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Sexual Health publishes contributions on sexual health from the widest perspectives including HIV/AIDS, STIs, issues of sexuality, and reproductive health. More

Editors: Christopher Fairley and Roy Chan

AIDS 2014: We would like to express our deepest sympathies to the families, friends and colleagues of delegates lost on MH17.
Out of respect for their work we are making our latest HIV Special Issue freely available online for 3 months.

 
 
 

blank image Sexual Health
Volume 11 Number 3 2014

 
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Table of Contents 
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Australian sexually transmissible infection and HIV testing guidelines for asymptomatic men who have sex with men 2014: a review of the evidence 
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David J. Templeton , Phillip Read , Rajesh Varma and Christopher Bourne
pp. 217-229

A literature review was performed to inform the 2014 update of the Australian testing guidelines for asymptomatic men who have sex with men (MSM). Key changes include a recommendation for pharyngeal chlamydia testing, use of nucleic acid amplification tests alone for gonorrhoea testing, more frequent gonorrhoea and chlamydia testing in HIV-positive MSM, shorter time required since last void for chlamydia first-void urine collection, and the use of electronic reminders to increase STI and HIV retesting rates among MSM.

 
 

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Adherence-enhancing interventions for active antiretroviral therapy in sub-Saharan Africa: a systematic review and meta-analysis 
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Tim Mathes , Sunya-Lee Antoine and Dawid Pieper
pp. 230-239

In sub-Saharan Africa, an estimated 23% of HIV-infected patients are nonadherent. The aim of this systematic review was to evaluate the effectiveness of adherence-enhancing interventions for active antiretroviral therapy. Six randomised controlled trials were included in the review. The considered interventions increase adherence only slightly. The results indicate that adherence-enhancing interventions should focus on nonadherent patients.

 
    | Supplementary Material (196 KB)
 

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Female sexual dysfunction across the three pregnancy trimesters: an Egyptian study 
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Samy Hanafy , Neveen E. Srour and Taymour Mostafa
pp. 240-243

Pregnancy is a special period in the life of women that could affect their sexuality. This cross-sectional study evaluated female sexual dysfunction among pregnancy trimesters. It is concluded that female sexual function is affected significantly during pregnancy, in all domains, especially in the first and third trimesters.

 
  
 

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Psychosocial factors related to willingness to use pre-exposure prophylaxis for HIV prevention among Black men who have sex with men attending a community event 
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Lisa A. Eaton , Daniel D. Driffin , Harlan Smith , Christopher Conway-Washington , Denise White and Chauncey Cherry
pp. 244-251

In the US, Black men who have sex with men are disproportionately affected by HIV/AIDS. Using antiretroviral medications for HIV prevention is a promising option, yet many barriers to accessing this form of prevention exist. It is imperative that we prioritise research into understanding these barriers better; failure to do so will impede the potential of this prevention strategy

 
  
 

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Condom use motivations and selected behaviours with new versus established sex partners 
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Richard A. Crosby , Robin R. Milhausen , Cynthia A. Graham , William L. Yarber , Stephanie A. Sanders , Richard Charnigo and Lydia A. Shrier
pp. 252-257

Whether people use condoms differentially as a function of being in a new versus established relationship has never been investigated using event-level data. Applying an event-level analysis, this study found differences in motivation for condom use and actual use in a sample of males and females attending sexually transmissible infection clinics in the US. Clinic-based counselling to promote safer-sex behaviours should recognize differences between new versus established sex partners.

 
  
 

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'I demand to be treated as the person I am': experiences of accessing primary health care for Australian adults who identify as gay, lesbian, bisexual, transgender or queer 
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Chee S. Koh , Melissa Kang and Tim Usherwood
pp. 258-264

Individuals who identify as gay, lesbian, bisexual, transgender or queer suffer higher morbidity than the general population, but may experience significant barriers to accessing primary health care. An Internet survey of these experiences reinforced the importance of communicating acknowledgement and respect for the unique identity of each individual. Primary health care providers have a key role in ensuring equitable access

 
  
 

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Do family factors protect against sexual risk behaviour and teenage pregnancy among multiply disadvantaged young people? Findings from an English longitudinal study 
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Chris Bonell , Meg Wiggins , Adam Fletcher and Elizabeth Allen
pp. 265-273

It is common for policy makers to target ‘at risk’ youth and families for additional intervention, although we do not know if or how the family environment shapes sexual risk taking among disadvantaged youth. This study examined data from 1285 ‘at risk’ 13–15 year olds in England and found limited evidence of any family-related effects on sexual health or teenage pregnancy, although family structure and communication may influence young women’s sexual risk taking in deprived contexts. Targeted family-based interventions may not be appropriate for changing the sexual behaviour of disadvantaged young people, especially young men.

