Sexual health最新文献

{"title":"Awareness and willingness toward doxycycline post-exposure prophylaxis use for bacterial sexually transmitted infections among men who have sex with men.","authors":"Yi-Ting Chen, Kuan-Yin Lin, Hsin-Yun Sun, Yu-Shan Huang, Wang-Da Liu, Yu-Chung Chuang, Po-Hsien Kuo, Sung-Hsi Huang, Kai-Hsiang Chen, Aristine Cheng, Wang-Huei Sheng, Szu-Min Hsieh, Sung-Ching Pan, Un-In Wu, Szu-Ting Huang, Tzong-Yow Wu, Wen-Chun Liu, Pei-Ying Wu, Yu-Zhen Luo, Hsi-Yen Chang, Ling-Ya Chen, An-Ting Peng, Pei-Yu Wang, Guei-Chi Li, Chien-Ching Hung","doi":"10.1071/SH24136","DOIUrl":"10.1071/SH24136","url":null,"abstract":"<p><p>Background Doxycycline post-exposure prophylaxis (doxy-PEP) has shown efficacy in preventing bacterial sexually transmitted infections (STIs) among men who have sex with men (MSM). We aimed to investigate the awareness and willingness toward doxy-PEP among MSM in the real-world setting. Methods From October 2023 to March 2024, we enrolled MSM aged ≥18years, including people with HIV and PrEP users in Taiwan. Participants completed a questionnaire interview on sexual behaviors, STI history, and awareness and willingness to use doxy-PEP. Factors associated with willingness and doxy-PEP prescription were identified. Results Of 1100 participants (median age, 36years), 75.5% were people with HIV and 24.5% were PrEP users. Among them, 29.8% (328/1100) had heard of doxy-PEP. After education and counseling, 85.9% (945/1100) expressed willingness to use doxy-PEP and 45.6% (431/945) received prescriptions for doxy-PEP. In multivariable analysis, willingness to use doxy-PEP was associated with engaging in anal sex (AOR2.98, 95% CI1.01-8.78), having fixed sexual partners (AOR0.53, 95% CI0.34-0.82), using recreational drugs (AOR1.59, 95% CI1.01-2.50) and receiving suggestions from healthcare providers (AOR1.89, 95% CI1.22-2.91). Starting doxy-PEP was associated with having a bachelor's degree or higher (AOR1.47, 95% CI1.03-2.09), more than five sexual partners (AOR1.97, 95% CI1.18-3.27), chlamydia history (AOR1.92, 95% CI1.23-2.99), suggestions from healthcare providers (AOR 1.64, 95% CI1.10-2.45) and information from scientific research papers (AOR1.34, 95% CI1.01-1.79). Conclusions MSM in Taiwan had high willingness toward doxy-PEP, which was correlated with their at-risk sexual behavior. Understanding factors influencing willingness and counseling from healthcare providers may guide doxy-PEP implementation.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151677","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}

{"title":"Using photovoice to explore HIV self-testing and secondary distribution of HIV self-testing among gay, bisexual and other men who have sex with men in China.","authors":"Qianyun Wang, Ying Lu, Yuxin Ni, Xumeng Yan, Rayner Kay Jin Tan, Dan Wu, Joseph D Tucker, Jason J Ong, Weiming Tang","doi":"10.1071/SH24116","DOIUrl":"10.1071/SH24116","url":null,"abstract":"<p><p>Background Human immunodeficiency virus self-testing (HIVST) has been globally recognized as a useful and reliable strategy to promote HIV testing, especially among marginalized populations. To improve the understanding of HIVST uptake of gay, bisexual and other men who have sex with men (GBMSM) in China, this study aims to qualitatively explore the HIVST uptake experiences among this population. Methods The study employed photovoice methodology, theoretically built on documentary photography and critical consciousness, to explore the experiences of HIVST and secondary distribution among GBMSM in China. Participants created photos and citations, and shared and discussed them in the group. Three focus groups and one follow-up interview were held virtually for each participant who self-identified as gay or bisexual and used a self-test kit before. Results This program recruited 22 participants from throughout China. The findings revealed that perceived discrimination based on sexual minority identity, and HIV-related stigma and fear affected participants' decision to take HIVST and to pass HIVST kits on to others. Participants utilized HIVST on a routine basis, citing sexual health concerns, psychological comfort and a responsibility to their significant others as reasons for doing so. HIVST kit distribution within intimacy, and the significant role of GBMSM-led community-based organizations were found as characteristics of interactions between participants and those who they passed HIVST kit(s) on to. Conclusion In the study, images and narratives were acquired through empowering GBMSM, and promoting their community engagement to underline the necessity for measures and policies on promoting HIVST among this population. Findings also entailed the need to create a more inclusive society for sexual minorities and people living with HIV. Implications for promoting HIVST secondary distribution, and limitations and strengths of the pioneer photovoice study among GBMSM in China were also listed.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128701","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}

