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Sexual Health

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https://www.readbyqxmd.com/read/28701257/physician-testing-for-hiv-in-patients-treated-with-tenofovir-disoproxil-fumarate-and-lamivudine-monotherapy-for-hepatitis-b-virus
#1
Jillian S Y Lau, Dilip Ratnam, Ian Woolley
Previously we found that local patients were often not tested for HIV prior to commencing nucleoside/nucleotide reverse transcription inhibitor (NRTI) therapy for hepatitis B virus. We performed a national cross-sectional cohort study of physician practices via an online survey. A small majority (23/44; 52%) of participants reported always testing their hepatitis B virus patients for HIV prior to NRTI therapy, and 8/44 (18%) reported testing for HIV the majority of the time. Thirteen (30%) respondents reported testing only if risk factors were present...
July 13, 2017: Sexual Health
https://www.readbyqxmd.com/read/28697843/uriswab-an-effective-transport-medium-for-nucleic-acid-detection-of-chlamydia-trachomatis-mycoplasma-genitalium-and-neisseria-gonorrhoeae
#2
Anna-Maria G Costa, Suzanne M Garland, Rebecca Guy, Handan Wand, Sepehr N Tabrizi
Background: Patient self-sampling allows for remote collection and return to clinic or laboratory by post. Urine samples, although convenient, are challenging to post. This study evaluated UriSwab (Copan, Brescia, Italy) as a collection and transport vessel for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Mycoplasma genitalium (MG) detection by polymerase chain reaction, compared with flocked swab and neat urine. Methods: Five replicates of each specimen type were prepared from previously characterised urine samples (n=330), stored at room temperature (RT) or 37°C, then extracted on day 1, 3, 7, 10 and 16 (VERSANT kPCR Sample Prep System, Siemens, Munich, Germany)...
July 12, 2017: Sexual Health
https://www.readbyqxmd.com/read/28648150/trends-in-chlamydia-and-gonorrhoea-testing-and-positivity-in-western-australian-aboriginal-and-non-aboriginal-women-2001-2013-a-population-based-cohort-study
#3
Joanne Reekie, Basil Donovan, Rebecca Guy, Jane S Hocking, John M Kaldor, Donna B Mak, Sallie Pearson, David Preen, Handan Wand, James Ward, Bette Liu
Background: This study aimed to examine trends in chlamydia and gonorrhoea testing and positivity in Aboriginal and non-Aboriginal women of reproductive age. Methods: A cohort of 318002 women, born between 1974 and 1995, residing in Western Australia (WA) was determined from birth registrations and the 2014 electoral roll. This cohort was then probabilistically linked to all records of chlamydia and gonorrhoea nucleic acid amplification tests conducted by two large WA pathology laboratories between 1 January 2001 and 31 December 2013...
June 26, 2017: Sexual Health
https://www.readbyqxmd.com/read/28648149/attitudes-to-sexual-health-in-the-united-states-results-from-a-national-survey-of-youth-aged-15-25-years
#4
Matthew Hogben, Christopher Harper, Melissa A Habel, Kathryn Brookmeyer, Allison Friedman
Background: Several common global definitions of sexual health refer to physical, emotional and social well-being, with respect to sexuality, and also to the need for this well-being to be reflected for all individuals in relationships. How well sexual health definitions fit US youths' attitudes to sexual health, and associations between these attitudes, sexual behaviours and sexual health care were assessed. Methods: In total, 4017 youth aged between 15 and 25 years via an online survey panel, weighted to be representative of the US population, were surveyed...
June 26, 2017: Sexual Health
https://www.readbyqxmd.com/read/28641708/rates-of-advertised-condomless-sex-in-the-online-profiles-of-private-sex-workers-a-cross-sectional-study
#5
Edjoni Blackledge, Caroline Thng, Ruthy McIver, Anna McNulty
This study aimed to assess the level of condomless sex advertised online by private sex workers (PSW) in Sydney. In 2015, 750 online profiles of PSW, including 339 female, 53 male and 39 transgender PSWs, were reviewed. It was found that PSWs advertise protected anal and vaginal sex. However, 50% of female PSW advertised condomless oral sex. Age less than 25 years was associated with advertised condomless oral sex (odds ratio 1.56; 95% confidence interval 1.03-2.37; P=0.037). Online platforms are widely used for advertising, especially by female PSWs...
