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Sexual Health

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https://www.readbyqxmd.com/read/27883311/hiv-testing-self-efficacy-is-associated-with-higher-hiv-testing-frequency-and-perceived-likelihood-to-self-test-among-gay-and-bisexual-men
#1
Muhammad S Jamil, Rebecca J Guy, Benjamin R Bavinton, Christopher K Fairley, Andrew E Grulich, Martin Holt, Kirsty S Smith, Marcus Chen, Anna M McNulty, Damian P Conway, Phillip Keen, Jack Bradley, Darren Russell, John M Kaldor, Garrett Prestage
Background: Regular testing of individuals at higher-risk of HIV is central to current prevention strategies. The aim of the present study was to examine the extent to which confidence in one's perceived ability to undertake various aspects of HIV testing and self-testing (self-efficacy) affected HIV testing outcomes. We assessed factors, including self-efficacy, associated with HIV testing frequency and the likelihood to self-test among gay and bisexual men (GBM). Methods: Participants were HIV-negative GBM at an increased risk of HIV (more than five partners or condomless anal intercourse in the previous 3 months) enrolled in a randomised controlled trial of HIV self-testing...
November 25, 2016: Sexual Health
https://www.readbyqxmd.com/read/27883310/daily-diary-study-of-adult-men
#2
Devon J Hensel, Fei He, Jarek Harezlak, J Dennis Fortenberry
Background: Understanding people's sexual motivations has long been of public health and health promotion interest. We used daily diaries to examine how adult men's and women's event-specific affective sexual motivations were linked to the types and combinations of sexual behaviours chosen in a given sexual event. Methods: Adult men (n=156) and women (n=192) completed thrice-daily electronic diaries assessing individual- and partner-specific attributes and non-coital or coital sexual behaviours. Sexual motivations were: interest in sex, feeling in love with partner, wanted to have sex and partner wanted to have sex...
November 25, 2016: Sexual Health
https://www.readbyqxmd.com/read/27883309/likely-impact-of-pre-exposure-prophylaxis-on-hiv-epidemics-among-men-who-have-sex-with-men
#3
Iryna B Zablotska
Rapid developments in the field of HIV pre-exposure prophylaxis (PrEP) with antiretrovirals offer a promise to bring HIV transmission among gay and other men who have sex with men (MSM) to zero by 2030. This review evaluates studies, which modelled the impact of PrEP on HIV diagnoses, and discusses the progress towards PrEP implementation. Studies in English, conducted after 2010 among MSM in countries of the Organization for Economic Cooperation and Development (OECD) were reviewed. Six modelling studies were included, three of which had been conducted outside the US...
November 25, 2016: Sexual Health
https://www.readbyqxmd.com/read/27832580/trends-and-predictors-of-recent-hiv-testing-over-22-years-among-a-clinic-sample-of-men-who-have-sex-with-men-in-south-australia
#4
Bin Li, Peng Bi, Alison Ward, Charlotte Bell, Christopher K Fairley
Increasing the frequency of HIV testing is crucial for effective HIV prevention and care. The aim of the present study was to determine whether there has been a change in HIV testing among men who have sex with men (MSM) at the South Australia Specialist Sexual Health (SASSH) clinic over the past two decades. Methods: Computerised medical records of MSM who attended the SASSH at their first visit between 1994 and 2015 were used to determine whether HIV testing had changed among MSM. First HIV tests in each calendar year and return tests within 12 months were analysed...
November 11, 2016: Sexual Health
https://www.readbyqxmd.com/read/27832579/screening-and-management-of-risk-factors-for-cardiovascular-disease-in-hiv-positive-patients-attending-an-australian-urban-sexual-health-clinic
#5
Sheena Kakar, Douglas Drak, Tahiya Amin, Jason Cheung, Catherine O'Connor, David Gracey
Background: Few data exist regarding cardiovascular risk among HIV-infected patients attending sexual health clinics (SHC) in Australia. Methods: The medical records of 188 patients attending an inner-city SHC between August 2013 and July 2014 were retrospectively reviewed for cardiovascular risk factors and associated screening and management practices. Results: Cardiovascular risk factors were common among attendees of the SHC, including smoking (38%), hypertension (14%) and dyslipidaemia (11%). Of the 188 patients, 23% reported using potentially cardiotoxic recreational drugs, 25% of dyslipidaemic patients were not on therapy and 10% of patients were hypertensive; none were prescribed treatment...
