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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 01 June 2015
Sexual behaviours, sex toy and sexual safety methods reported by women who have sex with women and men 
Vanessa Schick, Brian Dodge, Barbara Van Der Pol, Aleta Baldwin and J. Dennis Fortenberry

Women who reported recent genital contact with a woman and man (WSWM) in the past year were invited to participate in this mixed-method study. Participants (n=80) completed an online survey about their lifetime sexual behavior and safety strategies followed by a detailed in-person timeline follow back interview (the SEQUENCE© calendar) about their sexual partnerships over the previous year. Participants reported very diverse sexual repertoires with few reporting latex barrier method use outside of penile intercourse. The relationship between various behaviours and STI is also explored. Results suggest the importance of sexual safety messages that highlight barrier method use during diverse sexual activities (beyond penile intercourse) regardless of partner gender.

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Published online 01 June 2015
Human papillomavirus prevalence to age 60 years among Australian women prevaccination 
Julia M. L. Brotherton, John R. Condon, Peter B. McIntyre, Sepehr N. Tabrizi, Michael Malloy, Suzanne M. Garland and

In this study, we describe the prevalence of HPV at the cervix among Australian women before the commencement of the HPV vaccination program. Women aged 15 to 60 years attending health services for cervical screening between 2005 and 2008 were invited to participate. Liquid based cervical specimens were tested for 37 types of HPV using linear array. Among 1929 women aged 15–60 years, HPV prevalence peaked at 64% at age 15–20 years, then declined gradually to 12% at age 41–45 years, whereafter it rose to 19% in women 51–55 years then returned to 14% in 56–60 year olds. The shape of the prevalence curve we observed is similar to those from other Western populations. Variation in prevalence curves is likely due to differences in sexual behaviour between populations and over time, reactivation of HPV during perimenopause, and possibly the presence of cervical screening programs.

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Published online 01 June 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

The study provides insights into the information needs of never- and under-screened women and their opinion of HPV self-sampling as a possible alternative to Pap test. We identify perceived barriers to HPV self-sampling through focus group evaluation of communication materials and the test kit for a trial of HPV self-sampling in Australia. Such information is timely given that many countries, including Australia, will be moving to primary HPV testing where self-sampling for HPV testing will be reserved for those who decline a physician-collected sample.

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Published online 01 June 2015
Risk of cardiovascular disease in HIV-positive Queensland men receiving combined antiretroviral therapy 
Luis Furuya-Kanamori, Mark D. Kelly and Samantha J. McKenzie

The prevalence of cardiovascular diseases (CVD) and the risk of a cardiovascular event occurring within 5 years were estimated in Queensland men older than 35 years receiving cART. Additionally, the agreement between the Australian Absolute CVD Risk Calculator and the Data Collection on Adverse Effects of Anti-HIV Drugs Study (D:A:D) 5-year Estimated CVD Risk Equation were assessed. Queensland men with cART-treated HIV are experiencing high prevalence of CVD and are at moderate risk of a CVD event in the next 5 years. A substantial agreement between the Australian Absolute CVD Risk Calculator and the D:A:D 5-year Estimated CVD Risk Equation was identified.

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Published online 25 May 2015
Lubricant use at last sexual encounter with a male partner: findings from a nationally representative sample of self-identified gay and bisexual men in the United States 
Brian Dodge, Randolph D. Hubach, Vanessa Schick, Debby Herbenick, Michael Reece, Stephanie A. Sanders and J. Dennis Fortenberry

Previous studies that have examined lubricant use among gay and bisexual men have done so in the context of sexual risk, relying on convenience sampling for participant recruitment. This study explores event-level lubricant use with most recent male partner and related factors among a nationally representative sample of self-identified gay and bisexual men from the United States. The majority of participants who used lubricant with their last male partner reported doing so during anal intercourse; bisexual men were less likely to use lubricant use than gay men. Future sexual health promotion programmes for gay and bisexual men should include information on lubricant use and its potential to facilitate both sexual protection as well as pleasure.

