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Hear Kit Fairley speak about what is sexual health.

 
 

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

 
 
 

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Published online 29 July 2016
What qualities of long-acting reversible contraception do women perceive as desirable or undesirable? A systematic review 
Jacqueline Coombe, Melissa L. Harris and Deborah Loxton

This study assessed the available peer-reviewed literature to ascertain what qualities of long-acting reversible contraception (LARC) are considered desirable or undesirable by women. Although there were many characteristics of LARC that women liked, particularly their convenience and longevity, there were also many characteristics that women didn’t like, including their often unpredictable impact on bleeding and other hormonal side effects. This information is crucial in the clinical setting as it provides practitioners with a greater understanding of the qualities women do and do not like about LARC methods. Discussion about these qualities, positive and negative, during consultations about contraception may increase rates of uptake.

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Published online 29 July 2016
Sexting among singles in the USA: prevalence of sending, receiving, and sharing sexual messages and images 
Justin R. Garcia, Amanda N. Gesselman, Shadia A. Siliman, Brea L. Perry, Kathryn Coe and Helen E. Fisher

In a national sample of 5805 single adults in the USA, the present study examines sexting attitudes and behaviours, including sending, receiving, and sharing of sexual messages and images, across gender, age, and sexual orientation. Participants’ self-reported views on the impact of sexting on reputation, coupled with the relatively high rates of unauthorised sext sharing we report, suggest a contemporary struggle to reconcile digital eroticism with real-world consequences.

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Published online 29 July 2016
Assortative sexual mixing patterns in male–female and male–male partnerships in Melbourne, Australia: implications for HIV and sexually transmissible infection transmission 
Eric P. F. Chow, Tim R. H. Read, Matthew G. Law, Marcus Y. Chen, Catriona S. Bradshaw and Christopher K. Fairley

This retrospective cross-sectional study examined the sexual mixing patterns for age, number of partners and condom use in 1165 male–female and 610 male–male partnerships attending a sexual health service in Melbourne, Australia. Male–female and male–male partnerships have a high assortativity mixing pattern for age, number of partners and condom use. The sexual mixing pattern is not purely assortative, and hence it may lead to increased HIV and STI transmission in certain risk groups.

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Published online 29 July 2016
Association between sexual mixing and genital warts in heterosexual men in Australia: the herd protection from the female human papillomavirus vaccination program 
Eric P. F. Chow and Christopher K. Fairley

Females who are aged ≤32 years were eligible for the free female human papillomavirus vaccination program. Unvaccinated heterosexual men who had a female partner aged ≤32 were less likely to have penile warts. This suggests men would have received herd protection from their female partners.

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Published online 22 July 2016
Antiretroviral pre-exposure prophylaxis preferences among men who have sex with men in Vietnam: results from a nationwide cross-sectional survey 
Catherine E. Oldenburg, Bao Le, Hoang Thi Huyen, Dinh Duc Thien, Nguyen Hoang Quan, Katie B. Biello, Amy Nunn, Philip A. Chan, Kenneth H. Mayer, Matthew J. Mimiaga and Donn Colby

Pre-exposure prophylaxis (PrEP) is a promising HIV prevention strategy for men who have sex with men (MSM) in Vietnam, but implementation programs will benefit from understanding preferences for PrEP delivery. We conducted a cross-sectional survey with members of online social networking websites for MSM in Vietnam. Approximately one quarter of participants had previously heard of PrEP, and most participants indicated a preference for rectal microbicides as their preferred PrEP modality.

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Published online 22 July 2016
Sexually transmissible infection control programs for men who have sex with men – what will they look like in 2020? 
Oliver N. Refugio, Chelsea Roberts, Richard West and Jeffrey D. Klausner

The resurgence of sexually transmissible infections among men who have sex with men is a concern for sexual health. Traditional strategies have relied on the promotion of condom use, regular testing, treatment, and partner management. Future sexually transmissible infection control programs must combine current prevention methods with novel approaches that target the providers, patients, and mechanisms of health care delivery.

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Published online 22 July 2016
Adherence to, and acceptability of, Listerine® mouthwash as a potential preventive intervention for pharyngeal gonorrhoea among men who have sex with men in Australia: a longitudinal study 
Vincent J. Cornelisse, Christopher K. Fairley, Sandra Walker, Tameka Young, David Lee, Marcus Y. Chen, Catriona S. Bradshaw and Eric P. F. Chow

Ten men who have sex with men attending the Melbourne Sexual Health Centre were recruited in this study to examine the adherence to, and acceptability of, Listerine® mouthwash as a potential preventive intervention for pharyngeal gonorrhoea. This study found high adherence and acceptability of daily mouthwash use.

