Should we change the focus of health promotion in sexual health clinics?

Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 407 ◽  
Author(s):  
Rudiger Pittrof ◽  
Elizabeth Goodburn
Keyword(s):  
Risk Factors ◽  
Health Promotion ◽  
Cost Effectiveness ◽  
Reproductive Health ◽  
Sexual Health ◽  
Sexual And Reproductive Health ◽  
Health Clinics ◽  
Unknown Risk ◽  
Sexual Health Clinics ◽  
The Cost

The effectiveness of sexual behaviour change interventions in sexual health clinics is unknown. Risk factors for poor sexual and reproductive health such as depression, violence, alcohol and smoking in sexual health clinics are all common and can be identified easily in sexual health services. Targeting these risk factors could be as effective as traditional sexual health promotion and could have additional benefits. The authors propose a pilot to assess the cost-effectiveness and acceptability of incorporating screening and interventions for these risk factors.

scholarly journals School-Based Health Clinics: Improving Adolescent Sexual and Reproductive Health in British Columbia – An Integrative Literature Review

2020 ◽  
Author(s):  
◽  
Carmen Schalles
Keyword(s):  
British Columbia ◽  
Reproductive Health ◽  
Health Services ◽  
Literature Review ◽  
Sexual Health ◽  
Sexual And Reproductive Health ◽  
Societal Implications ◽  
Health Clinics ◽  
School Based ◽  
Reproductive And Sexual Health

This integrative literature review strives to determine if the delivery of reproductive and sexual health services provided through high school-based primary care clinics can improve BC adolescent sexual and reproductive health. Adolescent sexual and reproductive health not only impacts life-long health; it also has significant societal implications. Although BC has begun to focus on adolescent health, innovative health service solutions are needed to improve adolescents’ health. Systematic search through the University of Northern British Columbia online library databases and Google scholar and the evaluation of the literature using CASP analysis tools resulted in the inclusion of 10 articles. Findings suggest school-based health clinics (SBHCs) decrease barriers that adolescents experience when accessing health services as well as public health system costs. Moreover, SBHCs are an effective mechanism to support adolescent reproductive and sexual health needs, especially in those populations with elevated levels of sexual and reproductive risk factors. However, for SBHCs to be effective, sustainable funding needs to be sourced, and barriers adolescents experience when accessing services need to be evaluated and addressed. SBHCs can complement current adolescent-friendly services to meet this unique population’s needs; however, further research is needed. More robust research on various demographics, health outcomes, and Canadian-based examination is required to strengthen SBHC implementation recommendations.

scholarly journals P3.070 Risk Factors and Prevalence of Chlamydia and Gonorrhoea in Public Health Sexual Health Clinics in Hamilton, ON

2013 ◽  
Vol 89 (Suppl 1) ◽  
pp. A170.1-A170
Author(s):  
G Hovhannisyan ◽  
C Lee ◽  
S Hogg-Johnson ◽  
S Bondy ◽  
M Millson
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Sexual Health ◽  
Health Clinics ◽  
Sexual Health Clinics

Should we change the focus of health promotion in sexual health clinics?

Sexual Health ◽  
2011 ◽  
Vol 8 (2) ◽  
pp. 266 ◽  
Author(s):  
Alan Crouch ◽  
Patricia Fagan
Keyword(s):  
Health Promotion ◽  
Sexual Health ◽  
Service Provision ◽  
Health Inequity ◽  
Health Service Provision ◽  
Health Clinics ◽  
Sexual Health Service ◽  
Actual Nature ◽  
The Social ◽  
Sexual Health Clinics

In a response to the recent article by Rudiger Pitroff and Elizabeth Goodburn on changing the focus of health promotion in sexual health clinics, Crouch and Fagan draw attention to the confusion among practitioners between brief interventions in clinics (health education) and the actual nature and scope of sexual health promotion. The response refocuses attention on the Ottawa Charter for Health Promotion and on the social determinants of sexual health inequity as appropriate design drivers of a pilot initiative proposed by Pitroff and Goodburn to re-orient sexual health service provision around the real needs of its clients.

Enhanced surveillance of syphilis cases among men who have sex with men in London, October 2016–January 2017

2019 ◽  
Vol 30 (5) ◽  
pp. 422-429 ◽  
Author(s):  
Sangeeta Rana ◽  
Neil Macdonald ◽  
Patrick French ◽  
Jay Jarman ◽  
Sheel Patel ◽  
...  
Keyword(s):  
Health Promotion ◽  
Sexual Health ◽  
Risk Behaviour ◽  
Hiv Positive ◽  
Health Clinics ◽  
Sex With Men ◽  
Group Sex ◽  
Sexual Health Clinics ◽  
Hiv Negative ◽  
Hiv Positive Men

