Register      Login
Sexual Health Sexual Health Society
Publishing on sexual health from the widest perspective

Sexual Health

Sexual Health

Sexual Health publishes contributions on sexual health from the widest perspectives including HIV/AIDS, STIs, issues of sexuality, and reproductive health. Read more about the journalMore

Editors-in-Chief: Jason Ong and Joseph Tucker

Publishing Model: Hybrid. Open Access options available.

Are you eligible for APC-free Open Access?

Download our Journal Flyer (PDF, 885KB)


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

Published online 22 February 2024

SH23141Inequities in PrEP use according to Medicare status in a publicly funded sexual health clinic; a retrospective analysis

Aaron Coleman, Ben John Maslen 0000-0003-3475-6247 and Rosalind Foster 0000-0002-8098-3718

HIV rates in Australia disproportionately affect men who have sex with men (MSM) born overseas compared with those who are Australian-born. One explanation may be Medicare eligibility which can affect access to affordable healthcare including HIV pre-exposure prophylaxis (PrEP). This population remains under-researched as they are not captured in routinely collected prescribing data. This study demonstrates that MSM without Medicare accessing a publicly funded sexual health clinic in Sydney are less likely to be on HIV PrEP than MSM who do have Medicare.

Published online 19 February 2024

SH23178Chlamydia retesting remains low among young women in Australia: an observational study using sentinel surveillance data, 2018–2022

Stephanie C. Munari 0000-0002-2296-7787, Anna L. Wilkinson, Jason Asselin, Louise Owen, Phillip Read, Robert Finlayson, Sarah Martin 0000-0002-9325-1647, Charlotte Bell, Catherine C. O’Connor, Allison Carter 0000-0003-2151-2622, Rebecca Guy, Anna McNulty 0000-0003-3174-1242, Rick Varma 0000-0002-0402-0506, Eric P. F. Chow 0000-0003-1766-0657, Christopher K. Fairley 0000-0001-9081-1664, Basil Donovan, Mark Stoove, Jane L. Goller 0000-0001-5580-360X, Jane Hocking 0000-0001-9329-8501, Margaret E. Hellard and

Chlamydia remains as the most notified bacterial sexually transmissible infection in Australia and repeat infections can lead to significant reproductive complications, particularly for women. Guidelines recommended retesting at 3 months following a chlamydia diagnosis, but current retesting rates in line with guidelines are low, and re-infections are common. Increased efforts to improve timely retesting can aid in earlier identification, management and reduced risk of disease burden.

Published online 06 February 2024

SH23189The shadow pandemic: rising syphilis rates in the wake of coronavirus (COVID-19)

Rhea Ahuja 0000-0003-3314-1734, Nilam Singh, Kaushal K. Verma and Somesh Gupta 0000-0003-3015-8602

Post-COVID, there has been a notable surge in syphilis cases, with a 38% increase reported in 2021 compared to 2019, according to the US Centers for Disease Control and Prevention. Analysis of our clinic’s data over 8 years spanning from 2015 to 2023 also showed a steady rise from 2020 to 2023, particularly among males. This trend contrasts with the overall decline in clinic attendance during the pandemic. Contributing factors include an increase in online sexual activity (seeking sexual partners online) and diverted healthcare resources towards the COVID-19 pandemic. Urgent measures are reinforced surveillance and public health response, heightened awareness, and the provision of early and cost-free treatment to address this escalation of syphilis cases.

Published online 01 February 2024

SH23158A qualitative review of social media sharing and the 2022 monkeypox outbreak: did early labelling help to curb misinformation or fuel the fire?

Maria E. Dalton 0000-0002-1382-8953, Robert Duffy, Emma Quinn 0000-0003-3130-259X, Kristian Larsen 0000-0003-1056-1867, Cheryl Peters 0000-0003-1202-5689, Darren Brenner, Lin Yang and Daniel Rainham 0000-0002-3932-2942

Ever present in our digital world, misinformation continues to threaten public health efforts and, in some cases, stigmatises specific groups. Our work investigated the evolving rhetoric surrounding monkeypox (mpox) during the 2022 outbreak on Instagram, discovering that perhaps early dialogue singling out men who have sex with men shifted discussions online to combat this misinformation. By understanding the way misinformation is spread, we can better protect against it and create improved communication strategies.

