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Sexual Health

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https://www.readbyqxmd.com/read/28445686/when-a-relationship-is-imperative-will-young-women-knowingly-place-their-sexual-health-at-risk-a-sample-of-african-american-adolescent-girls-in-the-juvenile-justice-system
#1
Jerris L Raiford, Puja Seth, Amy M Fasula, Ralph J DiClemente
Background: HIV and other sexually transmissible infections (HIV/STIs) are significant contributors to adolescent girls' morbidity in the US. Risks for HIV/STIs are increased among adolescent girls involved in the juvenile justice system, and African American adolescent girls comprise nearly 50% of adolescent girls in detention centres. Although HIV prevention programs focus on HIV/STI knowledge, increased knowledge may not be sufficient to reduce sexual risk. The present study examined the interactive effects of HIV/STI knowledge and the importance of being in a relationship (a relationship imperative) on sexual risk behaviours in a sample of detained African American adolescent girls...
April 27, 2017: Sexual Health
https://www.readbyqxmd.com/read/28445685/outcomes-following-detection-of-low-level-plasma-hiv-rna-in-hiv-infected-patients-previously-virologically-suppressed-on-antiretroviral-therapy-a-retrospective-observational-study
#2
Annabelle M Warren, Allen C Cheng, Kerrie Watson, Sharon R Lewin, Jennifer F Hoy
Background: Progressively sensitive assays for plasma HIV RNA have led to increased detection of plasma HIV RNA between 20 and 200 copies/ml, known as low level viremia (LLV) when recurrent or persistent, in HIV-infected patients on antiretroviral therapy (ART). The aim of this study was to determine outcomes following initial detection of LLV in an Australian cohort. Methods: A retrospective study using the HIV Service Database (Alfred Hospital) included all patients on ART who recorded plasma HIV RNA 20-200 copies/mL following prior virological suppression (viral load (VL) HIV RNA <20 copies/mL) over 2 years (2010 to 2012), with follow-up to June 2013...
April 27, 2017: Sexual Health
https://www.readbyqxmd.com/read/28445684/patient-staffing-and-health-centre-factors-associated-with-annual-testing-for-sexually-transmissible-infections-in-remote-primary-health-centres
#3
Belinda Hengel, Handan Wand, James Ward, Alice Rumbold, Linda Garton, Debbie Taylor-Thomson, Bronwyn Silver, Skye McGregor, Amalie Dyda, Jacqueline Mein, Janet Knox, Lisa Maher, John Kaldor, Rebecca Guy
Background: In high-incidence Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) settings, annual re-testing is an important public health strategy. Using baseline laboratory data (2009-10) from a cluster randomised trial in 67 remote Aboriginal communities, the extent of re-testing was determined, along with the associated patient, staffing and health centre factors. Methods: Annual testing was defined as re-testing in 9-15 months (guideline recommendation) and a broader time period of 5-15 months following an initial negative CT/NG test...
April 27, 2017: Sexual Health
https://www.readbyqxmd.com/read/28423306/disclosure-of-newly-diagnosed-hiv-infection-and-condom-use-at-first-sex-after-diagnosis-a-study-of-young-black-men-who-have-sex-with-men
#4
Richard A Crosby, Leandro Mena, Trisha Arnold
Background: The first purpose of the present study was to determine whether young Black men who have sex with men (YBMSM) disclose their newly diagnosed HIV infection to a male or female partner, and to determine whether this disclosure is related to condom use; the second was to identify correlates of disclosing newly diagnosed HIV infection to male sex partners, including a measure of partner-related barriers to condom use. Methods: A sample of 125 HIV-infected YBMSM (age 15-29 years) provided cross-sectional data used for both study purposes...
April 20, 2017: Sexual Health
https://www.readbyqxmd.com/read/28384434/first-four-failures-of-cefathiamidine-to-treat-urogenital-gonorrhoea-in-guangzhou-china-2014-15
#5
Jingyao Liang, Ridong Yang, Xiaodong Li, Chao Bi, Xingdong Ye, Xibao Zhang, Wenling Cao
Neisseria gonorrhoeae has a remarkable ability to develop resistance to all available therapeutic antimicrobials. This report describes the first four cases of verified failure to treat gonorrhoea using 1000mg cefathiamidine intramuscularly in Guangzhou, China; for each case, the patient was clinically cured after treatment with 500mg ceftriaxone intramuscularly. Enhanced monitoring of clinical treatment failures, finding new effective treatments and updating treatment guidelines are all of utmost importance to curb the spread of drug-resistant gonorrhoea...