June 23, 2017: Sexual Health
https://www.readbyqxmd.com/read/28641707/analysis-of-transmitted-hiv-drug-resistance-from-2005-to-2015-in-victoria-australia-a-comparison-of-the-old-and-the-new
#6
Jodie D'Costa, Megan Gooey, Nicole Richards, Rizmina Sameer, Elaine Lee, Doris Chibo
Background: Baseline genotyping is part of standard-of-care treatment. It reveals that transmitted drug resistance (TDR) continues to be important for the management of HIV infection. Attention is typically focused on determining whether resistance to the protease inhibitors (PI) and reverse transcriptase inhibitors (RTI) occurs. However, the increasing use of integrase inhibitors (INIs) raises a concern that TDR to this class of antiretroviral drug may also occur. Methods: PI and RTI drug resistance genotyping was performed on blood samples collected between 2005 and 2015 from 772 treatment-naïve Victorian patients infected with HIV within the previous 12 months...
June 23, 2017: Sexual Health
https://www.readbyqxmd.com/read/28641073/gonorrhoea-testing-and-positivity-in-non-remote-aboriginal-community-controlled-health-services
#7
Mary Ellen Harrod, Sophia Couzos, James Ward, Mark Saunders, Basil Donovan, Belinda Hammond, Dea Delaney-Thiele, Mary Belfrage, Sid Williams, Lucy Watchirs Smith, John M Kaldor
Background: Gonorrhoea occurs at high levels in young Aboriginal and Torres Strait Islander people living in remote communities, but there are limited data on urban and regional settings. An analysis was undertaken of gonorrhoea testing and positivity at four non-remote Aboriginal Community Controlled Health Services participating in a collaborative research network. Methods: This was a retrospective analysis of clinical encounter data derived from electronic medical records at participating services. Data were extracted using the GRHANITE program for all patients aged 15-54 years from 2009 to 2013...
June 22, 2017: Sexual Health
https://www.readbyqxmd.com/read/28637581/how-partnership-type-and-hiv-seroconcordance-affect-hiv-transmission-risk-in-regular-sexual-partnerships-a-cross-sectional-survey-of-australian-gay-and-bisexual-men
#8
Benjamin R Bavinton, Andrew E Grulich, Duane Duncan, Iryna B Zablotska, Garrett P Prestage
Background: Regular sexual partnerships among gay and bisexual men (GBM) who practice condomless anal intercourse (CLAI) have not been well characterised in terms of partnership type, HIV seroconcordance and risk of HIV transmission. Primarily sexual regular partnerships, although commonly reported by gay men, have largely been ignored in research and HIV prevention. Among regular partners reporting CLAI with each other, we determined factors differentiating romantic or committed relationships from partnerships organised primarily around sex ('fuckbuddies') and estimated the proportion of CLAI presenting risk for HIV transmission...
June 22, 2017: Sexual Health
https://www.readbyqxmd.com/read/28637580/association-between-sexually-transmissible-infection-testing-numbers-of-partners-and-talking-to-partners-and-friends-about-sexual-health-survey-of-young-adults
#9
Natalie A Hendry, Graham Brown, Gary W Dowsett, Marina Carman
Background: Young adults, aged 18-30 years, comprise the largest proportion of sexually transmissible infection (STI) notifications in Australia compared with other age groups. Understanding the influence of partner and friendship networks on their STI testing practices may enhance health promotion efforts to increase testing for this group. Method: Participants aged 21-30 years, living in Australia for ≥3 years, were recruited within nightlife precincts in Melbourne, Australia. They completed a survey on demographic items, sexual health attitudes, sexual health knowledge and STI testing experiences and perceptions...
June 22, 2017: Sexual Health
https://www.readbyqxmd.com/read/28637579/abortion-findings-from-women-and-men-participating-in-the-understanding-fertility-management-in-contemporary-australia-national-survey
#10
Heather Rowe, Sara Holton, Maggie Kirkman, Christine Bayly, Lynne Jordan, Kathleen McNamee, John McBain, Vikki Sinnott, Jane Fisher
Background: There are few reliable Australian abortion data. The aim was to investigate prevalence, sexual experiences and socioeconomic characteristics of women and men who report having had or being a partner in an abortion. Methods: A cross-sectional survey of women and men aged 18-50 years randomly selected from the Australian Electoral Roll was used. Weighted multivariable analyses were conducted. Results: Data from 2235 returned (of 15480) mailed surveys were analysed. One in six women and one in 10 men had experienced or been a partner in an abortion...