November 11, 2016: Sexual Health
https://www.readbyqxmd.com/read/27817793/experience-of-domestic-violence-routine-screening-in-family-planning-nsw-clinics
#6
Tara Hunter, Jessica R Botfield, Jane Estoesta, Pippa Markham, Sarah Robertson, Kevin McGeechan
Background: This study reviewed implementation of the Domestic Violence Routine Screening (DVRS) program at Family Planning NSW and outcomes of screening to determine the feasibility of routine screening in a family planning setting and the suitability of this program in the context of women's reproductive and sexual health. Methods: A retrospective review of medical records was undertaken of eligible women attending Family Planning NSW clinics between 1 January and 31 December 2015. Modified Poisson regression was used to estimate prevalence ratios and assess association between binary outcomes and client characteristics...
November 7, 2016: Sexual Health
https://www.readbyqxmd.com/read/27764650/high-chlamydia-and-gonorrhoea-repeat-positivity-in-remote-aboriginal-communities-2009-2011-longitudinal-analysis-of-testing-for-re-infection-at-3-months-suggests-the-need-for-more-frequent-screening
#7
Linda Garton, Amalie Dyda, Rebecca Guy, Bronwyn Silver, Skye McGregor, Belinda Hengel, Alice Rumbold, Debbie Taylor-Thomson, Janet Knox, Lisa Maher, John Kaldor, James Ward
Background: Extremely high rates of diagnosis of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) have been recorded in remote communities across northern and central Australia. Re-testing at 3 months, after treatment administered, of CT or NG is recommended to detect repeat infections and prevent morbidity and ongoing transmission. Methods: Baseline CT and NG laboratory data (2009-2010) from 65 remote health services participating in a cluster randomised trial was used to calculate the proportion of individuals re-tested after an initial CT or NG diagnosis at <2 months (not recommended), 2-4 months (recommended) and 5-12 months and the proportion with repeat positivity on re-test...
October 21, 2016: Sexual Health
https://www.readbyqxmd.com/read/27764649/uptake-and-trends-in-ordering-of-funded-hepatitis-b-immunisation-for-priority-populations-in-victoria-australia-2013-2014
#8
Jennifer H MacLachlan, Benjamin C Cowie
Background: The Department of Health and Human Services in Victoria provides funded hepatitis B vaccine to many priority groups at risk of acquiring infection. We aimed to determine the uptake of vaccine ordering for at-risk groups over time, to assess any trends and identify any gaps in prevention of hepatitis B for those at risk. Methods: Routinely collected administrative data regarding the indication for vaccine ordered by practitioners were analysed for the period June 2013 to December 2014. Number of doses and courses distributed was determined and compared with the estimated size of the priority populations...
October 21, 2016: Sexual Health
https://www.readbyqxmd.com/read/27764648/preliminary-evidence-of-hiv-seroconversion-among-hiv-negative-men-who-have-sex-with-men-taking-non-prescribed-antiretroviral-medication-for-hiv-prevention-in-miami-florida-usa
#9
Mance E Buttram, Steven P Kurtz
Background: Limited information suggests that men who have sex with men (MSM) are informally obtaining antiretroviral medication (ARVs) and using them for HIV pre-exposure prophylaxis (PrEP). Methods: Data are drawn from an on-going study examining the use of non-prescribed ARVs for PrEP. To date, 24 qualitative interviews have been conducted with HIV-negative, substance-using MSM living in Miami, Florida, USA. Data are presented from two participants who reported HIV seroconversion while using non-prescribed ARVs for PrEP...
