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Sexual Health

Manik Kohli, Ford Hickson, Caroline Free, David Reid, Peter Weatherburn
Background: Illicit drug use among men who have sex with men (MSM) has been associated with sexual risk and HIV. Less is documented about associations with other sexually transmissible infections (STIs). The aim of the present study was to determine whether the use of drugs commonly associated with chemsex is associated with increased risk of gonorrhoea among MSM. Methods: Using data from 16065 UK-based respondents to the European MSM Internet Survey (2010), we examined associations between a recent diagnosis of gonorrhoea and three chemsex drugs (crystal methamphetamine, γ-hydroxybutyric acid (GHB)/γ-butyrolactone (GBL) and mephedrone)...
February 14, 2019: Sexual Health
Vickie Knight, Rebecca Guy, Anna McNulty, Handan Wand
Background: HIV infection in gay and bisexually active men (GBM) is an international public health concern and increasing HIV testing frequency is an important prevention goal. In this study we assessed the effect of introducing the Xpress clinic on repeat HIV testing in high-risk GBM in Sydney, Australia. Methods: The study population consisted of higher-risk (>5 male partners in the preceding 3 months) HIV-negative GBM attending the Sydney Sexual Health Centre for HIV screening between 1 October 2009 and 31 December 2013 (12 months before Xpress was introduced and 3 years after)...
February 11, 2019: Sexual Health
Vanessa M McMahan, Aleks Martin, Lindsay Garske, Lauren R Violette, Michele P Andrasik, Jared M Baeten, Caleb Banta-Green, Joanne D Stekler
Background: Cisgender men and transgender individuals who have sex with men (MSM/TG) and use methamphetamine are at elevated risk for HIV and have had limited pre-exposure prophylaxis (PrEP) uptake. The aim of this study was to quantify the knowledge and use of PrEP, identify barriers to PrEP use, and develop a targeted educational campaign to promote PrEP among MSM/TG who use methamphetamine. Methods: We conducted three consultations with peer educators of Project Needle and Sex Education Outreach Network (NEON) to develop and disseminate educational materials...
February 11, 2019: Sexual Health
Minh Nguyen, Giang M Le, Hanh T T Nguyen, Hinh Duc Nguyen, Jeffrey D Klausner
Background: Vietnam currently has no antenatal screening program for curable sexually transmissible infections (STIs). The aim of this study was to determine the prevalence of curable STIs, correlates of infections and assess the acceptability and feasibility of antenatal STI screening in Hanoi, Vietnam. Methods: A study involving 800 pregnant women visiting Ha Dong Hospital in Hanoi, Vietnam from June 2016 to July 2017, was conducted. Participants provided either a self-collected vaginal swab or urine sample to be screened for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Trichomonas vaginalis (TV)...
February 11, 2019: Sexual Health
Richard A Crosby, Leandro Mena, Rachel Vickers Smith
Background: The aim of this study was to determine the 3-month efficacy of a single-session, clinic-based intervention promoting condom use for anal and oral sex among HIV-uninfected Black young men who have sex with men (YBMSM). Methods: A pre-post test randomised controlled trial (RCT) was conducted from 2012 to 2015 using a 3-month period of observation. Recruitment and assessment occurred in sexually transmissible infection (STI) clinics. Men were randomised to either the intervention condition (n=142) or a standard-of-care control condition (n=135)...
February 6, 2019: Sexual Health
Jenny K R Francis, Sara E Landers, Carmen Radecki Breitkopf, Christine Mauro, Jane Chang, Marina Catallozzi, Susan L Rosenthal
Little is known about whether adolescent participation in sexual health research prompts adolescents and parents to have conversations about sensitive topics. One year after being presented with a hypothetical microbicide safety study, 248 adolescent-parent dyads were asked about conversations they may have had after their initial study visit. Sixty-three per cent of adolescents and 82% of parents reported having a conversation about the study. A launching conversation about broader topics (e.g. risk behaviours) was reported by 8% of adolescents and 17% of parents...
January 25, 2019: Sexual Health
Richard A Crosby, Cynthia A Graham, Stephanie A Sanders, William L Yarber, Marija V Wheeler, Robin R Milhausen, Virginia J Vitzhum
Background: The aim of this study was to test the hypothesis that receptive partners in penile-vaginal intercourse (PVI) who exercise independent decision making over condom use during menses do so to avert sexually transmissible infection (STI) transmission or acquisition. Methods: Data were collected through a partnership with Clue, the industry-leading female health app. A brief web-based questionnaire was developed, translated into 10 languages, and made accessible via a URL link sent to Clue users and posted on social media...