April 7, 2017: Sexual Health
https://www.readbyqxmd.com/read/28384432/utility-of-risk-based-chlamydia-testing-in-primary-care-analysis-of-retrospective-surveillance-data-among-women-in-melbourne-australia
#6
Anna L Wilkinson, Kathleen McNamee, Carol El-Hayek, Eric P F Chow, Catriona S Bradshaw, Norm Roth, B K Tee, Mark Stoové, Margaret Hellard
Background: Chlamydia (Chlamydia trachomatis) continues to be a public health challenge in Australia, with some contention as to the best screening approach. In the present study we examined chlamydia testing, positivity and sexual behaviour among women with the aim of informing targeted testing among women aged ≥30 years. Methods: A longitudinal analysis was conducted on retrospective surveillance data collected among women attending general practice, family planning and sexual health clinics participating in sentinel surveillance in Melbourne, Australia...
April 7, 2017: Sexual Health
https://www.readbyqxmd.com/read/28384431/psychometric-properties-of-the-female-sexual-function-index-in-the-visual-analogue-scale-format
#7
Raquel E Wolpe, Ana P A Queiroz, Kamilla Zomkowski, Fabiana F Sperandio
The Female Sexual Function Index (FSFI) is the gold standard for evaluating female sexual function, yet it has not been validated in a visual analogue scale (VAS) format. The aim of the present study was to assess the psychometric properties of the FSFI applied to the VAS. Methods: The study was conducted in three phases. In Phase 1, the instrument was adapted by two independent researchers, generating two versions, which were evaluated by a committee of six experts. The FSFI-VAS, resulting from this first phase, was used in a pilot study with 45 women...
April 7, 2017: Sexual Health
https://www.readbyqxmd.com/read/28384429/vesicovaginal-fistula-an-unexpected-consequence-of-changing-sexual-practices
#8
M Alexandra Friedman, Jonathan S Shaw, Kelly McGary, Kyle Wohlrab
Vesicovaginal fistula (VVF) is commonly associated with obstetric trauma, but in developed nations it is typically iatrogenic. To date, there have been no published reports of VVF resulting from consensual sexual activity with sex toys. A 19-year-old gravida 0 presented with leakage of clear urine from the vagina following repetitive use of a sex toy with her female partner. The fistula was repaired in the operating room using a vaginal approach and a layered closure. This is the first case report of a VVF caused by consensual sex toy use between same-sex partners...
April 7, 2017: Sexual Health
https://www.readbyqxmd.com/read/28355524/ten-years-on-a-review-of-medical-terminations-of-pregnancy-performed-in-a-sexual-health-clinic
#9
Sandra G Downing, Colette Cashman, Darren B Russell
Background: Access to medical termination of pregnancy (MToP) services in regional Queensland remains inadequate and it is still possible for women and providers to be criminally prosecuted for accessing or providing abortion. Cairns Sexual Health Service (CSHS) has been providing medical terminations of pregnancy for 10 years, demonstrating that this service can be safely and successfully integrated into a primary healthcare setting. Methods: A retrospective audit of MToPs performed between 2011 and 2015 was conducted to follow on from our previously reported audit covering 2006-09...
March 30, 2017: Sexual Health
https://www.readbyqxmd.com/read/28297634/australian-gay-and-bisexual-men
#10
Garrett Prestage, Benjamin Bavinton, Denton Callander, Steven P Philpot, Iryna Zablotska, Johann Kolstee, Phillip Keen, Jack Bradley, Fengyi Jin
Background: Among gay and bisexual men (GBM), 'serosorting' is common and involves restricting sex, or at least condomless sex, to partners of the same HIV status. The prevalence of men conveying their serosorting preferences regarding partners they meet online remains unclear. Methods: This study reviewed 57178 Australian online profiles obtained directly from a popular gay website. Logistic regression was used to identify factors associated with preferences for meeting HIV-positive partners. Results: Men could indicate their preferences from a list of 22 types of partners; 4358 profiles (7...
