26. MORE THAN JUST ANAL SEX: THE POTENTIAL FOR STI TRANSMISSION AMONG MEN VISITING SEX ON PREMISES VENUES IN MELBOURNE

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 294
Author(s):  
C. Phang ◽  
J. S. Hocking ◽  
C. K. Fairley ◽  
C. Bradshaw ◽  
P. Hayes ◽  
...  

Objective: Sex On Premises Venues (SOPVs), where men have sex with other men, provide an environment where the transmission of sexually transmitted infections (STIs) is potentially enhanced. However, the extent to which SOPVs contribute to STI transmission is unknown. This study aimed to obtain detailed data on the types of sexual practices and frequency of these practices among men who have sex with men (MSM) visiting SOPVs in Melbourne, Australia. Methods: In a cross-sectional study, MSM visiting 6 Melbourne SOPVs between December 2006 and February 2007 were asked to complete an exit survey on the types of sexual practices and frequency of such practices they had engaged in at that visit. Of 447 men approached, 150 (34%) participated in the study. Results: The median age of participants was 42.5 years (range 20-79). Among participants who engaged in receptive oral sex (66%) and insertive oral sex (75%), the median number of such acts reported by each man during the visit was 2 (range 1-10) and 2 (range 1-10) respectively. Eleven men (7%) reported receptive oral sex with ejaculation into their mouth with a median of 1 act (range 1-3) per man. Among participants who engaged in receptive anal sex (19%) and insertive anal sex (38%), the median number of such acts per man during the visit was 1 (range 1-4) and 1 (range 1-8) respectively. Eleven men (7%) reported unprotected insertive anal sex with a median of 1 act (range 1-4) per man; 4 (3%) reported unprotected receptive sex. A substantial number of men who did not report any anal sex engaged in practices potentially capable of transmitting infections. Notably, 44 men (29%) reported unprotected rubbing or touching of their penis ('nudging') onto another man's anus without actual anal penetration with a total of 71 other men (median 1 act per man, range 1-10). When specifically asked, 17 (39%) of these men reported that they had not engaged in 'anal sex'. In addition, 32 men (21%) reported being the recipients of 'nudging' with 40 other men. Fourteen (44%) of these men reported not having had any 'anal sex'. Oro-anal sex, whether 'active' or 'passive', was reported by 57 (38%) of men, while 84 (56%) men reported anal penetration using fingers, whether receptive or insertive. A significant minority (11%) of men reported that their ability to have safe sex was compromised by the use of drugs or alcohol. Of note, 58 (39%) men reported having a regular male partner, with whom 23 (40%) had unprotected anal sex. And 13 (9%) reported having a regular female partner, with whom 10 (77%) reportedly had unprotected vaginal or anal sex. Conclusions: The potential for STI transmission between men visiting Melbourne SOPVs and to their partners outside these venues is high. The contribution of what might be perceived as 'safer' sex practices to the transmission of STIs among MSM may have been underrecognised.

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037608
Author(s):  
Mario Martín-Sánchez ◽  
Richard Case ◽  
Christopher Fairley ◽  
Jane S Hocking ◽  
Catriona Bradshaw ◽  
...  

ObjectivesIn the 2010s, there has been an increase in sexually transmitted infections (STI) in men who have sex with men (MSM) in Australia, and since 2015 also in urban heterosexuals. Men who have sex with both men and women (MSMW) have characteristics that may differ from both men who have sex with men only (MSMO) and heterosexual men. We aimed to compare the sexual practices and the trends in HIV/STI positivity between MSMO and MSMW.DesignRepeated cross-sectional study.SettingA sexual health centre in Melbourne, Australia.ParticipantsMSM aged 18 years and above who attended the Melbourne Sexual Health Centre for the first time between 2011 and 2018. This includes 12 795 MSMO and 1979 MSMW.Primary outcome measuresDemographic characterics, sexual practices and HIV/STI positivity.ResultsCompared with MSMW, MSMO were more likely to practice anal sex and to have condomless receptive anal sex with casual male partners, and less likely to have a current regular relationship. Over the 8-year period, there was an increase in condomless receptive anal sex with casual male partners for both groups (MSMO: from 46.2% to 63.3%, ptrend <0.001; MSMW: from 41.3% to 57.9%, ptrend=0.011). Syphilis positivity increased in MSMO (from 5.5% to 7.9%, ptrend=0.012) and MSMW (from 0.9% to 6.4%, ptrend=0.004) and HIV remained stable. Gonorrhoea increased among MSMO from 2011 to 2014 (from 6.7% to 9.6%, ptrend=0.002), and remained stable from 2015 to 2018. MSMO had higher odds of testing positive for gonorrhoea (adjusted OR (aOR) 1.36, 95% CI 1.13 to 1.64), chlamydia (aOR 1.39, 95% CI 1.16 to 1.67), syphilis (aOR 1.74, 95% CI 1.37 to 2.22) and HIV (aOR 4.60, 95% CI 2.43 to 8.70) than MSMW.ConclusionsMSMW have overall lower condomless sex and lower HIV/STI positivity. In the last years, changes in sexual practices in MSM have affected both MSMW and MSMO leading to an increased STI risk.