January 11, 2019: Sexual Health
Mark Gilbert, Warren Michelow, Joshun Dulai, Daniel Wexel, Trevor Hart, Ingrid Young, Susan Martin, Paul Flowers, Lorie Donelle, Olivier Ferlatte
Background: HIV risk and prevention information is increasingly complex and poses challenges for gay, bisexual and other men who have sex with men (GBMSM) seeking to find, understand and apply this information. A directed content analysis of Canadian HIV websites to see what information is provided, how it is presented and experienced by users, was conducted. Methods: Eligible sites provided information relevant for GBMSM on HIV risk or prevention, were from community or government agencies, and were aimed at the public...
January 9, 2019: Sexual Health
Peter J W Saxton, Susan M McAllister
Background: Pre-exposure prophylaxis (PrEP) became publicly funded in New Zealand (NZ) on 1 March 2018. PrEP could have a substantial population-level effect on HIV transmission if scaled up rapidly. An accurate estimate of the size of the PrEP-eligible population would guide implementation. Methods: We drew on nine sources to estimate the PrEP-eligible population, namely Statistics NZ data, Pharmaceutical Management Agency (PHARMAC) data on adults receiving funded antiretroviral treatment (ART), expert advice, estimates of the HIV care cascade, surveillance of undiagnosed HIV in a community sample of gay and bisexual men (GBM), surveillance of HIV diagnoses, NZ Health Survey data on sexual orientation among males, behavioural surveillance among GBM and behavioural data among people living with HIV (PLWH) from the HIV Futures NZ study...
January 9, 2019: Sexual Health
Ingrid L Laemmle-Ruff, Michelle Raggatt, Cassandra J C Wright, Elise R Carrotte, Angela Davis, Rebecca Jenkinson, Megan S C Lim
Background: Personal and partner pornography viewing may affect health and wellbeing. This study aimed to improve understanding of the effects of pornography on mental health and body image, given emerging evidence of increasing use, particularly among young people. Methods: A cross-sectional survey was implemented, targeting people who had accessed health and fitness content via social media. Convenience sampling was used and participants were recruited via advertising on social media. Results: Overall, 76% (75/99) of women reported having ever viewed pornography, and 21% had viewed pornography frequently (monthly/weekly/daily) in the prior 12 months...
January 7, 2019: Sexual Health
Nathan J Lachowsky, Kiffer G Card, Zishan Cui, Paul Sereda, Eric A Roth, Robert S Hogg, David M Moore
Background: Agreement between sexual behaviour recall measures among gay, bisexual and other men who have sex with men (GBM) in Vancouver, Canada was examined. Methods: Study participants were sexually active GBM aged ≥16 years recruited via respondent-driving sampling (RDS). Participants completed a computer-assisted self-interview survey, including individual-level period prevalence (last 6 months) and sexual event-level (last sex with each of the five most recent partners) measures. RDS-weighted kappa statistics assessed the agreement between these types of data across five different sexual risk outcomes, stratified by self-identified HIV status and other demographic factors (age, education, race/ethnicity)...
December 20, 2018: Sexual Health
Tiffany Phillips, Christopher K Fairley, Sandra Walker, Eric P F Chow
Background: Rates of gonorrhoea continue to rise among men who have sex with men (MSM) in Australia and worldwide. Recently, it has been proposed that oropharyngeal gonorrhoea may play a role in its onward transmission and that mouthwash use may be an effective intervention for gonorrhoea prevention and control. The objective of this study was to determine the association between specific oral sex practices and frequency of mouthwash use. Methods: A questionnaire-based study was conducted among MSM attending the Melbourne Sexual Health Centre in Australia from March to September 2015...
December 18, 2018: Sexual Health
Vickie Knight, Colleen Nugent, Rebecca Houghton, Kelly O'Reilly, Elizabeth Scally, Heng Lu
Background: Traditional result notification methods, such as telephone calls, return visits and individualised emails or Short Message Service (SMS) texts, can be time consuming and may not align with client preference. We conducted a cross-sectional survey of our clients that showed that many clients prefer negative results by SMS or email, with the option to call or attend in person for positive results. Methods: We developed an innovative result-robot module in the electronic medical record that reads the electronic result and, using predefined algorithms, determines which SMS or email result template to send to the client...
December 18, 2018: Sexual Health
Roman Sosnowski, Jan Karol Wolski, Urszula Ziętalewicz, Michał Szymański, Robert Bakuła, Tomasz Demkow
Background: Surgery is the standard treatment for organ-restricted penile cancer, but it is also a disfiguring procedure that can profoundly affect quality of life. Using a survey, in this study we assessed the effect of different surgical invasiveness on satisfaction in selected life domains of patients who underwent penile-sparing surgery and partial penectomy. Methods: Forty patients who underwent penile-sparing surgery (n=13) or partial penectomy (n=27) were enrolled in the study. The response rate was 71%...