March 16, 2017: Sexual Health
https://www.readbyqxmd.com/read/28297632/increasing-yield-of-pharyngeal-chlamydia-trachomatis-among-male-gay-and-bisexual-clinic-attendees-in-sydney-an-observational-study
#11
Sian Louise Goddard, Preethi Rajagopal, David James Templeton
Background: The aim of the present study was to describe the temporal trends in Chlamydia trachomatis (CT) testing yield among gay and bisexual male (GBM) sexual health clinic attendees in Sydney. Methods: All CT testing occasions among GBM from January 2011 to December 2014 were reviewed. Yield was defined as the proportion of testing occasions where CT was detected. Results: In all, 2917 GBM were tested on 5445 occasions. CT was detected on 439 (8.1%; 95% confidence interval (CI) 7.4-8.8%) occasions. Pharyngeal, urethral and anorectal CT were detected on 74 (1...
March 16, 2017: Sexual Health
https://www.readbyqxmd.com/read/28259201/sex-education-findings-from-the-second-australian-study-of-health-and-relationships
#12
Anna Yeung, Peter Aggleton, Juliet Richters, Andrew Grulich, Richard de Visser, Judy M Simpson, Chris Rissel
In a national telephone-based survey, information on sexual behaviour and outcomes were collected from 20091 randomly selected Australians in 2012-13. Data were weighted and analysed to determine the proportion of those who had received school-based sex education and to examine the associations between sex education and sexual health outcomes, specifically a history of a sexually transmissible infection (STI), early pregnancy, contraception use at first sex, and level of STI knowledge. Just over half the respondents (53%; n=19836) reported receiving sex education that included information about condoms and contraception...
March 6, 2017: Sexual Health
https://www.readbyqxmd.com/read/28166053/2020-sexually-transmissible-infections-and-hiv-in-gay-bisexual-and-other-men-who-have-sex-with-men
#13
Christopher K Fairley, Garett Prestage, Kyle Bernstein, Kenneth Mayer, Mark Gilbert
This editorial accompanies a series of papers dealing with this watershed period for HIV and sexually transmissible infections (STI) infections in gay, bisexual and other men who have sex with men (GBM). We are delighted to share with you the views of some international opinion leaders on what the future may hold and what challenges lie ahead. In this issue of the Journal, authors describe current HIV and STI incidence among GBM and predict the future.
February 7, 2017: Sexual Health
https://www.readbyqxmd.com/read/28160786/advancing-health-equity-for-lesbian-gay-bisexual-and-transgender-lgbt-people-through-sexual-health-education-and-lgbt-affirming-health-care-environments
#14
Alex S Keuroghlian, Kevin L Ard, Harvey J Makadon
Lesbian, gay, bisexual and transgender (LGBT) people face pervasive health disparities and barriers to high-quality care. Adequate LGBT sexual health education for emerging health professionals is currently lacking. Clinical training programs and healthcare organisations are well poised to start addressing these disparities and affirming LGBT patients through curricula designed to cultivate core competencies in LBGT health as well as health care environments that welcome, include and protect LGBT patients, students and staff...
February 6, 2017: Sexual Health
https://www.readbyqxmd.com/read/28160785/undiagnosed-hepatitis-b-and-c-infection-is-rare-in-sydney-gay-and-bisexual-men-attending-a-community-hiv-testing-site
#15
John Lockwood, James Gray, Christine Selvey
This letter reports on an enhanced surveillance snapshot of hepatitis B and C at a men who have sex with men community testing site in inner Sydney. The finding show undiagnosed hepatitis B and C infection is rare in this population of gay and bisexual men. Evidence of immunity to hepatitis B through vaccination is high, however client knowledge of vaccination status is poor. Current targeted hepatitis screening practices were sufficient to detect all undiagnosed cases of hepatitis B and C in this population...
