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Sexual Health

Joseph T Hicks, Lu-Yu Hwang, Sarah Baraniuk, Margaret White, Elizabeth Y Chiao, Nkechi Onwuka, Michael W Ross, Alan G Nyitray
Background: Men who have sex with men (MSM) are at greater risk of developing anal cancer caused by human papillomavirus (HPV) than the rest of the general population. Currently, there are no formal national guidelines in the US advising men how and when to get anal cancer screening. We sought to assess differences in demographics, familiarity and anxiety about anal cancer among men who report having had anal cancer screening (i.e. anal cytology and/or a digital anorectal examination (DARE)). Methods: MSM were recruited to participate in a study to assess the feasibility of teaching self and partner anal examinations as a means of screening for anal cancer...
December 6, 2018: Sexual Health
Jessica Datta, David Reid, Gwenda Hughes, Catherine H Mercer, Sonali Wayal, Peter Weatherburn
Background: Rates of sexually transmissible infections (STIs) have increased over recent years among gay men and other men who have sex with men (MSM) in England and Wales. HIV diagnoses remain high in this group and men with diagnosed HIV are disproportionally affected by STIs. MSM are therefore a priority for health promotion efforts to reduce STIs. Understanding awareness of and attitudes towards STIs is essential in developing health promotion interventions to reduce prevalence. Methods: Eight focus group discussions (FGDs) with a total of 61 MSM in four English cities included a ranking exercise to gauge how 'scary' participants thought 11 STIs are...
December 6, 2018: Sexual Health
Laia Fina, Amy L Phillips, Adam T Jones, Zoë M Couzens, Rachel Drayton, Daniel Rh Thomas, Ananda Giri Shankar
Background: Pre-exposure prophylaxis (PrEP) was introduced in Sexual Health Services of the Welsh National Health Service (NHS Wales) in July 2017 as a 3-year pilot service. Methods: Data were collected through the pre-existing Sexual Health in Wales Surveillance System, to which codes were added to capture PrEP eligibility, outcome of offer of PrEP, reasons for declining and adherence. Eligibility categories were defined based on nationally agreed criteria: men who have sex with men (MSM) and transgender people at high risk of HIV acquisition; partners of HIV-positive individuals not known to be virally suppressed; and heterosexuals reporting condomless intercourse with a HIV-positive individual not known to be virally suppressed...
December 3, 2018: Sexual Health
Bea Vuylsteke, Thijs Reyniers, Catherine Lucet, Christiana Nöstlinger, Jessika Deblonde, Agnes Libois, Anne-Sophie Sauvage, Edwinne Deprez, Jean-Christophe Goffard, Sabine D Allard, Eric Florence, Rémy Demeester, Steven Callens, Marie Laga
Background: Since 1 June 2017, oral pre-exposure prophylaxis (PrEP) could be prescribed and reimbursed in Belgium as prophylactic medication for people who are at increased risk of HIV acquisition. The aim of this study was to determine the uptake of daily and event-driven PrEP in Belgium during the first 9 months of roll-out. Methods: Routine aggregated data on the number of reimbursement requests and the number of boxes of Truvada (Gilead Sciences, Cambridge, UK) delivered for PrEP through the Belgian pharmacies were obtained from the National Institute for Health and Disability Insurance...
November 30, 2018: Sexual Health
Rusi Jaspal, Barbara Lopes, Zahra Jamal, Carmen Yap, Ivana Paccoud, Parminder Sekhon
Background: Black and minority ethnic (BME) men who have sex with men (MSM) face a major burden in relation to HIV infection. Using a cross-sectional correlational survey design, the present study explored the relationships between HIV knowledge and reported sexual health and sexual behaviour in this population. Methods: A convenience sample of 538 BME MSM was recruited in London, Leicester and Leeds: 346 (64%) self-identified as South Asian, 88 (16%) self-identified as Latin American, 76 (14%) self-identified as Black, 13 (2%) self-identified as mixed, and 15 (3%) self-identified as other...
November 27, 2018: Sexual Health
Denton Callander, Rebecca Guy, Christopher K Fairley, Hamish McManus, Garrett Prestage, Eric P F Chow, Marcus Chen, Catherine C O Connor, Andrew E Grulich, Christopher Bourne, Margaret Hellard, Mark Stoové, Basil Donovan
Background: Gonorrhoea notifications continue to rise among gay and bisexual men in Australia and around the world. More information is needed on infection trends, accounting for testing and complimented by demographics and risk practices. Methods: A retrospective cohort analysis was undertaken using repeat gonorrhoea testing data among gay and bisexual men from 2010 to 2017, which was extracted from a network of 47 sexual health clinics across Australia. Poisson and Cox regression analyses were used to determine temporal trends in gonorrhoea incidence rates, as well as associated demographic and behavioural factors...