 
  
 

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Parents' views on human papillomavirus vaccination for sexually transmissible infection prevention: a qualitative study 
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Linda M. Niccolai , Caitlin E. Hansen , Marisol Credle , Sheryl A. Ryan and Eugene D. Shapiro
pp. 274-279

Human papillomavirus (HPV) vaccination coverage in the US remains suboptimal. The results of this qualitative study reveal that discussing sexually transmissible infection (STI) prevention in the context of HPV vaccination in addition to cancer prevention appears to be well accepted by urban low-income minority families. Communication of this comprehensive yet simple message may help raise awareness, acceptability and uptake of HPV vaccines.

 
  
 

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A case of gonococcal necrotising fasciitis 
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Kudzai Nzenza Kanhutu , Denis D. Spelman and Michael D. Weymouth
pp. 280-282

We describe an unusually severe case of disseminated gonococcal infection culminating in necrotizing fasciitis. Patient progress, treatment and outcomes are discussed with reference to currently recommended Australian guidelines. To our knowledge, this is the first such case described in the literature.

 
  
 

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Testing for ‘threads’ and leucocyte esterase in first-void urine to exclude the diagnosis of non-specific urethritis in asymptomatic men 
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Sanjeeva N. S. Pallawela , Christopher Sonnex , Julia Burdett , Dawn Cooper , Katrina Nethercott , Catherina M. Thomas , Peter Goon , Hayley Webb and Christopher Carne
pp. 283-284

The aim of this pilot study was to determine if testing for urinary threads, and/or leucocyte esterase (LE) or both in asymptomatic men is a good screening tool for nonspecific urethritis (NSU). Of the126 asymptomatic men, 8% met microscopic criteria for the diagnosis of NSU. The negative predictive value for threads and LE was 96% and 93% and combining both gave a negative predictive value of 96%. The absence of threads and negative LE makes urethritis highly unlikely, making urinary nucleic acid amplification testing sufficient.

 
  
 

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Social support and depressive symptoms among 'money' boys and general men who have sex with men in Shanghai, China 
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Huamei Yan , Frank Y. Wong , Tony Zheng , Zhen Ning , Yingying Ding , Eric J. Nehl , Lavinia Lin and Na He
pp. 285-287

Little was known about social support and depression among men who have sex with men (MSM) in China. The aim of this study was to fill this gap. The results indicate that social support is protective against depression among this population, whereas ‘Money boys’ experience more depression than general MSM. These findings underscore the need for tailored psychological programs targeting these two types of MSM.

 
  
 

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Cervical screening uptake and abnormalities among women attending sexual health clinics for HIV care 
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Donna M. Tilley , Catherine C. O'Connor , Sunil Adusumilli , Maggie Smith , Clara Marin-Zapata , Catriona Ooi and David J. Templeton
pp. 288-290

The aim of this study was to describe cervical screening uptake and assess correlates of screen-detected abnormalities in women attending sexual health services for HIV care. Of 156 women, 115 had documentation of a Pap test at least once in 3 years and 9.6% had an annual Pap test performed. Pap abnormalities were associated with younger age, being born in Sub-Saharan Africa, more recent arrival in Australia, lower CD4 count, detectable viral load, shorter time on antiretroviral therapy and more recent HIV diagnosis. Women accessing sexual health services for HIV care, especially those from culturally and linguistically diverse backgrounds, appear to be substantially under-screened and efforts to optimise screening are needed.

 
  
 

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Published online 24 July 2014
Reattendance and chlamydia retesting rates at 12 months among young people attending Australian general practice clinics 2007–10: a longitudinal study 
Emma R. Weaver, Anna L. Bowring, Rebecca Guy, Caroline van Gemert, Jane S. Hocking, Douglas I. Boyle, Tony Merritt, Clare Heal, Phyllis M. Lau, Basil Donovan, Margaret E. Hellard and

Clinical guidelines commonly recommend annual chlamydia testing in young people. The Australian Collaboration for Coordinated Enhanced Sentinel Surveillance of Sexually Transmitted Infections and Blood-Borne Viruses system (ACCESS) extracted consultation and pathology data on 16–29-year-olds attending 25 general practice (GP) clinics in 2007–10. We calculated the proportion of individuals with an initial negative test that reattended at 12 months (±3 months) and retested at 12 months (±3 months). Although over half of young people reattended their GP clinic approximately 1 year after a negative chlamydia baseline test, retesting at this visit was low. Strategies are needed to promote regular attendance and testing to both patients and clinicians.

