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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

 
 
 

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

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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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
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 
Cameryn C. Garrett, Henrietta Williams, Louise Keogh, Qazi W. Ullah, Fabian Kong and Jane S. Hocking

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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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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Published online 21 April 2016
Assessing the possibilities and challenges of patient involvement in sexual, reproductive and HIV/AIDS services 
Jane Meyrick, Debra Gray and Abigail Jones

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

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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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 14 April 2016
Intravaginal practices among a cohort of rural Malawian women 
Allahna Esber, Abigail Norris Turner, Gladson Mopiwa and Alison H. Norris

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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Published online 14 April 2016
It Starts With Me: Privacy concerns and stigma in the evaluation of a Facebook health promotion intervention 
T. Charles Witzel, Andy Guise, Will Nutland and Adam Bourne

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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Published online 14 April 2016
Diagnosing and treating female sexual dysfunction: a survey of the perspectives of obstetricians and gynaecologists 
Megan E. McCool, Christian Apfelbacher, Susanne Brandstetter, Miriam Mottl and Julika Loss

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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Published online 07 April 2016
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 
Sol-Britt Molin, Birgitte Freiesleben De Blasio and Anne Olaug Olsen

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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Published online 31 March 2016
Men’s use of sexual health and HIV services in Swaziland: a mixed methods study 
Joelle Mak, Susannah H. Mayhew, Ariane von Maercker, and Manuela Colombini

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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Published online 17 March 2016
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 
Stephen Bell, Jordi Casabona, Nino Tsereteli, Dorthe Raben and John de Wit

This study assessed perceptions of health professionals involved in HIV testing policy and practice in national settings across the WHO European Region regarding the delivery of HIV test results, post-test discussion and referral to specialist HIV services as recommended in authoritative guidelines. Findings from an online self-report survey illustrated that experts thought that delivery of HIV-positive test results and related post-test discussion in their country generally corresponded to recommendations, but pointed to a significant gap perceived between recommendations and the practice of delivering HIV-negative test results. Fewer respondents thought there was a procedure for referral to specialist treatment, care and support services for people receiving a HIV-negative test result than for people receiving an HIV-positive test result. This expert survey offers new insight into perceived HIV post-test practices in almost all national settings across the WHO European Region, providing valuable guidance for future HIV testing guidelines in the region.

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Published online 09 March 2016
An initial typology of contexts of dyadic sexual encounters between men and associations with sexual risk and pleasure: findings from an observational study 
G. J. Melendez-Torres, Ford Hickson, David Reid, Peter Weatherburn and Chris Bonell

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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Published online 25 February 2016
Sexual health-related information delivery – are patient information leaflets still relevant? 
Rick Varma, Charles Chung, Amanda Townsend and Melissa Power

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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Published online 18 February 2016
Perceptions and correlates of pubic hair removal and grooming among college-aged women: a mixed methods approach 
Andrea L. DeMaria, Beth Sundstrom, Stephanie M. McInnis and Emily Rogers

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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Published online 18 February 2016
Prevalence of human herpesvirus-8 among HIV-infected patients, intravenous drug users and the general population in Iran 
Rezvan Kakavand-Ghalehnoei, Zabihollah Shoja, Alireza Najafi, Mostafa Haji Mollahoseini, Shohreh Shahmahmoodi, Sayed Mahdi Marashi, Ahmad Nejati and Somayeh Jalilvand

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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Published online 18 February 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

The aim of this study is to estimate the duration of both infections at the extragenital sites from published epidemiological cohort studies. English peer-reviewed articles were searched from 1 January 2000 to 12 March 2015 in three electronic databases (MEDLINE, EMBASE and Cochrane Central). The prevalence-to-incidence ratio from each study was calculated to reflect the duration of each infection. There were 2585 records identified, with 1721 abstracts and 52 full-text articles screened, resulting in four studies fulfilling the inclusion criteria. Pharyngeal gonorrhoea (114–138 days) had a shorter duration of infection than rectal gonorrhoea (346 days). In addition, chlamydia had a longer duration of infection at the pharynx (667 days vs 114–138 days) and rectum (579 days vs 346 days) compared with gonorrhoea infection. The current STI guidelines recommend screening gonorrhoea and chlamydia at least once a year in MSM; it would only detect ~30% of incident pharyngeal gonorrhoea cases, with a mean duration of 4 months.

