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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
Brian R Wood, Maren S Mann, Natalia Martinez-Paz, Kenton T Unruh, Mary Annese, David H Spach, John D Scott, Joanne D Stekler
Background: Pre-exposure prophylaxis (PrEP) is an effective tool to prevent HIV infection for at-risk individuals, but access requires medical providers to be aware of and comfortable with prescribing PrEP. Project ECHO (Extension for Community Healthcare Outcomes) was started to support hepatitis C virus treatment in rural New Mexico, but has since expanded to train health practitioners to treat other medical conditions in other locations. Methods: In 2012, a Project ECHO telehealth program was launched to mentor community HIV practitioners in our region...
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
Heather-Marie A Schmidt, Ruthy McIver, Rebecca Houghton, Christine Selvey, Anna McNulty, Rick Varma, Andrew E Grulich, Joanne Holden
There is little evidence and no standardised model for nurse-led HIV pre-exposure prophylaxis (PrEP). In 2016, public sexual health clinics in the state of New South Wales (NSW), Australia, participating in the population-scale PrEP access trial Expanded PrEP Implementation In Communities in New South Wales (EPIC-NSW) were authorised to adopt a nurse-led model of PrEP provision in order to facilitate the rapid expansion of PrEP access to more than 8000 participants in under 2 years without additional resources...
September 27, 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
Nicolo Girometti, Sheena McCormack, Emma Devitt, Keerti Gedela, Nneka Nwokolo, Sheel Patel, Tara Suchak, Alan McOwan, Gary Whitlock
Screening and treatment of sexually transmissible infections, including HIV, are free in the UK nations; pre-exposure prophylaxis (PrEP) became free in England in October 2017 through the PrEP Impact trial. Doctor-led PrEP clinics started at 56 Dean Street in September 2015, with the drug purchased privately at full price. The service was expanded to other staff to support initiation and monitoring of increasing numbers of attendees purchasing PrEP from online pharmacies. Nonetheless, when the clinic was given a target of 1700 for the PrEP Impact trial, it was clear this could not be achieved in a timely manner through 56 Dean Street alone...
September 25, 2018: Sexual Health
Nittaya Phanuphak, Thanthip Sungsing, Jureeporn Jantarapakde, Supabhorn Pengnonyang, Deondara Trachunthong, Pravit Mingkwanrungruang, Waraporn Sirisakyot, Pattareeya Phiayura, Pich Seekaew, Phubet Panpet, Phathranis Meekrua, Nanthika Praweprai, Fonthip Suwan, Supakarn Sangtong, Pornpichit Brutrat, Tashada Wongsri, Panus Rattakittvijun Na Nakorn, Stephen Mills, Matthew Avery, Ravipa Vannakit, Praphan Phanuphak
Background: No data are available on the feasibility of pre-exposure prophylaxis (PrEP) delivered by trained key population (KP) community health workers. Herein we report data from the KP-led Princess PrEP program serving men who have sex with men (MSM) and transgender women (TGW) in Thailand. Methods: From January 2016 to December 2017, trained MSM and TGW community health workers delivered same-day PrEP service in community health centres, allowing clients to receive one PrEP bottle to start on the day of HIV-negative testing...
September 25, 2018: Sexual Health
Rayner Kay Jin Tan, Alvin Kuo Jing Teo, Nashwinder Kaur, Jack Harrison-Quintana, Mark I-Cheng Chen, Chen Seong Wong
Background: HIV pre-exposure prophylaxis (PrEP) is currently offered by several public and private clinics at unsubsidised prices in Singapore, but to date, no information is available on the effect of these services. This study sought to assess the knowledge and uptake of, and willingness to use PrEP among gay, bisexual and other men who have sex with men (GBMSM) in Singapore. Methods: Recruitment was conducted through Grindr®, a geosocial networking application for GBMSM. Results were quantitatively analysed through descriptive statistics and multivariate Poisson regression models, while open-ended responses were qualitatively coded and categorised...