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Published online 25 May 2015
Influence of sexual arousability on partner communication mediators of condom use among African American female adolescents 
Andrea Swartzendurber, Sarah H. Murray, Jessica M. Sales, Robin R. Milhausen, Stephanie A. Sanders, Cynthia A. Graham, Ralph J. DiClemente and Gina M. Wingood

Among African American female adolescents, this study examined associations between arousability, one’s propensity for sexual arousal, and sexual partner communication mediators of condom use. Greater arousability was found to be associated with reduced levels of each measure of partner communication assessed. Traditional sexual risk reduction interventions typically fail to recognise aspects of pleasure and enjoyment in sexual experiences. A public orientation towards sexual health may decrease stigma and facilitate sexual partner communication and may ultimately be more effective than traditional approaches in reducing high rates of sexually transmitted infections among American adolescents.

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Published online 25 May 2015
Perception of primary male sexual partners’ characteristics and women’s history of sexually transmissible infections in Ho Chi Minh City, Vietnam 
Ly T. Tran, Thanh C. Bui, Vy T. Pham, Christine M. Markham, Alan G. Nyitray, Michael D. Swartz, Loi T. Tran and Lu-Yu Hwang

Evidence regarding whether male partners’ characteristics can influence women’s likelihood of getting sexually transmissible infections (STIs) is insufficient and inconsistent. We found that an increased risk for STIs in women was associated with both individual characteristics and their primary male partner’s behavioural risk factors. Therefore, primary male partners’ risk factors should be included in STI risk assessments, treatment and interventions for women.

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Published online 25 May 2015
Early diagnosis of HIV among men who have sex with men in Western Australia: impact of a peer-led sexually transmissible infection testing service 
Byron C. Minas, Carolien M. Giele, Sue C. Laing, Lisa Bastian, Andrew W. Burry, Kurt J. Sales and Donna B. Mak

In July 2010, the Western Australia (WA) AIDS Council established the ‘M Clinic’, a peer-led STI testing service for men who have sex with men (MSM). Since the M Clinic commenced operation the number and proportion of MSM HIV notifications that were newly acquired in WA significantly increased with the peer-led clinic diagnosing 30% (n = 21) of all newly acquired HIV among MSM in WA in the 2011–2013 period. A peer-led approach to HIV testing should be considered in order to achieve early diagnosis and treatment of HIV among MSM.

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Published online 18 May 2015
Depression and sexual risk behaviours among people who inject drugs: a gender-based analysis 
Tyler Pettes, Thomas Kerr, Pauline Voon, Paul Nguyen, Evan Wood and Kanna Hayashi

Although many people who inject drugs (PID) contend with comorbidities, including high rates of mental illness, limited attention has been given to the differences in comorbidities among men and women or the potential links between psychiatric disorders and HIV risk behaviours. We sought to longitudinally examine associations between depression and HIV-related sexual risk behaviours among PID, stratified by gender. In multivariate analyses, after adjustment for potential social, demographic and behavioural confounders, more severe depressive symptomology remained independently associated with engaging in unprotected sex and having multiple sexual partners among women, but was only marginally associated with having multiple sexual partners among men. These findings call for improved integration of psychiatric screening and treatment services within existing public health initiatives designed for PID, particularly for women.

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Published online 04 May 2015
Determinants of the low uptake of HIV-related intervention services by female sex workers in Shenzhen, China: an observational study (2009–2012) 
Rui Cai, Jingguang Tan, Lin Chen, Caspar W. N. Looman, Jan Hendrik Richardus and Sake J. de Vlas

The uptake of HIV-related intervention services by female sex workers (FSWs) is low in China and is particularly low among young and recently started FSWs in Shenzhen, South China. The uptake of HIV-related intervention services is positively associated with good HIV knowledge and consistent condom use. Programs to promote uptake of HIV-related intervention services by FSWs are largely needed, and should target young and recently started FSWs more intensively.

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Published online 04 May 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

This article describes findings of a qualitative study about Australian 15–20 year olds’ exposure to pornography. Findings reveal a potential link between exposure to pornography, young men’s sexual expectations and pressure experienced by young women to conform to what is being viewed in porn. Concern was also expressed about gendered norms that reinforce men’s subordination of women.

