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Sexual Health

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https://www.readbyqxmd.com/read/28297634/australian-gay-and-bisexual-men
#1
Garrett Prestage, Benjamin Bavinton, Denton Callander, Steven P Philpot, Iryna Zablotska, Johann Kolstee, Phillip Keen, Jack Bradley, Fengyi Jin
Background: Among gay and bisexual men (GBM), 'serosorting' is common and involves restricting sex, or at least condomless sex, to partners of the same HIV status. The prevalence of men conveying their serosorting preferences regarding partners they meet online remains unclear. Methods: This study reviewed 57178 Australian online profiles obtained directly from a popular gay website. Logistic regression was used to identify factors associated with preferences for meeting HIV-positive partners. Results: Men could indicate their preferences from a list of 22 types of partners; 4358 profiles (7...
March 16, 2017: Sexual Health
https://www.readbyqxmd.com/read/28297632/increasing-yield-of-pharyngeal-chlamydia-trachomatis-among-male-gay-and-bisexual-clinic-attendees-in-sydney-an-observational-study
#2
Sian Louise Goddard, Preethi Rajagopal, David James Templeton
Background: The aim of the present study was to describe the temporal trends in Chlamydia trachomatis (CT) testing yield among gay and bisexual male (GBM) sexual health clinic attendees in Sydney. Methods: All CT testing occasions among GBM from January 2011 to December 2014 were reviewed. Yield was defined as the proportion of testing occasions where CT was detected. Results: In all, 2917 GBM were tested on 5445 occasions. CT was detected on 439 (8.1%; 95% confidence interval (CI) 7.4-8.8%) occasions. Pharyngeal, urethral and anorectal CT were detected on 74 (1...
March 16, 2017: Sexual Health
https://www.readbyqxmd.com/read/28259201/sex-education-findings-from-the-second-australian-study-of-health-and-relationships
#3
Anna Yeung, Peter Aggleton, Juliet Richters, Andrew Grulich, Richard de Visser, Judy M Simpson, Chris Rissel
In a national telephone-based survey, information on sexual behaviour and outcomes were collected from 20091 randomly selected Australians in 2012-13. Data were weighted and analysed to determine the proportion of those who had received school-based sex education and to examine the associations between sex education and sexual health outcomes, specifically a history of a sexually transmissible infection (STI), early pregnancy, contraception use at first sex, and level of STI knowledge. Just over half the respondents (53%; n=19836) reported receiving sex education that included information about condoms and contraception...
March 6, 2017: Sexual Health
https://www.readbyqxmd.com/read/28166053/2020-sexually-transmissible-infections-and-hiv-in-gay-bisexual-and-other-men-who-have-sex-with-men
#4
Christopher K Fairley, Garett Prestage, Kyle Bernstein, Kenneth Mayer, Mark Gilbert
This editorial accompanies a series of papers dealing with this watershed period for HIV and sexually transmissible infections (STI) infections in gay, bisexual and other men who have sex with men (GBM). We are delighted to share with you the views of some international opinion leaders on what the future may hold and what challenges lie ahead. In this issue of the Journal, authors describe current HIV and STI incidence among GBM and predict the future.
February 7, 2017: Sexual Health
https://www.readbyqxmd.com/read/28160786/advancing-health-equity-for-lesbian-gay-bisexual-and-transgender-lgbt-people-through-sexual-health-education-and-lgbt-affirming-health-care-environments
#5
Alex S Keuroghlian, Kevin L Ard, Harvey J Makadon
Lesbian, gay, bisexual and transgender (LGBT) people face pervasive health disparities and barriers to high-quality care. Adequate LGBT sexual health education for emerging health professionals is currently lacking. Clinical training programs and healthcare organisations are well poised to start addressing these disparities and affirming LGBT patients through curricula designed to cultivate core competencies in LBGT health as well as health care environments that welcome, include and protect LGBT patients, students and staff...
