Latest

These articles are the latest published in the journal. Sexual Health is published under a continuous publication model. More information is available on our Continuous Publication page.

Published online 12 May 2025

SH24195A comparative analysis of abortion care and outcomes post-decriminalisation in a public sexual health clinic in Queensland, Australia

Alexandra Christina Drew

 

Since Queensland’s decriminalisation of abortion in 2018, societal views have shifted, seeing abortion as a healthcare standard rather than a crime. However, most abortions are still privately funded in Australia. Cairns Sexual Health Service, a public provider, offers affordable, timely abortions without a GP referral. This paper examines clinical practice from 2019 to 2023, detailing the demographics and outcomes of those accessing the service. It also compares these results to a 2011–2015 review, prior to decriminalisation.

SH24195 Abstract  | PDF (573 KB) - $35.00 

Published online 06 May 2025

SH24237_COCorrigendum to: Assessing and projecting the global impacts of female infertility: a 1990–2040 analysis from the Global Burden of Disease study

Hanjin Wang and Bengui Jiang

 

SH24237_CO Full Text  | SH24237_COPDF (121 KB)

Published online 06 May 2025

SH24208Diagnoses of sexually transmissible infections in HIV-serodiscordant male couples in Australia, Brazil and Thailand

James Gray , Fengyi Jin, Nittaya Phanuphak , Ruth K. Friedman, Christopher K. Fairley , David J. Templeton, Iryna Zablotska-Manos, Jennifer Hoy, David Baker, Mayara Secco Torres Silva, Andrew Grulich, Benjamin Bavinton and for the Opposites Attract study group

 

STIs remain a key concern in the context of HIV biomedical prevention. In a study of 343 male HIV-serodiscordant couples in Australia, Brazil and Thailand, we found higher rates of STI diagnosis for HIV-positive partners compared with their HIV-negative regular partners, and couples were typically not diagnosed with an STI together. HIV transmission risk has been eliminated for HIV-serodiscordant couples where the HIV-positive partner has a supressed viral load; however, other STIs continue to be diagnosed.

SH24208 Abstract  |  SH24208 Full Text  | SH24208PDF (308 KB)   Open Access Article

Published online 06 May 2025

SH25010Empowering adolescent girls in Pakistan: development and feasibility of the Girls’ Voices Curriculum for advocacy and leadership

Komal A. Rahim, Zohra S. Lassi , Sarmad Muhammad Soomar and Salima Meherali

 

The ‘Girls’ Voices Curriculum’, a 10-week girl-led advocacy program, was piloted in Sindh, Pakistan, to empower underprivileged adolescent girls. Evaluated for cultural acceptability with 86 educators, it showed promise in fostering gender equality, leadership, and problem-solving skills. Efforts continue to integrate and scale the curriculum for broader impact.

SH25010 Abstract  | PDF (655 KB) - $35.00 

Published online 06 May 2025

SH24196Engaging citizens to conduct large-scale qualitative research: lessons learnt from a community-engaged research project on queer men’s lived experiences of health in Singapore

Shao Yuan Chong , Benedict Xin Hao Tan, Daniel Weng Siong Ho, Ye Xuan Wee , Muhammad Hafiz bin Jamal, Rayner Kay Jin Tan and for Rainbow+

 

This study highlights the importance of community involvement in HIV research, particularly among marginalized groups, such as young gay, bisexual, and queer men in Singapore and Malaysia. A collaborative project between the National University of Singapore and a local organization, RainbowAsia, used a citizen-led approach to overcome funding challenges and stigma. The research focused on issues, such as mental health and relationships, relying on community resources and volunteers. The proposed framework includes eight phases for effective collaboration, aiming to transform research into impactful community programs.

SH24196 Abstract  |  SH24196 Full Text  | SH24196PDF (1 MB)  | SH24196Supplementary Material (1.7 MB)   Open Access Article

Published online 06 May 2025

SH25026Do Australian sexual health clinics have the capacity to meet demand? A mixed methods survey of directors of sexual health clinics in Australia

Christopher K. Fairley , Jason J. Ong, Lei Zhang , Rick Varma , Louise Owen, Darren B. Russell, Sarah J. Martin , Joseph Cotter, Caroline Thng , Nathan Ryder , Eric P. F. Chow , Tiffany R. Phillips and for the Australian STI research group

 

This survey of 27 Australian sexual health clinics about their services in 2023 found they offered a median of 35 bookings each day, but only a median of 10 walk-in consultations for symptomatic patients. Only approximately half of clinics could provide services to all individuals with symptoms who attended each day. The catchment population of the clinics ranged from as low as 3696 to a maximum of 5 million. Turing away individuals with symptoms will impede effective STI control.

