scholarly journals Sexually transmissible infections among transgender men and women attending Australian sexual health clinics

2019 ◽  
Vol 211 (9) ◽  
pp. 406-411 ◽  
Author(s):  
Denton Callander ◽  
Teddy Cook ◽  
Phillip Read ◽  
Margaret E Hellard ◽  
Christopher K Fairley ◽  
...  
Keyword(s):  
Sexual Health ◽  
Men And Women ◽  
Health Clinics ◽  
Sexually Transmissible Infections ◽  
Sexual Health Clinics ◽  
Transgender Men

A retrospective case note review of sex worker attendees at sexual health clinics in the western suburbs of Sydney

Sexual Health ◽  
2010 ◽  
Vol 7 (1) ◽  
pp. 3 ◽  
Author(s):  
Sheena Rajesh Kakar ◽  
Karen Biggs ◽  
Charles Chung ◽  
Shailendra Sawleshwarkar ◽  
Adrian Mindel ◽  
...  
Keyword(s):  
Sexual Health ◽  
Case Note ◽  
Published Data ◽  
Common Symptom ◽  
Care Needs ◽  
Health Clinics ◽  
Sexually Transmissible Infections ◽  
English Speaking ◽  
Sexual Health Clinics ◽  
Case Note Review

Background: Sex workers (SWs) are globally recognised to be at high risk for the acquisition and transmission of sexually transmissible infections (STIs). There is a paucity of published data concerning SWs from the western suburbs of Sydney, with the last published study conducted in 1988. Therefore, we conducted a study to determine the demographics, sexual practices and health care needs of SWs attending Sexual Health Clinics (SHCs) in the region. Methods: Self-identified SWs presenting to SHCs in western Sydney between April 2007 and March 2008 were identified using clinic databases. A case note review was then undertaken. Results: One hundred and eighty-five female SWs were included in the analysis. Ninety-eight (54.5%) were born overseas (predominantly China) and 82 (45.6%) were born in Australia. One hundred and seventeen (68%) were English speaking backgrounds (ESB), while 55 (32%) were from non-English speaking backgrounds (NESB). Seventy-two (38.9%) were symptomatic on attendance, with vaginal discharge the most common symptom. Chlamydia was the most commonly reported STI in the previous 12 months with 28 cases (15.1%). SWs from NESB were significantly more likely to be older, symptomatic, have a hepatitis B diagnosis in the previous year and work more shifts per week, compared with SWs from ESB. SWs born overseas were more likely to be symptomatic than Australian born SWs who, in turn, were more likely to have a hepatitis C diagnosis in the previous year. Conclusion: SWs from NESB would potentially benefit from evidenced-based, culturally and linguistically appropriate interventions and targeted health promotion.

Are Australian sexual health clinics attracting priority populations?

Sexual Health ◽  
2013 ◽  
Vol 10 (5) ◽  
pp. 456 ◽  
Author(s):  
Hammad Ali ◽  
Basil Donovan ◽  
Christopher K. Fairley ◽  
Nathan Ryder ◽  
Anna McNulty ◽  
...  
Keyword(s):  
General Population ◽  
Sexual Health ◽  
Sex Workers ◽  
Health Clinics ◽  
Sexually Transmissible Infections ◽  
Sex With Men ◽  
Using Data ◽  
Australian Bureau Of Statistics ◽  
Sexual Health Clinics ◽  
Priority Populations

To answer a key question (‘Are Australian sexual health clinics attracting priority populations?’), we used data from 44 Australian sexual health clinics between 2004 and 2011. We assessed the proportion of patients that were from priority populations (deemed to be at risk of sexually transmissible infections) and compared this to their proportions in the general population using data from Australian Bureau of Statistics and the Australian Study of Health and Relationships. A χ2-test was used. A total of 278 154 new patients attended during 2004–2011. The proportions from each priority population were significantly higher (P < 0.01 for all) than for the general population: young people aged 15–29 years (58.1% v. 20.1%), men who have sex with men (26.0% v. 6.0%), female sex workers (10.8% v. 0.5%), and Aboriginal and Torres Strait Islander people (4.2% v. 2.3%). This study confirms that Australian sexual health clinics attract higher proportions of priority populations and are thus meeting their mandate as defined in the 2010–2013 National Sexually Transmissible Infections Strategy.