February 6, 2017: Sexual Health
https://www.readbyqxmd.com/read/28160785/undiagnosed-hepatitis-b-and-c-infection-is-rare-in-sydney-gay-and-bisexual-men-attending-a-community-hiv-testing-site
#6
John Lockwood, James Gray, Christine Selvey
This letter reports on an enhanced surveillance snapshot of hepatitis B and C at a men who have sex with men community testing site in inner Sydney. The finding show undiagnosed hepatitis B and C infection is rare in this population of gay and bisexual men. Evidence of immunity to hepatitis B through vaccination is high, however client knowledge of vaccination status is poor. Current targeted hepatitis screening practices were sufficient to detect all undiagnosed cases of hepatitis B and C in this population...
February 6, 2017: Sexual Health
https://www.readbyqxmd.com/read/28160783/prevalence-of-hiv-among-aboriginal-and-torres-strait-islander-australians-a-systematic-review-and-meta-analysis
#7
Simon Graham, Catherine C O'Connor, Stephen Morgan, Catherine Chamberlain, Jane Hocking
Background: Aboriginal and Torres Strait Islanders (Aboriginal) are Australia's first peoples. Between 2006 and 2015, HIV notifications increased among Aboriginal people; however, among non-Aboriginal people, notifications remained relatively stable. This systematic review and meta-analysis aims to examine the prevalence of HIV among Aboriginal people overall and by subgroups. Methods: In November 2015, a search of PubMed and Web of Science, grey literature and abstracts from conferences was conducted. A study was included if it reported the number of Aboriginal people tested and those who tested positive for HIV...
February 6, 2017: Sexual Health
https://www.readbyqxmd.com/read/28132666/chlamydia-retesting-and-retest-positivity-rates-results-from-a-state-wide-laboratory-data-linkage-study-in-tasmania-2012-13
#8
Nicola Stephens, David Coleman, Kelly Shaw, Maree O'Sullivan, Alistair McGregor, Louise Cooley, Alison Venn
Background: Chlamydia re-infection increases the likelihood of adverse long-term sequelae. Clinical guidelines recommend retesting at 3-12 months for individuals with positive results, to detect re-infections. Retesting and test positivity levels were measured in young people who previously tested positive for chlamydia infection. Methods: All chlamydia tests conducted during 2012-13 in Tasmanian residents aged 15-29 years were linked. Retesting and retest positivity rates were calculated by sex, age, socioeconomic indicators and test timeframe...
January 30, 2017: Sexual Health
https://www.readbyqxmd.com/read/28104040/sexual-health-knowledge-and-behaviour-of-young-sudanese-queenslanders-a-cross-sectional-study
#9
Judith Dean, Marion Mitchell, Donald Stewart, Joseph Debattista
Background: Forced migration is associated with sexual vulnerability. However, little is known about the sexual health literacy and needs of refugee-background youth post resettlement. Methods: Conducted in partnership with the Queensland Sudanese community, this study used a cross-sectional survey to explore the sexual health knowledge, attitudes and behaviours of a convenience sample of 16- to 24-year-old Sudanese-background youth in Australia (n=229). Results: Sexually transmissible infection (STI) and HIV knowledge scores were generally low, although they were found to significantly improve the longer participants had lived in Australia (P<0...
January 20, 2017: Sexual Health
https://www.readbyqxmd.com/read/28080947/hiv-testing-intervention-development-among-men-who-have-sex-with-men-in-the-developed-world
#10
Paul Flowers, Claudia Estcourt, Pam Sonnenberg, Fiona Burns
HIV testing is a 'gateway' technology, enabling access to treatment and HIV prevention. Biomedical approaches to prevention, such as pre-exposure prophylaxis and treatment as prevention, require accurate and regular HIV test results. HIV testing also represents a powerful 'teachable moment' for behavioural prevention. An increasing range of HIV tests and the emergence of self-managed diagnostic technologies (e.g. self-testing) means there is now considerable diversification of when, where and how results are available to those who test...
January 13, 2017: Sexual Health
https://www.readbyqxmd.com/read/28063466/sexuality-related-attitudes-significantly-modulate-demographic-variation-in-sexual-health-literacy-in-tasmanian-university-students
#11
Steve Simpson, Christine Clifford, Michael G Quinn, Kaz Ross, Neil Sefton, Louise Owen, Leigh Blizzard, Richard Turner
Background: It has previously been shown that there is a significant demographic variation in sexual health literacy (SHL) in university-level students in Tasmania, Australia. Aims: The aim of this study was to evaluate the effect of statistical adjustment for sexuality-related attitudes on this demographic variation in SHL. Methods: Iterated principal-factor analysis was used to evaluate latent variable grouping of responses to 21 attitudinal questions regarding sexuality and sexual behaviour. Linear regression was used to evaluate the distribution and determinants of attitudinal patterns and thence the relationship of these patterns to SHL...
