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Sexual Health Sexual Health Society
Publishing on sexual health from the widest perspective

Emerging Sexual and Reproductive Health in Australia and New Zealand: Gaps, Challenges and Solutions

We are pleased to present this virtual issue on emerging topics in sexual and reproductive health in Australia and New Zealand. This collection of research articles underscores the pressing significance of addressing sexual and reproductive health matters, inviting an in-depth examination of challenges, solutions, and innovative approaches.

Our decision to curate this collection stems from the recognition that advancing sexual and reproductive health directly correlates with the overall well-being of individuals and communities. We aim to highlight the diverse landscape of sexual and reproductive health topics in Australia and New Zealand, shedding light on disparities, gaps in knowledge, and clinical perspectives that can inform future practice. This issue fosters an essential dialogue on health equity, access, and inclusivity, particularly through our examination of priority populations for sexual and reproductive health.

As editors, we aspire for Sexual Health to be a journal that encourages informed discussions, evidence-based methodologies, and progressive viewpoints. This virtual issue represents our commitment to fostering knowledge that empowers, enriches, and elevates the conversation around sexual and reproductive health in Australia and New Zealand. We invite readers to engage with this compilation, which we believe will help facilitate a move towards a future marked by comprehensive, compassionate, and equitable sexual and reproductive healthcare for all.

Associate Editors,

Tiffany Phillips, Eric Chow and Jacqueline Coombe

Last Updated: 14 Sep 2023


Unintended pregnancy and abortion are a relatively common experience in women’s reproductive lives. Women living in regional and rural settings have limited access to abortion services; this study has demonstrated the acceptability of service provision through a regional Australian sexual health service. Primary healthcare settings are well placed to reduce the inequity in access to abortion services experienced by women living outside of major metropolitan settings.

SH19084Attitudes towards abortion in male and female adolescents with diverse sexual and pregnancy experiences: a cross-sectional study

Jacqueline Hendriks, Sue Fyfe, Dorota A. Doherty, Angela Jacques, Irene Styles, Martha Hickey and S. Rachel Skinner
pp. 77-86

Despite evidence that attitudes can be powerful modifiers of sexual behaviour, we know little about adolescent attitudes as they relate to the issue of abortion. This study examined attitudes to abortion using a diverse sample of adolescents who had varying experiences of sexual activity and pregnancy. The findings have implications for anyone working with young people because attitudes were strongly associated with riskier sexual practices, along with an adolescent’s ability to comprehend the impact of a pregnancy.

SH22193Syphilis in pregnancy: a qualitative investigation of healthcare provider perspectives on barriers to syphilis screening during pregnancy in south-east Queensland

Sarah Warzywoda 0000-0002-9149-1962, James A. Fowler 0000-0001-5716-5250, Clare Nourse 0000-0001-7246-8540, Mandy Wu 0000-0003-1604-8060, Sumudu Britton 0000-0001-6465-3754, Diane Rowling 0009-0007-1268-578X, Paul Griffin 0000-0002-1656-421X, Mattea Lazarou 0000-0002-2898-4510, Zoe Hamilton and Judith A. Dean 0000-0002-2513-2013
pp. 330-338

Over the past decade, the rates of syphilis in pregnancy and congenital syphilis are continuing to rise in south-east Queensland (SEQ). Screening for syphilis during antenatal care is an important factor for prevention. In our study, SEQ healthcare providers identified system-level and individual-level barriers that prevent adequate screening. It is important that these barriers be identified and addressed to improve screening to promote maternal health and prevent congenital syphilis in SEQ.

SH22073Men of refugee and migrant backgrounds in Australia: a scoping review of sexual and reproductive health research

Zelalem Mengesha 0000-0003-1599-0951, Alexandra J. Hawkey, Mazen Baroudi, Jane M. Ussher and Janette Perz
pp. 20-34

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 and state policy on men’s health in Australia.

SH22159Understanding the health care needs of transgender and gender diverse people engaging with rural Australian sexual health centres: a qualitative interview study

Ava Del Tufo 0000-0003-0300-5897, Rosalind Foster, Bridget Haire, Christy E. Newman 0000-0002-5482-2822, Anthony K. J. Smith 0000-0002-0005-9542, Margaret Crowley, Donna Burn and Anna McNulty
pp. 339-346

What does health and wellbeing mean to transgender and gender diverse individuals in rural Australia? As the first study of its kind, the findings are complex; there are higher rates of discrimination and feelings of social isolation for those living in rural areas and yet many people also report positive experiences. This diverse range of experiences was unexpected and could inform policy changes for national health service models.