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 From silos to buckets: a qualitative study of how sexual health clinics address their clients’ mental health needs

2020 ◽  
Vol 111 (2) ◽  
pp. 220-228 ◽  
Author(s):  
Stéphanie Black ◽  
Travis Salway ◽  
Naomi Dove ◽  
Jean Shoveller ◽  
Mark Gilbert
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Sexual Health ◽  
Health Needs ◽  
Mental Health Needs ◽  
Health Clinics ◽  
Sexual Health Clinics

scholarly journals P134 Maintaining confidentiality in sexual health clinics; a local and national service evaluation

2016 ◽  
Vol 92 (Suppl 1) ◽  
pp. A66.2-A66
Author(s):  
Rebecca Duffield ◽  
Emily Clarke ◽  
Mickaela Poree ◽  
Tony Lamb ◽  
Alan Tang ◽  
...  
Keyword(s):  
Sexual Health ◽  
Service Evaluation ◽  
National Service ◽  
Health Clinics ◽  
Sexual Health Clinics

scholarly journals Is it time to move to nucleic acid amplification tests screening for pharyngeal and rectal gonorrhoea in men who have sex with men to improve gonorrhoea control?

Sexual Health ◽  
2011 ◽  
Vol 8 (1) ◽  
pp. 9 ◽  
Author(s):  
Christopher K. Fairley ◽  
Marcus Y. Chen ◽  
Catriona S. Bradshaw ◽  
Sepehr N. Tabrizi
Keyword(s):  
Nucleic Acid ◽  
Antimicrobial Resistance ◽  
Sexual Health ◽  
Nucleic Acid Amplification ◽  
Nucleic Acid Amplification Tests ◽  
Health Clinics ◽  
Sex With Men ◽  
Sexual Health Clinics

The use of nucleic acid amplification tests (NAAT), as well as or in preference to culture for non-genital sites is now recommended both in Australia and overseas because of their greater sensitivity and improved specificity. A survey of 22 Australian sexual health clinics who each year test over 14 500 men who have sex with men (MSM) show that culture remains the predominate method for detecting gonorrhoea at pharyngeal (64%) and rectal (73%) sites. This editorial discusses the potential disadvantages of using culture over NAAT in relation to optimal gonorrhoea control among MSM and advocates that significantly improved control would be achieved by moving to NAAT with the proviso that culture samples are taken wherever possible on NAAT-positive samples and from clients with urethritis to ensure continued surveillance for antimicrobial resistance.

scholarly journals P17.11 Public sexual health clinics increase access, hiv testing and re-testing among higher risk gay and bisexual men

2015 ◽  
Vol 91 (Suppl 2) ◽  
pp. A227.1-A227
Author(s):  
MS Jamil ◽  
D Callander ◽  
H Ali ◽  
G Prestage ◽  
V Knight ◽  
...  
Keyword(s):  
Sexual Health ◽  
Hiv Testing ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Health Clinics ◽  
And Bisexual ◽  
Sexual Health Clinics

scholarly journals Men who have sex with men who do not access sexual health clinics nor disclose sexual orientation are unlikely to receive the HPV vaccine in the UK

Vaccine ◽  
2018 ◽  
Vol 36 (33) ◽  
pp. 5065-5070 ◽  
Author(s):  
Tom Nadarzynski ◽  
Helen Smith ◽  
Daniel Richardson ◽  
Stephen Bremner ◽  
Carrie Llewellyn
Keyword(s):  
Sexual Orientation ◽  
Sexual Health ◽  
Hpv Vaccine ◽  
Health Clinics ◽  
Sex With Men ◽  
Sexual Health Clinics ◽  
The Uk ◽  
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