aboriginal Community Controlled Health Service

Condy Canuto 0000-0001-8460-9646, Judith A. Dean 0000-0002-2513-2013, Joseph Debattista, Jon Willis, Federica Barzi, Jonathan Leitch and James Ward

A recent study examined the trends in testing, positivity, and treatment for chlamydia and gonorrhoea among individuals aged ≥15 years at an urban Aboriginal Community Controlled Health Service from 2016 to 2021. The findings revealed variation in testing rates, with higher rates among young adults and females, and highlighted sex disparities in treatment and follow-up care. The research underscores the importance of targeted public health strategies to improve sexual health outcomes in urban Aboriginal and Torres Strait Islander peoples populations.

SH24070Using a novel and validated survey tool to analyze sexual functioning following vaginoplasty in transgender individuals

Alyxandra Ramsay 0009-0001-7889-0416, Jo Blankson, Lara Finnerty-Haggerty, Jiaxin Wu, Joshua D. Safer and John Henry Pang

Previous research on gender-affirming surgery outcomes has suffered from inadequate sampling and a lack of emphasis on the self-reported experience of transgender patients. Using a novel validated survey tool (the Affirming Surgery Form and Function Individual Reporting Measure), this study demonstrated a significant improvement in pleasurable sensation and genital functioning over 12 months following vaginoplasty. Our findings support existing literature on the success of vaginoplasty, and call for additional investigations of gender-affirming surgery using tools validated for the transgender population.

SH24140The gonorrhoea care cascade in general practice: a descriptive study to explore gonorrhoea management utilising electronic medical records

J. Jung 0000-0003-1041-9588, J. L. Goller 0000-0001-5580-360X, P. Chondros, J. Ong 0000-0001-5784-7403, R. Biezen, D. Pires, D. Capurro, N. Faux and J. A. Manski-Nankervis

Gonorrhoea is the second most common notified sexually transmissible infection in Australia with increased concern of the emergence of antimicrobial resistance strains. Our study found that approximately half of gonorrhoea cases did not have guideline-recommended dual antibiotic prescriptions recorded, and two-thirds of gonorrhoea cases were not retested within the recommended retesting timeframe. Further work in integrating Australian STI guidelines into primary routine care and understanding care pathways for people with gonorrhoea infection is urgently needed.

This review synthesises global evidence regarding determinants of access to and characteristics of quality non-directive pregnancy options counselling (POC), a crucial component of reproductive health care that supports informed decision making. It finds anti-abortion policies and professionals’ abortion-related attitudes are primary determinants of access and quality. Upskilling health professionals to deliver non-directive POC and embedding referral pathways to non-directive POC throughout the health system will support Australia is to achieve its commitments to universal access to reproductive health care by 2030.

A recent study examined the trends in testing, positivity, and treatment for chlamydia and gonorrhoea among individuals aged ≥15 years at an urban Aboriginal Community Controlled Health Service from 2016 to 2021. The findings revealed variation in testing rates, with higher rates among young adults and females, and highlighted sex disparities in treatment and follow-up care. The research underscores the importance of targeted public health strategies to improve sexual health outcomes in urban Aboriginal and Torres Strait Islander populations.

SH24250‘Does human papillomavirus (HPV) cause cancer?’ – A cross-sectional study of HPV awareness among sexual minority men in Nigeria

Connor R. Volpi 0000-0002-6292-6306, John Chama, Natalia Blanco, Ruxton Adebiyi, Kareshma Mohanty, Ayuba Doroh, Jumoke A. Aigoro, Christiana Katu, Uche Ononaku, John Maigida, Abayomi Aka, Ashley Shutt, Patrick Dakum, Man Charurat, Sylvia Adebajo and Rebecca G. Nowak 0000-0001-8404-4569

HPV-associated cancers are likely to rise as survival with HIV increases. Knowing the community levels of understanding of personal risk would help tailor educational strategies to promote prevention-seeking behavior. Our study suggests a low understanding of HPV’s carcinogenicity, but those aware of its carcinogenicity are more likely to identify male-associated cancers, suggesting that HIV care centers have an opportunity to expand education on cancer risk among their aging population.

SH24165Factors influencing experiences of non-consensual sex: results from a mixed data cross-sectional online survey of Australian university students

Kathryn Wenham 0000-0003-0585-7866, Jo Durham, Amy B. Mullens 0000-0002-0939-9842, Annette Brömdal 0000-0002-1307-1794, Joseph Debattista, Gianna Parma, Zhihong Gu, Armin Ariana, Charles F. Gilks, Sara F. E. Bell and Judith A. Dean 0000-0002-2513-2013

Recent studies demonstrate the concerning extent of sexual violence experienced by Australian university students and the resulting psychological, emotional, and physical harms. This study aims to understand experiences and contributing factors of non-consensual sex among university students in south-east Queensland, Australia. Findings demonstrate that interventions to reduce non-consensual sex and promote healthy sexual experiences need to reflect the complex, relational, and highly contextual nature of affirmative consent influenced by perceived behavioural control and subjective norms.

SH24142Health provider perspectives on establishing service linkages for treatment and follow-up from an Australian, web-based STI testing service: a qualitative study

Teralynn Ludwick 0000-0003-4160-7354, Olivia Walsh 0009-0005-9339-7485, Ethan T. Cardwell, Christopher K. Fairley 0000-0001-9081-1664, Jane Tomnay, Jane S. Hocking 0000-0001-9329-8501 and Fabian Y. S. Kong 0000-0002-9349-3080

For individuals who test positive using web-based, sexually transmitted infection testing services, getting treatment can be challenging. Our study found that primary care providers in outer metro and regional Victoria were willing to treat individuals who used web-based services, but raised concerns about administering online prescriptions and lack of injectable antibiotics available on-site at clinics for free, same-day treatment. Capacity-building and additional resourcing of local, partner clinics may be needed to enable effective, client-centered referrals from online to in-person sexual health services.

SH24199Higher female partner age and longer duration of marriage: key factors for less frequent sexual intercourse in infertile couples

Mohadese Dashtkoohi 0000-0003-3579-4181, Mostafa Saeedinia, Mohammad Dashtkoohi, Mohammad Haddadi, Masoumeh Masoumi and Zohreh Heidary

Understanding the factors influencing sexual frequency among infertile couples is essential for supporting their journey towards parenthood. This study examined the sexual behavior of couples undergoing fertility treatment. Our results indicate that younger women and couples with shorter durations of marriage tend to engage in sexual intercourse more frequently. These findings underscore the importance of providing targeted support programs to this demographic, aiming to optimize their chances of conception and promote their overall well-being.

SH24184Young people’s preferences and motivations for STI partner notification: observational findings from the 2024 Sex, Drugs and Rock ‘n’ Roll survey

Stephanie C. Munari 0000-0002-2296-7787, Jane L. Goller 0000-0001-5580-360X, Jacqueline Coombe 0000-0002-9520-5724, Ana Orozco 0009-0002-6325-713X, Sarah Eddy 0000-0001-6690-1918, Jane Hocking 0000-0001-9329-8501, Margaret Hellard and Megan S. C. Lim 0000-0003-3136-6761

Understanding young people’s preferences and motivations for partner notification can help to reduce the risks of STIs. Our survey of young people aged 15–29 years in Victoria, Australia, found that most want to notify and be notified by partners, regardless of age, gender or sexual identity, and prefer to notify regular partners face-to-face and casual partners via text message. Tailoring resources by communication method and partner type can support young people in undertaking this important step in STI control.

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