November 9, 2018: Sexual Health
Kiffer G Card, Nathan J Lachowsky, Keri N Althoff, Katherine Schafer, Robert S Hogg, Julio S G Montaner
Background: With the emergence of antiretroviral therapy (ART), Treatment as Prevention (TasP) has become the cornerstone of both HIV clinical care and HIV prevention. However, despite the efficacy of treatment-based programs and policies, structural barriers to ART initiation, adherence and viral suppression have the potential to reduce TasP effectiveness. These barriers have been studied using Geographic Information Systems (GIS). While previous reviews have examined the use of GIS for HIV testing - an essential antecedent to clinical care - to date, no reviews have summarised the research with respect to other ART-related outcomes...
November 9, 2018: Sexual Health
R Houghton, V Knight, B Clifton, R Varma
The effect of performing baseline HIV investigations (BLHIVI) at the time of a reactive HIV point-of-care test in the pathway to antiretroviral therapy (ART) in a community setting has not been described. In this study, 67 men newly diagnosed with HIV across three service models were analysed. The median time to ART was 30, 29.5 and 38 days (P=0.29) at a peer-led community testing site intervention group, in a historical control group and in an urban publicly funded sexual health service respectively. In a community setting, the inclusion of BLHIVI has the potential to reduce the time to early ART initiation...
November 2, 2018: Sexual Health
Paul J Wright, Ekra Miezan, Chyng Sun, Nicola J Steffen
Background: This study assessed perceptions of pornography as a source of sexual information and condomless sex among a heterosexual sample of sexually active adult pornography consumers in England. Methods: Participants were drawn from an anonymous online survey of culture and sexuality. Results: There was no association between perceiving pornography as a source of sexual information and condomless sex among participants who were in monogamous relationships. Conversely, perceiving pornography as a source of sexual information was associated with condomless sex among participants who were not in monogamous relationships...
October 19, 2018: Sexual Health
Elizabeth Peach, Chris Lemoh, Mark Stoove, Paul Agius, Carol El Hayek, Nasra Higgins, Margaret Hellard
Background: In Australia, new HIV diagnoses increasingly occur among people who do not report male-to-male sex. Among migrants, it is not clear what proportion acquired infection before migration. Similarly, among Australian-born people, it is not clear what proportion acquired infection in-country. There is a need to better understand the epidemiology of HIV in people who do not report male-to-male sex. Methods: Victorian public health surveillance data were used to classify migrants as having likely acquired HIV before or after arrival to Australia using a CD4 cell count decline method to estimate date of infection...
October 15, 2018: Sexual Health
Ayse Kilic, Sevinc Tastan, Hatice Ayhan, Memnun Seven, Birhan Tastan
Background: The aim of this methodological study was to assess the reliability and validity of the Sexual Quality of Life - Male (SQoL-M) questionnaire translated and adapted to measure the sexual quality of life of men in Turkey and Northern Cyprus. Methods: To assess the reliability and validity of the Turkish version of the SQoL-M questionnaire, in January and February 2017 we formed a sample of 128 men from Ankara, Turkey, and Girne, Northern Cyprus, to complete the questionnaire. Two weeks later, 65 of these men completed the questionnaire during a retest...
October 8, 2018: Sexual Health
Peter J W Saxton, Sunita Azariah, Richard A Franklin, Rose F Forster, Suzanne F Werder, Renee Jenkins, Jason M Myers, Joseph G Rich, Whatitiri P Te Wake, Mark D Fisher
Background: In New Zealand, pre-exposure prophylaxis (PrEP) should target gay and bisexual men (GBM), and equity is an important principle. Baseline characteristics of GBM offered PrEP in a demonstration project with an enrolment quota of 50% non-Europeans are described. Methods: An open-label, single-arm treatment evaluation study design ('NZPrEP') was used. The settings were four publicly funded sexual health clinics in Auckland in 2017. The study population was 150 GBM recruited from clinics, community sources and social media...
October 2, 2018: Sexual Health
Nabaraj Adhikari, Saraswati Adhikari, Nordino Ibraimo Sulemane
Background: Sexual behaviour of young people is one of the major public health issues. This is because adolescent people may involve themselves in risky sexual behaviour such as practising sex at an early age, having multiple sexual partners, having sex while under the influence of alcohol or drugs, and unprotected sexual behaviours. The objective of this study was to explore the premarital sexual behaviours among higher secondary school students in Pokhara Sub-Metropolitan City. Methods: This survey adopted a design of an institution-based descriptive cross-sectional study...
