As women experiencing homelessness are at higher risk of unintended pregnancy and have less access to contraception, this study explored how contraception affected perceived risk of pregnancy. The 19 women experiencing homelessness were asked about how contraception affected pregnancy risk, pregnancy desire, pregnancy attitudes, and current contraception use. Interview themes included contraception efficacy, positive pregnancy desire, and abstinence, which may explain the lack of actual contraception use and better explain contraception and pregnancy preferences for women experiencing homelessness.

Studies have reported the associations between outness and mental and sexual health among gay and bisexual men, but the conclusions are inconsistent. Our study was the first to focus on outness and associated factors and found group sex was correlated with outness among GBM attending university. The results indicate that more attention needs to focus on non-disclosed GBM attending university through peer education or other ways.

Anxiety is common among sexual health service users, yet little is known about anxiety in online sexual health settings. Using data from an online sexual health service chat service staffed by sexual health nurses, we explored anxiety among chat users. Our findings suggest that anxiety related to sexual health – in particular HIV – is a source of persistent distress among chat users, and highlight opportunities to improve connections to appropriate mental health supports.

Little research exists on impulsive personality traits (IPTs) in first- and second-year college students who are curious about sex but lack HIV knowledge and safe sex awareness. This cross-sectional study revealed that the students with a greater level of IPTs were more likely to have a high level of HIV stigma and a low level of HIV knowledge and HIV prevention beliefs. Our findings provoke thinking about future campus health education.

The HIV self-testing coverage among MSM in resource-limited settings is suboptimal. Social networks could play a direct or indirect role in the HIV self-testing behaviour of MSM. Integrating social networks into testing and prevention services may be viable to control the HIV epidemic in both male–male and male–female interactions in resource-limited settings.

This is the first reported case of Fanconi syndrome in a patient receiving HIV pre-exposure prophylaxis (PrEP) in Australia. This case highlights the potential for significant kidney injury with PrEP use, but also demonstrates how such injuries can be reversed on prompt discontinuation of PrEP. Regular monitoring of kidney function, particularly for older patients or those with pre-existing kidney disease, is therefore essential.

Hepatitis A is a sexually transmitted enteric infection in men who have sex with men (MSM) and vaccination is recommended to prevent outbreaks. In this paper, we evaluated if screening and susceptibility has changed due to HIV-PrEP. MSM were significantly more likely to be screened for Hepatitis A susceptibility in 2021 (201/206, 93%) than in 2019 (208/372, 56%) however susceptibility to Hepatitis A did not change between in 2021 (96/216, 48%) and 2019 (98/372, 47%). De-medicalising HIV-PrEP is important as it will increase overall uptake. However, coupling HIV-PrEP with other sexual health interventions must not be lost.

Annual digital ano-rectal examination (DARE) is recommended in Australian Guidelines as an anal cancer screening test for people aged ≥45 years living with HIV. We assessed the baseline frequency of DARE discussion and recommendation to men who have sex with men attending our clinic for HIV care and used a quality improvement approach to increase DARE recommendations to this patient group. This audit can be replicated in other services.