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Published online 28 April 2015
Sexual health, alcohol and the university environment: is there a need for sexual health promotion intervention? 
Sharyn Burns
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Published online 27 April 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
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Published online 07 April 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

In this systematic review, we investigated within-subjects comparisons of sexual risk behaviour in encounters reported by men who have sex with men where these reports presented associations between internet sex-seeking and sexual risk behaviour. We found that internet sex-seeking and sexual risk behaviour were inconsistently linked in this population. However, more research that addresses current contexts of internet sex-seeking, such as through smartphone apps, is needed to better understand these associations.

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Published online 07 April 2015
A comparison of self-reported sexual risk behaviours between US civilian and active duty military women 
Shauna Stahlman, Marjan Javanbakht, Susan Cochran, Steven Shoptaw, Alison B. Hamilton and Pamina M. Gorbach

Women in the U.S. military report a high prevalence of sexual risk behaviours, such as binge drinking and new or multiple sexual partnerships. However, demographical differences pose challenges to making comparisons with civilians. In this study, two public-use datasets were used to compare prevalence of sexual risk behaviours between sexually active military and civilian women, after adjusting for demographic factors. It was found that women in the military reported a higher prevalence of binge drinking and new/multiple sexual partners as compared with civilians, which suggests that military women are a high-risk group and the military environment may at least partially facilitate these risk behaviours.

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Published online 30 March 2015
Pap smear rates among Australian community-attached lesbian and bisexual women: some good news but disparities persist 
Catriona Douglas, Rachel Deacon and Julie Mooney-Somers

This study shows Pap smear test rates among community-attached lesbian, bisexual and queer (LBQ) women in New South Wales (NSW) have changed little over time. The 3-year participation rate was similar to the general NSW population. Significant predictors for ever having attended for a Pap smear test included ever having had a sexually transmissible infection test, being out about sexuality to a regular doctor and ever having had sex with men. Findings highlight the importance of health providers providing a safe and welcoming environment for LBQ women to openly discuss their health.

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Published online 17 March 2015
Changes in the prevalence of lipodystrophy, metabolic syndrome and cardiovascular disease risk in HIV-infected men 
Julia Price, Jennifer Hoy, Emma Ridley, Ibolya Nyulasi, Eldho Paul and Ian Woolley

The composition of combination antiretroviral therapy has changed over time, but the impact this change has had on the prevalence of lipodystrophy is unclear. Our study compares the prevalence of lipodystrophy, metabolic syndrome and cardiovascular disease risk in HIV-infected males in 1998 and in 2010, 12 years later at the same institution– whilst lipodystrophy prevalence appears to be declining – metabolic syndrome and cardiovascular disease risk are increasing.

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Published online 10 March 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

Young people’s perceptions of sexual and reproductive health (SRH) services are investigated through a cross-sectional study via eight reference group meetings and an electronic survey in four sites: Atherton Tablelands, Rockhampton, Toowoomba and Townsville. Data from 391 rural and regional participants was precoded for bivariate comparisons involving χ2 and confidence interval tests. Results showed that the most valued markers of quality in SRH services defined by young people all related to staff characteristics: friendly, easy to talk to staff, who were good listeners and did not judge them. Training and retention of staff with these attributes can improve SRH service provision for youth.

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Published online 10 March 2015
Seeking sex online: social and sexual risk factors among adolescent and young gay and bisexual men 
Guy Shilo and Zohar Mor

The current study aimed to identify behavioural and identity formation variables associated with seeking sex online among 445 gay and bisexual adolescents and youth. Nearly half of the sample used the Internet for seeking sex, which was correlated with substance use and sexual risk behaviour. Seeking sex online was found as a predictor for sexual risk behaviour beyond all other predictors. Seeking sex online is influenced by the gay sub-culture climate and peer group relationships, rather than by social stressor variables related to sexual orientation formation processes, or by the subject’s general mental health condition

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Published online 02 March 2015
‘Drug users stick together’: HIV testing in peer-based drop-in centres among people who inject drugs in Thailand 
Lianping Ti, Kanna Hayashi, Sattara Hattirat, Paisan Suwannawong, Karyn Kaplan and Thomas Kerr

Between July 2011 and June 2012, 22 in-depth interviews were conducted with people who inject drugs (PWID) participating in the Mitsampan Community Research Project in Bangkok, Thailand. Semi-structured interviews explored willingness to access rapid HIV testing delivered by a healthcare professional or a trained peer within peer-based drop-in centres. Many PWID in this study sample noted the value of a peer-based approach to receiving testing and indicated their willingness to access rapid HIV testing in peer-based drop-in centres. The findings from this study highlight the potential for novel peer-based methods to complement existing HIV services in an effort to improve access to testing among this population.