{"title":"Do Australian sexual health clinics have the capacity to meet demand? A mixed methods survey of directors of sexual health clinics in Australia.","authors":"Christopher K Fairley, Jason J Ong, Lei Zhang, Rick Varma, Louise Owen, Darren B Russell, Sarah J Martin, Joseph Cotter, Caroline Thng, Nathan Ryder, Eric P F Chow, Tiffany R Phillips, For The Australian Sti Research Group","doi":"10.1071/SH25026","DOIUrl":"10.1071/SH25026","url":null,"abstract":"<p><p>Background The study describes the capacity of publicly funded sexual health clinics in Australia and explores the challenges they face. Methods We sent a survey to the directors of publicly funded sexual health clinics across Australia between January and March 2024. The survey asked about how their clinics were managing the current clinical demand. Results Twenty-seven of 35 directors of sexual health clinics responded. These 27 clinics offered a median of 35 (IQR: 20-60) bookings each day, but only a median of 10 (IQR: 2-15) walk-in consultations for symptomatic patients. The average proportion of days that clinics were able to see all patients who presented with symptoms was 70.1% (95% CI 55.4, 84.9) during summer versus 75.4% (95% CI 62.2, 88.5) during winter. For patients without symptoms, the corresponding proportions were 53.3% (95% CI 37.9, 68.8) during summer versus 57.7% (95% CI 41.7, 73.7) during winter. If these percentages were adjusted for the number of consultations that the clinic provided, then the corresponding numbers for symptomatic individuals was 51.0% for summer and 65.2% for winter, and for asymptomatic individuals it was 48.1% and 49.8%, respectively. The catchment population of the clinics for each consultation they provided ranged from as low as 3696 to a maximum of 5 million (median 521,077). Conclusions The high proportion of days on which sexual health clinics were not able to see all patients is likely to delay testing and treatment of individuals at high risk of STIs and impede effective STI control.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998719","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}

{"title":"Diagnoses of sexually transmissible infections in HIV-serodiscordant male couples in Australia, Brazil and Thailand.","authors":"James Gray, Fengyi Jin, Nittaya Phanuphak, Ruth K Friedman, Christopher K Fairley, David J Templeton, Iryna Zablotska-Manos, Jennifer Hoy, David Baker, Mayara Secco Torres Silva, Andrew Grulich, Benjamin Bavinton, For The Opposites Attract Study Group","doi":"10.1071/SH24208","DOIUrl":"10.1071/SH24208","url":null,"abstract":"<p><p>Background In an era of biomedical prevention of HIV transmission, prevention of sexually transmissible infections (STIs) remains a priority for male HIV-serodiscordant couples. Three common STIs in populations of gay and bisexual men are chlamydia, gonorrhoea and syphilis. Methods We examined the incidence of these three infections in 343 male HIV-serodiscordant couples in Australia, Brazil and Thailand. The couples participated in a prospective, observational cohort study that included regular STI testing and behavioural surveys for HIV-negative partners (HNP). Results HIV-positive partners (HPP; IR=22.9/100person-years, 95% CI: 19.3-27.0) had a higher incidence rate of any STI (22.9/100person-years, 95% CI: 19.3-27.0) compared with HNP (14.9/100person-years, 95% CI: 12.1-18.3). It was more common for only the HPP (n =107/343, 7.1%) or only the HNP (n =60, 4.0%) to have an STI than for both to have an STI (n =29/343, 1.9%). Higher STI incidence was associated with vocational education (HNP: aHR=2.19, P =0.005), full-time employment (HPP: aHR=1.61, P =0.016), living in Brazil (HPP: aHR=1.85, P =0.017) or Thailand (HPP: aHR=1.98, P =0.008), having anal sex with other partners (HNP: aHR=2.42, P =0.003; HPP: aHR=2.87, P P =0.044). Lower STI incidence was associated with age >40 years (HNP: aHR=0.49, P =0.021; HPP: aHR=0.46, P =0.006), full-time employment (HNP: aHR=0.56, P =0.016) and >5years since first sex with the study partner (HNP: aHR=0.50, P =0.036). Conclusions There were differences in STI diagnoses within HIV-serodiscordant couples, particularly based on their agreements about sex outside the relationship. Interventions aimed at strengthening these agreements with commitments to STI testing could be effective in reducing the incidence of STIs.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018901","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}

