scholarly journals Places and people: the perceptions of men who have sex with men concerning STI testing: a qualitative study

2017 ◽  
Vol 94 (1) ◽  
pp. 46-50 ◽  
Author(s):  
Jessica Datta ◽  
David Reid ◽  
Gwenda Hughes ◽  
Catherine H Mercer ◽  
Sonali Wayal ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Services ◽  
Sexual Health ◽  
Assessment Tool ◽  
Group Discussions ◽  
Health Clinics ◽  
Sti Testing ◽  
Minority Men ◽  
Sex With Men ◽  
Sexual Health Clinics

ObjectivesTo explore the experiences and views of men who have sex with men (MSM) on attending clinical sexual health services and their preferences regarding service characteristics in the context of the disproportionate burden of STIs experienced by this group. The wider study aim was to develop a risk assessment tool for use in sexual health clinics.MethodsQualitative study comprising eight focus group discussions with 61 MSM in four English cities. Topics included: experience of attending sexual health services, perceptions of norms of attendance among MSM, knowledge of, and attitudes towards, STIs and views on ‘being researched.’ Discussions were audio-recorded and transcribed and a thematic data analysis conducted.ResultsAttending sexual health services for STI testing was described as embarrassing by some and some clinic procedures were thought to compromise confidentiality. Young men seeking STI testing were particularly sensitive to feelings of awkwardness and self-consciousness. Black and ethnic minority men were concerned about being exposed in their communities. The personal qualities of staff were seen as key features of sexual health services. Participants wanted staff to be friendly, professional, discreet, knowledgeable and non-judgemental.ConclusionsA range of opinion on the type of STI service men preferred was expressed with some favouring generic sexual and reproductive health clinics and others favouring specialist community-based services. There was consensus on the qualities they would like to see in healthcare staff. The knowledge, conduct and demeanour of staff could exacerbate or ameliorate unease associated with attending for STI testing.

Sexual assault reporting amongst users of online sexual health services

2020 ◽  
pp. 095646242096394
Author(s):  
Sara Day ◽  
Gurmit Jagjit Singh ◽  
Sophie Jones ◽  
Ryan Kinsella
Keyword(s):  
Sexual Assault ◽  
Health Services ◽  
Sexual Health ◽  
Reporting Rate ◽  
High Response Rate ◽  
Transmitted Infection ◽  
Health Clinics ◽  
Sti Testing ◽  
Sexual Health Clinics ◽  
Sexual Assault Reporting

Sexual assault (SA) survivors often attend sexual health clinics (SHC) for care relating to their assault. Reported rates of SA amongst SHC attendees can be high. Online sexual health services are becoming increasingly popular. Sexual Health London (SHL) is a large online sexual transmitted infection (STI) screening service. Between 1.1.20– 8.2.20, 0.5% (242/45841) (54% female, 45.6% male) of adults disclosed a recent SA when ordering an online STI testing kit. 79% (192/242) users engaged in a call back discussion initiated by the SHL team: 45% (87/192) users confirmed a SA had occurred and 53% (101/242) users denied an assault (particularly men) stating they had reported this in error. 18% (16/87) users had already reported their SA to the police/sexual assault centre, and one user accepted an onward referral. This study found a low reporting rate of SA amongst SHL users, but despite a high response rate to call backs, >50% cited they reported in error, 25% (22/87) didn’t want to discuss their SA and few accepted onward referrals. Using e-triage to screen for SA followed by service-initiated telephonic support to everyone who discloses, may not be acceptable or offer utility to all. Further evaluation of ways to engage these individuals is required.

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 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

Safeguarding outcomes of 16 and 17-year-old service users of Sexual Health London (SHL.uk), a pan-London online sexual health service

2020 ◽  
Vol 31 (14) ◽  
pp. 1373-1379
Author(s):  
Sara Day ◽  
Ryan Kinsella ◽  
Sophie Jones ◽  
Victoria Tittle ◽  
Tara Suchak ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Sexual Health ◽  
Social Services ◽  
Child Protection ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Health Clinics ◽  
Sti Testing ◽  
Sexual Health Service ◽  
Sexual Health Clinics

Guidance around how to safeguard young people using online sexual health services (e-SHSs) is limited. Sexual Health London (SHL.uk) is an e-SHS, integrated with London’s sexual health clinics (SHCs), offering users aged 16 years and above sexually transmitted infection (STI) testing. For a safeguarding risk assessment, under 18s must complete a safeguarding e-triage, and any concern raised results in a ‘call back’ (CB) by the SHL.uk team. The safeguarding outcomes of CBs between 8 January 2018 and 18 September 2018 were reviewed; 261/454 (57.5%) users never triggered a CB on their e-triage (non-CB group) and 193/454 (42.5%) users triggered one or more CB(s) (CB group). Safeguarding concerns disclosed predominantly related to drug/alcohol use and partner's age imbalance. Successful telephonic risk assessment took place in 84.5% CB cases. Safeguarding outcomes comprised referrals to: SHC in 35.5%; child protection team in 8.5%; social services in 7%. STI positivity was 16.4% and 15.2% in the CB and non-CB groups, respectively. Although a high number of safeguarding triggers were disclosed, only a small proportion warranted referral for further support/intervention. Using e-triage with telephony support to screen and safeguard adolescents accessing an e-SHS was acceptable to users and enabled their clinical and safeguarding needs to be safely met. e-SHS integration within a network of SHCs further supported this model.

Sign in / Sign up

Export Citation Format

Share Document