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Published online 07 July 2016
Reducing the burden of sexually transmissible infections in Papua New Guinea requires strengthening of clinical services and engaging men 
Jane S. Hocking, Cathy Vaughan, Andrew Lau, Dorothy A. Machelak and Simon Graham

In this edition of Sexual Health, Vallely et al. report the results of a cross-sectional prevalence survey of sexually transmissible infections (STIs) among women attending their first antenatal visit in three provinces of Papua New Guinea (PNG). This Editorial examines potential reasons for these high prevalence estimates and discusses strategies for addressing high STIs rates in PNG.

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Published online 04 July 2016
A systematic analysis of the needs of people with HIV in Australia: stakeholder views of the key elements for a healthy life 
Sarity Dodson, Roy Batterham, Karalyn McDonald, Julian H. Elliott, Richard H. Osborne and

The HealthMap project is developing an intervention to reduce cardiovascular risk in people living with HIV. As part of the formative stages of the intervention design, we sought to understand the needs of people with HIV (PWHIV). Workshops with PWHIV and their providers, and follow-up questionnaires provided insights into what PWHIV perceive they need, to live with and manage their condition, and its impact on their life. PWHIV and HIV providers continue to report unmet needs in the areas of social justice and emerging concerns about access to aged care services.

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Published online 04 July 2016
Prevalence and correlates of Mycoplasma genitalium infection among prostatitis patients in Shanghai, China 
Xiaohui Mo, Caixia Zhu, Jin Gan, Chong Wang, Fang Wei, Weiming Gong and Qiliang Cai
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Published online 04 July 2016
An observational study of the impact of the 2014 XX Commonwealth Games on the sexual and reproductive health services in Glasgow, Scotland 
Rebecca Metcalfe, Rebecca R. Acquah, Janine Simpson, Gwendolyn Allardice and Andrew Winter

The aim of this study is to investigate if the 2014 XX Commonwealth Games had an effect on the service demands of a Glasgow city-wide integrated SRH service. Electronic patient records, city-wide pharmacy data and case note review was used to assess aspects of SRH; this included overall attendance at integrated services, clinic and community emergency contraception prescriptions, victims of sexual assault, acute sexually transmissible infections (STIs), post exposure prophylaxis after sexual exposure (PEPSE) prescriptions, condom distribution and termination of pregnancy. There was a significant decrease in core sexual health attendances, total acute STIs and emergency hormonal contraception prescriptions. There was no change in PEPSE prescriptions or the number of reported sexual assaults throughout the city. This study found no evidence that the 2014 XX Commonwealth Games placed any increased demand on the local SRH services, and showed no increase in STIs, emergency hormonal contraception prescriptions or sexual assaults. These findings will help service planning in host cities hosting future large sporting events.

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Published online 04 July 2016
Deadly Liver Mob: opening the door – improving sexual health pathways for Aboriginal people in Western Sydney 
Karen Biggs, Jennifer Walsh and Catriona Ooi

The Deadly Liver Mob project (DLM) is an incentive-based, peer-driven health promotion intervention for Aboriginal people, focusing on hepatitis C and, offering education and screening for sexually transmissible infections (STI) and blood-borne viruses (BBV). This study assessed the DLM effect on attendance and STI/BBV screening, describes BBV risk factors and reports infection rates among Aboriginal people attending Western Sydney Sexual Health Centre.

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Published online 23 June 2016
Characteristics of gonorrhoea cases notified in inner and south-western Sydney, Australia: results of population-based enhanced surveillance 
Andrew Ingleton, Kirsty Hope, Zeina Najjar, David J. Templeton and Leena Gupta

Gonorrhoea disproportionately affects young people and men who have sex with men although characteristics of those infected are poorly described. Enhanced surveillance conducted across two urban health districts in Sydney, Australia identified differing risk factors and testing characteristics between men who have sex with men, heterosexual males and females. This surveillance highlighted the importance of obtaining accurate sexual histories to ensure appropriate testing.

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Published online 23 June 2016
Human papillomavirus prevalence in the oral cavity of men who have sex with men: a study of its first from Beirut, Lebanon 
Ismaël Maatouk and Khalil Abdo

The main objective of this study is to assess human papillomavirus (HPV) prevalence in the oral cavity of men who have sex with men (MSM) from Beirut, Lebanon. Among 42 participants, HPV prevalence in the oral cavity was 10% (95% CI 0.93–19.07); there was no statistical difference according to HIV status. The HPV type was exclusively HPV-6. Our findings did not find an urgent need for routine HPV prevalence and screening for cancers in the oral cavity in MSM group in Lebanon; however, they confirm previous findings about geographic variations in HPV prevalences.

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Published online 09 June 2016
Individual-level protective factors for sexual health outcomes among sexual minority youth: a systematic review of the literature 
Heather L. Armstrong, Riley J. Steiner, Paula E. Jayne and Oscar Beltran

A systematic review of individual-level protective factors and sexual health outcomes among sexual minority youth was conducted to summarise the current state of science. Among young men who have sex with men, subjective peer norms and attitudes about condom use were repeatedly shown to be protective and may be a promising area of focus for intervention development. However, more longitudinal research is needed, including among sexual minority women, to examine additional protective factors such as skills and competencies, and identity-related constructs.