SH25026 Abstract  |  SH25026 Full Text  | SH25026PDF (358 KB)   Open Access Article

Published online 28 April 2025

SH24201Blind spots in community-based participatory research with sex workers in Singapore: lessons learned and assumptions uncovered in the context of a diverse, hierarchical and stigmatized key population

Sook Lin Toh, Vanessa Ho, Raksha Mahtani, Shermaine Koh, Nur Binte Sarah Pancadarma, Audrey Kang, Chen Seong Wong, Brooke S. West, Rayner Kay Jin Tan and Pei Hua Lee

 

This paper reflects on a community-based participatory research and qualitative study on HIV/STI risks in the sex work industry in Singapore. Although other studies on facilitating peer-led research among sex workers have generated similar findings on the challenges of training and implementing peer-led research, our findings further nuance such work by integrating concerns and challenges that peer leaders face due to the heterogeneous and hierarchical nature of sex work in Singapore, and in the context of potential stigmatization and criminalization.

SH24201 Abstract  | PDF (846 KB) - $35.00 

Published online 28 April 2025

SH25035Assessment and implementation of Expedited Partner Therapy at an academic medical center

Alena Kathryn Hoover , Leroy R. Thacker and Frances E. Casey

 

Sexually transmitted infections are increasing in the United States and have devastating health impacts. Expedited Partner Therapy (EPT) has been shown to decrease the chance of reinfection, but uptake has been poor in states with recent policy changes to support EPT. This study shows that online learning can effectively teach providers how to prescribe EPT following state-based policy.

SH25035 Abstract  | PDF (197 KB) - $35.00 

Published online 28 April 2025

SH24233Strategies to sustain HIV prevention interventions among adolescents and young adults: analysis of data from a crowdsourcing open call in Nigeria

Ujunwa Onyeama , Lauren Fidelak, Weiming Tang , Susan Nkengasong, Titilola Gbaja-Biamila, Lateef Akeem, Adesola Zaidat Musa, Folahanmi Tomiwa Akinsolu, Tomilola Musari-Martins , Jane Okwuzu, Aishat Adedoyin Koledowo, Suzanne Day, Temitope Ojo, Olufunto A. Olusanya, Kadija M. Tahlil, Donaldson F. Conserve, Oluwaseun Adebayo Bamodu, Nora E. Rosenberg, Ucheoma Nwaozuru, Chisom Obiezu-Umeh, Collins Airhihenbuwa, Oliver Ezechi, Juliet Iwelunmor and Joseph D. Tucker

 

Adolescents and young adults (AYA) play a key role in shaping sustainable HIV prevention services, yet they do not have many opportunities to contribute to these efforts. To address this challenge, we organized a crowdsourcing open call and identified four key strategies – AYA engagement and leadership in research, digital health solutions, financing and efficiency, and partnerships. These findings demonstrate how engaging AYA can transform HIV prevention efforts, ensuring they meet the needs of AYA.

SH24233 Abstract  |  SH24233 Full Text  | SH24233PDF (1.1 MB)  | SH24233Supplementary Material (545 KB)   Open Access Article

Published online 22 April 2025

SH24149Renal impairment risk in Indigenous and non-Indigenous people who take HIV pre-exposure prophylaxis (PrEP): a retrospective cohort study

D. Drak , H. McManus, T. Vickers, J. Salerno, M. Tobin, J. T. Hughes, D. A. Lewis, A. Carter , D. Russell, M. Gunathilake, H. Ali, R. Guy, C. C. O’Connor, J. Ward, D. M. Gracey and

 

Pre-exposure prophylaxis (PrEP) is a key tool in HIV prevention, but its current regimens come with a risk of kidney dysfunction. Whether this risk is higher in Aboriginal and Torres Strait Islander peoples, who have higher rates of chronic kidney disease, is unknown. Our study demonstrates that the risk of kidney dysfunction with PrEP is similar between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians.