October 21, 2016: Sexual Health
https://www.readbyqxmd.com/read/27712618/sexual-transmission-of-hepatitis-c-virus-among-gay-and-bisexual-men-a-systematic-review
#10
Fengyi Jin, Gail V Matthews, Andrew E Grulich
A systematic review was performed on the evidence of sexual transmission of hepatitis C virus (HCV) in gay and bisexual men (GBM). Studies conducted in industrialised countries and published in English from 2000 to 2015 with data on HCV in GBM were included. Pooled estimates of prevalence and incidence of HCV infection were stratified by study settings and participants' HIV status using random effect models. Case-series reports were summarised descriptively. Of the 38 cross-sectional studies, the pooled HCV prevalence was substantially higher in HIV-positive men (8...
October 7, 2016: Sexual Health
https://www.readbyqxmd.com/read/27712617/what-is-the-extent-of-repeat-prescriptions-for-post-exposure-prophylaxis-for-hiv-after-sexual-exposure-among-men-who-have-sex-with-men-in-the-uk
#11
Carrie Llewellyn, Harriet Martin, Eileen Nixon
People who repeatedly present for post-exposure prophylaxis (PEP) for prevention of HIV following a high-risk sexual exposure are of concern according to the British HIV Association PEP guidelines. The aim of this audit was to determine the extent of repeat PEP prescriptions for men who have sex with men (MSM) by conducting a retrospective review of patient notes from a 5-year period at one genitourinary medicine clinic. Over the 5 years, 107 of 929 MSM (11.5%; 95% confidence interval: 9.45-13.55) received more than one PEP prescription (repeat range 1-8; mean=3...
October 7, 2016: Sexual Health
https://www.readbyqxmd.com/read/27712616/the-future-of-drugs-recreational-drug-use-and-sexual-health-among-gay-and-other-men-who-have-sex-with-men
#12
Kane Race, Toby Lea, Dean Murphy, Kiran Pienaar
There are complex historical connections between sexual minoritisation and desires to chemically alter bodily experience. For gay men, drug and alcohol use can be a creative or experimental response to social marginalisation - and not necessarily a problematic one in every instance. Numerous studies have found that infection with HIV and other sexually transmissible infections (STIs) is more likely among gay and men who have sex with men (MSM) who use recreational drugs than those who do not, but the causal nature of these relations is uncertain...
October 7, 2016: Sexual Health
https://www.readbyqxmd.com/read/27712614/seasonal-variation-in-gonorrhoea-incidence-among-men-who-have-sex-with-men
#13
Bin Li, Peng Bi, Eric P F Chow, Basil Donovan, Anna McNulty, Alison Ward, Charlotte Bell, Christopher K Fairley
Background: After reviewing urethral gonorrhoea cases among men who have sex with men (MSM) at the South Australia Specialist Sexual Health (SASSH) in Adelaide, Australia, we noticed peaks of gonorrhoea among MSM occurred predominantly in the first quarter of the year (January-March). The aim of this study was to formally test this hypothesis against data from a similar period at three sexual health services, one each in Adelaide, Melbourne and Sydney. Methods: This study was a retrospective analysis of computerised records at the three Australian sexual health services...
October 7, 2016: Sexual Health
https://www.readbyqxmd.com/read/27712613/exploring-attitudes-towards-sexting-of-young-people-a-cross-sectional-study
#14
Megan S C Lim, Alyce M Vella, Danielle R Horyniak, Margaret E Hellard
Background: Sexting is a common emerging phenomenon. This study aims to explore young people's attitudes towards sexting. Methods: Participants (n=469, age range 15-29 years) were recruited at a music festival and self-completed a questionnaire. Attitudes towards sexting were assessed using a series of seven statements, rated on a five-point Likert scale from 'strongly agree' to 'strongly disagree'. Correlates of sexting attitudes were determined using multivariable regression. Results: Forty-six percent of respondents reported ever sexting...
