Sexual Health
Volume 15 Number 4 2018
SH17163A ‘scoping review' of qualitative literature about engagement with HIV care in Indonesia
There is a common misconception that qualitative research generates less trustworthy evidence for guiding the design and implementation of national HIV programs. A scoping review - conducted to undertake a comprehensive review of published qualitative evidence about engagement with HIV care in Indonesia - highlighted a range of factors influencing both successful engagement with HIV care and the broader HIV response in Indonesia. Future qualitative research which describes the experiences of clients and the role of clinics and providers in delivering care will give an important contribution in enhancing the understanding of engagement with HIV care in the Indonesian context.
SH17084Relationship power and HIV risk among young Black men who have sex with men in the Southern United States
The purpose of this study was to examine the impact of relationship power on HIV risk behaviour among young Black men who have sex with men (MSM) in the Southern US.
SH17190Management of sexually transmissible infections in the era of multiplexed molecular diagnostics: a primary care survey
Rapid and sensitive multiplexed molecular tests for sexually transmissible infections (STI) have revolutionized the management of these infections in primary care. Analysis of real-life practice in a representative sample of young healthy adults tested for STI shows sub-optimal management of significant infections, and over-treatment of equivocal genital mycoplasmas and ureaplasmas. Better guidance for managing these infections is needed.
SH16228How can university sexual health promotion events reach those most at risk? A cross-sectional study
Sexually transmissible infections have risen amongst Australia’s youth. This research looked at the needs of Australian university students, and found that those with multiple sexual partners in the past year would be more attracted to sexual health events with on-site testing and alcohol incentives. These results show how to effectively target higher-risk students for health promotion events.
SH17106Exploring professionals' perceptions of the barriers and enablers to young people with physical disabilities accessing sexual and reproductive health services in Australia
Young people with physical disabilities have limited access to effective sexual and reproductive health (SRH) services. An exploration of professionals’ perceptions of young people with physical disabilities’ access to SRH services found that attitudes, perceived role and capacity of health professionals and supports can either help or hinder a young person’s access. Strategies to overcome these barriers are suggested.
SH17180Patterns of point-of-care test use among obstetricians and gynaecologists in the US
Immediate diagnosis of sexually transmitted infections using sensitive and specific point -of-care tests will allow for targeted treatment, decrease inappropriate antibiotic use, and ideally interrupt disease transmission. We surveyed obstetricians and gynaecologists to determine their current use of available POCTs for STIs. With new POCTs emerging, it is important to identify obstacles to their adoption.
SH17186Factors associated with sexually transmissible infection testing practices among men who have sex with men in Jamaica: results from a cross-sectional, tablet-based survey
Although men who have sex with men experience elevated sexually transmissible infections (STI) risks globally, there is a scarcity of research that explores their STI testing practices in contexts where same sex practices are criminalized, such as in Jamaica. This cross-sectional study investigated factors associated with ever having tested for STI, in addition to factors associated with delayed time since last STI test. Results suggest that three-quarters of participants had ever been tested for STI and of these, 12.1% had a STI diagnosis. Sexual stigma and food insecurity were associated with delayed time since last STI test. Findings highlight the need to consider structural barriers to STI testing among men who have sex with men in low and middle-income contexts such as Jamaica.
SH17132‘I see it everywhere': young Australians unintended exposure to sexual content online
Young people’s exposure to sexual content in social media is almost unavoidable, even if it is not directly sought out. This study describes pathways to sexual content exposure, the nature of such content and young people’s views about this exposure. Understanding young people’s high levels of engagement with social media and the ubiquitous nature of sexual content is important as it can lead to more realistic and engaged education and awareness programs.
SH17132 Abstract | SH17132 Full Text | SH17132PDF (139 KB) Open Access Article
SH17196Only recent sexual partners contribute to oropharyngeal gonorrhoea positivity: the number of sexual partners over different time periods as an indicator of gonorrhoea and chlamydia infection duration among men who have sex with men
Understanding duration of infection is important for disease control and prevention. A total of 15,197 individual men who have sex with men attending the Melbourne Sexual Health Centre between 2007 and 2016 were analysed. Only oropharyngeal gonorrhoea was associated with number of partners in the past 3 months but not with the number of partners 4-12 months ago. It suggests oropharyngeal gonorrhoea has a shorter duration than chlamydia and anorectal gonorrhoea.
SH18024Factors associated with declining to report the number of sexual partners using computer-assisted self-interviewing: a cross-sectional study among individuals attending a sexual health centre in Melbourne, Australia
The number of sexual partner is one of the important risk factors associated with HIV or STI. Some individuals declined to report the number of sexual partners using computer-assisted self-interview and it is important to understand the factors associated with declining to report the number of sexual partners. We analysed 18085 individuals attending at the Melbourne Sexual Health Centre in 2016 and found that HIV-positive and chlamydia-positive men who have sex with men had higher odds of declining to report the number of sexual partners.
SH17088Neurosyphilis: mighty imitator forays with benign presentation and unique neuroimaging findings
We present a case of Neurosyphilis involving temporal lobes on MRI Brain. The diagnosis of neurosyphilis is intricate, and no reference standard exists thus help of other modalities like MRI brain is required to come to diagnosis. It is prudent to keep neurosyphilis in differential of mesial temporal lobe white matter changes, as early diagnosis and treatment results in better prognosis.
SH17208Correlates of in-person and technology-facilitated sexual harassment from an online survey among young Australians
Technology-facilitated sexual harassment describes the use of technology (e.g. social media, smartphones, dating applications) to make others feel offended, humiliated or intimidated. This study found that young people who identified as female, trans and gender diverse and non-heterosexual were at-risk of sexual harassment in person and through technological platforms. Strategies to prevent both in-person and technology-facilitated sexual harassment among high-risk groups are required.
SH17183Changing pattern of sexually transmissible infections and HIV diagnosed in public sexual health services compared with other locations in New South Wales, 2010–14
Easy access to testing and treatment is central to sexually transmitted infections (STI) and HIV control efforts. We assessed the contribution made by NSW public sexual health clinics (PSHC) to STI/HIV diagnoses and in which populations from 2010 through 2014. Increasing proportions of chlamydia, gonorrhoea, infectious syphilis and HIV were diagnosed in PSHC where an increasing majority of infections were in gay and bisexual men.
SH17217Use of poppers and HIV risk behaviours among men who have sex with men in Paris, France: an observational study
While many men who have sex with men (MSM) use poppers to enhance sexual pleasure, not all are aware of their potential health risks. French MSM we surveyed who used poppers were more likely to engage in risky sexual practices and have recent sexually transmitted diseases. MSM should be aware that popper use is associated with risky sexual decision making.
SH18003Significant difference in HEDIS annual chlamydia testing rates between women who had given birth and those who had not among young Medicaid women
Annual chlamydia testing for sexually-active young women is recommended in USA. Of sexually-active women in a given year, this analysis showed that annual chlamydia testing rate was significantly higher among women who had given birth than among women who had not. Our findings suggest a need to monitor time trend of proportion of sexually-active women who were pregnant and to assess its impact on overall annual chlamydia testing rates.
SH17225Use of single-question screening for erectile dysfunction: a study of at-risk Asian men in primary health care
Erectile dysfunction is a common presenting complaint in primary healthcare setting. This study tested the usefulness of single-question screener in quick assessment of the disorder in patients at-risk. While this approach proved valuable, comparison of diagnostic scores using International Index of Erectile Function – five items’ scale stresses the importance of more detailed evaluation and risk assessment for better clinical outcomes.