June 22, 2017: Sexual Health
https://www.readbyqxmd.com/read/28618248/effect-of-attitudes-towards-patients-on-sexual-history-taking-a-survey-of-iranian-american-physicians-in-california-usa
#11
Mitra Rashidian, Victor Minichiello, Synnove F Knutsen, Mark Ghamsary
Background: Although obtaining sexual history from patients is essential, the attitudes of physicians can become a barrier to sexual health care. Iranian-American physicians may face particular challenges because talking about sexuality is considered a taboo within their culture. Our study examined these physicians' attitudes when taking a sexual history from their patients. Methods: In 2013, a self-administrated questionnaire was sent to 1550 Iranian-American physicians in California, USA. Using factor analysis, the principal components approach with a Varimax rotation was used on a set of 12-item questions (five-point Likert scales) to detect latent factors that explain attitudes affecting sexual history taking...
June 16, 2017: Sexual Health
https://www.readbyqxmd.com/read/28618247/contraception-what-about-the-men-experience-knowledge-and-attitudes-a-survey-of-2438-heterosexual-men-using-an-online-dating-service
#12
Mary Stewart, Todd Ritter, Deborah Bateson, Kevin McGeechan, Edith Weisberg
Background: There is little research on men's contraceptive knowledge, attitudes and beliefs, yet the male partner is known to influence contraceptive choices. This study investigates contraceptive experiences, knowledge, attitudes and beliefs of a sample of sexually active, heterosexual men via an online dating site. Methods: An anonymous online survey was sent to men who had logged onto an online dating site within the previous year. Results: We analysed 2438 survey responses. A contraceptive method was used at last intercourse for 82% of men <50 years old versus 69% of men ≥50 (P<0...
June 16, 2017: Sexual Health
https://www.readbyqxmd.com/read/28610653/prospective-cohort-study-of-childhood-behaviour-problems-and-adolescent-sexual-risk-taking-gender-matters
#13
S Rachel Skinner, Jennifer Marino, Susan L Rosenthal, Jeffrey Cannon, Dorota A Doherty, Martha Hickey
Background: Externalising (delinquent, aggressive) and internalising (anxious/depressed, withdrawn) behaviour problems are prevalent in childhood. Few studies have prospectively measured relationships between childhood behaviour problems and adolescent health risk behaviour, a major predictor of morbidity and mortality. This study sought to determine relationships, by gender, between childhood behaviour problems and adolescent risky sexual behaviours and substance use. Methods: In a population-based birth cohort [The Western Australian Pregnancy Cohort (Raine) Study], total, externalising and internalising behaviour problems (domain-specific T≥60) were calculated from parent-reported Child Behavior Checklist at ages 2, 5, 8, 10 and 14 years...
June 14, 2017: Sexual Health
https://www.readbyqxmd.com/read/28610650/testing-for-chlamydial-infection-are-we-meeting-clinical-guidelines-evidence-from-a-state-level-laboratory-data-linkage-analysis-for-15-to-29-year-olds
#14
Nicola Stephens, David Coleman, Kelly Shaw, Maree O' Sullivan, Alistair McGregor, Louise Cooley, Hassan Vally, Alison Venn
Background: Clinical guidelines recommend annual chlamydia tests for all sexually active people aged 15-29 years. This study measured adherence to these guidelines and compared testing rates to the projected levels required to reduce chlamydia prevalence. Methods: All chlamydia tests conducted in Tasmania during 2012-13, for residents aged 15-29 years, were linked. Data linkage allowed individuals who had multiple tests across different healthcare settings to be counted only once each year in analyses. Rates of testing and test positivity by age, sex, rebate status and socioeconomic indicators were measured...
June 14, 2017: Sexual Health
https://www.readbyqxmd.com/read/28606288/factors-associated-with-unwanted-sexual-experiences-of-young-australian-females-an-observational-study
#15
Asvini K Subasinghe, Yasmin L Jayasinghe, John D Wark, Alexandra Gorelik, Suzanne M Garland
Background: Behavioural and lifestyle factors associated with childhood unwanted sexual experiences (USE) have yet to be investigated in Australian females aged less than 18 years. Methods: Women aged 16-25 years living in Victoria were recruited via targeted advertising on Facebook. A web-based validated questionnaire was used to collect information on participant demographics, mental health, USE and sexual behaviours. Multivariable logistic regression was used to determine associations between a history of childhood (<16 years) and adolescent (16-18 years) USE and indices of sexual orientation...
