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Sexual Health Sexual Health Society
Publishing on sexual health from the widest perspective
Table of Contents
Sexual Health

Sexual Health

Volume 19 Number 1 2022

SH21073A systematic review of international students’ sexual health knowledge, behaviours, and attitudes

Madeleine S. Y. Lim 0000-0002-6112-6710, Jane S. Hocking 0000-0001-9329-8501, Lena Sanci 0000-0003-4834-4737 and Meredith Temple-Smith 0000-0003-1296-9591
pp. 1-16

Studying abroad provides an opportunity for young adults to explore their sexuality and test risk-taking behaviours; however, little is known about international students’ sexual health knowledge and practices. This systematic review identified international students’ sexual health knowledge, behaviours, and attitudes, and highlighted the importance of culturally considerate sex education for Asian international students. This will help ensure a healthier and safer studying abroad experience.

SH21083Prevalence of bacterial vaginosis in postmenopausal women: a systematic review and meta-analysis

Linde L. Stewart 0000-0003-0642-2610, Lenka A. Vodstrcil, Jacqueline Coombe 0000-0002-9520-5724, Catriona S. Bradshaw and Jane S. Hocking 0000-0001-9329-8501
pp. 17-26

There has been considerable research investigating bacterial vaginosis in women of reproductive age, but much less is known about its burden in postmenopausal women. This systematic review identified that the little research available suggests that a considerable proportion of postmenopausal women may have bacterial vaginosis at any point in time, but there is a real need for quality research to investigate the impact of bacterial vaginosis on this population group.

SH21184A cross-sectional study of male and female kissing partners among men who have sex with men

Eric P. F. Chow 0000-0003-1766-0657, Tiffany R. Phillips 0000-0001-6920-7710, Julien Tran, Ei T. Aung 0000-0002-2560-3233, Kate Maddaford 0000-0001-5213-1289 and Christopher K. Fairley 0000-0001-9081-1664
pp. 27-32

Kissing may be a risk factor for gonorrhoea. We conducted a survey of 357 men who have sex with men (MSM) attending a sexual health clinic in Melbourne in 2019. We found that MSM not only kissed men in the absence of sex, but also women. Oropharyngeal gonorrhoea may be transmitted between MSM and women via kissing in the absence of sex.

SH21161Sexual mixing patterns among male–female partnerships in Melbourne, Australia

Kate E. Greaves, Christopher K. Fairley 0000-0001-9081-1664, Jaimie L. Engel, Jason J. Ong 0000-0001-5784-7403, Elena Rodriguez, Tiffany R. Phillips 0000-0001-6920-7710 and Eric P. F. Chow 0000-0003-1766-0657
pp. 33-38

Sexual mixing is a concept that suggests individuals with similar characteristics tend to mix together. This study examines male–female couples attending a sexual health centre together with regards to their previous sexual experiences with same-sex partners. We found that approximately 10% of male–female partnerships attending our clinic had at least one individual in the partnership who had a same-sex partner in the previous 12 months, which could have implications on STI transmission between populations.

SH21224Factors associated with group sex in heterosexual males and females attending a sexual health clinic in Melbourne, Australia: a cross-sectional survey

Heidi Constantinou, Christopher K. Fairley 0000-0001-9081-1664, Catriona S. Bradshaw 0000-0002-6643-5678, Edmond P. H. Choi 0000-0001-9062-3540, Kate Maddaford 0000-0001-5213-1289, Tiffany R. Phillips 0000-0001-6920-7710 and Eric P. F. Chow 0000-0003-1766-0657
pp. 39-45

Group sex is understudied among heterosexuals. This cross-sectional survey was conducted at a sexual health clinic in Melbourne, Australia, and aimed to identify factors associated with group sex among sexually active individuals. Our findings showed that meeting partners at sex venues such as brothels had the highest odds of participating in group sex and that group sex was strongly associated with STI positivity. Including questions on group sex in routine sexual history may be warranted for heterosexuals to gauge STI risk.

SH21153Sexual function after hysterectomy according to surgical indication: a prospective cohort study

Sara R. Till 0000-0001-6790-132X, Andrew Schrepf, Jennifer Pierce, Stephanie Moser, Ellen Kolarik, Chad Brummett and Sawsan As-Sanie
pp. 46-54

Many patients considering hysterectomy ask about how their sexual function may change, which is difficult to predict based on current data. Given that patients undergo hysterectomy with the goal of improving different symptoms or concerns, we examined whether surgical indication was associated with change in sexual function. Most patients had a modest improvement in sexual function after hysterectomy, but factors such as age, sexual function before surgery, and duration of pelvic pain were more strongly associated with improved sexual function.

SH21220Traversing TechSex: benefits and risks in digitally mediated sex and relationships

Jennifer Power 0000-0002-6566-3214, Lily Moor, Joel Anderson, Andrea Waling 0000-0003-1370-5600, Alexandra James, Nicole Shackleton, Anne-Maree Farrell, Elizabeth Agnew and Gary W. Dowsett
pp. 55-69

Digital technologies now form part of many people’s sex and intimate lives via mobile phones, cameras, dating apps and social media. Although we hear a lot about the risks posed by these technologies, such as online harassment or ‘revenge pornography’, there is limited research on the benefits. Reporting on a survey of Australian adults, this study explores perceived sexual and relationship benefits and pleasures associated with use of digital technologies, as well views on risks and negative consequences.

SH21240Trichomoniasis among men presenting to a sexual health clinic in Melbourne, Australia

Esha Abraham, Christopher K. Fairley 0000-0001-9081-1664, Ei T. Aung 0000-0002-2560-3233, Catriona S. Bradshaw 0000-0002-6643-5678, Marcus Y. Chen 0000-0002-8924-2043, Tiffany R. Phillips 0000-0001-6920-7710 and Eric P. F. Chow 0000-0003-1766-0657
pp. 70-73

We conducted a retrospective study among 893 men tested for Trichomonas vaginalis in 2018–2021 at the Melbourne Sexual Health Centre. The overall test positivity was low (1%). However, the test positivity among T. vaginalis contacts (18.6%) was significantly higher than non-contacts (0.5%). This highlights the importance of partner notification, testing and management.

SH21203How long should clinicians spend sampling the pharynx for gonorrhoea culture specimens?

Sarah Stuart, Daniel Richardson 0000-0003-0955-6307, Collins Iwuji and Suneeta Soni
pp. 74-75

Sampling for gonorrhoea from the pharynx is important to maintain antimicrobial resistance surveillance; however, the sensitivity of pharyngeal culture is poor. We gained consensus from our local sexual health network of clinicians on the time spent taking pharyngeal gonorrhoea culture. From an anonymous survey of 98 clinicians, the estimated mean time was 4.63 s (s.d. ± 2.04) and there were no differences in clinician years of experience. We are now using these findings to design an educational tool with the aim of improving pharyngeal gonorrhoea culture sensitivity.

Committee on Publication Ethics