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Sexual Health

Sexual Health

Volume 17 Number 5 2020

Featuring abstracts of the Joint Australasian HIV&AIDS and Sexual Health Conferences held 16–20 November 2020 (virtual)


Sexually transmissible infections disproportionately affect young Aboriginal and Torres Strait Islander people in remote communities. A sexual health peer education program was implemented that saw improvements in knowledge, attitudes and behaviours. This highlights the value of peer education as a sexual health intervention in remote Australia.

SH19215Healthcare providers' perceptions of the challenges and opportunities to engage Chinese migrant women in contraceptive counselling: a qualitative interview study

Hankiz Dolan 0000-0002-3185-168X, Mu Li, Deborah Bateson, Rachel Thompson, Chun Wah Michael Tam, Carissa Bonner and Lyndal Trevena
pp. 405-413

Little is known about healthcare providers’ unique experiences in providing contraceptive care for Chinese migrants living in Australia. This study aimed to explore healthcare providers’ perceptions of challenges and opportunities to engage Chinese migrant women in informed and shared decision-making during contraceptive counselling. Findings highlighted the need for improving cultural competency in contraceptive care provision and improving sexual and reproductive health knowledge and health literacy of Chinese migrant women in order to foster informed choice and shared decision-making during patient–provider encounters.


Lay perceptions of human papillomavirus virus (HPV) and the human immunodeficiency virus (HIV) have changed over time. This study explores how HPV and HIV are often conflated or confused, and reveals misperceptions about the severity and prevalence of HPV and HIV. These findings hold important implications for understanding sexual risk behaviour and, as a result, can inform the practices of both healthcare providers and public health professionals.

SH20051Health care access, health care utilisation and sexual orientation disclosure among Black sexual minority men in the Deep South

Ying He, Derek T. Dangerfield II 0000-0002-2473-3183, Errol L. Fields, Milton R. Dawkins, Rodman E. Turpin 0000-0003-0457-5584, Damon Johnson, Dorothy C. Browne and DeMarc A. Hickson
pp. 421-428

Black sexual minority men (BSMM) account for the most HIV infections among men who have sex with men in the US. This study explored the associations among sexual orientation disclosure, health care access and health care utilisation among BSMM in the Deep South. Clinics, hospitals and other healthcare settings should promote affirming environments that support sexuality disclosure for BSMM.

SH20137Sexual orientation and social network size moderate associations between stigma and problematic alcohol use among male sex workers in the US Northeast: an observational study

Pablo K. Valente 0000-0002-2058-3472, Alberto Edeza, Lynne Klasko-Foster, Matthew J. Mimiaga, Kenneth H. Mayer, Steven A. Safren and Katie B. Biello 0000-0002-5017-5699
pp. 429-436

Male sex workers (MSWs) in the US Northeast face high levels of hazardous drinking and frequently engage in sex work while drunk, leading to physical and mental health risks. Sex work stigma is associated with higher problematic drinking, particularly for MSWs who identify as gay compared with non-gay MSWs. MSWs with small social networks are more vulnerable to the negative effects of sex work stigma on problematic drinking, suggesting social networks can be protective.

SH19239Rectal douching among men who have sex with men in six cities in China: a cross-sectional study

Peiyang Li, Tanwei Yuan, Zhenyu Wang, Ruonan Huang, Xiaojun Meng, Kechun Zhang, Guanghui Wang, Yepeng Zhou, Danyang Luo, Ying Wang, Yong Cai and Huachun Zou 0000-0002-8161-7576
pp. 437-443

Rectal douching was a common practice among men who have sex with men (MSM) in China, with a prevalence of 57.3%. MSM who engage in high-risk behaviours, including condom-less anal intercourse, receptive anal sex and sex with alcohol, are more likely to douche. MSM tend to have a misconception that rectal douching can prevent HIV infection and the transmission of sexually transmissible infections (STIs); consequently, guidance on douching is needed among this group for the prevention of HIV and STIs.


Elimination of hepatitis B virus (HBV) in the Netherlands is possible if vaccination levels are sufficiently high among populations that are not covered by the universal childhood vaccination program started in 2011. In this study only 60% of men who have sex with men (MSM) reported full vaccination, and we identified factors that provide guidance for the development of health promotion interventions, such as focusing on settings where unvaccinated MSM reside or tailoring promotion message to appeal to those who perceive themselves at low risk.

SH20116Effect of psychiatric symptoms and male sexual function of couples on the success of treatment for vaginismus

Emre Baser 0000-0003-3828-9631, Demet Aydogan Kirmizi, Eylem Unlubilgin, Melike Demir Caltekin, Nurhan Bolat Meriç and Ozlem Moraloglu Tekin
pp. 453-461

Although vaginismus is a condition that can be treated with high success rates, it is important to determine the factors that could affect treatment success in patients, because unsuccessful treatment may have lifelong effects on a patient’s ability to have sexual intercourse. In this study, the presence of impotence or premature ejaculation and depression or anxiety in spouses of individuals with vaginismus increased sexual dysfunction and decreased the success of the treatment process. Future studies could re-evaluate male sexual function and couples’ psychiatric symptoms after treatment to provide a stronger perspective.

SH20072Empirical treatment of asymptomatic contacts of gonorrhoea: patient views

Ruthy McIver 0000-0002-5672-3262, Sheina Low, Rick Varma, Tobias Vickers and Anna McNulty
pp. 462-466

A move away from empirically treating asymptomatic sexual contacts of gonorrhoea would conserve first-line antibiotics for confirmed infections, but we do not know whether this change in practice would be acceptable to patients. We surveyed the views of sexual health clinic attendees about empirical and non-empirical treatment models and found that most would agree to return for treatment of a positive result. Those who live in regional and remote areas were less likely to agree with non-empirical treatment.

SH20056What adolescents think of relationship portrayals on social media: a qualitative study

Melody Taba 0000-0002-2954-1092, Larissa Lewis 0000-0001-9552-4947, Spring Chenoa Cooper 0000-0002-9925-9033, Kath Albury 0000-0001-9043-8126, Kon Shing Kenneth Chung 0000-0003-0115-2420, Megan Lim 0000-0003-3136-6761, Deborah Bateson 0000-0003-1035-7110, Melissa Kang 0000-0002-9438-2518 and S. Rachel Skinner 0000-0003-1970-9792
pp. 467-474

This qualitative study reveals the nuanced way adolescents view portrayals of romantic relationships on social media, and their thoughts on the potential influence of such portrayals on their romantic relationship views. The findings allow for a more informed understanding of adolescent relationship views and counter prevailing beliefs about young people’s inability to identify or critique unrealistic online portrayals.

Committee on Publication Ethics