Sexual health最新文献_第10页

Let's not forget about Mycoplasma genitalium. 别忘了生殖器支原体。

IF 2.2 4区医学

Sexual health Pub Date : 2025-12-23 DOI: 10.1071/SH25174

Jeffrey D Jenks

引用次数: 0

Acceptability of self-collected oropharyngeal swabs for gonorrhoea and chlamydia screening among men who have sex with men in a sexual health clinic setting. 在性健康诊所进行男男性行为者中自行收集口咽拭子进行淋病和衣原体筛查的可接受性

IF 2.2 4区医学

Sexual health Pub Date : 2025-12-23 DOI: 10.1071/SH25126

Tiffany R Phillips, Christopher K Fairley, Kate Maddaford, Vesna De Petra, Eric P F Chow

{"title":"Acceptability of self-collected oropharyngeal swabs for gonorrhoea and chlamydia screening among men who have sex with men in a sexual health clinic setting.","authors":"Tiffany R Phillips, Christopher K Fairley, Kate Maddaford, Vesna De Petra, Eric P F Chow","doi":"10.1071/SH25126","DOIUrl":"10.1071/SH25126","url":null,"abstract":"Background: Self-collected oropharyngeal swabs for gonorrhoea and chlamydia screening were widely adopted during the COVID-19 pandemic to reduce transmission risks. Although self-collection is established for other anatomical sites, limited data exist on the acceptability of oropharyngeal self-collection among gay, bisexual and other men who have sex with men, particularly across levels of experience.Methods: We conducted a cross-sectional online survey among gay, bisexual and other men who have sex with men attending Melbourne Sexual Health Centre between June 2020 and October 2022. Participants were invited via SMS within a day of self-collecting an oropharyngeal swab. The survey assessed swab experience, comfort and preference for clinician- or self-collection. Logistic regression examined factors associated with preferring clinician collection.Results: Among 381 participants, 47.6% (181/381) preferred clinician collection, 30.5% (116/381) had no preference and 21.8% (83/381) preferred self-collection for oropharyngeal samples. Two-thirds (253/381) found self-collection easy or very easy. Preference for clinician collection was independently associated with anxiety about correct technique (aOR 4.9, 95% CI 2.5-9.5) and difficulty swabbing the back of the oropharynx (aOR 3.6, 95% CI 1.4-9.2).Conclusion: Although most gay, bisexual and other men who have sex with men found oropharyngeal self-collection easy, nearly half preferred clinician collection, largely due to concerns about correct technique. Enhancing instructional support and addressing confidence may improve acceptability, and support ongoing use of self-collection in sexual healthcare delivery.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How gay, bisexual and other men who have sex with men living with HIV experience sexual dysfunction: a thematic analysis of interviews in Montreal, Canada. 男同性恋者、双性恋者和其他与艾滋病毒携带者发生性关系的男性如何经历性功能障碍：对加拿大蒙特利尔访谈的专题分析。

IF 2.2 4区医学

Sexual health Pub Date : 2025-12-23 DOI: 10.1071/SH25150

Francesco Avallone, Kim Engler, Ford Hickson, Joseph Cox, Eric Fortin, Sean Yaphe, Bertrand Lebouché