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Published online 02 June 2016
Prevalence and risk factors of Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and other sexually transmissible infections among women attending antenatal clinics in three provinces in Papua New Guinea: a cross-sectional survey 
Lisa M. Vallely, Pamela Toliman, Claire Ryan, Glennis Rai, Johanna Wapling, Carolyn Tomado, Savarina Huliafi, Gloria Munnull, Patricia Rarau, Suparat Phuanukoonnon, Handan Wand, Peter Siba, Glen D. L. Mola, John M. Kaldor and Andrew J. Vallely

Through a cross-sectional bio-behavioural survey in three sites we enrolled 765 pregnant women attending their first antenatal clinic visit. We identified high rates of sexually transmissible infectionss among this study cohort; 43% had one or more of Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Trichomonas vaginalis (TV) infection. CT was the most prevalent STI (22.9%), followed by TV (22.4%), and NG (14.2%). Prevalences were highest among primigravid women, women aged <25 years, and among those in Central Province.

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Published online 02 June 2016
Indicators of HIV-risk resilience among men who have sex with men: a content analysis of online profiles 
Jaclyn M. White Hughto, Anna P. Hidalgo, Angela R. Bazzi, Sari L. Reisner and Matthew J. Mimiaga

HIV-risk resilience, or positive adaptation in the face of risk, is increasingly being recognised as an important characteristic among men who have sex with men (MSM). However, resilience in the context of online partner seeking remains underexplored among MSM. This study used content analysis methodology to identify indicators of HIV-risk resilience in the online profiles of MSM using a sexual networking website. Implications for promoting HIV-risk resilience through online interventions for MSM are discussed.

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Published online 02 June 2016
Prevalence of and disparities in HIV-related sexual risk behaviours among Chinese youth in relation to sexual orientation: a cross-sectional study 
Chao Guo, Lei Zhang, Zhenjie Wang, Gong Chen and Xiaoying Zheng

This study indicated a high prevalence of HIV-related sexual risk behaviours (HSRB) among the sexually active youth in China. The most common HSRB was lack of condom use during the first sexual experience. Non-heterosexual youth are at a higher risk of partaking in HSRB.

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Published online 26 May 2016
HIV incidence and associated risk factors in men who have sex with men in Mainland China: an updated systematic review and meta-analysis 
Wei Zhang, Jun-Jie Xu, Huachun Zou, Jing Zhang, Ning Wang and Hong Shang

This study is the latest comprehensive literature review of HIV incidence of men who have sex with men (MSM) in Mainland China. The pooled HIV incidence of Chinese MSM is 5.61/100 person years (PY), and it showed a significantly increasing trend with the change of time (3.24/100PY in 2005–2008, 5.29/100PY in 2009–2011, 5.50/100PY in 2012–2014), which reflects the severe situation of HIV incidence of Chinese MSM. HIV prevention strategies targeted at MSM should be urgently strengthened. Innovative and comprehensive intervention strategies should also be adopted, in particular for young, less educated and syphilis infected MSM subgroups.

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Published online 26 May 2016
Views of HIV-negative partners in heterosexual serodiscordant relationships regarding HIV pre-exposure prophylaxis: a qualitative study 
Joana R. S. P. Falcão, Catriona C. Bradshaw, Cameryn C. Garrett, Jade E. Bilardi, Marcus Y. Chen, Iryna Zablotska, Christopher K. Fairley and Henrietta Williams

Pre-exposure prophylaxis (PrEP) is an effective option for HIV prevention among heterosexual serodiscordant couples. However, there are knowledge gaps in social research about PrEP in heterosexual serodiscordant relationships, including motivations and barriers to its use. This study explores the views of HIV-negative men and women in stable serodiscordant heterosexual relationships about the possible use of PrEP.

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Published online 23 May 2016
An alternative model of sexually transmissible infection testing in men attending a sex-on-premises venue in Sydney: a cross-sectional descriptive study 
Cherie Bennett, Vickie Knight, Douglas Knox, James Gray, Gemma Hartmann and Anna McNulty

This retrospective cross-sectional study describes the process, outcomes and examines the cost of implementing a community-based sexually transmissible infection (STI) screening model co-located in a sex-on-premises venue. The paper highlights that offering STI screening in a community-based setting was an effective and low-cost alternative to traditional testing services.

