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

Sexual Health

Volume 18 Number 5 2021

SH21079Outcomes of routine screening for reproductive coercion in a family planning service

Yan Cheng 0000-0003-2043-4335, Eleanor G. Wilson, Jessica R. Botfield 0000-0001-6157-9739, Clare J. Boerma, Jane Estoesta, Leslie James Peters and Kevin McGeechan
pp. 349-357

The National Women’s Health Strategy (2020–2030) considers ‘reduction in the rate of reproductive coercion’, a key measure of success in improving health for women. Our study reviews the outcomes of reproductive coercion (RC) screening in a family planning service. Findings indicate RC was more likely to be disclosed among clients who were unemployed, had a disability or had multiple visits. Clinicians conducting RC screening must have adequate training and resources to both screen and respond to women who disclose RC.


The importance that sexual health plays in the quality of life of reproductive-aged women following radiation therapy has been largely unexplored in the literature. Our findings illustrated that most domains of sexual function are negatively affected in our study population. This information can assist with counselling patients regarding survivorship issues, within the broader context of management options.


Changes in sexual behaviour and satisfaction as a result of COVID-19 vary along the lines of partnership status and living arrangements. Participants who were single or not living with their partners experienced a decrease in partnered sexual activities, but an increase in individual sexual behaviours. Those who were not living with their partners were more likely to experience a decrease in sexual satisfaction, whereas those who were living with their partners were less likely, relative to those who were single.

SH21024Resourcefulness of homeless young people who practise sex work in Pakistan: a qualitative study

Muhammad Naveed Noor 0000-0002-7847-6637, Joanne Bryant, John de Wit and Martin Holt
pp. 378-384

Homeless young people are often thought about and discussed in terms of moral, physical, and mental deficits, and as incapable of helping themselves. Our study offers an alternative and a more positive perspective. It highlights the ways that homeless young people in Pakistan survive by engaging in erotic dancing and sex work and how they minimise their risks using novel skills and resources available to them on the streets.

SH21123Barriers and facilitators to engagement with artificial intelligence (AI)-based chatbots for sexual and reproductive health advice: a qualitative analysis

Tom Nadarzynski 0000-0001-7010-5308, Vannesa Puentes, Izabela Pawlak, Tania Mendes, Ian Montgomery, Jake Bayley and Damien Ridge 0000-0001-9245-5958
pp. 385-393

This study demonstrates that chatbots may be suitable for anonymous sex education, providing professional information about sexually transmitted infections in an interactive way and signposting users to relevant healthcare services. However, several concerns about chatbot accuracy, trust in automated responses, limited content and the lack of empathy may compromise engagement with this technology. Future research needs to provide evidence on sexual health chatbot effectiveness and impact on healthcare services such as the uptake of screening.


Young people disproportionately experience poor sexual health outcomes so need easy access to quality sexual health care. High levels of unmet need for sexual health care were reported in this survey due to embarrassment, fears about judgment and confidentiality, and lack of knowledge about where to go. Action is needed at policy, funding and practice levels to reduce societal stigma, improve awareness of services and to ensure young people are treated with kindness, empathy and respect when presenting for sexual health care.

SH21101STI testing among young people attending music festivals in New South Wales, Australia: exploring the client segmentation concept in the ‘Down to Test’ program

Marty Janssen, Sylvester Okeke 0000-0001-9211-1813, Carolyn Murray, Margy Ewing, Heng Lu, Christopher Bourne and Limin Mao
pp. 405-412

A social marketing intervention targeting young people attending music festivals in NSW Australia enables STI screening embedded in a service mix prioritised positive youth engagement in health seeking.

SH21078How accurate is presumptive Chlamydia trachomatis treatment? A 6-month clinical audit of a walk-in sexual health service

Susan P. Jacups 0000-0002-0575-6697, Caroline Potter, Trent Yarwood 0000-0002-9783-2764, Simon Doyle-Adams and Darren Russell
pp. 413-420

Increasing microbial resistance patterns have prompted clinician concerns regarding presumptive antibiotic treatments. To determine the accuracy of presumptive chlamydia treatment practices at a regional walk-in-centre, we audited all same-day screen and treat patients over 6 months. Findings revealed 25% were positive for chlamydia indicating over-treatment and raising concerns about antimicrobial stewardship. Practices were modified to provide more precise clinical care, while balancing wider the objectives of antimicrobial stewardship.

SH21110Social media’s role in support networks among LGBTQ adolescents: a qualitative study

Matthew N. Berger 0000-0002-3720-6681, Melody Taba 0000-0002-2954-1092, Jennifer L. Marino 0000-0001-6742-1940, Megan S. C. Lim 0000-0003-3136-6761, Spring Chenoa Cooper, Larissa Lewis 0000-0001-9552-4947, Kath Albury 0000-0001-9043-8126, Kon Shing Kenneth Chung 0000-0003-0115-2420, Deborah Bateson 0000-0003-1035-7110 and S. Rachel Skinner 0000-0003-1970-9792
pp. 421-431

Lesbian, gay, bisexual, transgender, queer and/or questioning (LGBTQ) youth are at higher risk of mental health concerns. This study explores how LGBTQ adolescents use social media for social wellbeing support, connect with other LGBTQ peers, and seek support. Participants utilised LGBTQ Facebook groups to provide and seek social support, which was considered useful for those feeling isolated or victimised. However, some participants noted negative experiences (e.g. discrimination) within larger Facebook groups.

SH21045Online triage tool improves the efficiency of a sexual health service

Thomas Munro 0000-0003-2892-3520, Bronnie Anderson-Smith, Heng Lu, Heather H. Worth and Vickie Knight
pp. 432-435

Sydney Sexual Health Centre, the largest public sexual health clinic in New South Wales, created an online triage tool to ensure access for consumers from priority populations and refer those from non-priority populations to a more appropriate service. A 2017 review of this triage tool found that it had achieved its purpose in triaging out non-priority populations. It saved a significant amount (approximately 6 months equivalent) of phone triage nurse time previously spent directing patients to other services. More work may need to be done to ensure that the tool is not creating a barrier for priority populations wishing to access our service.

SH21116Reproductive coercion and abuse in Australia: what do we need to know?

Allison Carter 0000-0003-2151-2622, Deborah Bateson and Cathy Vaughan
pp. 436-440

Clinicians working with patients of reproductive age have an important role to play in recognising and responding to reproductive coercion and abuse, but they are often unaware of what it is and how to respond effectively to disclosures. In this Letter, we provide an overview of the issue and how health professionals can identify and support affected families, as well as considerations for future research.


Little is known about the risk of unintended pregnancy among transgender and non-binary (TNB) people. Using cross-sectional, national data, we show that TNB college students are as likely to have an unintended pregnancy as their cisgender peers, and that TNB students are interested in receiving pregnancy prevention information. These findings indicate that TNB young people need access to comprehensive reproductive health counselling and care.

Committee on Publication Ethics