{"title":"How gay, bisexual and other men who have sex with men living with HIV experience sexual dysfunction: a thematic analysis of interviews in Montreal, Canada.","authors":"Francesco Avallone, Kim Engler, Ford Hickson, Joseph Cox, Eric Fortin, Sean Yaphe, Bertrand Lebouché","doi":"10.1071/SH25150","DOIUrl":"10.1071/SH25150","url":null,"abstract":"Background: Sexual dysfunction (SD) is prevalent, yet underaddressed, among gay, bisexual and other men who have sex with men (GBM) living with HIV. We aimed at exploring the perceived causes and effects of SD from the perspective of Montreal-based GBM with HIV.Methods: During 2024, semi-structured interviews were conducted with 31 Montreal-based GBM with HIV who experienced SD (reduced libido, erectile dysfunction, premature/delayed ejaculation or pain during sex) in the past 5 years, asking about perceived causes and impacts. Data were analyzed using reflexive thematic analysis.Results: Participants' median age was 46 years (range 27-74 years). The most common SDs were reduced libido (n = 26; 84%) and erectile dysfunction (n = 25; 81%). Participants reported a median of three concurrent SDs. Themes regarding the perceived causes of SD were: (1) biopsychosocial challenges across the lifespan, including aging, physical health (e.g. hormonal/cardiovascular problems), adverse life events and mental health problems; (2) living with HIV (in terms of HIV diagnosis and stigma) and concerns about antiretroviral therapy side-effects; and (3) gay sexual culture, which encompassed challenges in navigating expectations, relational/sexual ambivalence, and combining sex and drugs. Themes related to the impacts of SD included: (1) negative emotions (e.g. frustration, low self-esteem); (2) relational strain; and (3) adaptation (e.g. prioritizing intimacy over sex alone).Conclusions: Findings highlight the multifaceted experience of SD among GBM with HIV. Participants perceived that biopsychosocial challenges across the lifespan, living with HIV and gay sexual culture contributed to SD. Although SD led to emotional and relational distress, participants indicated strategies to manage it.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 6","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145368806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HIV/STI awareness and testing among young Rohingya refugees in Bangladesh: a cross-sectional analysis. 孟加拉国年轻罗兴亚难民的艾滋病毒/性传播感染意识和检测：横断面分析。

IF 2.2 4区医学

Sexual health Pub Date : 2025-12-23 DOI: 10.1071/SH25093

Muhammad Anwar Hossain, Iryna Zablotska-Manos

{"title":"HIV/STI awareness and testing among young Rohingya refugees in Bangladesh: a cross-sectional analysis.","authors":"Muhammad Anwar Hossain, Iryna Zablotska-Manos","doi":"10.1071/SH25093","DOIUrl":"10.1071/SH25093","url":null,"abstract":"Background: Young Rohingya women in Bangladesh are undoubtedly vulnerable to HIV/STIs, but little is known about their awareness or testing behaviours. We assessed HIV/STI awareness and identified factors associated with awareness and testing among Rohingya women aged 15-24 years.Methods: In 2023, we conducted a cross-sectional survey in Cox's Bazar camps, enrolling 686 Rohingya women aged 15-24 years. Data were collected via interviewer-administered structured questionnaires on HIV/STI awareness, transmission knowledge and testing history. Multivariable logistic regression identified factors associated with HIV/STI awareness and testing.Results: Only 12.4% of participants had heard of HIV, and 9.2% of STIs. Correct knowledge of transmission routes and symptoms was limited. Testing uptake was extremely low: 2.6% had ever tested for HIV, and 2.5% for STIs. Literacy, employment outside the home and recent fieldworker visits were positively associated with awareness (AOR 3.5, 95% CI: 2.1-5.8; AOR 2.6, 95% CI: 1.1-6.0; AOR 2.4, 95% CI: 1.2-4.7). Awareness, in turn, was strongly associated with having ever been tested (AOR 24.8, 95% CI: 7.7-79.5).Conclusion: We uncovered alarmingly low levels of HIV/STI awareness and testing among young Rohingya refugee women, which were associated with important social and structural barriers. Our findings underscore the need for context-specific strategies to expand HIV/STI knowledge, and access to and uptake of HIV/STI testing.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 6","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145368789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Where did we go wrong? Recruitment challenges in exploring LGBTIQA+ experiences following miscarriage. 我们哪里出错了？流产后探索LGBTIQA+经验的招聘挑战。

IF 2.2 4区医学

Sexual health Pub Date : 2025-12-23 DOI: 10.1071/SH25136

Max Twycross, Meredith Temple-Smith, Jade Bilardi, Emily Thrower, Clare Bellhouse