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Published online 23 May 2016
High uptake of shared electronic health records among HIV-infected patients at an Australian sexual health clinic 
Bianca Farrugia Parsons and Nathan Ryder

The uptake of an opt-in system for integrating the health information of HIV-infected patients of an Australian sexual health clinic into the regional shared electronic health record (EHR) is described. A medical record audit was performed to determine the number and demographic characteristics of HIV-infected patients in the study’s sexual health clinic opting in and out of inclusion in the regional shared EHR

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Published online 23 May 2016
Feasibility of using GrindrTM to distribute HIV self-test kits to men who have sex with men in Los Angeles, California 
A. Lina Rosengren, Emily Huang, Joseph Daniels, Sean D. Young, Robert W. Marlin and Jeffrey D. Klausner

In Los Angeles, Black and Latino men who have sex with men (MSM) have the highest rate of HIV infection, and Black MSM in LA are four times more likely than white MSM to not know they are infected with HIV. In our study, we found that it was feasible to use Grindr™, a social networking mobile phone app, to distribute HIV self-test kits, and that Grindr™ users are willing to provide personal information in exchange for HIV tests. Grindr™ users also found self-tests acceptable and easy to use. We found that social networking apps has a high potential to reach untested high-risk populations

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Published online 23 May 2016
Culturally and linguistically diverse women’s views and experiences of accessing sexual and reproductive health care in Australia: a systematic review 
Zelalem Birhanu Mengesha, Tinashe Dune and Janette Perz

Cultural and linguistic diversity in Australia is increasing, with more than one in four (26%) Australians being born overseas and an additional 20 percent were having either one or both parents born outside of Australia. Although culturally and linguistically diverse women in Australia have the opportunity to obtain necessary health services, they experience numerous barriers in accessing and utilising sexual and reproductive health care at individual, health professional and system levels. Therefore, multiple strategies are required to address the sexual and reproductive health needs of these women.

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Published online 05 May 2016
Assortative sexual mixing among heterosexuals in Australia: implications for herd protection in males from a female human papillomavirus vaccination program 
Eric P. F. Chow and Christopher K. Fairley

This study explored the assortative sexual mixing by country of birth among heterosexuals in Melbourne, Australia. Results showed that about 47% of men who are living in Australia whose female partner (Australian-born and aged under 21 years) had been eligible for the human papillomavirus vaccine, suggesting these men would also have received herd protection from their female partners.

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Published online 28 April 2016
Intimate partner violence and condom negotiation efficacy among gay and bisexual men in Atlanta 
Rob Stephenson, Ryan Freeland and Catherine Finneran

The experience of intimate partner violence (IPV) has been shown to decrease condom negotiation efficacy among women; however, studies of this association among gay and bisexual men (GBM) are lacking. This study uses survey and multivariate regression analysis to examine the association between low condom negotiation efficacy and recent experience of IPV. GBM who reported recent IPV experience were significantly less likely to report having felt able to negotiate condom use. These findings suggest that IPV may be a significant risk factor for HIV acquisition and transmission among GBM.

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Published online 21 April 2016
Awareness and knowledge of HIV pre-exposure prophylaxis among Australian gay and bisexual men: results of a national, online survey 
Martin Holt, Toby Lea, Susan Kippax, Johann Kolstee, Jeanne Ellard, Marlene Velecky, Dean Murphy and John de Wit

Awareness and knowledge of HIV pre-exposure prophylaxis (PrEP) were assessed in a national, online survey of Australian gay and bisexual men, conducted in 2015. Among 1251 participants, 77% were aware of PrEP. Knowledge of PrEP was inconsistent, suggesting that gay and bisexual men need to be educated about current Australian prescribing guidelines.

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Published online 21 April 2016
Resetting the agenda: the makings of ‘A New Era’ of HIV policy in NSW 
Darryl O'Donnell and Diana Perche

The New South Wales Government’s NSW HIV Strategy 20122015: A New Era represented a punctuated shift of policy direction, and was remarkable for its ground-breaking declaration that HIV transmission could be brought to an end by 2020. This significant policy shift occurred after a long period of stability and only incremental change, some of it represented by policy decline as political and public interest in HIV waned. This article uses punctuated equilibrium theory to explore the conditions that allowed for change, and the roles played by new and long-standing actors in the HIV policy subsystem. It explains the importance of challenges to the policy image and the policy venue as key mechanisms that allowed new possibilities, created by advances in the scientific understanding of HIV, to be incorporated rapidly into government policy.

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Published online 21 April 2016
Treatment durability and virological response in treatment-experienced HIV-positive patients on an integrase inhibitor-based regimen: an Australian cohort study 
Nicole L. De La Mata, David A. Cooper, Darren Russell, Don Smith, Ian Woolley, Maree O. Sullivan, Stephen Wright and Matthew Law

Our study evaluated treatment durability and virological outcomes in treatment-experienced HIV-positive patients using integrase inhibitor (INSTI) based regimens. Our findings suggest that the time to viral suppression and regimen switch from INSTI initiation was similar for second-line and highly experienced patients. The estimated probability of achieving viral suppression at 6 months was 77.7% for second-line patients and 68.4% for highly experienced patients. In addition, patient treatment experience was not a significant factor for regimen switch according to multivariate analysis, adjusting for relevant covariates.

