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.

scholarly journals Rectal self-sampling in non-clinical venues for detection of sexually transmissible infections among behaviourally bisexual men

Sexual Health ◽  
2012 ◽  
Vol 9 (2) ◽  
pp. 190 ◽  
Author(s):  
Brian Dodge ◽  
Barbara Van Der Pol ◽  
Michael Reece ◽  
David Malebranche ◽  
Omar Martinez ◽  
...  
Keyword(s):  
Total Sample ◽  
Health Concern ◽  
Bisexual Men ◽  
Chlamydia Trachomatis Infection ◽  
Overall Acceptability ◽  
Sexually Transmissible Infections ◽  
High Prevalence ◽  
Sex With Men ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Rectal sexually transmissible infections are a common health concern for men who have sex with men but little is known about these infections among men who have sex with both men and women. Self-obtained rectal specimens were collected from a diverse sample of behaviourally bisexual men. From a total sample of 75 bisexual men, 58 collected specimens. A relatively high prevalence of rectal Chlamydia trachomatis infection was found. Participants who collected specimens reported overall acceptability and comfort with self-sampling. Future efforts are needed focusing on increasing awareness of and options for rectal sexually transmissible infection testing among bisexual men.

Differences in access to healthcare and utilisation of HIV and sexually transmissible infection services between men who have sex with men and men who have sex only with women: results of the 2006–10 National Survey of Family Growth in the United States

Sexual Health ◽  
2013 ◽  
Vol 10 (4) ◽  
pp. 363 ◽  
Author(s):  
Guoyu Tao ◽  
Karen W. Hoover
Keyword(s):  
The United States ◽  
Access To Healthcare ◽  
Sexually Active ◽  
The Past ◽  
Sti Testing ◽  
Family Growth ◽  
Sex With Men ◽  
To Receive ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background Men who have sex with men (MSM) experience disparities in access to healthcare and have specific healthcare needs. Methods: We analysed data from the 2006–10 National Survey of Family Growth (NSFG) to examine differences in access to healthcare and HIV and sexually transmissible infection (STI) related health services by MSM and non-MSM among men in the United States aged 15–44 years who have ever had sex. MSM and sexually active MSM were identified in the NSFG as men who had ever had oral or anal sex with another man, or who had sex in the past 12 months with another man, respectively. Access was measured by the type of health insurance, having a usual place for receiving healthcare and type of usual place. Results: Of men aged 15–44 years who have ever had sex, there were no significant differences between MSM and non-MSM in the three access measures. MSM were more likely than non-MSM to receive HIV counselling (22.5% v. 8.3%) and STI testing (26.2% v. 15.6%) in the past 12 months, or to ever have had HIV testing (67.8% v. 44.6%). STI testing in the past 12 months was reported by 38.7% of sexually active MSM. Conclusion: Our findings show no significant differences in access to healthcare between MSM and non-MSM. MSM were more likely to receive HIV- and STI-related preventive services than non-MSM. However, the low STI testing rate among MSM highlights the need for interventions to increase STI testing, and HIV and STI counselling for MSM.

scholarly journals Sexually transmissible infection control programs for men who have sex with men – what will they look like in 2020?

Sexual Health ◽  
2017 ◽  
Vol 14 (1) ◽  
pp. 126 ◽  
Author(s):  
Oliver N. Refugio ◽  
Chelsea Roberts ◽  
Richard West ◽  
Jeffrey D. Klausner
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Care Delivery ◽  
Control Programs ◽  
Sexually Transmissible Infections ◽  
Novel Approaches ◽  
Sex With Men ◽  
Prevention Methods ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

The resurgence of sexually transmissible infections among men who have sex with men is a concern for sexual health. Traditional strategies have relied on the promotion of condom use, regular testing, treatment, and partner management. Future sexually transmissible infection control programs must combine current prevention methods with novel approaches that target the providers, patients, and mechanisms of health care delivery.

Correlates of sexually transmissible infection testing among a sample of at-risk young Australians

2017 ◽  
Vol 23 (3) ◽  
pp. 272 ◽  
Author(s):  
Caitlin H. Douglass ◽  
Alyce M. Vella ◽  
Margaret E. Hellard ◽  
Megan S. C. Lim
Keyword(s):  
At Risk ◽  
Sexual Debut ◽  
Sexually Active ◽  
The Past ◽  
Chlamydia Testing ◽  
Testing Rate ◽  
Sti Testing ◽  
Not At Risk ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Annual chlamydia testing is recommended for all sexually active Australians aged 15–29 years; however, the testing rate is below recommended levels. Three surveys at a Melbourne music festival were conducted over 2012–14 to identify correlates of sexually transmissible infection (STI) testing among young people at risk of STIs. In total, 3588 participants were recruited; 72% reported having sex in the past year. Based on sexual behaviours, 38% of sexually active participants were classified as at risk of contracting STIs. In the past year, at-risk participants had significantly higher odds of reporting a STI test (37%) than participants classified as not at risk (24%) (OR=1.9; CI=1.6–2.3). Among at-risk participants, correlates of STI testing in the past year included being aged 20–24 years, visiting a GP, higher knowledge levels, earlier sexual debut and reporting more than five lifetime partners. Testing rates in our sample did not meet levels required to reduce chlamydia prevalence. However, the testing rate was higher in at-risk participants than participants who were not at risk. Future programs aiming to increase chlamydia testing should improve knowledge and promote the importance of testing after risk exposure, particularly among 16- to 19-year-olds.