Author(s):  
Raquel Casado Santa-Bárbara ◽  
César Hueso-Montoro ◽  
Adelina Martín-Salvador ◽  
María Adelaida Álvarez-Serrano ◽  
María Gázquez-López ◽  
...  

Sexually transmitted infections are an important public health issue. The purpose of this study is to analyse the association between different sexual habits and the prevalence of sexually transmitted infections in the population of Granada who consult with a specialised centre. An observational, cross-sectional study was conducted based on the medical records of 678 people from the Sexually Transmitted Diseases and Sexual Orientation Centre of Granada, who were diagnosed positively or negatively with a sexually transmitted infection, during the 2000−2014 period. Sociodemographic and clinical data, as well as data on frequency and type of sexual habits, frequency of condom use and sexually transmitted infection positive or negative diagnosis were collected. Univariate and bivariate analyses were conducted. The most popular sexual habits were vaginal intercourse, oral sex (mouth–vagina and mouth–penis) and the least popular were anus–mouth and anal sex. The use of condom is frequent in vaginal and anal sex and less frequent in oral sex. Sexually transmitted infection is associated with mouth–penis (p = 0.004) and mouth–vagina (p = 0.023) oral sex and anal sex (p = 0.031). It is observed that there is a relationship between the presence of STIs and oral sex practices, people having such practices being the ones who use condoms less frequently. There is also a relationship between anal sex and the prevalence of STIs, although in such sexual practice the use of condom does prevail.


2014 ◽  
Vol 22 (1) ◽  
pp. 68-75 ◽  
Author(s):  
Marli Teresinha Cassamassimo Duarte ◽  
Cristina Maria Garcia de Lima Parada ◽  
Lenice do Rosário de Souza

OBJECTIVE: outline the profile of women living with the human immunodeficiency virus/aids in interior cities in São Paulo State, in the attempt to identify characteristics related to individual, social and programmatic vulnerability and to analyze the conditions in which they discovered their serological status. METHOD: between October 2008 and December 2010, a cross-sectional study was undertaken with 184 women attended at a specialized service. The data were collected through an interview and gynecological test, including the collection of samples for the etiological diagnosis of sexually transmissible conditions. RESULTS: the women were predominantly white, between 30 and 49 years of age, lived with a partner, had a low education level, multiple sexual partners across the lifetime and unsafe sexual practices. The prevalence of sexually transmitted diseases corresponded to 87.0%. CONCLUSION: the study suggests the need to offer gynecological care in specialized services and the accomplishment of multiprofessional actions to reinforce the female autonomy in protective decision making.


Author(s):  
Tassang Andrew ◽  
Celestina Neh Fru ◽  
Mike Robert Brady ◽  
Frederick Nchang Cho ◽  
Tassang Thierry ◽  
...  

Background: Cervical cancer (CC) is a worldwide disease, with 85% of new cases occurring in developing countries in general and Africa south of the Sahara in particular. Aim: The objective of this study was to find possible factors that could affect knowledge about CC and some CC risk factors in our community. Study Design: A community-based cross-sectional study was carried out in Buea, Mutengene, and Tiko. Result: Knowledge about CC is modulated by the level of education and the young age of women. Risk factors, although universal, seem to vary according to the geographical area and the socio-cultural environment where one lives. Some risk factors identified are; early onset of sexual intercourse, polygamous marriages, multiple sexual partners, the sexual behavior of the male partner, Human papillomavirus (HPV) infections, sexually transmitted diseases (STDs), Human Deficiency Virus (HIV), and history of genital warts. Conclusion: None enhancement of lifestyle as the voluntary refusal of cervical cancer screening and CC vaccination has also been risky for CC.


2020 ◽  
Vol 29 ◽  
Author(s):  
Raquel Conceição de Almeida Ramos ◽  
Thelma Spindola ◽  
Claudia Silvia Rocha Oliveira ◽  
Elizabeth Rose Costa Martins ◽  
Giselle da Silva Figueiredo Lima ◽  
...  