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blank image Sexual Health
Volume 13 Number 3 2016

 
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Table of Contents 
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Duration of gonorrhoea and chlamydia infection at the pharynx and rectum among men who have sex with men: a systematic review 
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Eric P. F. Chow , Shayne Camilleri , Christopher Ward , Sarah Huffam , Marcus Y. Chen , Catriona S. Bradshaw and Christopher K. Fairley
pp. 199-204
 
  
 

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HIV post-test practices: an online survey examining perceived delivery of HIV test results, post-test discussion and referral in healthcare settings across the WHO European Region 
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Stephen Bell , Jordi Casabona , Nino Tsereteli , Dorthe Raben and John de Wit
pp. 205-212
 
  
 

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Assessing the possibilities and challenges of patient involvement in sexual, reproductive and HIV/AIDS services 
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Jane Meyrick , Debra Gray and Abigail Jones
pp. 213-220

What are the challenges around patient voice in sexual health services? An audit of patient and public involvement practice in sexual health services and a parallel survey of potential patients in the Bristol region identified some key steps to improvement. These include flexible and varied methods, clear aims and communication of these to patients as well as dedicated resources.

 
  
 

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An initial typology of contexts of dyadic sexual encounters between men and associations with sexual risk and pleasure: findings from an observational study 
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G. J. Melendez-Torres , Ford Hickson , David Reid , Peter Weatherburn and Chris Bonell
pp. 221-227

An initial typology of situational characteristics in dyadic sexual encounters between men was derived using longitudinal data from a survey of men who have sex with men living in England. This typology suggested three classes: encounters with regular steady partners in private locations with low drug use, encounters with casual partners with increased probability of sex occurring in a sex-on-premises venue, and encounters with high levels of polydrug use together with increased probability of casual partners. Classes were associated with differential probability of condomless anal intercourse.

 
  
 

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It Starts With Me: Privacy concerns and stigma in the evaluation of a Facebook health promotion intervention 
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T. Charles Witzel , Andy Guise , Will Nutland and Adam Bourne
pp. 228-233

As part of the evaluation of It Starts With Me, a sexual health promotion intervention in England targeting gay and bisexual men as well as African people through Facebook, this study explores how the online environment shapes end user engagement with sexual health interventions. Privacy concerns related to the ecology of social networking sites, issues with implied disclosure and discrimination, as well as uncertainty over control of data. These concerns limited the organic reach of the intervention by confining the intervention to those who already held the norms diffused through it, and by discouraging participants from sharing and commenting on content. Care should be taken to address concerns when designing interventions delivered through social media; gated interventions may be more beneficial for marginalised communities.

 
  
 

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Diagnosing and treating female sexual dysfunction: a survey of the perspectives of obstetricians and gynaecologists 
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Megan E. McCool , Christian Apfelbacher , Susanne Brandstetter , Miriam Mottl and Julika Loss
pp. 234-240

Barriers in diagnosing and treating patients with female sexual dysfunction were assessed through a survey of obstetricians and gynaecologists (OB/GYN). Doctors identified 1) long waiting times for referrals to sex therapists, 2) too little time with patients, and 3) insufficient training during residency as barriers to addressing women’s sexual concerns. Only one out of five OB/GYNs brought up the topic of sexual function routinely; initiating a conversation about sexual function was significantly associated with perceived communication skills and perceived medical competence.

 
  
 

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Is there a role for practice nurses in increasing the uptake of the contraceptive implant in primary care?: survey of general practitioners and practice nurses 
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Cameryn C. Garrett , Henrietta Williams , Louise Keogh , Qazi W. Ullah , Fabian Kong and Jane S. Hocking
pp. 241-247

General practitioners and nurses believe there is a role for nurses to undertake contraception counselling with patients attending general practice and that nurses can play a role in inserting the contraceptive implant when prescribed.

 
  
 

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Perceptions and correlates of pubic hair removal and grooming among college-aged women: a mixed methods approach 
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Andrea L. DeMaria , Beth Sundstrom , Stephanie M. McInnis and Emily Rogers
pp. 248-256

Mixed method data were collected on pubic hair removal and sexual behaviours from women aged 18–24 years living in the United States. Overall, 663 participants completed an online survey and 53 completed in-depth interviews. Participants removed hair for hygiene, comfort and sensation purposes, which was a personal decision influenced by family, friends and the media. Race, pubic hair removal initiation age, genital image and sexual behaviours were significantly related to pubic hair removal.

