HIV infection in gay and bisexually active men (GBM) is an international public health concern and increasing HIV testing frequency is an important prevention goal. We assessed the effect of introducing a fast-track testing clinic on repeat HIV testing in high-risk GBM in Sydney, Australia. This study shows that optimising current services by introducing express clinics was able to increase HIV testing frequency in high-risk GBM and should be adopted more widely.

Many low and middle income countries currently have no antenatal screening program for curable sexually transmissible infections (STI). We found that Chlamydia trachomatis was the most common curable STI among pregnant women in Hanoi, Vietnam, and antenatal screening of curable STIs was highly acceptable and feasible. More rigorous studies that evaluate the effects of universal STI testing on pregnancy outcomes and the cost-effectiveness of screening are needed.

Cisgender men and transgender individuals who have sex with men and use methamphetamine are at high risk of HIV acquisition and have limited uptake of pre-exposure prophylaxis (PrEP). Our study aimed to quantify knowledge and use of PrEP, identify barriers to its uptake, and develop a targeted educational campaign to promote PrEP in this population. Individuals who saw our educational cards reported more factual knowledge about PrEP, emphasizing the role targeted education can play in increasing PrEP information and possibly uptake.

Because violent crime rates are correlated with hard-to-measure social determinants of health, they have been proposed as proxies for the unmeasured social determinants of health. This study assessed the quality of STI ecological regression models with (vs. without) violent crime rate as an independent variable. For the most part, including violent crime rate improved the quality of the regression models.

Little is known of the facilitators of online sexually transmissible infection (STI) information seeking. This study aimed to identify the factors associated with online STI information seeking among youth in Malaysia. Respondents' overall STI knowledge was low but certain groups of young people were more likely to seek online STI information. Findings suggest the need to increase STI knowledge and perceived quality of online STI information among Malaysian youth.

Many gay and bisexual men seek HIV testing less often than recommended in guidelines. We evaluated the effect of providing rapid HIV testing in routine screening and promoting this, and found that men who had one or more rapid HIV test tested more often than men who had no rapid tests. Making rapid HIV testing available may help increase testing.

Pre-exposure prophylaxis (PrEP) is an effective HIV prevention method now publicly funded in British Columbia, Canada that could reduce HIV inequities among men who have sex with men (MSM). We assessed PrEP-related attitudes, sexual behaviour and use before public funding. To maximize impact, PrEP health promotion must consider comprehensive education, community social norms, and barriers to culturally safe care for MSM.

Pre-exposure prophylaxis (PrEP) may leave vulnerable populations at-risk of sexually transmissible infection (STI) acquisition. To promote condom use within the context of PrEP-related counselling, this study tested the efficacy of a single-session program designed for a highly vulnerable US population: young Black men who have sex with men (YBMSM). As the first program to demonstrate efficacy, findings have implications for the integration of an evidenced-based program with PrEP delivery.

Participation in group sex has long been examined for its relevance to practices that put people at risk for HIV and other sexually transmissible infections (STIs). Through an online survey of gay and bisexual men in Paris, France, group sex was found to be associated with sexual risk-taking and STI diagnoses. Group sex, therefore, is a useful proximal marker for HIV and STI risk among gay and bisexual men in Europe.

Age-related changes in menopause women affect the physical appearance of the female external genitalia and also disrupt sexual functioning and treatment may be required to resolve these problems. It is not infrequent that women seek non-medical solutions, including local injection of an unapproved agent, and it is rare for it to be reported in literature. This case study reports on the experiences of treating two menopause women who had labial granuloma induced by local injection of paraffin.

Parents want opportunities to talk to adolescents about sensitive topics. We investigated and found that most dyads have conversations after participating in sexual health research. Some conversations launch into broader topics, which suggests an opportunity for investigators to guide participants towards conversations about sensitive topics and promote a potential developmental benefit of adolescent sexual health research participation.