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blank image Sexual Health
Volume 13 Number 2 2016

 
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Table of Contents 
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Prevalence of chlamydia, gonorrhoea, syphilis and trichomonas in Aboriginal and Torres Strait Islander Australians: a systematic review and meta-analysis 
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Simon Graham , Lucy Watchirs Smith , Christopher K. Fairley and Jane Hocking
pp. 99-113

This review highlights that the prevalence of the four STIs (chlamydia, gonorrhoea, syphilis and trichomonas) is highly variable among Aboriginal people and that it varies considerably by sex, geographical location, population subgroup and by clinic vs community-based studies. Future community-based studies that include asymptomatic young people are needed to more accurately estimate the prevalence of STIs so that local testing and management protocols can reflect the local context.

 
    | Supplementary Material (123 KB)
 

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Topical anaesthetics for premature ejaculation: a systematic review and meta-analysis 
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Marrissa Martyn-St James , Katy Cooper , Kate Ren , Eva Kaltenthaler , Kath Dickinson , Anna Cantrell , Kevan Wylie , Leila Frodsham and Catherine Hood
pp. 114-123

Topical anaesthetics were compared with placebo and oral agents for the treatment of premature ejaculation in a systematic review and meta-analysis. Topical anaesthetics are significantly more effective than placebo, sildenafil or paroxetine at increasing intra-vaginal ejaculatory latency time. Topical Eutectic-like Mixture for Premature Ejaculation spray is associated with erectile dysfunction, numbness and burning. More systemic adverse events are reported with tramadol, sildenafil and paroxetine than with lidocaine gel.

 
  
 

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‘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 
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Cameron Ewert , Archibald Collyer and Meredith Temple-Smith
pp. 124-130

Although STI rates among young men are rising in Australia, young men rarely present to the GP for a sexual health consultation. This study explored the barriers which prevent young male University students from seeking sexual health advice from a GP, and discusses alternative means of sexual health education.

 
  
 

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Does place of service matter? A utilisation and cost analysis of sexually transmissible infection testing from 2012 claims data 
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Kwame Owusu-Edusei , Chirag G. Patel and Thomas L. Gift
pp. 131-139
 
  
 

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Community and clinic-based screening for curable sexually transmissible infections in a high prevalence setting in Australia: a retrospective longitudinal analysis of clinical service data from 2006 to 2009 
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Bronwyn Silver , John M. Kaldor , Alice Rumbold , James Ward , Kirsty Smith , Amalie Dyda , Nathan Ryder , Teem-Wing Yip , Jiunn-Yih Su and Rebecca J. Guy
pp. 140-147

In a high prevalent setting, the population characteristics of two different screening approaches (community based and routine clinic) are compared. Using retrospective longitudinal data, the predictors of the first test occurring in the community screen, positivity and repeat testing are also investigated. Both screening approaches reached high numbers of young people; the community screen reached more young men and the routine clinic testing reached more young women. Options to improve screening coverage in remote Aboriginal communities are also discussed.

 
  
 

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Parents’ reactions to testing for herpes simplex virus type 2 as a biomarker of sexual activity in Botswana junior secondary school students 
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Haddi J. Cham , Sarah M. Lasswell and Kim S. Miller
pp. 148-154

In preparation for a randomised controlled trial (RCT) with junior secondary school in Botswana, focus group discussions were conducted with parents to assess their opinions and concerns about testing for herpes simplex virus type 2 (HSV-2) (biomarker of sexual activity) as part of the RCT. Overall, parents were supportive of HSV-2 testing. They believed that the testing will benefit the sexual health of adolescents and parents and improve parent–child communication about sexual health issues. Parents had a mixed reaction to the proposed plan of returning test results to adolescent participants only. Some parents were supportive of the plan while others felt that parents should also be allowed to access test results. Findings show that parents can be supportive of these types of trials; however, additional research is needed to identify best approaches for returning test results.

 
  
 

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How do outcomes compare between women and men living with HIV in Australia? An observational study 
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Michelle L. Giles , Marin C. Zapata , Stephen T. Wright , Kathy Petoumenos , Miriam Grotowski , Jennifer Broom , Matthew G. Law and Catherine C. O’Connor
pp. 155-161

This article evaluates outcomes for men and women living with HIV in Australia. No significant differences between males and females were found for all-cause mortality, new AIDS illnesses or virological response to treatment.

 
  
 

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Survey of partner notification practices for sexually transmissible infections in the United States 
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Fidel A. Desir , Jessica H. Ladd and Charlotte A. Gaydos
pp. 162-169

Partner notification services for chlamydia, gonorrhea, HIV, and syphilis are widely available throughout a convenience sample of testing sites in the United States. Anonymous service availability is relatively low compared to non-anonymous services.