Evaluation of knowledge and utility of the 2014 Australian sexually transmissible infection and HIV testing guidelines for asymptomatic men who have sex with men among general practitioners in Sydney

Sexual Health ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 96
Author(s):  
David J. Templeton ◽  
Phillipe C. G. Adam ◽  
Rajesh Varma ◽  
Phillip Read ◽  
Chistopher Bourne ◽  
...  
Keyword(s):  
Hiv Testing ◽  
General Practitioners ◽  
Evaluation Study ◽  
Sexual History ◽  
Positive Outcomes ◽  
Novel Approaches ◽  
Sex With Men ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection ◽  
Asymptomatic Men

The Australian sexually transmissible infection and HIV testing guidelines for asymptomatic men who have sex with men were updated in 2014. An evaluation study targeting Sydney-based general practitioners was conducted among 85 clinicians. Respondents with knowledge of guideline recommendations were significantly more likely to feel comfortable asking men who have sex with men about their sexual history (98.1% vs 81.3%, P = 0.039), and to recommend at least annual testing (94.0% vs 68.8%, P = 0.015), 3-month retesting after chlamydia or gonorrhoea treatment (96.2% vs 73.3%, P = 0.017) and syphilis testing with routine HIV monitoring bloods (90.2% vs 57.1%, P = 0.037). Familiarity with the guidelines was associated with a range of positive outcomes on general practitioners’ clinical practice. Novel approaches are required to ensure more widespread distribution of future guidelines.

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.

scholarly journals Are printed sexually transmissible infection materials for patients appropriate? A physician perspective

Sexual Health ◽  
2008 ◽  
Vol 5 (3) ◽  
pp. 307 ◽  
Author(s):  
Asaduzzaman Khan ◽  
David Plummer
Keyword(s):  
General Practitioners ◽  
New South ◽  
New South Wales ◽  
Postal Survey ◽  
Physician Perspective ◽  
South Wales ◽  
Sexually Transmissible Infections ◽  
Information Materials ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

The data from a postal survey of 409 general practitioners (GPs) practicing in New South Wales are analysed to explore GPs’ concerns, if any, about available printed information materials on sexually transmissible infections (STI) for patients. Just over half (55%) of GPs considered the materials for patients to be inadequate and/or inappropriate with 18% considering the materials as too technical for many patients and 13% considering the materials mostly out of date. Over a fifth reported that either STI materials were not available in their clinic or they did not know where to get those materials.

scholarly journals Decision making over condom use during menses to avert sexually transmissible infections

Sexual Health ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 90
Author(s):  
Richard A. Crosby ◽  
Cynthia A. Graham ◽  
Stephanie A. Sanders ◽  
William L. Yarber ◽  
Marija V. Wheeler ◽  
...  
Keyword(s):  
Decision Making ◽  
Condom Use ◽  
Structural Level ◽  
Significant Finding ◽  
Web Based ◽  
Sexually Transmissible Infections ◽  
Independent Decision ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection ◽  
Do So

Background The aim of this study was to test the hypothesis that receptive partners in penile–vaginal intercourse (PVI) who exercise independent decision making over condom use during menses do so to avert sexually transmissible infection (STI) transmission or acquisition. Methods: Data were collected through a partnership with Clue, the industry-leading female health app. A brief web-based questionnaire was developed, translated into 10 languages, and made accessible via a URL link sent to Clue users and posted on social media. Inclusion criteria were: age ≥14 years, not being currently pregnant and engaging in PVI and condom use during menses in the past 3 months. The analytical subsample comprised 12889 respondents residing in 146 countries. Results: Twenty per cent indicated independent decision making about condom use during menses. Independent decision making was associated with lower odds of reporting that condoms were used for contraception (adjusted odds ratio (aOR) 0.65; 99% confidence interval (CI) 0.57–0.73) and higher odds that they were used for the prevention of STIs (aOR 1.44; 99% CI 1.28–1.61). A third significant finding pertained to always using condoms during menses; this was less likely among those indicating independent (female only) decision making (aOR 0.69; 99% CI 0.62–0.78). Non-significant associations with another two outcomes were found: protecting the partner against menstrual blood and protecting themselves against semen. Conclusions: Findings from people in 146 countries strongly support the hypothesis that those exercising independent decision making over condom use during menses do so to avert STI transmission or acquisition. That only one-fifth of this global sample reported this type of independent decision making suggests that empowerment-oriented (structural-level) interventions may be advantageous for individuals who are the receptive partner in PVI that occurs during menses.