{"title":"Empowering adolescent girls in Pakistan: development and feasibility of the Girls' Voices Curriculum for advocacy and leadership.","authors":"Komal A Rahim, Zohra S Lassi, Sarmad Muhammad Soomar, Salima Meherali","doi":"10.1071/SH25010","DOIUrl":"10.1071/SH25010","url":null,"abstract":"<p><p>Background Adolescence is a pivotal stage of life, yet many adolescent girls in Pakistan face significant challenges due to gender inequality and limited opportunities for empowerment. To address these gaps, Rise Up and Girl Up introduced the 'Girls' Voices Curriculum': a 10-week program to empower underprivileged girls through girl-led advocacy and decision-making. Methods Piloted in three suburban schools in Sindh Province, Pakistan, the curriculum was evaluated for cultural acceptability and feasibility through workshops with 86 teachers and school administrators. Results The findings highlight its relevance, cultural sensitivity, and potential to address adolescent girls' needs. Ongoing efforts aim to integrate the curriculum into schools and evaluate its effectiveness in fostering gender equality, problem-solving, and leadership skills. Conclusion This initiative holds promise as a scalable model for empowering adolescent girls in Pakistan and similar contexts.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049228","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}

{"title":"Position statement on doxycycline post-exposure prophylaxis for the prevention of bacterial sexually transmissible infections in Aotearoa New Zealand: the New Zealand Sexual Health Society.","authors":"Julia Scott, Massimo Giola, Jeannie Oliphant","doi":"10.1071/SH25017","DOIUrl":"https://doi.org/10.1071/SH25017","url":null,"abstract":"<p><p>Recent studies have demonstrated that doxycycline post-exposure prophylaxis (doxy-PEP) reduces the risk of syphilis and chlamydia in men who have sex with men and transgender women who have sex with men who are at risk of sexually transmitted infections (STIs). With several international organisations publishing guidance regarding doxy-PEP use, and substantial community and sector interest, the New Zealand Sexual Health Society drafted an interim statement and then convened a cross-sectoral meeting to discuss doxy-PEP benefits and risks, and review and revise the statement. There was strong agreement that doxy-PEP be considered as part of a comprehensive STI prevention approach to people assigned male sex at birth who have sex with men who are at risk of syphilis, primarily as an intervention to prevent syphilis. New Zealand Sexual Health Society advises that doxy-PEP be proactively offered to people assigned male sex at birth who have sex with men with a diagnosis of syphilis or two other bacterial STIs in the past 12months, and considered for others as outlined in the statement. Prescription of doxy-PEP should include counselling on the benefits and harms including side-effects and antimicrobial resistance, with users assisted to maximise the benefits of doxy-PEP while minimising overall antibiotic use. STI diagnostic considerations, and monitoring and surveillance are discussed.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181776","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}

{"title":"A comparative analysis of abortion care and outcomes post-decriminalisation in a public sexual health clinic in Queensland, Australia.","authors":"Alexandra Christina Drew","doi":"10.1071/SH24195","DOIUrl":"10.1071/SH24195","url":null,"abstract":"<p><p>Background The decriminalisation of abortions in Queensland since 2018 has allowed a framework to be established for people to access safe and legal abortion services. The Cairns Sexual Health Service has been offering medical termination of pregnancy (MToP) for 18years, and this has become part of the public healthcare system in an outpatient setting. Methods A retrospective audit of MToP conducted between 2019 and 2023 was undertaken to follow up on an earlier audit covering 2011-2015, before the decriminalisation of MToP. Results Within the 5years from 2019 to 2023, a total of 3060 clients were seen in Cairns Sexual Health Service for either a MToP or referral for an inpatient MToP or surgical termination of pregnancy. A total of 1956 had a MToP at Cairns Sexual Health Service during 2019 and 2023, compared with 1712 completed within the 5-year period from 2011 to 2015. A total of 28 were referred for an inpatient MToP, and 1076 were referred for a surgical termination of pregnancy. With ongoing improvements in clinical delivery, unsuccessful outcomes after an MToP have reduced from 0.9% between 2011 and 2015 to 0.5% in 2019 and 2023. Conclusion Since its decriminalisation, there has been a consistent and strong community demand for the service. Abortion care is an essential component of healthcare, and all pregnant people have the right to equitable MToP services within primary healthcare settings. However, further funding is required to maintain the service as a standard of care, and access to late abortions of pregnancy remains an issue.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052256","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}