Syphilis rates have been increasing in men who have sex with men (MSM) in London. To describe risk behaviour and refine public health interventions, we conducted prospective enhanced surveillance of new syphilis cases in MSM attending selected London sexual health clinics (SHCs) between October 2016 and January 2017. Sexual health advisors (SHAs) completed 107 questionnaires. Eighteen per cent of respondents reported always using condoms, with lower use in HIV-positive (8%, 4/53) than HIV-negative men (33%, 14/52). Almost half of respondents reported condomless sero-discordant sex (46%, 33/72). The most frequent means of meeting new partners reported were venues (80%, 76/95), particularly bars or clubs (34%, 32/95), and apps or websites (79%, 75/95). Nearly a third of respondents reported engaging in group sex (32%, 30/95). Almost half reported drug use during sex (47%, 46/98), with HIV-positive men more likely to report use of the three main ‘chemsex’ drugs. The majority of respondents preferred health promotion information from SHAs (63%, 58/92) compared to other sources such as Google/Wikipedia and apps. Prevention activity should continue to focus on condomless sex, serosorting, multiple and overlapping partners, and chemsex. SHCs, particularly those serving HIV-positive men, are important sources for sexual health promotion advice.

scholarly journals Association between STI and child sexual exploitation in children under 16 years old attending sexual health clinics in England: findings from a case–control study

2019 ◽  
Vol 95 (6) ◽  
pp. 412-415 ◽  
Author(s):  
Chris Ward ◽  
Gwenda Hughes ◽  
Holly D Mitchell ◽  
Karen E Rogstad
Keyword(s):  
Risk Factors ◽  
Sexual Health ◽  
Conditional Logistic Regression ◽  
Univariate Analysis ◽  
Sexual Exploitation ◽  
Data Set ◽  
Health Clinics ◽  
Child Sexual Exploitation ◽  
Related Risk ◽  
Sexual Health Clinics

ObjectiveChild sexual exploitation (CSE) can be difficult to identify, as there may be few reliable indicators. Although they may be used in decision-making, there is no evidence that STIs are predictors of CSE. We investigated the relationship between STI presentation at sexual health clinics (SHCs) and CSE.MethodsSHCs with 18 or more children aged 13–15 years old with STI diagnoses in 2012 were identified using the Genitourinary Medicine Clinic Activity Data Set STI Surveillance System. Cases with confirmed bacterial or protozoal STIs were matched by age, gender and clinic with non-STI controls. Lead clinicians were asked to complete an online questionnaire on CSE-related risk factors of cases and controls irrespective of STI presence. Associations between STI outcome and CSE-related risk factors were analysed using conditional logistic regression.ResultsData were provided on 466 children aged 13–15 years old; 414 (89%) were female, 340 (80%) were aged 15, 108 (23%) were aged 14, and 18 (3.9%) were aged 13 years. In matched univariate analysis, an STI diagnosis was significantly associated with ‘highly-likely/confirmed’ CSE (OR 3.87, p=0.017) and safeguarding concerns (OR 1.94, p=0.022). Evidence of an association between STI diagnosis and ‘highly-likely/confirmed’ CSE persisted after adjustment for partner numbers and prior clinic attendance (OR 3.85, p=0.053).ConclusionPresentation with bacterial or protozoal STIs in children aged 13–15 years old at SHCs may be considered a potential marker for CSE. It would be prudent to consider CSE, indepth assessment and potential referral for any children under 16 years old presenting with a bacterial or protozoal STI.

Screening and management of risk factors for cardiovascular disease in HIV-positive patients attending an Australian urban sexual health clinic

Sexual Health ◽  
2017 ◽  
Vol 14 (2) ◽  
pp. 198
Author(s):  
Sheena Kakar ◽  
Douglas Drak ◽  
Tahiya Amin ◽  
Jason Cheung ◽  
Catherine O'Connor ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Cardiovascular Risk ◽  
Sexual Health ◽  
Cardiovascular Risk Factors ◽  
Management Practices ◽  
Health Clinic ◽  
Health Clinics ◽  
Sexual Health Clinics ◽  
Few Data

Background Few data exist regarding cardiovascular risk among HIV-infected patients attending sexual health clinics (SHC) in Australia. Methods: The medical records of 188 patients attending an inner-city SHC between August 2013 and July 2014 were retrospectively reviewed for cardiovascular risk factors and associated screening and management practices. Results: Cardiovascular risk factors were common among attendees of the SHC, including smoking (38%), hypertension (14%) and dyslipidaemia (11%). Of the 188 patients, 23% reported using potentially cardiotoxic recreational drugs, 25% of dyslipidaemic patients were not on therapy and 10% of patients were hypertensive; none were prescribed treatment. A smoking cessation program was offered to all patients. Conclusion: A high prevalence of risk factors for cardiovascular disease was demonstrated. Modification of risk factors could be improved.

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