Exploring the acceptability of online sexually transmissible infection testing for rural young people in Victoria

2014 ◽  
Vol 22 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Jane E. Tomnay ◽  
Lisa Bourke ◽  
Christopher K. Fairley
Keyword(s):  
Young People ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Advertising sexual health services that provide sexually transmissible infection screening for rural young people - what works and what doesn't

Sexual Health ◽  
2011 ◽  
Vol 8 (3) ◽  
pp. 407 ◽  
Author(s):  
Deepa G. Gamage ◽  
Candice A. Fuller ◽  
Rosey Cummings ◽  
Jane E. Tomnay ◽  
Mark Chung ◽  
...  
Keyword(s):  
Young People ◽  
Health Services ◽  
Sexual Health ◽  
Health Professionals ◽  
Rural Areas ◽  
Health Centre ◽  
What Works ◽  
Web Advertisement ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background ‘TESTme’ is a sexually transmissible infection (STI) screening service for Victorian young people living in rural areas. We evaluated the effectiveness of advertising for this service over an 11-month pilot period. Methods: The advertising that was used included websites, a Facebook page, posters, flyers, business cards, wrist bands and professional development sessions for health nurses that occurred throughout the pilot period. We also used once-off methods including advertisements in newspapers, student diaries and short messages to mobile phones. Results: Twenty-eight clients had a consultation through TESTme. Twenty found the service through health professionals, six through the Melbourne Sexual Health Centre (MSHC) web page, one through the Facebook page and one through the student diary. The total direct costs incurred by the centre for advertising were $20 850. The advertising cost per client reached for each advertising method was $26 for health professionals, $80 for the MSHC web advertisement, $1408 for Facebook and $790 for the student diary. Other advertising methods cost $12 248 and did not attract any clients. Conclusion: Advertising STI health services for rural young people would be best to focus on referrals from other health services or health care websites.

Young women's misperceptions about sexually transmissible infection testing: a 'clean and clear' misunderstanding

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 273 ◽  
Author(s):  
Sara K. Head ◽  
Richard A. Crosby ◽  
Lydia A. Shrier ◽  
Gregory R. Moore
Keyword(s):  
Young Women ◽  
Sexual Debut ◽  
Risk Behaviour ◽  
Healthcare Setting ◽  
Cross Sectional Study ◽  
Sexual Risk Behaviour ◽  
Cross Sectional ◽  
Sti Testing ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background: This exploratory study investigated young women’s perceptions of sexually transmissible infection (STI) testing received during gynaecological care. Correlates of the incorrect perception that STI testing occurred were assessed. Methods: Cross-sectional study of sexually active young women, age 18–24 years, attending a university healthcare setting for gynaecological care (n = 109). Two hundred and four women were approached and 87 were ineligible; of the remaining 117, 93.2% chose to enrol. Results: Of the women enrolled, 25.7% falsely perceived that they were STI tested (labelled ‘clean and clear’). Only approximately one in seven (14.7%) accurately understood the STI for which they were tested. In multivariate analyses, controlling for race, STI symptoms, depression, number of lifetime visits to the gynaecologist, and suspicion of current STI, three variables were significant: minority race (adjusted odds ratio (AOR) = 4.84, confidence interval (CI) = 1.38–16.96, P = 0.01), earlier age at sexual debut (AOR = 4.67, CI = 1.73–12.57, P = 0.002), and previous STI diagnosis (AOR = 3.38, CI = 1.07–10.66, P = 0.04). Comment: The findings suggest that many young women may have an inaccurate understanding of the STI testing they undergo during gynaecological care and may operate under the misperception they are ‘clean and clear’ of STI. Women with said misperception were more likely to be of minority race and report relatively earlier age of sexual debut and previous STI diagnosis. Further investigation is warranted to determine whether the ‘clean and clear’ misperception influences young women’s sexual risk behaviour.