引用次数: 0

Generous manuscript review. 慷慨的手稿审查。

IF 2.2 4区医学

Sexual health Pub Date : 2025-12-23 DOI: 10.1071/SH25165

Joseph D Tucker, Jason J Ong

{"title":"Generous manuscript review.","authors":"Joseph D Tucker, Jason J Ong","doi":"10.1071/SH25165","DOIUrl":"10.1071/SH25165","url":null,"abstract":"Background: Generous peer review is essential for scientific review, yet many researchers experience the current review culture as unkind. Harsh reviews disproportionately affect women, researchers of color, and other under-represented groups, contributing to reduced confidence, diminished job satisfaction, and delayed career progression. In contrast, generous reviewing strengthens research quality, promotes equity, and reinforces the collaborative foundations of science.Methods and results: This article outlines four principles to guide a more generous approach to manuscript review: empathizing with authors, providing constructive criticism, focusing on areas of genuine expertise, and advocating for systemic improvements in academic publishing. Empathy encourages reviewers to recognize the emotional and professional labor behind every submission, framing feedback in a manner that supports learning rather than discouragement. Constructive criticism emphasizes specificity, actionable guidance, and a distinction between major and minor concerns. Reviewing within one's expertise enhances accuracy and protects against misplaced or misleading critique, while acknowledging limitations promotes humility and transparency. Finally, reviewers are well positioned to promote broader equity, including advocating for fair article processing charge policies, inclusive language support, and greater recognition of reviewer labor.Conclusions: Cultivating generosity in peer review does not diminish rigor; it enhances the effectiveness, fairness, and impact of scholarly communication. By adopting these principles, reviewers can help shift the culture of peer review towards one that encourages improvement, supports diverse researchers, and advances high-quality science.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preferences on the uptake and completion of single- or three-dose regimen of benzathine penicillin G injection for the treatment of late syphilis: a discrete-choice experiment. 接受和完成单剂量或三剂量苄星青霉素G注射治疗晚期梅毒的偏好：离散选择实验。

IF 2.2 4区医学

Sexual health Pub Date : 2025-10-13 DOI: 10.1071/SH25044

Nang Nge Nge Phoo, Richard Norman, Daniel Vujcich, Jason J Ong, Laurens Manning, Rochelle Tobin, Thel Hla, Jonine Jancey

{"title":"Preferences on the uptake and completion of single- or three-dose regimen of benzathine penicillin G injection for the treatment of late syphilis: a discrete-choice experiment.","authors":"Nang Nge Nge Phoo, Richard Norman, Daniel Vujcich, Jason J Ong, Laurens Manning, Rochelle Tobin, Thel Hla, Jonine Jancey","doi":"10.1071/SH25044","DOIUrl":"10.1071/SH25044","url":null,"abstract":"Background: Notifications of syphilis in Australia have increased since 2011, particularly among gay and bisexual men who have sex with men (GBMSM). Adherence to current late latent syphilis treatment regimen is low-moderate, which is a significant health issue. To address this treatment non-compliance, a single high-dose benzathine benzylpenicillin G regimen has been under clinical trial. This study aimed to determine which attributes of either a three-dose or single-dose benzathine benzylpenicillin G regimen for treating late latent syphilis were preferred, and which attributes were deemed most important by a sample of GBMSM in Australia.Methods: A discrete-choice experiment survey was administered to GBMSM. This included two experiments: (1) treatment Day 1, and (2) completion of a full course. Random parameters logit model and latent class analysis were used to analyse choices of preferred attribute levels, and attributes deemed most important by respondents.Results: A total of 309 respondents completed the survey, having a mean age of 42.35 (±15.4) years. The choices revealed respondents' preferred attribute levels that were related to the single high-dose regimen, such as one injection on Day 1, the use of a shorter and thinner needle, a single injection, and a single appointment to complete the treatment course. Respondents preferred a shorter injection time. The pain on treatment Day 1, and the total number of injection(s) and appointment(s) to complete a treatment course were of most concern to respondents.Conclusions: The GBMSM respondents preferred one injection and one appointment for a full treatment course, which supports efforts to develop a single high-dose benzathine benzylpenicillin G regimen for late latent syphilis treatment.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Genitourinary syndrome of menopause in Chinese-speaking sex workers attending an urban Australian sexual health clinic: a quality improvement project. 在澳大利亚城市性健康诊所就诊的中文性工作者的绝经期泌尿生殖系统综合征：质量改进项目。

IF 2.2 4区医学

Sexual health Pub Date : 2025-10-13 DOI: 10.1071/SH25077

Ying Zhi Zhou, Arthur Wong, Maggie Ma, Luming Xu, Xiaoxin Shi, Rosalind Foster

引用次数: 0

Epidemiology of notified chlamydia infections, Queensland, 2000-2019. 2000-2019年昆士兰州通报衣原体感染流行病学