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Published online 15 December 2014
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

A cross sectional survey of 244 Noongar people aged 16–30 years was conducted. The survey aimed to describe sexual health behaviour, alcohol and other drug use and health service utilisation. Although some respondents engaged in risky sexual behaviour, alcohol and other drug use or both, most did not. Particularly encouraging was the engagement of respondents with the health care system, especially among those engaging in risky behaviours.

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Published online 15 December 2014
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

Sexually transmissible infections (STIs) are diagnosed in young Aboriginal and Torres Strait Islanders at higher rates compared to other young people in Australia. This study reports on the findings of a cross-sectional survey that explored the sexual behaviours and health service utilisation for young Aboriginal and Torres Strait Islander people living in north Queensland. Key findings included early age at first sex, variable condom use and low uptake of STI testing.

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blank image Sexual Health
Volume 12 Number 2 2015
Syphilis

 
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Table of Contents 
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Syphilis: a fresh look at an old foe 
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Marcus Y. Chen, Jeffrey D. Klausner, Christopher Kit Fairley, Rebecca Guy, David Wilson and Basil Donovan
pp. 93-95

Syphilis remains a pressing public health problem globally across different populations including men who have sex with men and pregnant women. It is timely to review what international surveillance data tell us and the evidence behind public health interventions aimed at controlling syphilis. A reinvigorated response to the re-emergence of syphilis is required.

 
 

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Evolution of the syphilis epidemic among men who have sex with men 
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Marc M. Solomon and Kenneth H. Mayer
pp. 96-102

This manuscript provides an overview of the evolution of the global syphilis epidemic among men who have sex with men (MSM). It chronicles the changes in syphilis epidemiology among MSM including its interface with the HIV/AIDS epidemic. Finally, it seeks to describe the recent resurgence of syphilis incidence in the 2000s among MSM after a prior sharp drop in cases in the 1990s and calls for innovative strategies to address the evolving epidemic.

 
  
 

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Syphilis transmission: a review of the current evidence 
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Juliet E. Stoltey and Stephanie E. Cohen
pp. 103-109

Syphilis remains widespread worldwide, with increasing rates among men who have sex with men.  This paper reviews available evidence regarding syphilis transmission, and discusses how key prevention interventions, such as syphilis screening and treatment, condoms, and risk-reduction counselling modify syphilis transmission dynamics.

 
  
 

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Impact of HIV-1 infection on the clinical presentation of syphilis in men who have sex with men 
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Craig Tipple
pp. 110-118

HIV-1 infected men who have sex with men (MSM) are disproportionately affected by syphilis in many higher income countries. Anal and oral intercourse may lead to transmission and primary ulcers at non-genital sites which go unrecognised. Moreover, the manifestations of symptomatic disease, especially neurosyphilis, may be altered by HIV-1. This review provides a summary of the clinical features of early syphilis (primary, secondary and early neurological involvement) and the ways in which these may be modified by HIV-1 infection in MSM.

 
  
 

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A review of recent advances in rapid point-of-care tests for syphilis 
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Claire C. Bristow, Elysia Larson, Marjan Javanbakht, Emily Huang, Louise Causer and Jeffrey D. Klausner
pp. 119-125

This review explores the advances and utility of rapid point-of-care tests for syphilis using the World Health Organizations’ ASSURED criteria.

 
  
 

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Public health interventions to control syphilis 
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Thomas A. Peterman and Bruce W. Furness
pp. 126-134

Syphilis control strategies are old, but interventions have changed and there is now a more scientific approach to evidence of effectiveness. A review of the literature found few papers used high-quality research methodology and fewer evaluated impact on prevalence or incidence; most assessed intermediate outcomes. Syphilis can often be controlled by a combination of case finding, treatment and education. However, outbreaks are unique and ongoing evaluation is needed to see if interventions are producing intended intermediate outcomes at reasonable costs.