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These articles have been peer reviewed and accepted for publication. They are still in production and have not been edited, so may differ from the final published form.

    SH14091  Accepted 22 July 2014
    A novel time-limited pop-up HIV testing service for gay men in Sydney Australia attracts high risk men
    Vickie Knight, Marianne Gale, Rebecca Guy, Nicolas Parkhill, Jo Holden, Craig Leeman, Anna McNulty, Phillip Keen, Handan Wand
    Abstract


    SH14035  Accepted 15 July 2014
    Could point-of-care testing be effective for reducing the prevalence of trichomoniasis in remote Aboriginal communities?
    Ben Hui, James Ward, Louise Causer, Rebecca Guy, Matthew Law, David Regan
    Abstract


    SH14057  Accepted 09 July 2014
    Declining trends in the proportion of non-viral sexually transmitted infections reported by STD Clinics in the United States, 2000-2010
    Kwame Owusu-Edusei, Bianca Sayegh, Alesia Harvey, Robert Nelson
    Abstract


    SH14032  Accepted 02 July 2014
    Prevalence, correlates, and attitudes towards sexting among young people in Melbourne, Australia
    Timothy Yeung, Danielle Horyniak, Alyce Vella, Margaret Hellard, Megan Lim
    Abstract


    SH14094  Accepted 24 June 2014
    Time trends in adolescent sexual behaviour in Italy
    Claudia Marino, Alessio Vieno, Michela Lenzi, Massimo Santinello
    Abstract


    SH13205  Accepted 19 June 2014
    Epidemiology of gonorrhoea notifications in Australia 2007 – 2012
    April Roberts-Witteveen, Kate Pennington, Nasra Higgins, Carolyn Lang, Monica Lahra, Russell Waddell, John Kaldor
    Abstract


    SH13202  Accepted 16 June 2014
    Who are the sexual partners of transgender individuals? Demographic characteristics and risk behaviors of San Francisco HIV testing clients with transgender sexual partners
    Erin Wilson, Nayla Raad, Yea-Hung Chen, Henry Raymond, Teri Dowling, Willi McFarland
    Abstract


    SH13189  Accepted 28 May 2014
    Assessment of psychosocial impact of genital warts among patients in Singapore
    Lucinda Si Yun Tan, Martin Chio, Priya Sen, Timothy Yong Kuei Lim, Joseph Soon Yau Ng, Arunachalam Ilancheran, Jeffrey Jen Hui Low, Yen Shing Yeoh, Roy Chan, Nan Luo
    Abstract


    SH14011  Accepted 27 May 2014
    Attitudes towards microbicide use for bacterial vaginosis in pregnancy
    Marina Catalozzi, Camille Williams, Gregory Zimet, Katharine Hargreaves, Shari Gelber, Adam Ratner, Lawrence Stanberry, Susan Rosenthal
    Abstract


    SH13204  Accepted 19 May 2014
    Sexual and reproductive health and philanthropic funding in Australia
    Liz Gill-Atkinson, Catherine Vaughan, Henrietta Williams
    Abstract


    SH13074  Accepted 19 May 2014
    High rates of sexually transmitted infections in HIV-positive patients in the Australian HIV Observational Database - a prospective cohort study
    Brian Mulhall, Stephen Wright, Debbie Allen, Katherine Brown, Bridget Dickson, Miriam Grotowski, Eva Jackson, Kathy Petoumenos, Phillip Read, Tim Read, Darren Russell, David Smith, David Templeton, Christopher Fairley, Matthew Law
    Abstract




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Rank Paper Details
1. Published 1 August 2013
The impact of living with HIV: differences in experiences of stigma for heterosexual and homosexual people living with HIV in Australia

Loren Brener, Hannah Wilson, Sean Slavin and John de Wit

2. Published 14 October 2013
Are Australian sexual health clinics attracting priority populations?

Hammad Ali, Basil Donovan, Christopher K. Fairley, Nathan Ryder, Anna McNulty, Marcus Y. Chen, Lewis Marshall, Catherine C. O'Connor, Bridget Dickson, Andrew E. Grulich, Margaret E. Hellard, John M. Kaldor and Rebecca J. Guy

3. Published 26 March 2014
Management rates of sexually transmissible infections by Australian general practitioners, 2000–2012

