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

Volume 20 Number 4 2023

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.

SH22170Improving HIV pre-exposure prophylaxis (PrEP) uptake and initiation: process evaluation and recommendation development from a national PrEP program

Claudia S. Estcourt 0000-0001-5523-5630, Jennifer MacDonald 0000-0002-3896-0846, John Saunders 0000-0003-3020-9916, Rak Nandwani 0000-0002-4611-3786, Ingrid Young 0000-0002-1242-5992, Jamie Frankis 0000-0003-3350-5892, Dan Clutterbuck, Nicola Steedman, Lisa McDaid 0000-0002-7711-8723, Jenny Dalrymple and Paul Flowers 0000-0001-6239-5616
pp. 282-295

Zero new HIV infections could become a reality if HIV pre-exposure prophylaxis (PrEP) programs are successfully implemented but the World Health Organization recognises that large-scale roll out is challenging. We used implementation science research tools in novel ways to evaluate one of the world’s first national PrEP programs, to develop evidence-based recommendations for use across a range of settings to improve PrEP uptake and initiation. Adopting these recommendations could enable governments and societies to better address HIV prevention goals.

SH22118The changing epidemiology of Neisseria gonorrhoeae genogroups and antimicrobial resistance in Queensland, Australia, 2010–15: a case series analysis of unique Neisseria gonorrhoeae isolates

Lisa McHugh 0000-0001-8580-9551, Amalie Dyda, Christine Guglielmino 0000-0001-6086-4781, Cameron Buckley, Colleen L. Lau, Amy V. Jennison, David G. Regan, James Wood, David Whiley and Ella Trembizki
pp. 296-302

Our 5-year Queensland study demonstrates the potential for molecular surveillance to track the changing epidemiology, movement and antimicrobial resistance of Neisseria gonorrhoeae in Australia. This is increasingly important, because potential prevalent gonococcal strains are not captured well by current methods, and we found evidence of bridging from male-dominant networks to heterosexual networks, which has serious implications for current public health practise. Genotyping is also necessary to monitor the transiency of dominant genogroups to allow a more targeted and tailored approach to treatment.

SH23028Sexually transmissible infections (STI) and HIV testing and diagnosis among Aboriginal and non-Aboriginal adolescents in contact with the Australian justice system: a cross-sectional study

Patricia Taflan 0000-0001-9094-2082, Paul L. Simpson, Mandy Wilson, Jocelyn Jones, Basil Donovan, Janaki Amin, Sally Nathan and Tony Butler
pp. 303-314

This paper reports on the sexual behaviours of Aboriginal and non-Aboriginal adolescents who have come into contact with the Australian justice system and looks at factors associated with testing for sexually transmissible infections (STI) and HIV, and diagnosis of sexually transmissible infections. Findings suggest there are different factors associated with STI/HIV testing for Aboriginal and non-Aboriginal justice-involved adolescents. Sexual health education should start early and consider gender, cultural and sexual orientation differences.

SH23033Sexual risk behaviours among factory workers in Shenzhen, China: a cross-sectional study

Dan Luo, Kechun Zhang, Yaqi Chen, Dahui Chen, Heping Zhao, Ganfeng Luo, Wujian Ke, Shaomin Wu, Linghua Li, He Cao, Bolin Cao, Yong Cai, Zixin Wang, Qihui Lin, Xiaojun Meng 0000-0001-5201-0452 and Huachun Zou 0000-0002-8161-7576
pp. 315-322

Sexual transmission has been the main mode of HIV transmission, and data on sexual risk behaviours among factory workers from various industries are scarce in China. Sexual risk behaviours that showed associations with certain characteristics and experience of sexual debut were prevalent among factory workers in Shenzhen, China. There are massive labour forces in China, indicating an urgent need to strengthen sexual health education and promote safer sexual behaviours among factory workers.


A total of 1286 female college students in China was surveyed to investigate their sexual behaviours. The results show that between those students in the east (Shanghai and Nanjing) and those in the west (Chongqing and Chengdu), their rate of sexual intercourse experience, rate of safer sex, conservative sexual values, authority sex education, unofficial sex knowledge access and HIV knowledge level were different. Compared with the eastern students, western students have a higher rate of sexual activity, but lower rate of safer sex. The regional disparities in economy, social development and culture affect individuals’ sexual behaviours saliently.

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.

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 cisgender heterosexual men in Australia are the least likely population group to ensure barrier method use during casual sex. There is limited information about how these young men might be navigating sexual health conversations with potential partners, whereby findings note that they choose to avoid the discussion or expect women to take responsibility. There is need to focus on educating young men concerning their responsibility for sexual health in casual sex encounters.

This study investigated the impact of policy changes affecting Medicare-rebated telehealth services for medical abortion care at an Australian family planning service during the coronavirus (COVID-19) pandemic. Findings from clinical records highlight the need for continued provision of Medicare-rebated telehealth to promote equitable access to abortion care.

SH22199Sexual health services in urban, suburban, and rural outpatient mental healthcare settings in New York: findings from a survey of practices and gaps

Karen McKinnon 0000-0002-5530-8825, Fatima Jaafar, Jean-Marie Alves-Bradford, Taylor Weinstein, Alma Zurita McKinnon, Elizabeth Hughes, Daria Boccher-Lattimore and Francine Cournos
pp. 360-362

Sexual healthcare is not only critical to controlling sexually transmitted infections for people with serious mental illness, it is also an equity and social justice issue. New approaches to helping people with mental health disorders recover their health and functioning have prompted clinicians and care systems to re-think how to address sexual health; we found inequitable access to sexual health services in community mental health settings. Staff training in sexual health services delivery is needed to improve health and recovery.


This is the first study in Singapore to assess the prevalence of alcohol use disorder, substance use disorder, and depression, anxiety and stress among users of sexual health services. We found a high prevalence of problematic alcohol (20.4%) and drug use (12.1%) among individuals using sexual health services. These findings support the integration of alcohol use and substance use disorder screening in sexual health services to ensure better interventions that reduce risks for poor sexual and mental health outcomes.


Female sex workers are a very vulnerable group of society. These women usually have this job due to financial needs. Many of these women are usually at a high risk of unwanted pregnancies due to having unprotected sexual relationships, and the majority of them seek abortion, which are at high risk of mortality.

SH23031Unprecedented increase in syphilis cases among heterosexual men and women in Japan, 2021–2022

Ayu Kasamatsu 0000-0003-1515-6238, Takuri Takahashi, Yuzo Arima 0000-0002-8711-7636, Miyako Otsuka, Takeshi Arashiro, Hanae Ito, Sakiko Tabata, Takuya Yamagishi 0000-0002-9566-201X and Motoi Suzuki
pp. 370-372

In Japan, despite social distancing during the COVID-19 pandemic, the number of reported syphilis cases among heterosexual men and women surged in 2021 and 2022. Based on national surveillance, while there was a decline in cases during 2019 and 2020, 2022 reached the highest annual case count in half a century, with primary and secondary syphilis accounting for nearly 80% of the reported cases. This unprecedented epidemic calls for urgent action on testing, treatment, prevention, and education.

SH23050_COCorrigendum to: Familiarity with, perceived accuracy of, and willingness to rely on Undetectable=Untransmittable (U=U) among gay and bisexual men in Australia: results of a national cross-sectional survey

James MacGibbon, Benjamin R. Bavinton, Timothy R. Broady, Jeanne Ellard, Dean Murphy, Sarah K. Calabrese, David A. Kalwicz, Dash Heath-Paynter, Angus Molyneux, Cherie Power, Andrew Heslop, John de Wit and Martin Holt
pp. 373-373

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