 
  
 

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Management of syphilis in HIV-positive individuals 
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Fiona V. Cresswell and Martin Fisher
pp. 135-140

We explore the controversies that exist around the management of syphilis in HIV-positive individuals. The optimal antimicrobial regimen to treat syphilis in HIV is unknown due to a lack of randomised controlled trial data. We discuss the factors associated with poorer serological outcomes whereby enhanced antibiotic therapy, which penetrates the central nervous system, may be of benefit.

 
  
 

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The molecular epidemiology of Treponema pallidum subspecies pallidum 
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Daphne Y. Ma, Lorenzo Giacani and Arturo Centurión-Lara
pp. 141-147

Syphilis is a re-emerging sexually transmitted disease that, within the last few decades, has been on the rise globally. Treponema pallidum subspecies pallidum, the causative agent of syphilis, displays a substantial amount of interstrain diversity. These variants have been identified in various parts of the world, indicating transmission linkage between geographical regions. This review will highlight the genetic variation within Treponema pallidum strains, the methods utilized for genotyping, and the linkage between genetically distinct organisms and bacterial pathogenesis.

 
  
 

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Neurosyphilis and the impact of HIV infection 
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Emily L. Ho and Serena S. Spudich
pp. 148-154

Neurosyphilis is a complication of systemic syphilis. This review of the clinical presentation, diagnostic laboratory findings, treatment and management of neurosyphilis discusses the impact of HIV and the specific challenges it brings, focusing on areas of controversy, and highlighting important questions that remain to be answered.

   |        Open Access Article
 

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Increasing trends of syphilis among men who have sex with men in high income countries 
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Phillip Read, Christopher K. Fairley and Eric P. F. Chow
pp. 155-163

This paper examines the male and female syphilis notification rates in high-income countries from 2000 to 2013. The male to female ratio and proportion of cases reported as being in men who have sex with men is calculated. This paper shows that in countries with high income, there is a near universal finding of increasing rates of syphilis in MSM. It is therefore clear that no country has identified an effective method to control syphilis in this population.

 
  
 

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Maternal and congenital syphilis in selected Latin America and Caribbean countries: a multi-country analysis using data from the Perinatal Information System 
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Suzanne J. Serruya, Pablo Duran, Gerardo Martinez, Mario Romero, Sonja Caffe, Monica Alonso and Mariangela F. Silveira
pp. 164-169

This paper aims to describe characteristics related to maternal and congenital syphilis in selected countries of Latin America and Caribbean for the period 2010–12. The main limitation of the analyses was data quality leading to the conclusion that countries must continue to be supported to build capacity for collecting high-quality data on intervention coverage and inequities, and to use it as a basis for decisions.

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A novel response to an outbreak of infectious syphilis in Christchurch, New Zealand 
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Edward Coughlan, Heather Young, Catherine Parkes, Maureen Coshall, Nigel Dickson, Rebecca Psutka, Peter Saxton, Ramon Pink and Katharine Adams
pp. 170-173

During 2012, Christchurch, New Zealand experienced a dramatic increase in cases of infectious syphilis among men who have sex with men. In 2012, 26 males and no females were diagnosed and of these 26, 22 reported only sex with men. The use of social is discussed.

 
  
 

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Over reporting of congenital syphilis in Guangzhou, China 
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Xingdong Ye, Shao-Kai Tang, Xiangnong Dai, Wanping He, Huilan Zhu and Xibao Zhang
pp. 174-175

The present work described the congenital syphilis (CS) case reporting profile during 2012 in Guangzhou, the capital of Guangdong province, southern China. A total of 110 CS cases were reviewed, and the results suggested that 49.1% of the CS cases reviewed were identified as cases that should be reported; and 50.9% were identified as over reporting, although the CS incidence in Guangzhou is rising, it may be overestimated. It implied that, to decrease CS cases of over reporting, both antenatal care management and serum rapid plasma reagin titres follow up should be raised.

   |        Open Access Article
 

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Taming the great: enhanced syphilis screening in HIV-positive men who have sex with men in a hospital clinic setting 
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Jason A. Trubiano and Jennifer F. Hoy
pp. 176-178

Syphilis incidence in HIV-Positive men who have sex with men (MSM) continues to rise, however there remains barriers to enhanced testing schedules. We demonstrate an increase in syphilis testing of HIV-positive patients and a three-fold increase in new syphilis diagnoses following a period of enhanced syphilis testing in HIV-positive MSM.