February 6, 2017: Sexual Health
https://www.readbyqxmd.com/read/28160783/prevalence-of-hiv-among-aboriginal-and-torres-strait-islander-australians-a-systematic-review-and-meta-analysis
#16
Simon Graham, Catherine C O'Connor, Stephen Morgan, Catherine Chamberlain, Jane Hocking
Background: Aboriginal and Torres Strait Islanders (Aboriginal) are Australia's first peoples. Between 2006 and 2015, HIV notifications increased among Aboriginal people; however, among non-Aboriginal people, notifications remained relatively stable. This systematic review and meta-analysis aims to examine the prevalence of HIV among Aboriginal people overall and by subgroups. Methods: In November 2015, a search of PubMed and Web of Science, grey literature and abstracts from conferences was conducted. A study was included if it reported the number of Aboriginal people tested and those who tested positive for HIV...
February 6, 2017: Sexual Health
https://www.readbyqxmd.com/read/28132666/chlamydia-retesting-and-retest-positivity-rates-results-from-a-state-wide-laboratory-data-linkage-study-in-tasmania-2012-13
#17
Nicola Stephens, David Coleman, Kelly Shaw, Maree O'Sullivan, Alistair McGregor, Louise Cooley, Alison Venn
Background: Chlamydia re-infection increases the likelihood of adverse long-term sequelae. Clinical guidelines recommend retesting at 3-12 months for individuals with positive results, to detect re-infections. Retesting and test positivity levels were measured in young people who previously tested positive for chlamydia infection. Methods: All chlamydia tests conducted during 2012-13 in Tasmanian residents aged 15-29 years were linked. Retesting and retest positivity rates were calculated by sex, age, socioeconomic indicators and test timeframe...
January 30, 2017: Sexual Health
https://www.readbyqxmd.com/read/28104040/sexual-health-knowledge-and-behaviour-of-young-sudanese-queenslanders-a-cross-sectional-study
#18
Judith Dean, Marion Mitchell, Donald Stewart, Joseph Debattista
Background: Forced migration is associated with sexual vulnerability. However, little is known about the sexual health literacy and needs of refugee-background youth post resettlement. Methods: Conducted in partnership with the Queensland Sudanese community, this study used a cross-sectional survey to explore the sexual health knowledge, attitudes and behaviours of a convenience sample of 16- to 24-year-old Sudanese-background youth in Australia (n=229). Results: Sexually transmissible infection (STI) and HIV knowledge scores were generally low, although they were found to significantly improve the longer participants had lived in Australia (P<0...
January 20, 2017: Sexual Health
https://www.readbyqxmd.com/read/28080947/hiv-testing-intervention-development-among-men-who-have-sex-with-men-in-the-developed-world
#19
Paul Flowers, Claudia Estcourt, Pam Sonnenberg, Fiona Burns
HIV testing is a 'gateway' technology, enabling access to treatment and HIV prevention. Biomedical approaches to prevention, such as pre-exposure prophylaxis and treatment as prevention, require accurate and regular HIV test results. HIV testing also represents a powerful 'teachable moment' for behavioural prevention. An increasing range of HIV tests and the emergence of self-managed diagnostic technologies (e.g. self-testing) means there is now considerable diversification of when, where and how results are available to those who test...
January 13, 2017: Sexual Health
https://www.readbyqxmd.com/read/28063466/sexuality-related-attitudes-significantly-modulate-demographic-variation-in-sexual-health-literacy-in-tasmanian-university-students
#20
Steve Simpson, Christine Clifford, Michael G Quinn, Kaz Ross, Neil Sefton, Louise Owen, Leigh Blizzard, Richard Turner
Background: It has previously been shown that there is a significant demographic variation in sexual health literacy (SHL) in university-level students in Tasmania, Australia. Aims: The aim of this study was to evaluate the effect of statistical adjustment for sexuality-related attitudes on this demographic variation in SHL. Methods: Iterated principal-factor analysis was used to evaluate latent variable grouping of responses to 21 attitudinal questions regarding sexuality and sexual behaviour. Linear regression was used to evaluate the distribution and determinants of attitudinal patterns and thence the relationship of these patterns to SHL...
January 9, 2017: Sexual Health
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