 
  
 

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Love moderates the relationship between partner type and condom use among women engaging in transactional vaginal sex 
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Alexis M. Roth , Joshua G. Rosenberger , Devon J. Hensel , Sarah E. Wiehe , J. Dennis Fortenberry and Karla D. Wagner
pp. 170-176

Women engaging in transactional sex were enrolled in a 4-week digital diary study of their sexual health. These analyses assess the impact of multi-level predictors of condom use during paid/traded sex events. There was a significant interaction between affective state (being in love) and condom use; when women reported love they were less likely to use condoms with romantic partners but more likely to use condoms with non-romantic partners (e.g. stranger, regular trick, drug dealer or friend). Implications for behavioural interventions to reduce HIV/STI risk are discussed.

 
  
 

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Ability to detect high-grade squamous anal intraepithelial lesions at high resolution anoscopy improves over time 
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Richard J. Hillman , Manoji P. W. Gunathilake , Fengyi Jin , Winnie Tong , Andrew Field and Andrew Carr
pp. 177-181

For a given cohort, histological high-grade squamous intraepithelial lesions may be more frequently diagnosed as an anoscopist becomes more experienced with the procedure. This may effect has the potential to impact clinical service delivery and the interpretation of clinical trial data.

 
  
 

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Cross-cultural integration affects attitudes towards people with HIV/AIDS in Australia 
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Hassan Hosseinzadeh and Ann Dadich
pp. 182-189

The stigma associated with HIV/AIDS represents a significant issue – this is partly influenced by culture. To better understand this influence, this study determined the effect of cross-cultural integration on the tendency to stigmatise people living with HIV/AIDS (PLWHA). Survey results from 236 Australian–Iranian adults reveal the benefits afforded by an individualist culture, particularly for PLWHA.

 
  
 

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Estimating human papillomavirus vaccination coverage among young women in Victoria and reasons for non-vaccination 
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Julia M. L. Brotherton , Leonard S. Piers and Loretta Vaughan
pp. 190-192
 
  
 

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High rates of chlamydia found among 12- to 16-year-olds attending a rural sexual health clinic: implications for practice 
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Jane Elizabeth Tomnay , Lauren Coelli and Jane Simone Hocking
pp. 193-195

Little is known about chlamydia rates in sexually active 12–16 year olds in Australia. This retrospective clinical audit shows high rates of chlamydia in these young asymptomatic patients where contraception advice and fear of unwanted pregnancies are the main impetus for seeking health care. The current Australian chlamydia testing guidelines should be amended to include all sexually active people under the age of 30 years.

 
  
 

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What would be missed if we didn’t screen men who have sex with men for oral chlamydia trachomatis? A cross-sectional study 
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Priya Loomba , Vickie Knight and Anna McNulty
pp. 196-198

A cross sectional retrospective study of gay and bisexually active men attending an urban sexual health clinic to determine the rates of oropharyngeal chlamydia (OCT) that would have been missed without routine screening. A large proportion of positive OCT people were found to be co-infected and would have received treatment regardless of testing. This study determined a very low overall test positivity of 0.6%.

 
  
 

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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.

    SH16055  Accepted 24 May 2016
    Assortative sexual mixing patterns in male-female and male-male partnerships in Melbourne, Australia: implications for HIV and STI transmission
    Eric Chow, Tim Read, Matthew Law, Marcus Chen, Catriona Bradshaw, Christopher Fairley
    Abstract


    SH15189  Accepted 22 May 2016
    What qualities of long-acting reversible contraception do women perceive as desirable or undesirable? A Systematic review
    Jacqueline Coombe, Melissa Harris, Deborah Loxton
    Abstract


    SH15155  Accepted 11 May 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, Qiliang Cai
    Abstract


    SH16011  Accepted 11 May 2016
    An Observational Study of the Impact of the XX Commonwealth Games on the Sexual and Reproductive Health Services in Glasgow
    Rebecca Metcalfe, Rebecca Acquah, Janine Simpson, Gwendolyn Allardice, Andrew Winter
    Abstract


    SH16045  Accepted 05 May 2016
    HPV Prevalence in the oral cavity among Men Who Have Sex with Men: first study from Beirut-Lebanon
    Ismael Maatouk, Khalil Abdo
    Abstract


    SH15176  Accepted 04 May 2016
    Deadly Liver Mob: Opening the Door - Improving sexual health pathways for Aboriginal people in Western Sydney
    Karen Biggs, Jennifer Walsh, Jill Townsend, Catriona Ooi
    Abstract