 
  
 

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Syphilis among adolescents and young adults in Cincinnati, Ohio: testing, infection and characteristics of youth with syphilis infection 
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Sherine Patterson-Rose, Tanya L. Kowalczyk Mullins, Elizabeth A. Hesse, Corinne Lehmann and Lea E. Widdice
pp. 179-180

After a local syphilis outbreak, this study examines the rates of syphilis testing, syphilis infection and characteristics of those with syphilis among adolescents and young adults at a teen health clinic in Cincinnati, Ohio. In addition, the study explores the agreeability of syphilis staging and treatment between chart documentation and reviewers according to the Centers for Disease Control and Prevention Guidelines.

 
  
 

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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.

    SH15016  Accepted 29 May 2015
    Sexually Transmitted Infections (STIs) and characteristics of men aged 60 years and over attending a public STD clinic in South Australia
    Carole Khaw, Bin Li, Russell Waddell
    Abstract


    SH15097  Accepted 25 May 2015
    A second peak in genital warts in later life suggests behavioural factors explain a second peak in HPV prevalence in older women
    Eric Chow, Christopher Fairley
    Abstract


    SH15037  Accepted 24 May 2015
    Estimating antiretroviral treatment coverage rates and viral suppression rates for homosexual men in Australia
    Nicole De La Mata, Limin Mao, John de Wit, Don Smith, Martin Holt, Garrett Prestage, David Wilson, Kathy Petoumenenos
    Abstract


    SH15079  Accepted 21 May 2015
    Reasons why gay and other bisexually active men attend different community testing services in Sydney; a cross sectional survey
    Vickie Knight, Timmy Lockwood, Terry Walkinshaw, Phillip Keen, Rebecca Guy, Anna McNulty
    Abstract


    SH15073  Accepted 21 May 2015
    Why not the GP? Client preferences for STI testing in Western Sydney
    Karen Biggs, Jennifer Walsh
    Abstract


    SH14227  Accepted 21 May 2015
    Sexual Behaviour and HIV Prevention Needs of Men Attending a Suburban Sex on Premises Venue
    Anthony Santella, Timothy Schlub, Catriona Ooi, Rick Varma, Martin Holt, Garrett Prestage, Richard Hillman
    Abstract


    SH15053  Accepted 19 May 2015
    It goes both ways: a cross-sectional study of buying and selling sex among young behaviourally bisexual men in Vientiane, Laos
    Anna Bowring, Caroline van Gemert, Kongchay Vongsaiya, Chad Hughes, Amphoy Sihavong, Chansy Phimphachanh, Niramonh Chanlivong, Mike Toole, Margaret Hellard
    Abstract


    SH15009  Accepted 07 May 2015
    Estimating the prevalence of mixed-type gonococcal infections in Queensland, Australia
    Ella Trembizki, Christine Doyle, Cameron Buckley, Amy Jennison, Helen Smith, John Bates, Theo Sloots, Michael Nissen, Monica Lahra, David Whiley
    Abstract


    SH14239  Accepted 07 May 2015
    Hepatitis C risk factors, attitudes and knowledge amongst HIV-positive, HIV-negative and HIV untested gay and bisexual men in Australia
    Loren Brener, Dean Murphy, Elena Cama, Jeanne Ellard
    Abstract


    SH15086  Accepted 04 May 2015
    Body image and STI prevalence among men who have sex with men
    Cara Rice, Alison Norris, John Davis, Courtney Lynch, Karen Fields, Melissa Ervin, Abigail Norris Turner
    Abstract


    SH15036  Accepted 04 May 2015
    Early presentation of symptomatic individuals is critical
    Christopher Fairley, Eric Chow, Jane Hocking
    Abstract


    SH14167  Accepted 05 May 2015
    Testing for human immunodeficiency virus needs paradigm shift in Australia given minimal increase between 2003 and 2013 in Melbourne, Australia
    An Chieh Lin, Christopher Fairley, Krishneel Dutt, Karen Klassen, Marcus Chen, Glenda Fehler, Matthew Law, Catriona Bradshaw, Ian Denham, Tim Read, Eric Chow
    Abstract


