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Sexual Health

Sexual Health

Volume 22 Number 4 2025

SH24126Engage and adapt: peer-led implementation of HIV navigation in Australia

Timothy Krulic 0000-0002-5174-1920, Graham Brown, Sara Graham and Adam Bourne

Alongside partnership, adaptation is one of the enduring themes of the Australian response to HIV. This article presents a case study to examine the factors that influence the effectiveness of peer navigation programs for people living with HIV run by community organisations in partnership with providers of clinical care. Its findings guide the improvement of service and policy systems and similar programs aimed at empowering better treatment outcomes and quality of life for people living with HIV.

SH25001The relative importance of socio-ecological factors in regard to psychosexual health among adolescent students: based on dominance analysis

Xiuqing Fang 0009-0002-9453-6393, Mengfan Zhang, Mengjie Yang, Wenjing Liu, Linpei Dong, Yawen Ren, Wenguang Wang, Ting Liu and Li Yang

Adolescent psychosexual health is a critical, yet often overlooked, aspect of youth development, shaping lifelong well-being and behavior. This study explores the key factors influencing psychosexual health among Chinese vocational students, revealing that peer relationships and parent–adolescent communication play the most significant roles. These findings highlight the need for targeted interventions that strengthen peer and family dynamics, offering a roadmap for educators and policymakers to support healthy sexual development in vocational education settings.

SH25004Extending the use period of hormonal long-acting reversible contraceptive devices in Australia: exploring patterns of use in a cohort of users before and after COVID-19 guidance

Tahlee B. Stevenson 0000-0002-6513-4005, Alice R. Rumbold, Kelly Hall, Jenni Ilomaki, Deborah Bateson 0000-0003-1035-7110, Danielle Mazza and Luke E. Grzeskowiak

As the COVID-19 pandemic placed pressure on health services and limited accessibility, ‘off-label’ recommendations suggesting extended use periods for long-acting reversible contraceptive (LARC) devices emerged internationally. Despite these recommendations, typical usage patterns were maintained in Australia, with extended use periods observed in less than 10% of LARC users. As these extended use periods have since been made permanent in regulatory documents and clinical guidelines, targeted education for providers and consumers will be required to support uptake and consistent implementation.

SH24123Recruiting participants via social media for sexual and reproductive health research

Jacqueline Coombe 0000-0002-9520-5724, Helen Bittleston 0000-0002-5768-3223, Teralynn Ludwick 0000-0003-4160-7354, Megan S. C. Lim 0000-0003-3136-6761, Ethan T. Cardwell, Linde Stewart 0000-0003-0642-2610, Louise Bourchier 0000-0003-0617-2690, Amelia Wardley 0000-0002-9203-0332, Jane L. Goller 0000-0001-5580-360X, Cassandra Caddy and Jane S. Hocking 0000-0001-9329-8501

Social media is increasingly being used to recruit participants to social research. Here, we provide a practical guide to using social media to recruit for sexual and reproductive health research, and include examples throughout from our own studies. We outline our triumphs and pitfalls in using this recruitment strategy, the challenges we have faced and the lessons we have learnt.

SH24230Factors associated with time to presentation to Sydney Sexual Health Centre, Australia, after STI contact notification

K. Hall 0000-0001-5889-1692, K. Hall 0000-0001-5889-1692, H. Lu 0009-0005-1465-363X, H. Lu 0009-0005-1465-363X, A. Wong 0000-0003-4043-1895, A. Wong 0000-0003-4043-1895, A. McNulty 0000-0003-3174-1242, A. McNulty 0000-0003-3174-1242, C. Bourne 0000-0001-7391-3941 and C. Bourne 0000-0001-7391-3941

When diagnosed with an STI, people are advised on partner notification (PN); however, little is known about those who receive this important information. Our study found that people who received spoken PN had slower presentation times for STI testing compared with those who received electronic PN. Electronic PN was the most popular method in the study. Wider use of electronic PN could improve STI management, and further research into its effectiveness is required.

SH25047Exploring syphilis activity for personalized treatment strategies in latent syphilis: a 2-year cohort study

Jia-Wen Xie, Ya-Wen Zheng, Shu-Hao Fan, Yin-Feng Guo, Ying Zheng, Yu Lin, Man-Li Tong and Li-Rong Lin 0000-0003-4503-9382

Latent syphilis, a hidden infection with no symptoms, has surged globally, yet current treatments often rely on uncertain disease staging. This study reveals that a simple antibody test (nontreponemal immunoglobulin M) can identify active infections, showing patients with positive immunoglobulin M take longer to recover and need tailored therapies. By personalizing treatment based on antibody levels, doctors can reduce unnecessary antibiotic use, especially in vulnerable groups, such as older adults, improving care and easing healthcare burdens.

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