June 13, 2017: Sexual Health
https://www.readbyqxmd.com/read/28591549/prevalence-and-correlates-of-condom-use-among-sexually-active-men-who-have-sex-with-men-in-the-united-states-findings-from-the-national-survey-of-family-growth-2002-2006-10-and-2011-13
#16
Winston E Abara, Emeka Oraka, William L Jeffries, Pollyanna Chavez, Muazzam Nasrullah, Elizabeth DiNenno
Background: Men who have sex with men (MSM) are disproportionately at risk of contracting HIV and other sexually transmissible infections (STIs). Correct and consistent condom use is the most effective method to prevent HIV and other STIs among sexually active MSM. Methods: Using data from the 2002, 2006-10, 2011-13 cycles of the National Survey of Family Growth (NSFG), the overall prevalence of condom use at last sex and by sexual risk behaviours (sex with ≥2 same-sex partners, sex with ≥2 opposite sex partners, sex with a person who injects drugs, sex with an HIV-positive person and exchanged sex for money or drugs) among sexually active MSM (reported oral or anal sex with a male in the preceding 12 months) was estimated...
June 8, 2017: Sexual Health
https://www.readbyqxmd.com/read/28591548/uk-healthcare-professionals
#17
Tom Nadarzynski, Carrie Llewellyn, Daniel Richardson, Alex Pollard, Helen Smith
Background: Female-only human papillomavirus (HPV) vaccination will fail to protect men who have sex with men (MSM) against HPV and its sequelae (i.e. genital warts and anal cancers). In the absence of gender-neutral HPV vaccination, targeted vaccination at sexual health clinics for MSM offers a valuable preventive opportunity. This study aimed to identify sexual healthcare professionals' (HCPs) perceived barriers and facilitators for MSM-targeted HPV vaccination. Methods: Nineteen telephone interviews with UK-based self-referred HCPs (13 doctors, three nurses, three health advisers) were conducted in October and November 2014...
June 8, 2017: Sexual Health
https://www.readbyqxmd.com/read/28578758/the-primary-health-care-of-transgender-adults
#18
Stuart Aitken
Gender dysphoria is associated with significant health disparity. Gender services perform specialised activities such as diagnosis, endocrine management and liaison with surgical services. Although providing these specialised transition services appears to be safe and improves well-being, significant health disparity remains. Engaging primary care providers is an important part of any strategy to improve the health care of transgender people. The relationships between gender dysphoria and a range of primary care issues such as mental health, cardiovascular disease and cancer are explored...
June 5, 2017: Sexual Health
https://www.readbyqxmd.com/read/28578756/sexual-risk-behaviours-associated-with-unlicensed-driving-among-young-adults-in-miami
#19
Mance E Buttram, Steven P Kurtz, Roddia J Paul
Literature indicates that unlicensed driving (UD) offenders report substance use risk behaviours, yet data related to sexual risk behaviours is unknown. This study examined sexual and other risk behaviours among young adults in Miami, Florida, comparing UD and non-UD offenders (n=498). Compared with others, UD offenders were more likely to report group sex history, being high for sex half the time or more, purchasing sex and sexually transmissible infection history. Results suggest that locating sexual risk reduction interventions inside of the justice system would benefit UD offenders...
June 5, 2017: Sexual Health
https://www.readbyqxmd.com/read/28553997/partnership-agreements-less-likely-among-young-gay-and-bisexual-men-in-australia-data-from-a-national-online-survey-of-gay-and-bisexual-men
#20
Johann Kolstee, Steven Philpot, Jeffrey Grierson, Benjamin R Bavinton, Duane Duncan, Garrett Prestage
Background: How gay and bisexual men (GBM) establish partnership agreements may be affected by several factors, including age. The ability to communicate with a partner about sexual agreements has important sexual health implications for GBM. Objective: To assess differences in partnership agreements among GBM. Methods: We surveyed GBM about their partnerships using a national, anonymous online survey in 2013-14. We compared men who had monogamous partnerships with men who had non-monogamous partnerships, according to age and other factors...
May 30, 2017: Sexual Health
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