Published online 29 January 2024

SH23129Acute facial neuralgia related to initiation of emtricitabine/tenofovir for HIV PrEP: a report of two cases in a PrEP demonstration trial

Zhuoheng Yin 0009-0006-7012-5986, Rayner Kay Jin Tan, Joseph D. Tucker 0000-0003-2804-1181, Quanmin Li, Renslow Sherer, Linghua Li and Weiming Tang 0000-0002-9026-707X

HIV PrEP is widely recommended as a crucial measure for HIV prevention. In a demonstration trial in China, this article highlights two cases where facial neuralgia emerged as an unexpected side effect of PrEP medication, not previously mentioned in official prescribing information. These findings deepen our understanding of the potential side effects of emitricitabine/tenofovir disoproxil fumarate use and provide empirical evidence to enhance PrEP implementation further and address the challenges that may arise during its utilisation.

Published online 29 January 2024

SH23164Conceptions of sexual health by gay men living with HIV in serodifferent couples in Montreal, Canada: results from a qualitative analysis

Francesco Avallone 0000-0003-1853-7730, Kim Engler 0000-0001-8364-7421, Joseph Cox 0000-0002-7041-1556, Ford Hickson 0000-0003-0395-374X, David Lessard 0000-0002-1151-3763, Jeanne Bourdon, Réjean Thomas and Bertrand Lebouché 0000-0002-1273-9393

Sexual health is a complex, multi-dimensional concept; however, much research on the topic is focused on sexually transmitted infections and risk reduction. Given their status as a key population for sexual health promotion, we interviewed 10 gay men living with HIV about the meaning of sexual health. While all mentioned sexual health care and safer sex (e.g. HIV management), most also addressed intimacy and relationships and well as positive sexuality as key components of sexual health.

Published online 25 January 2024

SH23056Sexual pleasure and HIV-related worry in female sex workers on oral pre-exposure prophylaxis in south-western Uganda

Lydia Jacenta Nakiganda 0000-0002-2284-8411, Benjamin R. Bavinton 0000-0001-5834-8278, Isobel Mary Poynten, David Serwadda, Jeremiah Mulamba Bazaale and Andrew E. Grulich

There is more to pre-exposure prophylaxis (PrEP) other than the health benefits. Usually, the important social benefits are less considered yet they could reveal much more. As interest intensifies, the social benefits should be incorporated more to tell us what we are missing about PrEP, that could be important globally in the use of this drug. Being less worried about a drug and enjoying sex without worry means ‘confidence’ about a drug that could be vital for future uptake.

Published online 15 January 2024

SH23102Lived experiences with pre-exposure prophylaxis uptake and adherence among transgender women in Thailand: a qualitative study

Rena Janamnuaysook 0000-0002-8054-482X, Yan Guo, Yeon Jung Yu, Nittaya Phanuphak 0000-0002-0036-3165, Surinda Kawichai, Karen MacDonell, Thidarat Jupimai, Chokechai Rongkavilit and Bo Wang 0000-0001-5132-7685

This study aimed to provide a deeper understanding of transgender women’s experiences of pre-exposure prophylaxis (PrEP) uptake and adherence, and to identify major barriers to PrEP use to inform intervention adaptation. We interviewed 20 young transgender women and 10 health care providers from two HIV clinics in Bangkok, Thailand. Our findings deepen the current understanding of barriers to PrEP use, and inform the development of effective interventions to promote PrEP use.

Published online 15 January 2024

SH23098The provision of sexual and reproductive health information and services to travellers: an exploratory survey of Australian travel medicine clinicians

Sarah Warzywoda 0000-0002-9149-1962, James A. Fowler 0000-0001-5716-5250, Joe Debattista, Deborah J. Mills, Luis Furuya-Kanamori, Jo Durham, Colleen L. Lau, Amy B. Mullens 0000-0002-0939-9842, Satrio Nindyo Istiko, Carlos Santaolaya, Juhi Malhotra 0009-0004-5250-1736 and Judith A. Dean 0000-0002-2513-2013

International travel can increase the risk of exposure to infectious diseases including sexually transmissible infections and human immunodeficiency virus. This study explored how travel medicine clinicians integrate sexual and reproductive health (SRH) services into clinical practice. Our findings highlighted gaps in the provision of pre-travel consultation and training needs for SRH among travel medicine clinicians, and the potential for improved promotion of sexual health among travellers to provide important public health benefits for individuals and the wider community.

