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.

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 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 ◽  
To Receive

Carriage of Neisseria meningitidis in men who have sex with men presenting to public sexual health clinics, New York City

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Stephanie Ngai ◽  
Don Weiss ◽  
Julie Anne Bell ◽  
Difaa Majrud ◽  
Greicy Zayas ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Sexual Health ◽  
Neisseria Meningitidis ◽  
York City ◽  
Health Clinics ◽  
Sex With Men ◽  
Sexual Health Clinics

scholarly journals Fall in new HIV diagnoses among men who have sex with men (MSM) at selected London sexual health clinics since early 2015: testing or treatment or pre-exposure prophylaxis (PrEP)?

2017 ◽  
Vol 22 (25) ◽  
Author(s):  
Alison E Brown ◽  
Hamish Mohammed ◽  
Dana Ogaz ◽  
Peter D Kirwan ◽  
Mandy Yung ◽  
...  
Keyword(s):  
High Risk ◽  
Sexual Health ◽  
Hiv Testing ◽  
Health Clinics ◽  
High Risk Populations ◽  
Sex With Men ◽  
Sexual Health Clinics ◽  
Exposure Prophylaxis

Since October 2015 up to September 2016, HIV diagnoses fell by 32% compared with October 2014–September 2015 among men who have sex with men (MSM) attending selected London sexual health clinics. This coincided with high HIV testing volumes and rapid initiation of treatment on diagnosis. The fall was most apparent in new HIV testers. Intensified testing of high-risk populations, combined with immediately received anti-retroviral therapy and a pre-exposure prophylaxis (PrEP) programme, may make elimination of HIV achievable.

scholarly journals Uptake of the HPV vaccine among people with and without HIV, cisgender and transgender women and men who have sex with men and with women at two sexual health clinics in Mexico City

2019 ◽  
Vol 16 (4) ◽  
pp. 981-990
Author(s):  
Betania Allen-Leigh ◽  
Leonor Rivera-Rivera ◽  
Elsa Yunes-Díaz ◽  
Alejandra Jalil Portillo-Romero ◽  
Brandon Brown ◽  
...  
Keyword(s):  
Sexual Health ◽  
Mexico City ◽  
Hpv Vaccine ◽  
Transgender Women ◽  
Health Clinics ◽  
Sex With Men ◽  
Sexual Health Clinics

How are sexual health clinics in England managing men who have sex with men who refuse to be tested for HIV?

2017 ◽  
Vol 28 (13) ◽  
pp. 1305-1310
Author(s):  
Juan Hoyos Miller ◽  
Emily Clarke ◽  
Raj Patel ◽  
Philip Kell ◽  
Monica Desai ◽  
...  
Keyword(s):  
Sexual Health ◽  
Health Clinics ◽  
Sex With Men ◽  
Sexual Health Clinics

scholarly journals Chemsex and the city: sexualised substance use in gay bisexual and other men who have sex with men attending sexual health clinics

2016 ◽  
Vol 28 (4) ◽  
pp. 362-366 ◽  
Author(s):  
A Hegazi ◽  
MJ Lee ◽  
W Whittaker ◽  
S Green ◽  
R Simms ◽  
...  
Keyword(s):  
Substance Use ◽  
Hepatitis C ◽  
Drug Use ◽  
Sexual Health ◽  
Clinical Pathways ◽  
Post Exposure Prophylaxis ◽  
Hiv Incidence ◽  
Health Clinics ◽  
Sex With Men ◽  
Sexual Health Clinics

The objective of this study was to analyse associations between sexualised substance use (chemsex), STI diagnoses and sexual behaviour among gay bisexual and other men who have sex with men accessing sexual health clinics to better inform clinical pathways. A retrospective case notes review was undertaken following the introduction of more detailed and holistic profomas for all gay bisexual and other men who have sex with men attending two London sexual health clinics between 1 June 2014 and 31 January 2015. Chemsex status was documented for 655/818. Overall, 30% disclosed recreational drug use of whom 113 (57%) disclosed chemsex and 27 (13.5%) injecting drugs. HIV-positive gay bisexual and other men who have sex with men were more likely to disclose chemsex (AOR 6.68; 95% CI 3.91–11.42; p < 0.001). Those disclosing chemsex had a higher incidence of acute bacterial STIs (AOR 2.83 CI 1.79–4.47; p < 0.001), rectal STIs (AOR 3.10 CI 1.81–5.32; p < 0.001) or hepatitis C (AOR 15.41 CI 1.50–158.17; p = 0.021). HIV incidence in the study period was 1.8% (chemsex) vs. 0.9% (no chemsex) (p = 0.61). Chemsex was associated with having more sexual partners, transactional sex, group sex, fisting, sharing sex toys, injecting drug use, higher alcohol consumption and the use of ‘bareback’ sexual networking applications (p < 0.004). Chemsex participants were also more likely to have accessed post-exposure prophylaxis for HIV in the study period and report sex with a discordant HIV or hepatitis C-infected partner (p < 0.001). Chemsex disclosure is associated with higher risk-taking behaviours, acute bacterial STIs, rectal STIs and hepatitis C incidence. HIV incidence was higher but not significantly so in the study period. Chemsex disclosure in sexual health clinics should prompt an opportunity for prevention, health promotion and wellbeing interventions.

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.

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