SH24149 Abstract  | PDF (366 KB) - $35.00 

Published online 22 April 2025

SH24175#TheHealthYouthWant: a qualitative analysis of a global crowdsourcing open call for innovative ideas to promote adolescent health and well-being in countries with a high HIV burden

Takhona G. Hlatshwako , Ifeoma Obionu, Yang Zhao, Kelechi Chima , Brian Ahimbisibwe, Chisom Obiezu-Umeh, Eleanor Namusoke Magongo, Onyekachukwu Anikamadu, Oliver Ezechi, Dorian Ho, Yusha Tao, Susan Vorkoper, Rachel Sturke, Juliet lwelunmor, Damilola Walker and Joseph D. Tucker

 

Treatment coverage, viral load suppression and survival rates among adolescents living with HIV are lagging behind other groups, and yet adolescents are rarely involved in shaping HIV programs and policies. Adolescents and young people in our study suggested leveraging education and entertainment, new digital technologies, such as unstructured supplemental service delivery, and peer-based interventions to improve HIV outcomes. These ideas offer actionable steps for HIV policymakers to develop more effective programs that center the adolescent experience and perspective.

SH24175 Abstract  |  SH24175 Full Text  | SH24175PDF (794 KB)  | SH24175Supplementary Material (212 KB)   Open Access Article

Published online 07 April 2025

SH24027Can network-based testing services have an impact beyond testing for HIV?

Aliza Monroe-Wise , Magdalena Barr-DiChiara, Antons Mozalevskis, Busisiwe Msimanga, Maeve Brito de Mello, Kafui Senya, Niklas Luhmann, Cheryl Case Johnson and Rachel Baggaley

 

Efficient modalities of finding people with STIs or bloodborne infections are necessary to control these epidemics. Network-based testing services, including partner services, social network testing, and family/household testing,, are effective at case-finding and linkage to care for HIV, but less is known about their effectiveness for other infections, or for providing prevention services. In this article we argue for integration of partner service delivery to achieve testing, linkage, treatment, and prevention goals for HIV, STIs, and viral hepatitis.

SH24027 Abstract  |  SH24027 Full Text  | SH24027PDF (503 KB)   Open Access Article

Published online 03 April 2025

SH24042Assessing sexual health literacy: a systematic review of measures

Tiffany Chenneville , Morgan Haskett , Kaitlyn Ligman , Sarah M. Gardy , Camielle Crampsie and Trevor A. Hart

 

Sexual health literacy has received little attention, despite adverse sexual health outcomes associated with limited sexual knowledge and behavioral skills (e.g. unintended pregnancies, sexually transmitted infections). A systematic review of sexual health literacy measures reveals the lack of reliable and valid instruments to assess sexual health literacy. Current findings support the need to develop a psychometrically sound, culturally sensitive sexual health literacy scale that can be used across clinical, research and educational settings to promote sexual health.

SH24042 Abstract  | PDF (630 KB) - $35.00 

Published online 31 March 2025

SH24081Changing the model of HIV PrEP delivery – nurse-led telehealth in a metropolitan sexual health service: a retrospective analysis

Jewel Wai , Arthur Wong , Natalie Ovington, Paul Robinson and Rick Varma

 

A new model of delivering HIV prevention medication could make a big difference in reaching more people at risk, especially those facing barriers such as cost or stigma. By using nurse-led consultations, telehealth and online testing platforms, this approach offers a convenient and effective way to help individuals access HIV prevention medication without needing to visit a clinic in person. This model could reshape HIV prevention efforts, particularly for underserved populations, by breaking down traditional healthcare barriers and improving access to essential treatments.

SH24081 Abstract  | PDF (325 KB) - $35.00 

Published online 27 March 2025

SH24186Improving engagement with sexual and reproductive health services among young African migrants in Australia

Humaira Maheen , Negin Mirzaei Damabi and Zohra S. Lassi

 

Young African migrants and refugees in Australia face barriers to accessing sexual and reproductive health services, such as limited knowledge about the services, cultural stigma, and mistrust of general practitioners. This study underscores the importance of school-based sex education in addressing these challenges and building trust in health services. Pairing this with youth-friendly, culturally sensitive services can create safe spaces, empowering young people to make informed health decisions and improve their overall well-being.