January 9, 2017: Sexual Health
https://www.readbyqxmd.com/read/28063463/need-for-more-research-on-and-health-interventions-for-transgender-people
#12
Yeimer Ortiz-Martínez, Carlos Miguel Ríos-González
Background: Recently, lesbian, gay, bisexual, and transgender (LGBT) scientific production is growing, but transgender (TG) people is less considered in the LGBT-related research, highlighting the lack of representative data on this neglected population. Methods: To assess the current status of scientific production on TG population, a bibliometric study was performed using the articles on TG people deposited in five databases, including PubMed/Medline, Scopus, Science Citation Index (SCI), Scientific Electronic Library Online (SciELO) and Latin American and Caribbean Health Sciences Literature (LILACS)...
January 9, 2017: Sexual Health
https://www.readbyqxmd.com/read/28063461/acceptability-of-self-sampling-in-portuguese-women-the-good-the-bad-or-the-ugly
#13
Jani Silva, Fátima Cerqueira, Rui Medeiros
Background: Self-sampling is a less costly approach that has been used for human papillomavirus (HPV) testing. Methods: A cross-sectional study involving 313 Portuguese women assessed the acceptability of cervicovaginal self-sampling. Results: Self-sampling was a well-accepted method [75.7%; 95% confidence interval (CI) 70.5-80.2], and the majority of women felt no pain (67.4%; 95% CI 61.9-72.5), no discomfort (70.9%; 95% CI 65.5-75.8) and no complexity (76.4%; 95% CI 71.2-80.9). The willingness to repeat self-sampling was high (89...
January 9, 2017: Sexual Health
https://www.readbyqxmd.com/read/28063460/managing-two-decades-of-visceral-leishmaniasis-and-hiv-co-infection-a-case-report-that-illustrates-the-urgent-research-needs-in-the-field
#14
Melissa L Kelly, Angie N Pinto, Dan Suan, Debbie Marriott, David A Cooper, Sarah L Pett
Visceral leishmaniasis and HIV co-infection presents diagnostic, monitoring and treatment challenges. This is a report of a co-infected patient who developed multiple complications and treatment side-effects, including renal and liver failure, pancytopenia with recurrent sepsis, along with anal cancer, depression and poor quality-of-life spanning over two decades. Urgent research specific to this cohort is needed.
January 9, 2017: Sexual Health
https://www.readbyqxmd.com/read/28055823/mental-health-in-2020-for-men-who-have-sex-with-men-in-the-united-states
#15
Abigail W Batchelder, Steven Safren, Avery D Mitchell, Ivan Ivardic, Conall O'Cleirigh
Despite continued advances in HIV prevention and treatment, gay and bisexual men and other men who have sex with men (MSM) remain the population most impacted by HIV/AIDS in the US and many other Western countries. Additionally, MSM are disproportionately affected by various psychological problems, including depression, distress, trauma and substance use. These challenges frequently co-occur, and are associated with higher rates of behaviours related to HIV acquisition and transmission, HIV infection, and, for those living with HIV/AIDS, lower levels of treatment engagement...
January 6, 2017: Sexual Health
https://www.readbyqxmd.com/read/28055822/global-travel-and-hiv-sti-epidemics-among-msm-what-does-the-future-hold
#16
Veronica C Lee, Patrick S Sullivan, Stefan D Baral
Infectious disease epidemics occur within dynamic systems and environments that shape risk and, ultimately, the spread of infectious diseases. Gay men and other men who have sex with men (MSM) are disproportionately impacted by HIV everywhere in the world. Several emerging trends present risks for sustained or increased HIV acquisition and transmission, and the growth of global travel in the context of emerging online platforms for social/sexual networking is discussed here. Four factors associated with travel that could potentiate HIV transmission are highlighted: different patterns of sexual risk behaviours during travel; the growth of online tools to meet sex partners more efficiently; the global heterogeneity of HIV strains; and the potential for diassortative mixing of men from high- and low-HIV prevalence areas...