 
  
 

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Is the risk for sexually transmissible infections (STI) lower among women with exclusively female sexual partners compared with women with male partners? A retrospective study based on attendees at a Norwegian STI clinic from 2004 to 2014 
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Sol-Britt Molin , Birgitte Freiesleben De Blasio and Anne Olaug Olsen
pp. 257-264

Electronic medical records from 103 564 women were reviewed to estimate prevalence and risk for sexually transmissible infections (STI). Multivariate analysis showed that women who have sex with women (WSW) generally are at lower risk for STIs, but among smokers the risk for STIs was similar between WSW and women with male partners. Our study suggests encouraging all women to test for STIs regardless if engaging in same-sex or heterosexual behaviour.

 
  
 

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Men’s use of sexual health and HIV services in Swaziland: a mixed methods study 
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Joelle Mak , Susannah H. Mayhew , Ariane von Maercker , Integra Research Team and Manuela Colombini
pp. 265-274

This mixed methods study aimed to understand Swazi men’s health-seeking behaviours for sexual health (SH) and HIV services. There were differences between service users and non-users on HIV service preferences. Men were uncomfortable with disclosing SH problems to female providers. Some men avoided HIV testing by relying on their wife’s results as a proxy for their own status. Traditional healers were preferred because practitioners were more often male, physical exams were not required and appointments and payment options were flexible. To improve men’s uptake of SH services, providers and services need to be more sensitive to men’s privacy concerns, time restrictions and the potential stigma associated with STI/HIV testing.

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Intravaginal practices among a cohort of rural Malawian women 
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Allahna Esber , Abigail Norris Turner , Gladson Mopiwa and Alison H. Norris
pp. 275-280

Among a sample of 650 rural, Malawian women, intravaginal practices were highly prevalent and frequently performed with 95% of women reporting engaging in a practice in the past 30 days. Cleansing with water, soap and water, and cotton, cloth, or tissue were most commonly reported. Women engaged in intravaginal practices for hygiene and to increase sexual pleasure.

 
  
 

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Boundaries of sexual communication: a mixed-method study exploring Chinese young adults’ engagement with online sexual health information 
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Jingwen Zhang , Chloe Nurik and John B. Jemmott
pp. 281-288

This study aims to understand the dynamic nature of Chinese young adults’ engagement with online sexual health information through various communication channels to inform the development of effective sexual health intervention strategies. Results suggest Chinese young adults obtain sexual health information from online sources when personal problems arise and then circulate this information offline within their peer networks. They also perceive a great extent of social stigma on sharing and discussing sexual health online.

 
  
 

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Sexual health-related information delivery – are patient information leaflets still relevant? 
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Rick Varma , Charles Chung , Amanda Townsend and Melissa Power
pp. 289-291

Patient information leaflets (PIL) are widely used within NSW publically funded sexual health clinics to deliver sexual health related information (SHRI). Their continued relevance in the era of social media is unclear. This study sought to evaluate client views on PILs and other forms of sexual health information delivery. Study results provides evidence for the ongoing use of PILs to deliver SHRI in conjunction with other methods including websites and the Sexual Health Information Link. Innovative methods of SHRI may require consumer engagement.

 
  
 

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Australian pharmacists’ willingness to conduct rapid HIV testing in community pharmacies 
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Anthony J. Santella , Timothy E. Schlub , Damien Fagan , Richard J. Hillman and Ines Krass
pp. 292-294

Community pharmacists are expanding their roles in health care, especially as they are distributed over wide geographical areas and are often open long hours. New rapid HIV testing technologies may offer further opportunities to expand their roles. A cross-sectional, online survey of Australian community pharmacists found most prepared to provide treatment to HIV patients, with the majority willing to become involved in rapid HIV testing.

 
  
 

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Prevalence of human herpesvirus-8 among HIV-infected patients, intravenous drug users and the general population in Iran 
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Rezvan Kakavand-Ghalehnoei , Zabihollah Shoja , Alireza Najafi , Mostafa Haji Mollahoseini , Shohreh Shahmahmoodi , Sayed Mahdi Marashi , Ahmad Nejati and Somayeh Jalilvand
pp. 295-298

The aim of this study was to investigate the prevalence of human herpesvirus-8 (HHV-8) DNA by using polymerase chain reaction method among 168 healthy individuals, 60 intravenous drug users and 100 HIV-infected patients from Iran. The prevalence of HHV-8 was 13.3%, 3.6% and 8% among intravenous drug users, the general population and HIV-infected patients, respectively. The HHV-8 genome was mostly detected among intravenous drug users who displayed high-risk sexual behaviours. The present study findings support the likelihood that the transmission of HHV-8 is via a sexual route in the Iranian population

 
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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.