September 25, 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
Derek T Dangerfield, Nina T Harawa, Charles McWells, Charles Hilliard, Ricky N Bluthenthal
Background: HIV testing, treatment initiation and treatment adherence have been emphasised for Black men who have sex with men (BMSM). However, many BMSM do not get tested, obtain HIV treatment or adhere to treatment. It is essential to highlight barriers to HIV testing, treatment adherence and the ideal components for an intervention: peer mentors, socioeconomic resources and participant incentives. Methods: Five focus groups (n = 24) were conducted among HIV-negative and HIV-positive BMSM aged ≥18 years in Los Angeles, California, USA to explore motivations and barriers to testing and treatment and the components of an ideal, culturally competent HIV testing intervention for BMSM...
September 6, 2018: Sexual Health
Rosalind Foster, Lynne McCormack, Caroline Thng, Handan Wand, Anna McNulty
Background: Previous studies have described inconsistent condom use in Chinese- and Thai-speaking female sex workers in Sydney, Australia. In the present study, we describe the demographics and safe sexual practices in the Chinese- and Thai-speaking female sex workers attending the Sydney Sexual Health Centre (SSHC) in 2014-15. Methods: A self-completed 60-item anonymous questionnaire, adapted from previous surveys conducted in 1993 and 2003, was translated into Chinese and Thai and administered to female sex workers attending the SSHC or seen on outreach...
August 22, 2018: Sexual Health
Kalysha Closson, Rachel Vickers Smith, Gbolahan Olarewaju, Richard Crosby
Background: In the USA, young Black gay, bisexual or other men who have sex with men (YBMSM) bear the largest burden of HIV incidence. The aim of this study is to examine the independent associations between economic dependency on a sexual partner and several HIV risk behaviours and sexual health outcomes among YBMSM living in Jackson, Mississippi, USA. Methods: Baseline data from 589 YBMSM, with a median age of 22.0 years (IQR = 15-25) participating in a brief sex-positive HIV and STI prevention intervention, were used to measure the association between six sexual behaviours, sexually transmissible infections (STIs) status at baseline and economic dependence...
August 16, 2018: Sexual Health
Megan S C Lim, Margaret E Hellard, Danielle Horyniak
Background: Media, including fiction novels, influences health behaviours in women's lives. This research measures the prevalence of sexual content and explores the portrayal of sexual health topics in 'chick lit', a genre of fiction characterised by neoliberal feminism. Methods: Fifty bestselling chick lit novels were identified from the book-related website, Goodreads. Information was extracted on sexual encounters taking place: characters involved, behaviours depicted, references to contraception and other (un)safe sex practices...
July 27, 2018: Sexual Health
Soheila Nazarpour, Masoumeh Simbar, Hamid Alavi Majd, Fahimeh Ramezani Tehrani
Background: The adverse effects of menopause on sexual function could be mitigated by pelvic floor muscle (PFM) training. This study aimed to investigate the effects of PFM exercises on sexual function in postmenopausal women. Methods: A randomised clinical trial was conducted among 97 Iranian postmenopausal women, aged 40 to 60 years. The participants' baseline sexual functions were assessed using the Female Sexual Function Index (FSFI) questionnaire. They were then randomly designated to two groups: (1) the intervention group, which received specific instructions on PFM exercises and was followed up on a weekly basis; and (2) the control group, which received general information on menopause...
July 27, 2018: Sexual Health
Ivan Gentile, Ferdinando Fusco, Antonio Riccardo Buonomo, Riccardo Scotto, Emanuela Zappulo, Biagio Pinchera, Francesco Persico, Gianluigi Califano, Guglielmo Borgia, Nicola Longo
Background: Approximately 300million people are affected by hepatitis B virus (HBV) or hepatitis C virus (HCV) infection worldwide. Erectile dysfunction (ED) is a frequent condition that impairs the quality of life and can be associated with several chronic disorders (type 2 diabetes mellitus, atherosclerosis, depression). Few studies have evaluated the prevalence of ED in patients with HBV and HCV chronic infection. The aim of this study was to evaluate the prevalence and the risk factors of ED in a cohort of patients with HBV or HCV-related chronic liver diseases...
July 26, 2018: Sexual Health
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