December 12, 2018: Sexual Health
Joseph T Hicks, Lu-Yu Hwang, Sarah Baraniuk, Margaret White, Elizabeth Y Chiao, Nkechi Onwuka, Michael W Ross, Alan G Nyitray
Background: Men who have sex with men (MSM) are at greater risk of developing anal cancer caused by human papillomavirus (HPV) than the rest of the general population. Currently, there are no formal national guidelines in the US advising men how and when to get anal cancer screening. We sought to assess differences in demographics, familiarity and anxiety about anal cancer among men who report having had anal cancer screening (i.e. anal cytology and/or a digital anorectal examination (DARE)). Methods: MSM were recruited to participate in a study to assess the feasibility of teaching self and partner anal examinations as a means of screening for anal cancer...
December 6, 2018: Sexual Health
Jessica Datta, David Reid, Gwenda Hughes, Catherine H Mercer, Sonali Wayal, Peter Weatherburn
Background: Rates of sexually transmissible infections (STIs) have increased over recent years among gay men and other men who have sex with men (MSM) in England and Wales. HIV diagnoses remain high in this group and men with diagnosed HIV are disproportionally affected by STIs. MSM are therefore a priority for health promotion efforts to reduce STIs. Understanding awareness of and attitudes towards STIs is essential in developing health promotion interventions to reduce prevalence. Methods: Eight focus group discussions (FGDs) with a total of 61 MSM in four English cities included a ranking exercise to gauge how 'scary' participants thought 11 STIs are...
December 6, 2018: Sexual Health
Laia Fina, Amy L Phillips, Adam T Jones, Zoë M Couzens, Rachel Drayton, Daniel Rh Thomas, Ananda Giri Shankar
Background: Pre-exposure prophylaxis (PrEP) was introduced in Sexual Health Services of the Welsh National Health Service (NHS Wales) in July 2017 as a 3-year pilot service. Methods: Data were collected through the pre-existing Sexual Health in Wales Surveillance System, to which codes were added to capture PrEP eligibility, outcome of offer of PrEP, reasons for declining and adherence. Eligibility categories were defined based on nationally agreed criteria: men who have sex with men (MSM) and transgender people at high risk of HIV acquisition; partners of HIV-positive individuals not known to be virally suppressed; and heterosexuals reporting condomless intercourse with a HIV-positive individual not known to be virally suppressed...
December 3, 2018: Sexual Health
Bea Vuylsteke, Thijs Reyniers, Catherine Lucet, Christiana Nöstlinger, Jessika Deblonde, Agnes Libois, Anne-Sophie Sauvage, Edwinne Deprez, Jean-Christophe Goffard, Sabine D Allard, Eric Florence, Rémy Demeester, Steven Callens, Marie Laga
Background: Since 1 June 2017, oral pre-exposure prophylaxis (PrEP) could be prescribed and reimbursed in Belgium as prophylactic medication for people who are at increased risk of HIV acquisition. The aim of this study was to determine the uptake of daily and event-driven PrEP in Belgium during the first 9 months of roll-out. Methods: Routine aggregated data on the number of reimbursement requests and the number of boxes of Truvada (Gilead Sciences, Cambridge, UK) delivered for PrEP through the Belgian pharmacies were obtained from the National Institute for Health and Disability Insurance...
November 30, 2018: Sexual Health
Rusi Jaspal, Barbara Lopes, Zahra Jamal, Carmen Yap, Ivana Paccoud, Parminder Sekhon
Background: Black and minority ethnic (BME) men who have sex with men (MSM) face a major burden in relation to HIV infection. Using a cross-sectional correlational survey design, the present study explored the relationships between HIV knowledge and reported sexual health and sexual behaviour in this population. Methods: A convenience sample of 538 BME MSM was recruited in London, Leicester and Leeds: 346 (64%) self-identified as South Asian, 88 (16%) self-identified as Latin American, 76 (14%) self-identified as Black, 13 (2%) self-identified as mixed, and 15 (3%) self-identified as other...
November 27, 2018: Sexual Health
Denton Callander, Rebecca Guy, Christopher K Fairley, Hamish McManus, Garrett Prestage, Eric P F Chow, Marcus Chen, Catherine C O Connor, Andrew E Grulich, Christopher Bourne, Margaret Hellard, Mark Stoové, Basil Donovan
Background: Gonorrhoea notifications continue to rise among gay and bisexual men in Australia and around the world. More information is needed on infection trends, accounting for testing and complimented by demographics and risk practices. Methods: A retrospective cohort analysis was undertaken using repeat gonorrhoea testing data among gay and bisexual men from 2010 to 2017, which was extracted from a network of 47 sexual health clinics across Australia. Poisson and Cox regression analyses were used to determine temporal trends in gonorrhoea incidence rates, as well as associated demographic and behavioural factors...
November 9, 2018: Sexual Health
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