    SH16124  Accepted 19 July 2016
    Neisseria gonorrhoeae isolated from an unexpected site
    Stella Pendle, Timothy Barnes
    Abstract


    SH16072  Accepted 18 July 2016
    Adapting behavioural surveillance to antiretroviral-based HIV prevention: reviewing and anticipating trends in the Australian Gay Community Periodic Surveys
    Martin Holt, Toby Lea, Limin Mao, Iryna Zablotska, Evelyn Lee, Peter Hull, John de Wit, Garrett (Guest Ed) Prestage
    Abstract


    SH16092  Accepted 15 July 2016
    Characteristics, sexual practices and sexually transmitted infections diagnoses of men who have sex with men who use non-occupational HIV post-exposure prophylaxis in Victoria, Australia
    Jason Ong, Andre Landika, Christopher Fairley, Catriona Bradshaw, Marcus Chen, Tim Read, Eric Chow
    Abstract


    SH16051  Accepted 05 July 2016
    STI/HIV Prevention and Treatment for Young Male Sex Workers in Vietnam: Findings from the SHEATH Intervention
    Michael Clatts, Lloyd Goldsamt, Giang Le, Bao Le, Gary Yu, Donn Colby
    Abstract


    SH15132  Accepted 04 July 2016
    Opportunities to increase rates of human papillomavirus vaccination in the New South Wales school program through enhanced catch-up
    Christine Staples, Michelle Butler, Jennifer Nguyen, David Durrheim, Patrick Cashman, Julia Brotherton
    Abstract


    SH16104  Accepted 28 June 2016
    As Through a Glass Darkly: the Future of Sexually Transmitted Infections among Gay, Bisexual and Other Men Who Have Sex with Men (MSM)
    Mark Stenger, Stef Baral, Shauna Stahlman, Dan Wohlfeiler, Jerusha Barton, Thomas Peterman
    Abstract


    SH16119  Accepted 28 June 2016
    Emerging Models of Clinical Services for Men Who Have Sex with Men: Focused versus Comprehensive Approaches
    Kenneth (Guest Ed) Mayer, Rodney Vanderwarker, Chris Grasso, Stephen Boswell
    Abstract


    SH16089  Accepted 28 June 2016
    Effects of multiple types of stigma on the probability of HIV disclosure to sex partners: a systematic review
    Haochu Li, Xiaoming Li, Lei Zhang, Eric Chow
    Abstract


    SH16061  Accepted 21 June 2016
    Predisposing, Enabling, and Need for Care Predictors of Adolescents’ Intention to Use Sexual Health Services
    Nancy Berglas, Katherine Hucles, Norman Constantine, Petra Jerman, Louise Rohrbach
    Abstract


    SH16041  Accepted 17 June 2016
    Disparities of sexual orientations in gender and urban-rural residence among youth in China
    Chao Guo, Lihua Pang, Lei Zhang, Gong Chen, Zhenjie Wang, Xiaoying Zheng
    Abstract


    SH16049  Accepted 17 June 2016
    Self-testing for Trichomonas vaginalis at home using a Point-of-Care test by women who request kits via the Internet
    Charlotte Gaydos, Mary Jett-Goheen, Mathilda Barnes, Laura Dize, Yu-Hsiang Hsieh
    Abstract


    SH16027  Accepted 17 June 2016
    Characteristics of gay, bisexual and other men who have sex with men testing and retesting at Australia’s first shop-front rapid point-of-care HIV testing service
    Kathleen Ryan, Anna Wilkinson, David Leitinger, Carol El-Hayek, Claire Ryan, Alisa Pedrana, Margaret Hellard, Mark Stoove
    Abstract


    SH16037  Accepted 06 June 2016
    Is sexual content in new media linked to sexual risk behaviour in young people? A systematic review and meta-analysis
    Lucy Watchirs Smith, Bette Liu, Louisa Degenhardt, Juliet Richters, George Patton, Handan Wand, Donna Cross, Jane Hocking, S. Skinner, Spring Cooper , Catharine Lumby, John Kaldor, Rebecca Guy
    Abstract


    SH16070  Accepted 07 June 2016
    HIV Incidence among Gay Men and Other Men who Have Sex with Men in 2020: Where is the Epidemic Heading?
    Shauna Stahlman, Carrie Lyons, Patrick Sullivan, Kenneth Mayer, Sean Hosein, Chris Beyrer, Stef Baral
    Abstract


14


The Most Read ranking is based on the number of downloads from the CSIRO PUBLISHING website of articles published in the previous 12 months. Usage statistics are updated daily.

Rank Paper Details
1. Published 7 April 2016
Prevalence of chlamydia, gonorrhoea, syphilis and trichomonas in Aboriginal and Torres Strait Islander Australians: a systematic review and meta-analysis

Simon Graham, Lucy Watchirs Smith, Christopher K. Fairley and Jane Hocking

2. Published 11 February 2016
Young people from culturally diverse backgrounds and their use of services for sexual and reproductive health needs: a structured scoping review

Jessica R. Botfield, Christy E. Newman and Anthony B. Zwi

3. Published 24 November 2015
Dr Google, porn and friend-of-a-friend: where are young men really getting their sexual health information?