Addressing sexually transmissible infection in HIV-positive patients. A clinical audit

Sexual Health ◽  
2007 ◽  
Vol 4 (1) ◽  
pp. 75 ◽  
Author(s):  
Danielle Esler ◽  
Catriona Ooi
Keyword(s):  
New England ◽  
Clinical Audit ◽  
Sexual History ◽  
Hiv Positive ◽  
History Taking ◽  
Health Unit ◽  
Sti Testing ◽  
Sexual History Taking ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Australian guidelines for sexual history taking and sexually transmissible infection (STI) screening of HIV-positive patients do not exist. An audit was conducted to assess current practices of sexual history taking and STI testing of HIV-positive patients attending Hunter New England Sexual Health Unit.

scholarly journals Australian sexually transmissible infection and HIV testing guidelines for asymptomatic men who have sex with men 2014: a review of the evidence

Sexual Health ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 217 ◽  
Author(s):  
David J. Templeton ◽  
Phillip Read ◽  
Rajesh Varma ◽  
Christopher Bourne
Keyword(s):  
Nucleic Acid Amplification ◽  
Effective Control ◽  
Sexually Active ◽  
Chlamydia Testing ◽  
Sexually Transmissible Infections ◽  
Sex With Men ◽  
Time Required ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection ◽  
Asymptomatic Men

Men who have sex with men (MSM) in Australia and overseas are disproportionately affected by sexually transmissible infections (STIs), including HIV. Many STIs are asymptomatic, so regular testing and management of asymptomatic MSM remains an important component of effective control. We reviewed articles from January 2009–May 2013 to inform the 2014 update of the 2010 Australian testing guidelines for asymptomatic MSM. Key changes include: a recommendation for pharyngeal chlamydia (Chlamydia trachomatis) testing, use of nucleic acid amplification tests alone for gonorrhoea (Neisseria gonorrhoeae) testing (without gonococcal culture), more frequent (up to four times a year) gonorrhoea and chlamydia testing in sexually active HIV-positive MSM, time required since last void for chlamydia first-void urine collection specified at 20 min, urethral meatal swab as an alternative to first-void urine for urethral chlamydia testing, and the use of electronic reminders to increase STI and HIV retesting rates among MSM.

Lower sexually transmissible infection prevalence among lifetime exclusive women who have sex with women compared with women who have sex with women and men

Sexual Health ◽  
2014 ◽  
Vol 11 (6) ◽  
pp. 592
Author(s):  
Christina A. Muzny ◽  
Richa Kapil ◽  
Erika L. Austin ◽  
Edward W. Hook ◽  
William M. Geisler
Keyword(s):  
At Risk ◽  
Healthcare Providers ◽  
Infection Prevalence ◽  
Matched Group ◽  
Sti Testing ◽  
History Of ◽  
Study Questionnaire ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background Sexually transmissible infection (STI) history, prevalence and seroprevalence among lifetime exclusive women who have sex with women (WSW) and an age-matched group of women who have sex with women and men (WSWM) was evaluated. Methods: Participants completed a study questionnaire and had genital specimens and sera collected for STI testing. Results: Twenty-one lifetime exclusive WSW and 42 WSWM were included. WSWM were more likely to report a history of prior STIs and be seropositive for chlamydia and HSV-2. Prevalent STIs were less common among WSW. Conclusions: While lifetime exclusive WSW are at risk of contracting STIs, WSWM are disproportionally affected. Healthcare providers should consider routine STI screening among WSW.

Early diagnosis of HIV among men who have sex with men in Western Australia: impact of a peer-led sexually transmissible infection testing service

Sexual Health ◽  
2015 ◽  
Vol 12 (4) ◽  
pp. 360 ◽  
Author(s):  
Byron C. Minas ◽  
Carolien M. Giele ◽  
Sue C. Laing ◽  
Lisa Bastian ◽  
Andrew W. Burry ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Hiv Testing ◽  
Testing Service ◽  
Sti Testing ◽  
Time Periods ◽  
Sex With Men ◽  
The Impact ◽  
Western Australian ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background In July 2010, the Western Australian AIDS Council established the ‘M Clinic’, a peer-led STI testing service for MSM. This study describes trends in HIV notifications among MSM in WA from 2004 to 2013, particularly the impact of the M Clinic on newly acquired HIV diagnoses. Methods: The number and proportion of MSM HIV cases with newly acquired infection were compared for the 2004–2006, 2007–2009 and 2011–2013 time periods. Data from 2010 were excluded as the M Clinic opened in July 2010. Results: Between the 2004–2006 and 2007–2009 periods, the number of MSM with newly acquired HIV increased by 50% (23 to 33 cases) and the number of newly acquired cases as a proportion of all new HIV diagnoses among MSM increased from 27% to 35% (30% increase) (P = 0.25). In the 2011–2013 period, the number of newly acquired HIV cases among MSM more than doubled to 70 cases and comprised 53% of all new HIV diagnoses among MSM (P < 0.05). Of the 70 newly acquired HIV cases in the 2011–2013 period, 30% (n = 21) were diagnosed at the M Clinic. Conclusions: The proportion of MSM HIV notifications that were newly acquired increased between 2004 and 2013 in WA, with the greatest increase seen after the M Clinic commenced operation. A peer-led approach to HIV testing should be considered in order to achieve early diagnosis and treatment of HIV among MSM.