IF 2.2 4区医学

Sexual health Pub Date : 2025-10-13 DOI: 10.1071/SH25121

Troy A Laidlow, Kathleen Lynch, Satyamurthy Anuradha, Craig Thompson, Davoud Pourmarzi, Jane Hocking, Stephen B Lambert

{"title":"Epidemiology of notified chlamydia infections, Queensland, 2000-2019.","authors":"Troy A Laidlow, Kathleen Lynch, Satyamurthy Anuradha, Craig Thompson, Davoud Pourmarzi, Jane Hocking, Stephen B Lambert","doi":"10.1071/SH25121","DOIUrl":"10.1071/SH25121","url":null,"abstract":"Background: Chlamydia infection is a frequently reported notifiable condition in Queensland, with the highest prevalence observed among young people. Infection can occur in several sites including the anus, eye, pharynx, cervix/vagina, and urethra. Currently, historical trends in chlamydia by site of infection in Queensland are unknown.Methods: A descriptive analysis of all chlamydia notifications in Queensland, 2000-2019, was performed. Queensland Health statewide notification data were classified as either anorectal, eye, genitourinary, upper respiratory tract, or other/unspecified. The number of chlamydia tests and proportion of tests positive for chlamydia were calculated using Medicare online testing data. Population denominator values were obtained from the Australian Bureau of Statistic's catalogues.Results: Over the 20-year period, chlamydia notifications increased, particularly among individuals aged 20-24 years. However, there was a noticeable decline in genitourinary notifications among those aged 15-19 years since 2010. Despite increased testing, the ratio of positive specimens to testing decreased among females aged 15-24 years.Conclusions: Across the period of our study, there was a substantial and sustained decline in chlamydia notifications in those aged 15-19 years. Further research is required to understand factors that have contributed to this decrease and to guide programs for controlling chlamydia.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acceptability of intrauterine device insertion without sedation for young nulliparous people: a mixed-methods study. 年轻无产人群无镇静植入宫内节育器的可接受性：一项混合方法研究。

IF 2.2 4区医学

Sexual health Pub Date : 2025-10-13 DOI: 10.1071/SH25100

Sarah M Wright, Prudence Kidman, Clare Boerma, Jessica R Botfield

{"title":"Acceptability of intrauterine device insertion without sedation for young nulliparous people: a mixed-methods study.","authors":"Sarah M Wright, Prudence Kidman, Clare Boerma, Jessica R Botfield","doi":"10.1071/SH25100","DOIUrl":"10.1071/SH25100","url":null,"abstract":"Background: There is limited understanding of the pain experiences of young nulliparous people undergoing intrauterine device (IUD) insertion without sedation and how this influences the acceptability of the procedure. Although quantitative studies have measured pain intensity during insertion, little research has explored how young people perceive, experience, and contextualise this. We therefore conducted a mixed-methods study to better understand pain experiences and how this affects acceptability.Methods: Patients aged 16-30 years getting an IUD at a family planning clinic were recruited. They completed pre- and post-insertion surveys to rate anticipated and actual pain associated with the insertion. Interviews were conducted post-insertion to discuss expectations, pain, and acceptability. We used a convergent mixed-methods design with merged integration of qualitative and quantitative data for analysis.Results: Altogether, 30 young people participated. Most used simple oral analgesia and local anaesthetic spray to the cervix. On average, participants rated anticipated pain as 6.63/10 and actual pain as 5.88/10. Despite describing the procedure as very painful, most felt the pain was short-lived and therefore tolerable, and that their analgesia was sufficient. Overall, participants reported the procedure as acceptable. Higher acceptability was significantly associated with feeling that their pain relief was sufficient, that the insertion went as they expected, and that they perceived the benefits of the IUD outweighed the discomfort.Conclusions: Although the IUD insertion was very painful for young nulliparous patients, it was not the only determinant of insertion acceptability. Findings emphasise the importance of clinicians providing sufficient education and information about IUD insertions to support preparation and manage expectations, in addition to providing effective pain management.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0