Establishing a linked sentinel surveillance system for blood-borne viruses and sexually transmissible infections: methods, system attributes and early findings

Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 425 ◽  
Author(s):  
Jane L. Goller ◽  
Rebecca J. Guy ◽  
Judy Gold ◽  
Megan S. C. Lim ◽  
Carol El-Hayek ◽  
...  
Keyword(s):  
Surveillance System ◽  
Drug Users ◽  
Risk Behaviour ◽  
Risk Groups ◽  
Sentinel Surveillance ◽  
Chlamydia Testing ◽  
Sexually Transmissible Infections ◽  
Sex With Men ◽  
System Sustainability ◽  
Sentinel Surveillance System

Objective: To describe the attributes and key findings from implementation of a new blood-borne virus (BBV) and sexually transmissible infection (STI) sentinel surveillance system based on routine testing at clinical sites in Victoria, Australia. Methods: The Victorian Primary Care Network for Sentinel Surveillance (VPCNSS) on BBV and STI was established in 2006 at 17 sites. Target populations included men who have sex with men (MSM), young people and injecting drug users (IDU). Sites collected demographic and risk behaviour information electronically or using paper surveys from patients undergoing routine HIV or STI (syphilis, chlamydia (Chlamydia trachomatis)) or hepatitis C virus (HCV) testing. These data were linked with laboratory results. Results: Between April 2006 and June 2008, data were received for 67 466 tests and 52 042 questionnaires. In clinics providing electronic data, >90% of individuals tested for HIV, syphilis and chlamydia had risk behaviour information collected. In other clinics, survey response rates were >85% (HIV), 43.5% (syphilis), 42.7–66.5% (chlamydia) and <20% (HCV). Data completeness was >85% for most core variables. Over time, HIV, syphilis and chlamydia testing increased in MSM, and chlamydia testing declined in females (P = 0.05). The proportion of positive tests among MSM was 1.9% for HIV and 2.1% for syphilis. Among 16–24-year-olds, the proportion positive for chlamydia was 10.7% in males and 6.9% in females. Among IDU, 19.4% of HCV tests were antibody positive. Conclusions: The VPCNSS has collected a large, rich dataset through which testing, risk behaviours and the proportion positive can be monitored in high-risk groups, offering a more comprehensive BBV and STI surveillance system for Victoria. Building system sustainability requires an ongoing focus.

scholarly journals Screening for Chlamydia trachomatis and Neisseria gonorrhoeae infection among asymptomatic men who have sex with men in Bangkok, Thailand

2017 ◽  
Vol 29 (6) ◽  
pp. 577-587 ◽  
Author(s):  
Sarika Pattanasin ◽  
Eileen F Dunne ◽  
Punneeporn Wasinrapee ◽  
Jaray Tongtoyai ◽  
Wannee Chonwattana ◽  
...  
Keyword(s):  
Cohort Study ◽  
Nucleic Acid ◽  
Chlamydia Trachomatis ◽  
Neisseria Gonorrhoeae ◽  
Nucleic Acid Amplification ◽  
Anatomic Site ◽  
Number Needed To Screen ◽  
Sex With Men ◽  
Study Participants ◽  
Asymptomatic Men

We report positivity rates of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infection at each anatomic site among asymptomatic men who have sex with men (MSM). We calculated the number needed to screen (NNS) to detect CT and NG infection at each anatomic site. From 2006 to 2010, we enrolled Thai MSM, age ≥ 18 years into the Bangkok MSM Cohort Study. Participants underwent physical examination and had rectal, urethral, and pharyngeal screening for CT and NG infection using nucleic acid amplification tests (NAATs). Of 1744 enrollees, 1696 (97.2%) had no symptoms of CT and NG infection. The positivity rates of CT and NG infection at any site were 14.3% (rectum, urethra, pharynx) and 6.4% (rectum, urethra), respectively. The NNS to detect rectal CT and rectal NG infections was 10 and 16, respectively (p < 0.05). For urethral infection, the NNS of CT was lower than the NNS of NG (22, 121: p < 0.05). The lowest NNS found for rectal CT infection was in HIV-infected MSM (6, 5–8). Asymptomatic CT and NG infection were common among MSM in Bangkok, Thailand and frequently detected in the rectum. In setting where screening in all specimens using NAAT is not feasible, rectal screening should be a priority.

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