{"title":"Barriers and facilitators to accessing sexual health services among middle-aged and older adults in the UK, including those with disabilities: a qualitative analysis.","authors":"Charlotte Letley, Isabella Kritzer, Yoshiko Sakuma, Hayley Conyers, Sophia Randazzo, Jason J Ong, Suzanne Day, Dan Wu, Fern Terris-Prestholt, Joseph D Tucker, Eneyi E Kpokiri","doi":"10.1071/SH24093","DOIUrl":"10.1071/SH24093","url":null,"abstract":"<p><p>Background Middle-aged and older adults have unmet sexual health needs but often encounter challenges in accessing sexual health services (SHS). Individual, social, and environmental issues discourage middle-aged and older adults from accessing SHS. This study aimed to examine the barriers and facilitators experienced by middle-aged and older adults when accessing SHS in the UK. We included disabled people and sexual minorities with intersectional needs. Methods We organised semi-structured interviews with residents in England aged 45 years and older, including disabled people and sexual minorities. Participants were recruited using social media, primary care clinics, and community-based organisations. Interviews were audio-recorded and transcribed. Levesque et al .'s framework of healthcare access was used as a theoretical guide for analysing and presenting the study findings. After initial coding and theme generation, sub-themes of barriers and facilitators were mapped onto the healthcare access framework. Results The mean age of the 22 participants was 59years with 15 men and 7 women. Participants included people of different ethnicities (White British, Black African, and White mixed), disabilities, and sexualities. These participants highlighted various barriers to accessing SHS. Physical obstacles, such as narrow corridors, were cited as significant hindrances, although accommodations, such as physical assistance, were noted to enhance accessibility. Additionally, participants noted the pervasive stigma surrounding sexual health in older adults, exacerbated by healthcare providers presuming asexuality within this demographic. To address these multi-faceted challenges, greater involvement of disabled older individuals in the design of SHS is advocated. This collaborative approach is believed to expedite the development of age-responsive clinical services, fostering inclusivity and accessibility while simultaneously addressing psychological and social barriers. Conclusions Our data suggest that physical inaccessibility and stigma are persistent barriers to accessing SHS for older disabled people. Increasing training for healthcare providers, further research, and supportive policies are needed to improve delivery and access to SHS for older adults, including those with disabilities in the UK.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151692","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}

{"title":"Turkish adaptation, validity and reliability study of the sexual and reproductive empowerment scale for adolescents and young adults.","authors":"Sila Gül, Nuriye Büyükkayaci Duman","doi":"10.1071/SH24159","DOIUrl":"10.1071/SH24159","url":null,"abstract":"<p><p>Background This reliability and validity study aimed to adapt the Sexual and Reproductive Empowerment Scale for Adolescents and Young Adults (SRES-AYA) into Turkish, and to introduce it to Turkish society by conducting validity and reliability studies. Methods The sample consisted of undergraduate students between the ages of 18-24 years studying at a university. A 19-question personal information form and the 23-question SRES-AYA were used to collect data on the topic. Data were collected through face-to-face interviews in January 2023. In the scale's validity phase, language, content and construct validity were examined, respectively. Internal consistency and time invariance were reviewed in the reliability stage of the scale. The data were analysed with the SPSS for Windows 22 package program and the LISREL 8.80 package program. Results The content validity index of the scale was found to be 0.99. The Kaiser-Meyer-Olkin test was 0.874, and Barlett's test of sphericity significance level chi-squared=3511.034, P =0.000. In the exploratory factor analysis, the factor loadings of all items were >0.40, the variance explained was 74.668%, and no items were removed from the scale. The fit index values evaluated in the confirmatory factor analysis were chi-squared/s.d. = 3.71, goodness of fit = 0.98, adjusted goodness of fit = 0.97, comparative fit index = 0.99, root mean square error of approximation = 0.074, standardized root mean square residual = 0.053, and path diagram factor loadings between 0.41 and 0.91, all of which were found to be within the acceptable range. Cronbach's alpha was 0.913, and Spearman's Rho coefficient was 0.893. Conclusions The scale was determined to be a valid, highly reliable instrument suitable for Turkish society.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162358","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}

{"title":"<i>Corrigendum to</i>: Assessing and projecting the global impacts of female infertility: a 1990-2040 analysis from the Global Burden of Disease study.","authors":"Hanjin Wang, Bengui Jiang","doi":"10.1071/SH24237_CO","DOIUrl":"https://doi.org/10.1071/SH24237_CO","url":null,"abstract":"","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998717","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}