    SH14051  Accepted 04 May 2015
    Condom-Associated Erection Problems (CAEP): Behavioral responses and attributions in young, heterosexual men
    Brandon Hill, Stephanie Sanders, Richard Crosby, Kara Ingelhart, Erick Janssen
    Abstract


    SH15061  Accepted 03 May 2015
    Hepatitis B screening and vaccination: how does a Sexual Health service measure up?
    Ruthy McIver, Amalie Dyda, Vickie Knight, Rebecca Guy, Anna McNulty
    Abstract


    SH14136  Accepted 29 April 2015
    HIV testing rate increased following recommendation of routine testing of acute medical admissions at Royal Darwin Hospital
    Laura Lallenec, Nathan Ryder, Bart Currie, Rob Baird, Mathew Pitman
    Abstract


    SH14234  Accepted 27 April 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 Chow, Jane Tomnay, Glenda Fehler, Catriona Bradshaw, Marcus Chen, Dana Forcey, Christopher Fairley
    Abstract


    SH14074  Accepted 27 April 2015
    A developmental investigation of age of sexual debut and subsequent sexual risk behaviors: a study of high-risk young black males
    Richard Crosby, Angelica Geter, JaNelle Ricks, Jamal Jones, Laura Salazar
    Abstract


    SH14070  Accepted 28 April 2015
    Multimorbidity among people with HIV in regional New South Wales, Australia
    Natalie Edmiston, Erin Passmore, David Smith, Kathy Petoumenenos
    Abstract


    SH15064  Accepted 10 April 2015
    Online Self-Management for Gay Men Living with HIV: A Pilot Study
    Tanya Millard, Karalyn McDonald, Sonya Girdler, Sean Slavin, Julian Elliott
    Abstract


    SH14240  Accepted 02 April 2015
    Reasons for delays in treatment of bacterial sexually transmitted infections in remote Aboriginal communities in Australia: a qualitative study of health centre 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
    Abstract


    SH15050  Accepted 01 April 2015
    Acceptance of and experiences utilizing expedited partner therapy among African-American juvenile girls
    JaNelle Ricks, Andrea Swartzendruber , Jessica Sales, Lorin Boyce, Ralph DiClemente, Eve Rose
    Abstract


    SH14216  Accepted 30 March 2015
    Analysis of direct-to-consumer marketed Chlamydia trachomatis diagnostic tests in Norway
    Nils Reinton, Stig Ove Hjelmevoll, HÃ¥kon Haaheim, Kjersti Garstad, Lisa Therese Mørch-Reiersen, Amir Moghaddam
    Abstract


    SH14201  Accepted 29 March 2015
    Improving public health surveillance of chlamydia: analysis of population-level positivity trends
    Nicola Stephens, David Coleman, Kelly Shaw, Maree O'Sullivan, Alison Venn
    Abstract


    SH15001  Accepted 24 March 2015
    The influence of stigma and homophobia on mental health and on the uptake of HIV/STI services for Cameroonian men who have sex with men
    Charles Cange, Mat LeBreton, Serge Billong, Karen Saylors, Ubald Tamoufe, Erin Papworth, Yves Yomb, Stef Baral
    Abstract


24


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 9 September 2014
Prevalence, correlates and attitudes towards sexting among young people in Melbourne, Australia

Timothy H. Yeung, Danielle R. Horyniak, Alyce M. Vella, Margaret E. Hellard and Megan S. C. Lim

2. Published 7 November 2014
Sexual identity, sexual attraction and sexual experience: the Second Australian Study of Health and Relationships

Juliet Richters, Dennis Altman, Paul B. Badcock, Anthony M. A. Smith, Richard O. de Visser, Andrew E. Grulich, Chris Rissel and Judy M. Simpson

3. Published 28 July 2014
'I demand to be treated as the person I am': experiences of accessing primary health care for Australian adults who identify as gay, lesbian, bisexual, transgender or queer

Chee S. Koh, Melissa Kang and Tim Usherwood

4. Published 7 November 2014
Heterosexual experience and recent heterosexual encounters among Australian adults: the Second Australian Study of Health and Relationships