SH24186 Abstract  |  SH24186 Full Text  | SH24186PDF (286 KB)   Open Access Article

More content

Just Accepted

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.

SH24159, Accepted 13 May 2025

Turkish adaptation, validity and reliability study of the sexual and reproductive empowerment scale for adolescents and young adults

SILA GÜL and Nuriye BÜYÜKAYACI DUMAN

 

SH24159Abstract

SH25003, Accepted 13 May 2025

Attitudes towards and use of point of care tests for sexually transmitted infections (STIs): Results from a survey of STI conference attendees in 2023.

Yu-Hsiang Hsieh, Yuka Manabe, Charlotte Gaydos , Matthew Hamill , Haneefa Saleem, Golsa Yazdy , Anne Rompalo and Susan Tuddenham

 

SH25003Abstract

SH25017, Accepted 13 May 2025

Position statement on doxycycline post-exposure prophylaxis (Doxy-PEP) for the prevention of bacterial sexually transmissible infections in Aotearoa New Zealand – the New Zealand Sexual Health Society

Julia Scott , Massimo Giola and Jeannie Oliphant

 

SH25017Abstract

SH24188, Accepted 12 May 2025

A pilot study, auditing digital communication to conduct sexual and reproductive health service outreach to Chinese and Thai speaking sex workers in Sydney

Katherine Coote , Maggie Ma, Birdie Thirapat, Limin Mao and Rick Varma

 

SH24188Abstract

SH24136, Accepted 08 May 2025

Awareness and willingness towards doxycycline post-exposure prophylaxis use for bacterial sexually transmitted infections among men who have sex with men

Yi Ting Chen , Kuan-Yin Lin, Hsin-Yun Sun, Yu-Shan Huang, Wang-Da Liu, Yu-Chung Chuang, Po-Hsien Kuo, Sung-Hsi Huang, Kai-Hsiang Chen, Aristine Cheng, Wang-Huei Sheng, Szu-Min Hsieh, Sung-Ching Pan, Un-In Wu, Szu-Ting Huang, Tzong-Yow Wu, Wen-Chun Liu, Pei-Ying Wu, Yu-Zhen Luo, Hsi-Yen Chang, Ling-Ya Chen , An-Ting Peng, Pei-Yu Wang, Guei-Chi Li and Chien-Ching Hung

 

SH24136Abstract

SH24247, Accepted 07 May 2025

Preferences and Willingness to Use Pre-exposure Prophylaxis for HIV Among Men Who Have Sex with Men in Mainland China and Hong Kong

Jiajun Sun , Jason Ong , Heather-Marie Schmidt , Curtis Chan , Benjamin Bavinton , Kimberly Green , Nittaya Phanuphak , Midnight Poonkasetwattana, Nicky Suwandi, Doug Fraser, Weiming Tang , Michael Cassell, Hua Boonyapisomparn, Edmond Pui Hang Choi , Lei Zhang and Warittha Tieosapjaroen

 

SH24247Abstract

SH24093, Accepted 29 April 2025

Barriers and facilitators to accessing sexual health services among middle-aged and older adults including those with disabilities in the UK: A qualitative analysis.

Charlotte Letley, Isabella Kritzer, Yoshiko Sakuma, Hayley Conyers, Sophia Randazzo, Jason Ong , Suzanne Day, Dan Wu , Fern Terris-Prestholt , Joseph Tucker and Eneyi Kpokiri

 

SH24093Abstract

SH24116, Accepted 29 April 2025

Using Photovoice to explore HIV self-testing and secondary distribution of HIV self-testing among gay, bisexual and other men who have sex with men in China

Qianyun Wang , Ying Lu, Yuxin Ni, Xumeng Yan, Rayner Kay Jin Tan , Dan Wu , Joseph Tucker , Jason Ong and Weiming Tang

 

SH24116Abstract

SH24210, Accepted 12 April 2025

Financial sustainability of HIV services for key populations in four countries in Asia: a mixed-methods study

James Tapa , Matthew Kusen, Felicity Young, Mike Merrigan and Jason Ong

 

SH24210Abstract

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