Young people disproportionately experience poor sexual health outcomes so need easy access to quality sexual health care. High levels of unmet need for sexual health care were reported in this survey due to embarrassment, fears about judgment and confidentiality, and lack of knowledge about where to go. Action is needed at policy, funding and practice levels to reduce societal stigma, improve awareness of services and to ensure young people are treated with kindness, empathy and respect when presenting for sexual health care.

SH19204Young Aboriginal people's sexual health risk reduction strategies: a qualitative study in remote Australia

Stephen Bell, James Ward, Peter Aggleton, Walbira Murray, Bronwyn Silver, Andrew Lockyer, Tellisa Ferguson, Christopher K. Fairley, David Whiley, Nathan Ryder, Basil Donovan, Rebecca Guy, John Kaldor and Lisa Maher
pp. 303-310

Despite increasing emphasis on strengths-based approaches to Aboriginal sexual health, there are limited studies documenting how young Aboriginal people reduce sexual health risks they encounter. Drawing on in-depth interviews with 35 Aboriginal men and women aged 16–21 years in two remote Australian settings, we document many individual and collective STI and pregnancy risk reduction strategies. Findings illustrate the need for holistic, multisectoral STI prevention and sexual health programs driven by the diverse realities of young people’s sexual lives.

SH22129Sexting and sexual behaviour in Australian adolescents

Tasha A. Falconer 0000-0003-4308-5772, Sylvia Kauer and Christopher M. Fisher
pp. 57-63

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; 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.

SH19147Non-consensual sharing of personal sexually explicit imagery among young people in Australia: results from an online survey

Caitlin H. Douglass, Cassandra J. C. Wright, Angela C. Davis and Megan S. C. Lim
pp. 182-186

There has been significant media attention on the harms associated with non-consensual sharing of sexually explicit imagery. We surveyed young Australians aged 15–29 years; 13% stated that someone else shared sexually explicit imagery of them without their consent. Most participants did not report this incident to services or police, highlighting the need for non-judgmental education that promotes legal rights and actions to take in adverse situations.

SH22138Online platforms for prescription and supply of hormonal contraception in Australia: a mapping review

Tahlee B. Stevenson 0000-0002-6513-4005, Alice Rumbold, Emily Callander, Pip Buckingham, Anisa Assifi, Danielle Mazza and Luke E. Grzeskowiak
pp. 273-281

Despite the fact that access to contraception it is key to reproductive autonomy, initiating and continuing use of hormonal contraception in Australia can be costly and logistically challenging. This mapping review aimed to identify and comment on the number and accessibility of online platforms providing prescriptions for and supply of hormonal contraception within Australia. We found that despite addressing some of the identified barriers, these services are unlikely to be truly accessible to all consumers.

SH22143Clinician views and experiences with reproductive coercion screening in a family planning service

Yan Cheng 0000-0003-2043-4335, Claire Rogers 0000-0002-9021-7443, Clare J. Boerma, Jessica R. Botfield 0000-0001-6157-9739 and Jane Estoesta 0000-0001-6112-6158
pp. 71-79

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 reproductive coercion.

SH20176Diagnosis of pelvic inflammatory disease and barriers to conducting pelvic examinations in Australian general practice: findings from an online survey

Helen Bittleston 0000-0002-5768-3223, Jacqueline Coombe 0000-0002-9520-5724, Meredith Temple-Smith, Deborah Bateson, Jill Hunady, Lena Sanci, Jane S. Hocking and Jane L. Goller 0000-0001-5580-360X
pp. 180-186

Pelvic inflammatory disease (PID) remains an important reproductive health issue for women, and timely diagnosis and management is imperative to reduce the risk of complications. We explored the diagnostic practices of Australian general practitioners (GPs), finding that many GPs do not routinely perform pelvic examinations for patients with symptoms suggestive of PID due to multiple barriers. Pelvic examinations are an important diagnostic tool for PID; finding the best way to incorporate them into a consultation when needed will be beneficial.