Published online 10 January 2024

SH23160Self-reported intimate partner violence among men who have sex with men at an urban Australian sexual health clinic

Georgina Boots, Brendan Crozier 0000-0002-4842-5249, Gordana Popovic 0000-0002-1376-1058 and Anna McNulty 0000-0003-3174-1242

Several large studies suggest that men who have sex with men (MSM) may experience intimate partner violence (IPV) at similar or higher rates than those documented among women. We introduced screening for IPV among MSM at a large, urban sexual health clinic and examined prevalence and associations with self report of IPV. Reported IPV among MSM was associated with significantly increased risk behaviours. Screening allows clinicians to be aware of the potential for, and impact of, IPV in this population.

Published online 10 January 2024

SH23172Sexual dysfunction: a study on learning experience of Australian medical students

Vijayasarathi Ramanathan 0000-0001-7116-7068 and Maya Sawaqed

Current medical curriculum covers sexual health but is highly focused on sexually transmissible infections. Medical students and clinicians feel uncomfortable managing sexual dysfunction with patients, despite its prevalence and its effect on quality of life. This study explores the sexual dysfunction-specific training of medical students in one Australian university, and the data suggests that the medical curriculum does not adequately train students to confidently and comfortably manage sexual dysfunction.

This study uncovers an often-overlooked issue: the limited research on access to sexual health services among gay Arab men in Western countries. Findings in this publication reveal significant gaps in knowledge for this population, particularly in areas where strides have been made in reducing HIV transmission. The implications are far-reaching, as addressing these disparities is essential for ensuring equitable healthcare for underrepresented communities. By shedding light on this hidden population, this study paves the way for targeted interventions and policy changes to promote inclusive and accessible sexual health services for all.

Published online 02 January 2024

SH23074Interventions supporting engagement with sexual healthcare among people of Black ethnicity: a systematic review of behaviour change techniques

Rebecca Clarke, Gemma Heath 0000-0002-1569-5576, Jonathan Ross and Claire Farrow

People from Black ethnic backgrounds are disproportionately affected by sexually transmitted infections. In this paper, we reviewed existing literature to understand the effectiveness of interventions designed to increase engagement with sexual healthcare among people of Black ethnicity. Our findings highlight the importance of considering sociocultural, structural and socio-economic barriers to increasing engagement with sexual healthcare. Matching the intervention facilitators’ demographics and lived experience to intervention recipients may further increase engagement and trust.

Published online 02 January 2024

SH23122Reproductive health among women living with HIV attending Melbourne Sexual Health Centre for HIV care from February 2019 to February 2020

Joanne Peel 0009-0005-6888-1806, Joshua Brousse de Gersigny, Richard Teague, Jayne Howard, Catriona Bradshaw, Marcus Chen and Melanie Bissessor

Women living with HIV are a minority in Australia. They present unique healthcare challenges, particularly relating to sexual and reproductive health. Evidence shows higher rates of unplanned pregnancy and lower rates of long-acting-reversible contraception use among women living with HIV. We highlight gaps in care at an Australian metropolitan centre and suggest contraceptive options used by women living with HIV may be changing in the era of modern HIV treatment. We suggest changes in care provision to meet demand, including use of ‘women-centred’ models of care.

Published online 19 December 2023

SH23113Transgender women sex workers’ experiences accessing sexual health care in Iran: a qualitative study

Mina Saadat 0000-0001-8084-8308, Afsaneh Keramat, Ali Mohammad Nazari, Hadi Ranjbar, Shayesteh Jahanfar and Zahra Motaghi 0000-0002-7345-0104

Transgender women who work in the sex industry face difficulties accessing health care facilities. This population is recognised worldwide as a high-risk group for sexually transmitted infections and HIV In this paper, we describe challenges for accessing healthcare amongst transgender women sex workers in Iran.

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.

Most Read

The Most Read ranking is based on the number of downloads in the last 60 days from papers published on the CSIRO PUBLISHING website within the last 12 months. Usage statistics are updated daily.

Committee on Publication Ethics