    SH16038  Accepted 02 May 2016
    Sexually transmitted infection control programs for men who have sex with men – what will they look like in 2020?
    Oliver Refugio, Chelsea Roberts, Richard West, Jeffrey Klausner
    Abstract


    SH15026  Accepted 28 April 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 Elliott, Richard Osborne
    Abstract


    SH15227  Accepted 18 April 2016
    Prevalence and risk factors for C. trachomatis, N. gonorrhoeae, T. vaginalis and other sexually transmitted infections among women attending antenatal clinics in three provinces in Papua New Guinea: a cross sectional survey
    Lisa Vallely, Pamela Toliman, Claire Ryan, Glennis Rai, Johanna Wapling, Carolyn Tomado, Savarina Huliafi, Gloria Munnull, Patricia Rarau, Suparat Phuanukoonnon , Handan Wand, Peter Siba, Glen Mola, John Kaldor, Andrew Vallely
    Abstract


    SH15240  Accepted 12 April 2016
    Sexting among U.S. singles: prevalence of sending, receiving, and sharing sexual messages and images
    Justin Garcia, Amanda Gesselman, Shadia Siliman, Brea Perry, Kathryn Coe, Helen Fisher
    Abstract


    SH15183  Accepted 05 April 2016
    Characteristics of cases of gonorrhoea notified in inner and south-western Sydney, Australia: results of enhanced surveillance.
    Andrew Ingleton, Kirsty Hope, Zeina Najjar, Leena Gupta, David Templeton
    Abstract


    SH16023  Accepted 23 March 2016
    Indicators of HIV-risk resilience among men who have sex with men: a content analysis of online profiles
    Jaclyn White Hughto, Anna Hidalgo, Angela Bazzi, Sari Reisner, Matthew Mimiaga
    Abstract


    SH15200  Accepted 08 March 2016
    Individual-level protective factors for sexual health outcomes among sexual minority youth: a systematic review of the literature
    Heather Armstrong, Riley Steiner, Paula Jayne, Oscar Beltran
    Abstract


    SH15190  Accepted 08 March 2016
    Prevalence and disparities in HIV-related sexual risk behaviors among Chinese youth related to sexual orientation: a cross-sectional study
    Chao Guo, Lei Zhang, Zhenjie Wang, Gong Chen, Xiaoying Zheng
    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 11 June 2015
Sexual risk and healthcare seeking behaviour in young Aboriginal and Torres Strait Islander people in North Queensland

Robert Scott, Regina Foster, Lisa N. Oliver, Anna Olsen, Julie Mooney-Somers, Bradley Mathers, Joanne M. Micallef, John Kaldor and Lisa Maher

2. Published 11 June 2015
Sexual behaviour, drug use and health service use by young Noongar people in Western Australia: a snapshot

Robyn Williams, Chris Lawrence, Edward Wilkes, Maurice Shipp, Barbara Henry, Sandra Eades, Bradley Mathers, John Kaldor, Lisa Maher and Dennis Gray

3. 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

4. Published 11 June 2015
‘It’s always just there in your face’: young people’s views on porn

Shelley Walker, Meredith Temple-Smith, Peter Higgs and Lena Sanci

5. 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

6. 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

7. 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

8. Published 11 June 2015
Sexual health literacy of the student population of the University of Tasmania: results of the RUSSL Study

Steve Simpson, Christine Clifford, Kaz Ross, Neil Sefton, Louise Owen, Leigh Blizzard and Richard Turner

9. 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

10. 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

11. 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

12. 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

13. Published 11 June 2015
Internet sex-seeking is inconsistently linked with sexual risk in men who have sex with men: systematic review of within-subjects comparisons

G. J. Melendez-Torres, Elizabeth Nye and Chris Bonell

14. 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

15. Published 11 June 2015
Young people’s perceptions of sexual and reproductive health in regional and rural Queensland: capturing the views of adolescents through reference groups and a user-friendly electronic survey

Paula Matich, Caroline Harvey, Priscilla Page, Karen Johnston, Clare Jukka, Jane Hollins and Sarah Larkins

16. 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

17. Published 11 June 2015
Sexual health, alcohol and the university environment: is there a need for sexual health promotion intervention?

Sharyn Burns

18. 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

19. Published 4 August 2015
Women’s views on human papillomavirus self-sampling: focus groups to assess acceptability, invitation letters and a test kit in the Australian setting

Farhana Sultana, Robyn Mullins, Michael Murphy, Dallas R. English, Julie A. Simpson, Kelly T. Drennan, Stella Heley, C. David Wrede, Julia M. L. Brotherton, Marion Saville and Dorota M. Gertig

20. 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


      
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