Chris Rissel, Paul B. Badcock, Anthony M. A. Smith, Juliet Richters, Richard O. de Visser, Andrew E. Grulich and Judy M. Simpson

5. Published 7 November 2014
Attitudes toward sex and relationships: the Second Australian Study of Health and Relationships

Richard O. de Visser, Paul B. Badcock, Judy M. Simpson, Andrew E. Grulich, Anthony M. A. Smith, Juliet Richters and Chris Rissel

6. Published 7 November 2014
Masturbation, paying for sex, and other sexual activities: the Second Australian Study of Health and Relationships

Juliet Richters, Richard O. de Visser, Paul B. Badcock, Anthony M. A. Smith, Chris Rissel, Judy M. Simpson and Andrew E. Grulich

7. Published 7 November 2014
Safer sex and condom use: findings from the Second Australian Study of Health and Relationships

Richard O. de Visser, Paul B. Badcock, Chris Rissel, Juliet Richters, Anthony M. A. Smith, Andrew E. Grulich and Judy M. Simpson

8. Published 9 September 2014
Epidemiology of gonorrhoea notifications in Australia, 2007–12

April Roberts-Witteveen, Kate Pennington, Nasra Higgins, Carolyn Lang, Monica Lahra, Russell Waddell and John Kaldor

9. Published 7 November 2014
First vaginal intercourse and oral sex among a representative sample of Australian adults: the Second Australian Study of Health and Relationships

Chris Rissel, Wendy Heywood, Richard O. de Visser, Judy M. Simpson, Andrew E. Grulich, Paul B. Badcock, Anthony M. A. Smith and Juliet Richters

10. Published 7 November 2014
Design and methods of the Second Australian Study of Health and Relationships

Juliet Richters, Paul B. Badcock, Judy M. Simpson, David Shellard, Chris Rissel, Richard O. de Visser, Andrew E. Grulich and Anthony M. A. Smith

11. Published 10 March 2015
Barriers and facilitators of sexually transmissible infection testing in remote Australian Aboriginal communities: results from the Sexually Transmitted Infections in Remote Communities, Improved and Enhanced Primary Health Care (STRIVE) Study

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

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

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

13. Published 7 November 2014
Homosexual experience and recent homosexual encounters: the Second Australian Study of Health and Relationships

Andrew E. Grulich, Richard O. de Visser, Paul B. Badcock, Anthony M. A. Smith, Wendy Heywood, Juliet Richters, Chris Rissel and Judy M. Simpson

14. Published 7 November 2014
Characteristics of heterosexual regular relationships among a representative sample of adults: the Second Australian Study of Health and Relationships

Paul B. Badcock, Anthony M. A. Smith, Juliet Richters, Chris Rissel, Richard O. de Visser, Judy M. Simpson and Andrew E. Grulich

15. Published 9 September 2014
High rates of sexually transmissible infections in HIV-positive patients in the Australian HIV Observational Database: a prospective cohort study

Brian P. Mulhall, Stephen Wright, Debbie Allen, Katherine Brown, Bridget Dickson, Miriam Grotowski, Eva Jackson, Kathy Petoumenos, Phillip Read, Timothy Read, Darren Russell, David J. Smith, David J. Templeton, Christopher K. Fairley and Matthew G. Law

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

Bill Whittaker

17. Published 7 November 2014
Knowledge about and experience of sexually transmissible infections in a representative sample of adults: the Second Australian Study of Health and Relationships

Andrew E. Grulich, Richard O. de Visser, Paul B. Badcock, Anthony M. A. Smith, Juliet Richters, Chris Rissel and Judy M. Simpson

18. Published 21 April 2015
Public health interventions to control syphilis

Thomas A. Peterman and Bruce W. Furness

19. Published 9 September 2014
Early age at first sex: associations with sexual health and sociodemographic factors among a sample of young music festival attendees in Melbourne

Alyce M. Vella, Paul A. Agius, Anna L. Bowring, Margaret E. Hellard and Megan S. C. Lim

20. Published 21 April 2015
Syphilis transmission: a review of the current evidence

Juliet E. Stoltey and Stephanie E. Cohen


      
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