ABSTRACT Objective: to analyze the sexual practices adopted by university students for the prevention of Sexually Transmitted Infections Method: a quantitative, descriptive and cross-sectional study, conducted in 2016, at a private university in the municipality of Rio de Janeiro, Brazil. A convenience sample was selected, stratified by gender, of 768 students who answered a self-administered questionnaire, structured with variables of sociodemographic characterization and related to knowledge about sexually transmitted infections, sexual practices, prevention practices and care with sexual health. In the analysis, descriptive statistics, chi-square tests and analysis of variance were used, with a significance level of 5%. Results: most of the university students ‒ 654 (85.16%) ‒ had an active sex life and 480 (62.54%) did not use condoms in all their sexual encounters. Among the participants, 509 (84.83%) said they had sexual intercourse with a steady partner, of which 224 (44.01%) used a condom. In the investigated group, 313 (47.86%) had relationships with casual partners, with 199 (63.58%) reporting having used a condom. Among the participants, 174 (26.61%) had their sexual practices classified as adequate/satisfactory. Conclusion: the findings show that the university students investigated present a risk behavior for Sexually Transmitted Infections due to inadequate/unsatisfactory sexual practices. Health education actions should consider cultural and individual aspects of the group in order to encourage reflection on practices for the prevention of sexually transmitted diseases.


1970 ◽  
Vol 6 (4) ◽  
pp. 5-9
Author(s):  
Abdul Jabbar ◽  
Sheh Mureed ◽  
Walid Hassan

Background: STI/STD are diseases related with unsafe sexual practices or infections. It is estimated that more than 340 million new cases of curable sexually transmitted infections. Throughout the world in men and women aged15–49 years, with the largest proportion in the region of south and south-east Asia, Followed by sub Saharan Africa, and Latin American and the Caribbean.Objectives: To assess the perception and awareness regarding STI/STD and use of condom and to assess the barriers for condom use as prevention of STI/STD among police Employees.Methods: A cross sectional study was design to collect data from male police employees of police training college of Shahdadpur, Sanghar, aged 20 to 50 years, and total study sample was calculated to be 105. A questionnaire was developed for collection of the data, and data was analyzed by using different tools of MS-excel and SPSS 20.0 versions.Results: 90% of the participants were aware about sexually transmitted infections (STIS), 82% were also aware that to be limited only one sexual partner .75% of them were known that condom can protect from STIS. Whereas 90% of the participants believed that by sharing food with any STI patient it does not spread the disease.94% participants were aware that the STIS and HIV/AIDS can be transmitted from mother to her child during pregnancy. Overall 80% were aware about hepatitis A, B, C and HIV/AIDS and remaining 90% were unaware about other STIS.Conclusion: The study concludes that police employees has high level of knowledge about condom usage as prevention of STIs but stigma attached with usage of condoms as they feel shy by purchasing the condoms.


2020 ◽  
Vol 29 ◽  
Author(s):  
Raquel Conceição de Almeida Ramos ◽  
Thelma Spindola ◽  
Claudia Silvia Rocha Oliveira ◽  
Elizabeth Rose Costa Martins ◽  
Giselle da Silva Figueiredo Lima ◽  
...  

ABSTRACT Objective: to analyze the sexual practices adopted by university students for the prevention of Sexually Transmitted Infections Method: a quantitative, descriptive and cross-sectional study, conducted in 2016, at a private university in the municipality of Rio de Janeiro, Brazil. A convenience sample was selected, stratified by gender, of 768 students who answered a self-administered questionnaire, structured with variables of sociodemographic characterization and related to knowledge about sexually transmitted infections, sexual practices, prevention practices and care with sexual health. In the analysis, descriptive statistics, chi-square tests and analysis of variance were used, with a significance level of 5%. Results: most of the university students ‒ 654 (85.16%) ‒ had an active sex life and 480 (62.54%) did not use condoms in all their sexual encounters. Among the participants, 509 (84.83%) said they had sexual intercourse with a steady partner, of which 224 (44.01%) used a condom. In the investigated group, 313 (47.86%) had relationships with casual partners, with 199 (63.58%) reporting having used a condom. Among the participants, 174 (26.61%) had their sexual practices classified as adequate/satisfactory. Conclusion: the findings show that the university students investigated present a risk behavior for Sexually Transmitted Infections due to inadequate/unsatisfactory sexual practices. Health education actions should consider cultural and individual aspects of the group in order to encourage reflection on practices for the prevention of sexually transmitted diseases.


2003 ◽  
Vol 2 (1) ◽  
pp. 61
Author(s):  
Budhy Wahyuni

The issue of homosexuality brings about various viewpoints that are controversial from any aspect. In terms of health, for example, many people link homosexuality as being the cause of the spread of HIV/AIDS, even though homosexuals themselves do not accept this accusation. In this article, Budi Wahyuni endeavours to look more "fairly" at this issue. According to her, HIV/AIDS and other sexually transmitted diseases are caused by unsafe sexual practices. Among those sexual acts vulnerable to the spread of sexually trans mitted diseases are oral sex, anal sex and masturbation, whether they are done by homosexuals or heterosexuals.


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