October 2, 2018: Sexual Health
Alexandra Coor, Precious Esie, Patricia J Dittus, Emilia H Koumans, Joseph Kang, Melissa A Habel
Background: Approximately 19million students attend post-secondary institutions in the US. With rates of sexually transmitted infections (STIs) at unprecedented highs, the college and university setting can provide the opportunity to engage young adults in their sexual health and deliver recommended services. The purpose of this study was to compare the provision of sexual health services at US college and university health centres across studies conducted in 2001 and 2014. Methods: We compared data from nationally representative surveys administered by the Centers for Disease Control and Prevention (2001, n=736 schools; 2014, n=482 schools), assessing the provision of services, including STI diagnosis and treatment, contraception, STI education, condom distribution and availability of health insurance...
September 27, 2018: Sexual Health
Kaan Z Apaydin, Andy Nguyen, Lori Panther, Derri L Shtasel, Sannisha K Dale, Christina P C Borba, Christopher S Lathan, Kenneth Mayer, Alex S Keuroghlian
Background: Anal cancer is a rare malignancy that disproportionately affects men who have sex with men (MSM) and HIV-infected people. Anal cancer is associated with human papillomavirus (HPV) in upward of 90% of cases and is preceded by pre-cancerous changes in cells of the anal canal. High-resolution anoscopy (HRA) is used for the detection, treatment and continued monitoring of anal dysplasia. Practice guidelines regarding anal cancer prevention vary by jurisdiction and institution, and patient engagement is low for high-risk populations such as MSM...
September 24, 2018: Sexual Health
Paris Stowers, Aneesa Thannickal, Martha Wojtowycz, Jodi Wallis, Zevidah V Reiss
Anaesthesiologists are vital to abortion access in the US. An online survey of 215 anaesthesiology residents assessed attitudes towards abortion. Among the surveyed residents, first-trimester abortion was more acceptable than second-trimester abortion (P < 0.001). Few respondents objected to abortion in cases of fetal anomalies or maternal health indications. Further, 77.3% of surveyed residents reported past participation in abortion procedures, including 77.8% of residents with objections to abortion in some circumstances...
September 24, 2018: Sexual Health
Linda A Selvey, Claudia Slimings, Emma Adams, Justin Manuel
Introduction: Despite a range of interventions, annual numbers of new diagnoses of HIV infection among men who have sex with men (MSM) in Australia have not declined in recent years. Peer-based sexual health clinics targeting MSM, such as the M Clinic in Perth (WA, Australia), have been put in place to provide safe sex counselling and to increase testing rates among MSM and who are at high risk of HIV infection. The aim of this study was to assess the incidence of HIV, chlamydia and gonorrhoea among men attending the M Clinic...
September 21, 2018: Sexual Health
Mizue Kanai, Yuzo Arima, Tomoe Shimada, Narumi Hori, Takuya Yamagishi, Tomimasa Sunagawa, Yuki Tada, Takuri Takahashi, Makoto Ohnishi, Tamano Matsui, Kazunori Oishi
Background: In Japan, congenital syphilis (CS) notifications have increased recently. However, little is known about the CS cases or the clinical and sociodemographic characteristics of the patients' mothers. Methods: Twelve cases of CS were reported through national surveillance in the period March-December 2016, and the mothers of seven patients were included in this study. The patients' mothers and physicians completed a self-administered questionnaire, providing sociodemographic and clinical information of the patients and their mothers...
September 21, 2018: Sexual Health
Ioannis Hodges-Mameletzis, Shona Dalal, Busisiwe Msimanga-Radebe, Michelle Rodolph, Rachel Baggaley
In September 2015, the World Health Organization (WHO) launched evidence-based guidelines by recommending that any person at substantial HIV risk should be offered oral pre-exposure prophylaxis (PrEP) containing tenofovir disoproxil fumarate (TDF) as an additional prevention choice. Since 2017, PrEP medicines have also been listed in the WHO's Essential Medicines List, including TDF/emtricitabine (FTC) and TDF in combination with lamivudine (3TC). A descriptive policy review and analysis of countries adopting WHO's 2015 recommendation on oral PrEP was conducted...
November 2018: Sexual Health
Rosalind Coleman
Commitment to ambitious and time-bound targets for HIV interventions has been part of the response from the beginning of the HIV epidemic. The Joint United Nations Programme on HIV/AIDS (UNAIDS) HIV primary prevention workA is built on five pillars that include offering pre-exposure prophylaxis (PrEP) to population groups at substantial risk of HIV infection. After a slow start, countries are now setting coverage targets for PrEP, but the weakness of epidemiological, demographic and behavioural data at subnational level in many countries where there is a high burden of new HIV infections, makes it difficult to define the locations and populations where to offer PrEP...
November 2018: Sexual Health
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