Anthony J. Santella, Allan Pollack, Christopher Harrison, Shailendra N. Sawleshwarkar, Helena C. Britt and Richard J. Hillman

4. Published 14 July 2014
Predicting the population impact of increased HIV testing and treatment in Australia

James Jansson, Cliff C. Kerr and David P. Wilson

5. Published 1 August 2013
Men who have sex with men, infectious syphilis and HIV coinfection in inner Sydney: results of enhanced surveillance

Susan J. Botham, Kelly-Anne Ressler, Patrick Maywood, Kirsty G. Hope, Chris P. Bourne, Stephen J. Conaty, Mark J. Ferson and Darren J. Mayne

6. Published 14 July 2014
Transforming Australia’s HIV prevention and treatment efforts to achieve an AIDS-free generation: the United Nations Political Declaration on HIV/AIDS and the Melbourne Declaration ‘Action on HIV’

Bill Whittaker

7. Published 1 August 2013
The potential impact of new generation molecular point-of-care tests on gonorrhoea and chlamydia in a setting of high endemic prevalence

Ben B. Hui, David P. Wilson, James S. Ward, Rebecca J. Guy, John M. Kaldor, Matthew G. Law, Jane S. Hocking and David G. Regan

8. Published 14 July 2014
HIV pre-exposure prophylaxis and treatment as prevention: a review of awareness and acceptability among men who have sex with men in the Asia-Pacific region and the Americas

Martin Holt

9. Published 14 July 2014
Recently diagnosed gay men talk about HIV treatment decisions

Ian Down, Garrett Prestage, Kathy Triffitt, Graham Brown, Jack Bradley and Jeanne Ellard

10. Published 14 October 2013
Masculinity, condom use self-efficacy and abusive responses to condom negotiation: the case for HIV prevention for heterosexual African-American men

Jerris L. Raiford, Puja Seth, Nikia D. Braxton and Ralph J. DiClemente

11. Published 1 August 2013
Effective peer education in HIV: defining factors that maximise success

Steven M. Lambert, Joseph Debattista, Aleksandar Bodiroza, Jack Martin, Shaun Staunton and Rebecca Walker

12. Published 26 March 2014
Incident hepatitis B infection subsequent to the diagnosis of HIV infection in a Melbourne cohort: missed opportunities for prevention

Amy Body, Jennifer F. Hoy, Allen C. Cheng and Michelle L. Giles

13. Published 26 March 2014
Rapid HIV testing increases the rate of HIV detection in men who have sex with men: using rapid HIV testing in a primary care clinic

Beng Eu, Norman Roth, Mark Stoové, Mark O'Reilly and Edward Clarke

14. Published 14 October 2013
HIV and hepatitis C virus co-infection among men who have sex with men in Sydney, and associations with sexual and drug use practices

Toby Lea, Evelyn Lee, Limin Mao, John de Wit and Martin Holt

15. Published 22 November 2013
Prevention and control of sexually transmissible infections among hotel-based female sex workers in Dhaka, Bangladesh

Duncan F. McCormick, Motiur Rahman, Sabrina Zadrozny, Anadil Alam, Lutfa Ashraf, Graham A. Neilsen, Robert Kelly, Prema Menezes, William C. Miller and Irving F. Hoffman

16. Published 1 August 2013
Preconception reflections, postconception intentions: the before and after of birth control in Australian adolescent females

Jennifer Lawson Smith, S. Rachel Skinner and Jennifer Fenwick

17. Published 22 November 2013
Qualitative exploration of HIV-related sexual behaviours and multiple partnerships among Chinese men who have sex with men living in a rural area of Yunnan Province, China

Eric P. F. Chow, Liangmin Gao, Fung Kuen Koo, Liang Chen, Xiaoxing Fu, Jun Jing, David P. Wilson and Lei Zhang

18. Published 28 July 2014
Australian sexually transmissible infection and HIV testing guidelines for asymptomatic men who have sex with men 2014: a review of the evidence

David J. Templeton, Phillip Read, Rajesh Varma and Christopher Bourne

19. Published 1 August 2013
Facilitating partner notification through an online messaging service: Let Them Know

Sarah Huffam, Christopher K. Fairley, Mark Chung, Jun Kit Sze, Jade Bilardi and Marcus Y. Chen

20. Published 14 October 2013
One confirmed and one suspected case of pharyngeal gonorrhoea treatment failure following 500mg ceftriaxone in Sydney, Australia

Phillip J. Read, E. Athena Limnios, Anna McNulty, David Whiley and Monica M. Lahra


      
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