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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
Anindita Dasgupta, Niranjan Saggurti, Mohan Ghule, Elizabeth Reed, Balaiah Donta, Madhusudana Battala, Saritha Nair, Julie Ritter, Velhal Gajanan, Jay Silverman, Anita Raj
Background: The existing literature on the intersection between women's reports of spousal intimate partner violence (IPV) and contraceptive use in South Asia is conflicted. Results vary based on method of contraception use and form of violence (physical or sexual), and few examine the relationship between IPV and various methods of modern spacing contraceptive (MSC) use. This study examines associations between IPV and MSC use among a sample of married, not-currently pregnant couples in rural Maharashtra, India (n=861)...
July 26, 2018: Sexual Health
Christopher Bourne, Meeyin Lam, Christine Selvey, Rebecca Guy, Denton Callander
Background: In Australia, testing and treatment for HIV and other sexually transmissible infections (STIs) is usually managed in general practice, while publicly funded sexual health clinics (PFSHC) attract people at higher risk for infection. The proportion of HIV and STI diagnoses in New South Wales (NSW) occurring in PFSHC stratified by priority population was investigated. Methods: From 2010 to 2014, NSW notification frequencies for chlamydia, gonorrhoea, infectious syphilis, and HIV were compared with the number of diagnoses in PFSHC...
July 16, 2018: Sexual Health
Yan Zheng Daniel Lim, Wei Jie Nicholas Hong, Guo Yuan How, Andrew Arjun Sayampanathan, Sheng Hao Joshua Lim, Meng Kam Richard Lee, Balasubramanian Srilatha, P Ganesan Adaikan
This study assesses the validity of a single-question screener for erectile dysfunction (ED) in men at risk in comparison to a standard validated tool - the five-item version of the International Index of Erectile Function (IIEF-5). A total of 174 men with at least one risk factor for ED were studied, with 58.0% and 10.9% of the study respondents meeting the criteria for their erectile impairment by IIEF-5 and single-question screener respectively. Our results suggest that in spite of high feasibility, a simplified, single-question screener has low sensitivity in capturing ED prevalence, even in an at-risk population, within the Asian context...
July 16, 2018: Sexual Health
Robert Needleman, Eric P F Chow, Janet M Towns, Vincent J Cornelisse, Tim Z T Yang, Marcus Y Chen, Catriona S Bradshaw, Ria Fortune, Christopher K Fairley
Background: On 26 July 2016, Victoria began a large study of HIV pre-exposure prophylaxis, called PrEPX, that involved the creation of around 2600 appointments over 3 months across multiple sites in Melbourne, Australia. At this time, the Melbourne Sexual Health Centre (MSHC) appeared to have a larger demand on its services. The aim of the present study was to determine whether this apparent increase in demand was substantially different from other demand fluctuations. Methods: Patients presenting to the MSHC from 2014 to 2016 were reviewed...
July 5, 2018: Sexual Health
David Priest, Tim R H Read, Marcus Y Chen, Catriona S Bradshaw, Christopher K Fairley, Eric P F Chow
Background: Mathematical models have demonstrated that the majority of gonococcal transmission is from oropharynx to oropharynx (i.e. kissing) among men who have sex with men (MSM). The aim of this study is to investigate the association between the number of partners within specific time periods and gonorrhoea and chlamydia positivity. Methods: This was a retrospective data analysis of MSM attending the Melbourne Sexual Health Centre between 2007 and 2016. Univariable and multivariable logistic regression analyses, with generalised estimating equations (GEE), were performed to determine if the number of partners within specified time periods was associated with site-specific gonorrhoea and chlamydia positivity...
July 5, 2018: Sexual Health
Eric P F Chow, John B Carlin, Tim R H Read, Marcus Y Chen, Catriona S Bradshaw, Jun K Sze, Christopher K Fairley
Background: The number of sexual partners is one of the most important risk factors for sexually transmissible infections (STIs), including HIV. The aim of the present study was to examine the association between declining to report the number of partners using computer-assisted self-interviewing (CASI) and HIV or STI positivity at a public sexual health centre in Melbourne, Australia, in 2016. Methods: Individuals were categorised into three risk populations: women, men who have sex with women only (MSW) and men who have sex with men (MSM)...
July 3, 2018: Sexual Health
Carmen H Logie, Kathleen S Kenny, Ashley Lacombe-Duncan, Ying Wang, Kandasi Levermore, Nicolette Jones, Tyrone Ellis, Annecka Marshall
BACKGROUND: Men who have sex with men (MSM) are at elevated risk for sexually transmissible infection (STI) acquisition globally. Yet, limited research has explored STI testing practices among MSM in contexts where same-sex practices are criminalised, such as in Jamaica. METHODS: A cross-sectional, tablet-based survey with MSM in Kingston, Ocho Rios and Montego Bay, Jamaica, was conducted. Multivariable logistic regression analyses were conducted to determine the adjusted risk ratio for lifetime STI testing and lifetime STI diagnosis...
