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Sexual Health

Sexual Health

Volume 10 Number 6 2013

Featuring abstracts from the International Anal Neoplasia Society Inaugural Annual Meeting 2013

Sexual Health proposes a shift in editorial policies that will mirror those already adopted in other health journals, including the requirement of all authors to provide sex disaggregated data and an analysis of gender differences where they exist. This paper outlines the proposed new policy and reasons behind the move.

SH12165Prevention 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
pp. 478-486

Monthly, periodic presumptive treatment among hotel-based sex workers in Dhaka, Bangladesh dramatically reduced high chlamydial and gonococcal prevalence and incidence.

The objective of this study was to assess applicability of the theory of planned behaviour to predict the intention to use condoms, and examine the manner in which the constructs of the theory (attitudes towards condom use, subjective norms, and perceived behavioural control) combine to influence the condom use intention among male sex workers who sold sex to other men in China.

SH13009Screening and management of cardiovascular disease in Australian adults with HIV infection

Derek Chan, David Gracey, Michael Bailey, Deborah Richards and Brad Dalton
pp. 495-501

In this clinical audit, we assessed the characteristics and management of HIV and cardiovascular disease among Australian primary care physicians. We found a high burden of risk for cardiovascular disease in HIV-infected Australians. However, current screening and management practices in these patients fall short of contemporary guidelines.

SH13076Effects of a health care provider intervention in reduction of sexual risk and related outcomes in economically marginal communities in Mumbai, India

Niranjan Saggurti, Stephen L. Schensul, Bonnie Kaul Nastasi, Rajendra Singh, Joseph A. Burleson and Ravi K. Verma
pp. 502-511

This study assessed the effectiveness of a brief narrative intervention implemented by trained biomedical; and Ayurveda, Yoga, Unani, Siddha, Homeopathy (AYUSH) providers in reduction of sexual risk and related outcomes in three low-income communities in India. The study suggests that brief intervention concepts adapted to the unique characteristics of local health service systems and the cultural perceptions of community residents can be effective in addressing HIV risk in India and elsewhere.

SH13005Factors associated with sexual arousal, sexual sensation seeking and sexual satisfaction among female African American adolescents

Jessica M. Sales, Erica L. Smearman, Gene H. Brody, Robin Milhausen, Robert A. Philibert and Ralph J. DiClemente
pp. 512-521

The biopsychosocial model posits an array of factors that may be associated with sexual arousal, sensation and satisfaction among female adolescents. Among a sample of female African-Americans aged 14–20 the short serotonin transporter allele was associated with reduced levels of sexual arousability, satisfaction, and sensation seeking, high depressive symptoms were associated with higher arousability, higher social support was associated with greater satisfaction, and impulsivity and risk-supportive peer norms were associated with increased sexual-sensation seeking. These findings emphasize the importance of understanding biopsychosocial factors as they relate to sexuality-related constructs to allow further refinement of sexual health clinical services and programs and promote the development of healthy sexuality.

Socioeconomic factors associated with HIV-prevention knowledge was examined using the 2008 Nigeria Demographic and Health Survey. We found that the likelihood of being aware of the ABC (abstinence, be faithful, and condom use) approach to preventing the sexual transmission of HIV increased with older age, male sex, greater educational attainment, a higher wealth index, living in an urban area and being from the least disadvantaged communities.

SH13106Do callers to the NSW Sexual Health Infoline attend the services they are referred to?

Margy Ewing, Phillip Read, Vickie Knight, Samantha Morgan, Mark Hanlon, Angela McDonald, Ruthy McIver, Simon Wright and Anna McNulty
pp. 530-532

The ability of Australian sexual health helplines to facilitate referrals has not been studied. We sought to determine the outcome of callers who were referred to publicly-funded sexual health services or general practitioners for testing of HIV and sexually transmitted infections. One hundred and twenty callers were successfully contacted one week later, of which 85% had attended or had a future appointment booked.

SH13097Qualitative 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
pp. 533-540

This study explores the pattern of sexual practices and multiple sexual identities of men who have sex with men (MSM) in rural China. Unprotected sex, multiple concurrent partners, commercial and group sex activities were prevalent. Most MSM enter marriage to conceal their homosexual identity without disclosing it to their female partners. The complexity of MSM social networks and sexual behavioural patterns remain major challenges for HIV prevention in China.

SH13047Point-of-care tests for sexually transmissible infections: what do ‘end users' want?

Anne M. Rompalo, Yu-Hsiang Hsieh, Terry Hogan, Mathilda Barnes, Mary Jett-Goheen, Jill S. Huppert and Charlotte A. Gaydos
pp. 541-545

Patients attending sexually transmissible infections (STI) and adolescent out-patient clinics participated in focus group sessions to discuss their opinions regarding point of care tests (POCT) for STIs. Topics discussed included advantages, disadvantages, barriers to use and envisioned characteristics of POCTs for STIs. Overall these patients were in favour of POCTs if they are affordable, rapid, easy to read and simple to use.

This study examined newsprint media representations of sexual health and blood borne virus (BBV) issues in the UK in 2010 and found negatively toned articles to be particularly common within HIV/AIDS coverage. A gender imbalance was also evident within reproductive health articles, raising questions concerning gender stereotyping. Findings highlight the need to challenge the role media messages have in the reinforcement of a negative culture around sexual health in the UK.

This mixed methods study examined perceived barriers to sexually transmissible infection (STI) testing among 17–25 year old students in the UK. The findings from surveys and interviews were similar; they suggest that STI testing may become more likely among young people if attention is given to addressing low perceived susceptibility to infection, normative beliefs about testing, stigma and shame related to testing, and perceived ease of access to testing, including self-testing.

Home-based sampling is a strategy to enhance uptake of sexually transmissible infections (STI) screening. A systematic review and meta-analysis was undertaken to compare the screening uptake levels of home-based self-sampling and clinic-based specimen collection for STI (chlamydia, gonorrhoea and trichomoniasis) in females aged 14-50 years. Acceptability and effect on specimen quality were determined. Results indicate that home-based screening increased uptake significantly without compromising quality. Addition of this strategy to existing clinic-based programs could further enhance screening uptake.

SHv10n6ab1515. Evaluation of anal cytology versus high-resolution anoscopy (HRA) in the diagnosis of preneoplastic lesions in a multicenter HIV-infected Spanish Cohort (CoRIS-HRA): incorporation of cellular proliferation molecular markers into the algorithm

Beatriz Hernández-Novoa, José Antonio Pérez-Molina, Amparo Benito, Antonio Ocampo, Jorge del Romero, Elena Sendagorta, Mar Masiá, José Luis Cervantes, Marta Ortiz, Cristina González, Gal Mayer and Beatriz Hernández-Novoa
pp. 577-577

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