Understanding gay men's sex venues as sites for sexual health promotion

Sexual Health ◽  
2010 ◽  
Vol 7 (2) ◽  
pp. 182 ◽  
Author(s):  
Anthony M. A. Smith ◽  
Jeffrey W. Grierson ◽  
Henry von Doussa

Background: Despite being understood as sites for the potential spread of sexually transmissible infections, we know remarkably little about how men spend their time when they visit sex venues. The present paper aims to describe the nature of men’s visits to sex venues in terms of where they arrived from, their use of alcohol and other drugs before and while at the venue, their expenditure of time in a range of activities at the venue, and their awareness of sexual health promotion materials at the venue. Methods: Telephone interviews were conducted with 219 men completed within 2 days of them being recruited as they left a sex venue. Results: The majority of men arrived from home or work and had not consumed alcohol or drugs in the 4 h before the visit. The visit lasted 201 min on average and time spent in particular sites or activities within venues varied somewhat with respect to the demographic and behavioural characteristics of the men. Most men reported seeing posters or pamphlets dealing with sexual health. Conclusion: Understanding how men use such venues should allow more effective health promotion in those venues.


Sexual Health ◽  
2013 ◽  
Vol 10 (1) ◽  
pp. 47 ◽  
Author(s):  
Danielle Newton ◽  
Louise Keogh ◽  
Meredith Temple-Smith ◽  
Christopher K. Fairley ◽  
Marcus Chen ◽  
...  

Background This paper explores key informant (KI) perceptions of the barriers to effective sexual health promotion programs in Australia and suggests strategies to overcome these barriers. Three types of sexual health promotion programs were explored in this study: those targeting all young people (under 30), Aboriginal young people, and young people from culturally and linguistically diverse (CALD) backgrounds. Methods: The study utilised a qualitative approach and involved 33 semistructured interviews with sexual health professionals involved in funding or delivering Australian sexual health promotion programs or working clinically with individuals diagnosed with sexually transmissible infections. Results: Fourteen barriers to effective sexual health promotion programs were identified. Barriers included: difficulties associated with program evaluation, lack of involvement of the target community, the short-term nature of programs, problems with program resources and concerns about the content of programs. Additional barriers to programs targeting Aboriginal and CALD young people were also identified and included: a lack of cultural sensitivity; a failure to acknowledge differences in literacy, knowledge, and language skills; stigma and shame associated with sexual health; and the continued use of programs that lack inclusivity. KIs suggested strategies to overcome these barriers. Conclusion: Sexual health promotion in Australia suffers from several barriers that are likely to impede the effectiveness of programs. In particular, poor or nonexistent program evaluation and lack of community involvement are among the key areas of concern. It is hoped that the findings of this study will be useful in informing and shaping future Australian sexual health promotions.



Sexual Health ◽  
2014 ◽  
Vol 11 (6) ◽  
pp. 524 ◽  
Author(s):  
Juliet Richters ◽  
Wendy Heywood ◽  
Marian K. Pitts ◽  
Julia M. Shelley ◽  
Judy M. Simpson ◽  
...  

Background Concurrent relationships are a driver of generalised epidemics of sexually transmissible infections (STIs). In Australia, explicit negotiation of agreements about sex outside regular relationships has been recommended in health promotion for gay men but not for heterosexuals. Objective: To ascertain the annual incidence of concurrency among people in ongoing male–female relationships according to their reported expectations of exclusivity. Methods: In a national cohort recruited by household random digit dialling in 2004–05, people aged 16–64 years completed computer-assisted telephone interviews including questions about expectations of sexual exclusivity, discussion and agreements. A year later, those in ongoing sexual relationships (5323 people) were asked about sexual partner numbers in the past year. Results: The huge majority (96%) expected sexual exclusivity of themselves and their partner. However, only 48% of men and 64% of women had discussed the matter and explicitly agreed. Older respondents were less likely to report discussion. Only 1% reported mutually nonexclusive (‘open’) relationships. A year later, 93% of respondents were still in the same relationship, among whom 4% of men and 2% of women had had sex outside the relationship. Those with agreements that one or both partners could have sex with others were more likely to do so, but the majority of respondents who had sex with someone else were in relationships that were explicitly or implicitly expected to be exclusive. Conclusions: Sexual health promotion should stress the importance of STI testing and establishing agreements about exclusivity before condoms are abandoned in new relationships.



Sexual Health ◽  
2018 ◽  
Vol 15 (4) ◽  
pp. 304 ◽  
Author(s):  
Matthew E. Dunn ◽  
Merryn McKinnon

Background The rate of notifications of sexually transmissible infections (STIs) in Australians has increased dramatically, especially in those aged 16–30 years. This age bracket, typical of university students, is the most likely to report multiple sexual partners in the previous year. Individuals who have sex with multiple partners in a year have a significantly increased chance of contracting an STI, making them an important audience for sexual health promotion. This study aimed to determine how university sexual health promotion events can better reach this higher-risk subset of the population. Methods: Two anonymous cross-sectional surveys were used to understand current and ideal sexual health promotion events through the perspectives of student leaders (n = 62) and general university students (n = 502). Results: Students who had more than one sexual partner in the previous year (the higher-risk group) made up 22.7% of the students sampled. Higher-risk students differed substantially from lower-risk students in terms of preferred event types, incentives and topics to be covered, often prioritising those rarely used in current university sexual health events. Conclusion: While current university sexual health events include some features that align with student priorities, elements beyond sexual health information, such as social activity, alcohol incentives and on-site sexual health testing, can be helpful tools to attract students with higher numbers of sexual partners.



2011 ◽  
Author(s):  
Wendy Davis ◽  
Mark Gilbert ◽  
Jean Shoveller


2006 ◽  
Author(s):  
H. Schaalma ◽  
M. Bertens


Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 407 ◽  
Author(s):  
Rudiger Pittrof ◽  
Elizabeth Goodburn

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.





Author(s):  
Judy Gold ◽  
Megan S. C. Lim ◽  
Jane S. Hocking ◽  
Louise A. Keogh ◽  
Tim Spelman ◽  
...  




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