January 6, 2017: Sexual Health
https://www.readbyqxmd.com/read/27977387/exploring-the-role-of-sex-seeking-apps-and-websites-in-the-social-and-sexual-lives-of-gay-bisexual-and-other-men-who-have-sex-with-men-a-cross-sectional-study
#17
Kiffer G Card, Nathan J Lachowsky, Zishan Cui, Susan Shurgold, Maya Gislason, Jamie I Forrest, Ashleigh J Rich, David Moore, Eric Roth, Robert S Hogg
Background: The objective of this study was to explore the relationship between online sex-seeking, community/social attachment and sexual behaviour. Methods: Respondent-driven sampling was used to recruit 774 sexually active gay and bisexual men in Vancouver, Canada, aged ≥16 years. Multivariable logistic regression compared men who had used online sex-seeking apps/websites in the past 6 months (n=586) with those who did not (n=188). Results: Multivariable results showed that online sex seekers were more likely to be younger [adjusted odds ratio (aOR)=0...
December 16, 2016: Sexual Health
https://www.readbyqxmd.com/read/27977386/stigma-gay-men-and-biomedical-prevention-the-challenges-and-opportunities-of-a-rapidly-changing-hiv-prevention-landscape
#18
Graham Brown, William Leonard, Anthony Lyons, Jennifer Power, Dirk Sander, William McColl, Ronald Johnson, Cary James, Matthew Hodson, Marina Carman
Improvements in biomedical technologies, combined with changing social attitudes to sexual minorities, provide new opportunities for HIV prevention among gay and other men who have sex with men (GMSM). The potential of these new biomedical technologies (biotechnologies) to reduce HIV transmission and the impact of HIV among GMSM will depend, in part, on the degree to which they challenge prejudicial attitudes, practices and stigma directed against gay men and people living with HIV (PLHIV). At the structural level, stigma regarding gay men and HIV can influence the scale-up of new biotechnologies and negatively affect GMSM's access to and use of these technologies...
December 16, 2016: Sexual Health
https://www.readbyqxmd.com/read/27914484/comparing-non-occupational-post-exposure-prophylaxis-drug-regimens-for-hiv-insights-from-a-linked-hiv-surveillance-system
#19
Anna B Pierce, Carol El-Hayek, Damien McCarthy, Jude Armishaw, Kerrie Watson, Anna Wilkinson, Brian Price, Edwina J Wright, Jennifer F Hoy, Mark A Stoové
Background: International non-occupational post-exposure prophylaxis (NPEP) guidelines recommend routine use of three drug NPEP regimens, despite absence of evidence for greater prevention efficacy compared with two drug regimens. This study examines the potential for excess HIV seroconversions among high-risk men who have sex with men (MSM) reporting receptive anal intercourse with a source of unknown HIV serostatus (RAIU) following a two-drug versus a three-drug NPEP regimen. Methods: Data for MSM in the Victorian NPEP service database between 10 August 2005 and 31 December 2012 were linked with all Victorian HIV notifications up to 31 December 2013...
December 5, 2016: Sexual Health
https://www.readbyqxmd.com/read/27914483/self-reported-testing-and-treatment-histories-among-older-australian-men-and-women-who-may-be-at-risk-of-a-sexually-transmissible-infection
#20
Wendy Heywood, Anthony Lyons, Bianca Fileborn, Victor Minichiello, Catherine Barrett, Graham Brown, Sharron Hinchliff, Sue Malta, Pauline Crameri
Background: Rates of sexually transmissible infections (STIs) are increasing among older adults in many countries. Little is known about the testing and treatment histories of these populations. Correlates of testing in the past 5 years among older adults who may be at risk of a STI were examined. Methods: A cross-sectional survey of 2137 Australians aged 60+ years that involved questions on STIs and STI testing was conducted in 2015. To help inform potential education campaigns, analyses focused on those who may have been at risk of a STI (n=805, 38%)...
December 5, 2016: Sexual Health
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