October 7, 2016: Sexual Health
https://www.readbyqxmd.com/read/27712612/prevalence-of-oral-human-papillomavirus-in-men-attending-an-italian-sexual-health-clinic
#15
Francesco Drago, Astrid Herzum, Giulia Ciccarese, Roberto Bandelloni
A high-risk population, formed by 79 consecutive male attendees of our sexually transmissible infections clinic, and who did not have any overt signs of human papillomavirus (HPV) infection, were examined. Oral HPV prevalence (37%) was much higher than previously reported. Periurethral HPV-DNA was found in 49% of the patients and anal HPV-DNA was found in 43% of the patients. Considering the high prevalence of oral HPV obtained in the current study, it is important to further investigate the burden of oral HPV, not only in men who have sex with men, but also in heterosexual men and in women...
October 7, 2016: Sexual Health
https://www.readbyqxmd.com/read/27712610/contextual-factors-in-geosocial-networking-smartphone-application-use-and-engagement-in-condomless-anal-intercourse-among-gay-bisexual-and-other-men-who-have-sex-with-men-who-use-grindr
#16
William C Goedel, Dustin T Duncan
Background: Geosocial-networking smartphone applications (apps) have been used increasingly by men who have sex with men (MSM) to meet new sexual partners. The purpose of this study was to examine associations between contexts of app use (e.g. using apps when drinking) and condomless anal intercourse among a sample of MSM who use these apps. Methods: MSM (n=174) in New York City were recruited through Grindr, a geosocial-networking app popular among MSM, using broadcast advertisements asking MSM to complete an Internet-based survey about their app use and sexual behaviours...
October 7, 2016: Sexual Health
https://www.readbyqxmd.com/read/27658180/human-papillomavirus-vaccination-in-men-who-have-sex-with-men-what-will-be-required-by-2020-for-the-same-dramatic-changes-seen-in-heterosexuals
#17
Christopher K Fairley, Huachun Zou, Lei Zhang, Eric P F Chow
This paper addresses the issue of whether men who have sex with men (MSM) will share the spectacular reductions in human papillomavirus (HPV) infection and its associated neoplasia that we are currently witnessing in heterosexuals. The reproductive rate for HPV infection in heterosexuals is not well established, but 70% vaccination coverage in women has resulted in a fall of more than 90% in genital warts and HPV types 16/18 in young women and 80% fall in young men indicating that the critical vaccination threshold has been exceeded for this group...
September 23, 2016: Sexual Health
https://www.readbyqxmd.com/read/27658018/hiv-related-stigma-and-discrimination-in-the-new-zealand-healthcare-setting-a-mixed-methods-study
#18
Susan Mundt, Simon Briggs
Background: People living with HIV (PLHIV) assume that healthcare workers have an adequate knowledge of HIV and expect that they will be treated with respect and compassion in the healthcare setting. Despite the remarkable advances in HIV treatment in the past two decades, PLHIV have continued to experience HIV-related stigma and discrimination by healthcare workers worldwide. The aim of this study was to explore the prevalence and nature of stigma and discrimination experienced by PLHIV in the healthcare setting in New Zealand...
September 23, 2016: Sexual Health
https://www.readbyqxmd.com/read/27608066/neisseria-gonorrhoeae-isolated-from-an-unexpected-site
#19
Stella Pendle, Timothy Barnes
We describe a case of Neisseria gonorrhoeae isolated from a nipple piercing wound in a homosexual man with pharyngeal gonococcal carriage.
September 9, 2016: Sexual Health
https://www.readbyqxmd.com/read/27607764/sexually-transmissible-infection-and-hiv-prevention-and-treatment-for-young-male-sex-workers-in-vietnam-findings-from-the-sheath-intervention
#20
Michael C Clatts, Lloyd A Goldsamt, Lê Minh Giang, Lê Quốc Bảo, Gary Yu, Donn Colby
Background: Urban centres in Vietnam have high rates of HIV infection, especially among men who have sex with men (MSM). A subgroup of MSM, young male sex workers (YMSW), are at especially high risk due to concurrent sex with multiple male and female partners, low levels of knowledge regarding HIV and sexually transmissible infection (STI) transmission, and limited engagement with health services, including STI and HIV screening and treatment. Methods: A targeted intervention (SHEATH) derived from Harm Reduction and Sexual Health Promotion intervention technology was implemented in an out-of-treatment population of YMSW in Hanoi and Ho Chi Minh City (n=919)...
September 9, 2016: Sexual Health
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