Men, bodily change and urethritis: a qualitative study

Sexual Health ◽  
2005 ◽  
Vol 2 (1) ◽  
pp. 25 ◽  
Author(s):  
M. K. Pitts ◽  
A. M. A Smith ◽  
A. Mischewski ◽  
C. Fairley
Keyword(s):  
Qualitative Study ◽  
Sexual Health ◽  
Visual Cues ◽  
Health Centre ◽  
Urban Setting ◽  
Ability To Act ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection ◽  
Visual Changes ◽  
The Way

Objectives: To describe how men narrate the process of bodily change as a trigger to presentation for a suspected sexually transmissible infection. Methods: The study was qualitative with 18 men presenting at a specialist sexual health centre in an urban setting. Results: All men gave narratives that included accounts of bodily changes prior to presentation. The nature, severity and persistence of those changes were unrelated to subsequent diagnosis. Men responded particularly to visual changes as cues to action. Conclusions: The men exhibited limited skills in understanding the significance and the specifics of bodily change as they may relate to a sexually transmissible infection. While these men identified a broad range of changes as potentially indicative of a sexually transmissible infection, their ability to act on visceral rather than visual cues appears constrained in that they were less able to respond to the feel of their body than the way that it looked.

scholarly journals Prevalence of Trichomonas vaginalis infection among young reproductive age women in India: implications for treatment and prevention

Sexual Health ◽  
2009 ◽  
Vol 6 (4) ◽  
pp. 339 ◽  
Author(s):  
Purnima Madhivanan ◽  
Melissa T. Bartman ◽  
Lauren Pasutti ◽  
Karl Krupp ◽  
Anjali Arun ◽  
...  
Keyword(s):  
Herpes Simplex Virus ◽  
Herpes Simplex ◽  
Trichomonas Vaginalis ◽  
Reproductive Age ◽  
Vaginal Candidiasis ◽  
Reproductive Age Women ◽  
Simplex Virus ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background: Trichomonas vaginalis infection is the most common curable sexually transmissible infection (STI) worldwide. The present study describes the burden and correlates of T. vaginalis infection among young reproductive age women in Mysore, India. Methods: Between November 2005 and March 2006, sexually active women aged 15–30 years were recruited from low-income peri-urban and rural neighbourhoods of Mysore, India. Participants were interviewed and offered a physical examination and testing for T. vaginalis, bacterial vaginosis, vaginal candidiasis, Neisseria gonorrheoea and herpes simplex virus type-2 antibodies. Results: Of the 898 participating women, 76 had a T. vaginalis infection (8.5%, 95% confidence interval [95% CI]: 6.7–10.5%). Nearly all (98%) participants were married and most reported their spouse as their main sex partner. The mean age at marriage was 16.9 years (s.d. 2.9 years) and two-thirds of the sample reported having first sexual intercourse before the age of 19 years. Risk factors independently associated with T. vaginalis infection included early age at first intercourse (adjusted odds ratio [OR] 2.09; 95% CI: 1.09–4.00), concurrent bacterial vaginosis (OR 8.21; 95% CI: 4.30–15.66), vaginal candidiasis (OR 2.40; 95% CI: 1.48–3.89) and herpes simplex virus type-2 infection (OR 3.44; 95% CI: 1.97–6.02). Conclusion: The burden of T. vaginalis infection at 8.5% is relatively high among a community sample of young reproductive aged women. Because this infection increases the risk of HIV transmission and is associated with adverse pregnancy outcomes, there is a need for increased screening and treatment of this easily curable sexually transmissible infection in India.

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