Amy Litras, Sarah Latreille and Meredith Temple-Smith

4. Published 24 November 2015
Demographic and behavioural correlates of six sexting behaviours among Australian secondary school students

Kent Patrick, Wendy Heywood, Marian K. Pitts and Anne Mitchell

5. Published 5 October 2015
Testing for HIV among men who have sex with men needs a paradigm shift in Australia, given the minimal increase between 2003 and 2013 in Melbourne, Australia

An-Chieh Lin, Christopher K. Fairley, Krishneel Dutt, Karen M. Klassen, Marcus Y. Chen, Glenda Fehler, Matthew Law, Catriona S. Bradshaw, Ian Denham, Tim R. H. Read and Eric P. F. Chow

6. Published 5 October 2015
Attendance patterns and chlamydia and gonorrhoea testing among young people in Aboriginal primary health centres in New South Wales, Australia

Simon Graham, Handan C. Wand, James S. Ward, Janet Knox, Debbie McCowen, Patricia Bullen, Julie Booker, Chris O'Brien, Kristine Garrett, Basil Donovan, John Kaldor and Rebecca J. Guy

7. Published 6 June 2016
Duration of gonorrhoea and chlamydia infection at the pharynx and rectum among men who have sex with men: a systematic review

Eric P. F. Chow, Shayne Camilleri, Christopher Ward, Sarah Huffam, Marcus Y. Chen, Catriona S. Bradshaw and Christopher K. Fairley

8. Published 4 August 2015
Reasons for delays in treatment of bacterial sexually transmissible infections in remote Aboriginal communities in Australia: a qualitative study of healthcentre staff

Belinda Hengel, Lisa Maher, Linda Garton, James Ward, Alice Rumbold, Debbie Taylor-Thomson, Bronwyn Silver, Skye McGregor, Amalie Dyda, Janet Knox, John Kaldor, Rebecca Guy and on behalf of the STRIVE Investigators

9. Published 5 October 2015
Sexual behaviour and HIV prevention needs of men attending a suburban Sex on Premises Venue

Anthony J. Santella, Timothy E. Schlub, Catriona Ooi, Rick Varma, Martin Holt, Garrett Prestage and Richard J. Hillman

10. Published 11 February 2016
Previous and future use of HIV self-testing: a survey of Australian gay and bisexual men

Garrett Prestage, Iryna Zablotska, Ben Bavinton, Andrew Grulich, Phillip Keen, Dean Murphy, Graham Brown, Jack Bradley, Martin Holt and Rebecca Guy

11. Published 5 October 2015
Rate of repeat diagnoses in men who have sex with men for Chlamydia trachomatis and Neisseria gonorrhoeae: a retrospective cohort study

Tess Marinelli, Eric P. F. Chow, Jane Tomnay, Glenda Fehler, Catriona S. Bradshaw, Marcus Y. Chen, Dana S. Forcey and Christopher K. Fairley

12. Published 11 February 2016
Penises not required: a systematic review of the potential for human papillomavirus horizontal transmission that is non-sexual or does not include penile penetration

Zhiyue Liu, Tasnuva Rashid and Alan G. Nyitray

13. Published 24 November 2015
Exploring pharmacy and home-based sexually transmissible infection testing

Melissa A. Habel, Roberta Scheinmann, Elizabeth Verdesoto, Charlotte Gaydos, Maggie Bertisch and Mary Ann Chiasson

14. Published 24 November 2015
Treatment and outcomes of polymerase chain reaction-confirmed early syphilis

Phillip J. Read, Rebecca Guy, Neisha Jeoffreys, David Baker, Matthew Shields and Basil Donovan

15. Published 5 October 2015
Hepatitis C risk factors, attitudes and knowledge among HIV-positive, HIV-negative and HIV-untested gay and bisexual men in Australia

Loren Brener, Dean A. Murphy, Elena J. Cama and Jeanne Ellard

16. Published 7 April 2016
High rates of chlamydia found among 12- to 16-year-olds attending a rural sexual health clinic: implications for practice

Jane Elizabeth Tomnay, Lauren Coelli and Jane Simone Hocking

17. Published 7 April 2016
‘Most young men think you have to be naked in front of the GP’: a qualitative study of male university students’ views on barriers to sexual health

Cameron Ewert, Archibald Collyer and Meredith Temple-Smith

18. Published 5 October 2015
Estimating antiretroviral treatment coverage rates and viral suppression rates for homosexual men in Australia

Nicole L. De La Mata, Limin Mao, John De Wit, Don Smith, Martin Holt, Garrett Prestage, David P. Wilson and Kathy Petoumenos

19. Published 24 November 2015
Engagement in group sex among geosocial networking mobile application-using men who have sex with men

Gregory Phillips, Christian Grov and Brian Mustanski

20. Published 24 November 2015
Problematic recreational drug use: is there a role for outpatient sexual health clinics in identifying those not already engaged with treatment services?

Caitlyn Lovett, T. Yamamoto, Laura Hunter, John White, Paul I. Dargan and David M. Wood


      
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