June 21, 2018: Sexual Health
Larissa Lewis, Julie Mooney Somers, Rebecca Guy, Lucy Watchirs-Smith, S Rachel Skinner
Background: There are wide variations in the reported prevalence of exposure to sexual content online, but the literature tends not to distinguish between intended and unintended exposure. Moreover, there is little research exploring the pathways through which exposure occurs or descriptions of such content. While there is much public concern regarding exposure to sexual content, Australian students receive little or no education on mitigating the effect of sexual content online. Methods: Eleven focus group discussions with high school students aged 14-18 years were conducted to discover young people's experiences of exposure to sexual content in social media...
June 21, 2018: Sexual Health
Anne M Rompalo, Neko Castleberry, Lea Widdice, Jay Schulkin, Charlotte A Gaydos
Background: Point-of-care tests (POCTs) for reproductive health conditions have existed for decades. Newer POCTs for syphilis, HIV and trichomonas are currently available and easy to use. We surveyed practicing obstetricians and gynaecologists to determine current POCT use and perceived obstacles to use. Methods: Between June and August 2016, 1000 members of the American College of Obstetricians and Gynecologists were randomly selected and invited to complete a Qualtrics (222 West river Park Drive, Provo, Utah 84604, USA) survey; 600 of these were members of the Collaborative Ambulatory Research Network...
June 19, 2018: Sexual Health
Guoyu Tao, Kwame Owusu-Edusei, Eleanor Fridman, Maria Aslam, Abigail H Viall, Patricia Dietz, Thomas L Gift
We used the 2013 Medicaid Analytic eXtract (MAX) database to estimate chlamydia testing rates separately for sexually active women aged 15-25 years who had, or had not, given birth in 2013. Approximately 9.2% of sexually active women aged 15-25 years gave birth in 2013. The Healthcare Effectiveness Data Information Set (HEDIS) annual chlamydia testing rate was significantly higher among women who had given birth than women who had not in 2013 (59.7 vs 29.4%, P<0.05). Our findings suggest a need for more research to understand how differences in population mix changes and preventive screening practices for pregnant and non-pregnant women affect publicly reported chlamydia screening rates...
June 4, 2018: Sexual Health
H Rhodes Hambrick, Su Hyun Park, Joseph J Palamar, Anthony Estreet, John A Schneider, Dustin T Duncan
The use of inhaled nitrites, or poppers, among men who have sex with men (MSM) is prevalent, yet has been associated with HIV seroconversion. We surveyed 580 MSM from a geosocial networking smartphone application in Paris, France, in 2016. Of the respondents, 46.7% reported popper use within the previous 3 months. Regression models adjusted for sociodemographic characteristics found that the use of poppers was significantly (P<0.05) associated with the following during the prior 3 months: condomless anal intercourse (adjusted relative risk (aRR) 1...
June 1, 2018: Sexual Health
Georgia Ride, Danielle C Newton
Background: There is a lack of research on young people with physical disabilities' access to sexual and reproductive health (SRH) services in Australia. Research has found that there are attitudinal, physical and communication barriers for people with disability, in general, accessing health services, including SRH services. This paper explores key informant perceptions of the barriers and enablers to young people with physical disabilities accessing SRH services in Australia. Methods: This research used a qualitative approach and involved semi-structured interviews with key informants...
June 1, 2018: Sexual Health
Caitlin H Douglass, Cassandra J C Wright, Angela C Davis, Megan S C Lim
Background: Technology-facilitated sexual harassment is an emerging phenomenon. This study investigates correlates of sexual harassment among young Australians. Methods: Participants aged 15-29 were recruited for an online survey. Participants reported how often in the past year they experienced sexual harassment in person, via phone, social media and dating apps. Correlates of in-person and technology-facilitated sexual harassment were identified using logistic regression. Results: Of all participants (n=1272, 70% female), two-thirds reported sexual harassment in person, 34% through social media and 26% via phone...
June 1, 2018: Sexual Health
Lao-Tzu Allan-Blitz, Kelika A Konda, Silver K Vargas, Xiaoyan Wang, Eddy R Segura, Boris M Fazio, Gino M Calvo, Carlos F Caceres, Jeffrey D Klausner
Background Syphilis incidence worldwide has rebounded since 2000, particularly among men who have sex with men (MSM). A predictive model for syphilis infection may inform prevention counselling and use of chemoprophylaxis. METHODS: Data from a longitudinal cohort study of MSM and transgender women meeting high-risk criteria for syphilis who were followed quarterly for 2 years were analysed. Incidence was defined as a four-fold increase in rapid plasma reagin (RPR) titres or new RPR reactivity if two prior titres were non-reactive...
June 2018: Sexual Health
Eric Chow, Somesh Gupta, Matthew Hogben
No abstract text is available yet for this article.
June 2018: Sexual Health
Stephanie L Grossman, Rachel A Annunziato
Background Body hair removal is a behaviour that has become normative among women in Westernised cultures, and is presented by the media as the feminine ideal, despite being painful and a potential cause of infection. Of concern, removal may be part of a more global pattern of appearance dissatisfaction and risky sexual behaviour. The aim of the present study was to examine the relationships among pubic hair removal, body image and sexual health indicators. METHODS: Women (n=264; Mage=33...
June 2018: Sexual Health
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