Sexual health最新文献

{"title":"Associations between extreme weather events and HIV vulnerabilities among refugee youth in a Ugandan refugee settlement: cross-sectional survey findings.","authors":"Carmen H Logie, Miranda G Loutet, Moses Okumu, Simon Odong Lukone, Nelson Kisubi, Peter Kyambadde, Lawrence Mbuagbaw, Frannie MacKenzie, Zerihun Admassu","doi":"10.1071/SH24224","DOIUrl":"https://doi.org/10.1071/SH24224","url":null,"abstract":"<p><p>Background There is growing evidence of associations between extreme weather events (EWE) and HIV vulnerabilities, yet this is understudied in humanitarian settings. We examined associations between EWE and HIV vulnerabilities among refugee youth in Bidi Bidi Refugee Settlement, Uganda. Methods We collected baseline (February to March 2024) cohort data with refugee youth aged 16-24years in Bidi Bidi. We conducted linear and logistic regression to assess associations between (a) number of past-year EWE types (e.g. extreme rain/flooding, changes in expected rain patterns, drought, extreme heat, fire, changes in expected temperature), and (b) frequency of past-year EWE, with HIV vulnerabilities (sexual relationship power, reproductive autonomy, condom use self-efficacy, transactional sex, intimate partner violence, multiple sex partners), adjusted for age, gender, education and employment. Results Among 400 participants (50% women; mean age: 19 years, standard deviation: 2.3), a higher number of past-year EWE types (vs 1) was significantly associated with reduced sexual relationship power (2-4 EWE: adjusted beta [aβ] = -2.96, P =0.009; ≥5 EWE: aβ = -4.92, P P =0.006; ≥5 EWE: aβ = -0.42, P =0.001) and condom use self-efficacy (2-4 EWE: aβ = -3.02, P P P =0.040), intimate partner violence (≥5 EWE: aOR 3.13, P =0.007) and multiple sex partners (≥5 EWE: aOR 4.70, P =0.002). Increased EWE frequency was significantly associated with lower sexual relationship power, reproductive autonomy and condom use self-efficacy. Conclusions EWE experiences were associated with multiple HIV vulnerabilities among refugee youth. Climate-informed, youth-tailored HIV prevention strategies are urgently needed.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114207","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":"Exploring perceived and enacted stigma with related factors among gay, bisexual, and other men who have sex with men in Nepal.","authors":"Md Safaet Hossain Sujan, Antoine Khati, Kiran Paudel, Kamal Gautam, Anjila Pandey, Sanjay Sharma, Manisha Dhakal, Jeffrey Wickersham, Roman Shrestha","doi":"10.1071/SH25031","DOIUrl":"https://doi.org/10.1071/SH25031","url":null,"abstract":"<p><p>Background Stigma is multifaceted and widely prevalent among gay, bisexual and other men who have sex with men (GBMSM). Although perceived and enacted stigma are mostly common and negatively impact GBMSM's well-being, there is limited research in Nepal to guide comprehensive interventions for effective solutions. Thus, the present study aimed to evaluate perceived and enacted stigma related to sexual behavior, as well as the associated factors, among GBMSM in Nepal. Methods A nationwide cross-sectional study was conducted online among 842 participants between April and May 2024. Neiland's Sexual Stigma Scale was used to assess perceived and enacted stigma related to sexual behavior. The Patient Health Questionnaire-9 and the Sleep Quality Scale were also utilized. Exploratory factor analysis, and bivariate and multivariate linear regression analysis were used in the present study. Results The mean age of the participants was 27.6 years (s.d.7.1 years). Over half of the participants (54-76%) experienced perceived stigma, and nearly half (35-57%) experienced enacted stigma. Participants who were older (β = 0.06, P -value β = 0.06, P -value 0.047), engaged in anal sex in the past 12months (β = 0.2, P -value β = 0.3, P -value β =-0.09, P -value = 0.021) and higher enacted stigma (β = 0.08, P -value = 0.009). In addition, participants who had concealed their sexual orientation (β = 0.1, P -value = 0.004), had ever engaged in chemsex (β = 0.07, P -value = 0.024), had reported transactional sex (β = 0.08, P -value = 0.009) in the past 12months or reported depressive symptoms (β = 0.3, P -value β = -0.1, P -value = 0.027) had a lower enacted stigma. Conclusion Our study showed a substantial presence of perceived and enacted stigma among GBMSM in Nepal. Our findings underscore the need for stigma reduction initiatives and supportive care for GBMSM in Nepal, especially for older individuals and GBMSM who engaged in chemsex or group sex or suffer from depression, to promote an LGBT-friendly community.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114218","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":"The use of saliva as a lubricant in relation to sexual behavioural patterns in men who have sex with men: an exploratory cross-sectional study.","authors":"Gaixia Li, Yi Liu, Yawu Hu, Fang Lu, Bingyang She, Rui Zhao, Eric P F Chow, Lei Zhang","doi":"10.1071/SH24213","DOIUrl":"https://doi.org/10.1071/SH24213","url":null,"abstract":"<p><p>Background We aimed to characterise the sexual practices of MSM who reported using saliva as a lubricant during sexual episodes. Methods A cross-sectional study on sexual practices of MSM was conducted between February 2022 and September 2022 in Xi'an, China. 'Saliva use as a lubricant' was used as a strata in a subgroup analysis. Results Among 1142 participants, 225 (19.7%) reported using saliva as a lubricant over the past 3months. Among them, 114 did so during solo masturbation, whereas 124 did so in 149 sex acts with male partners (45 in providing masturbation, 32 in receiving masturbation, 39 during insertive anal sex and 33 during receptive anal sex). Of the 149 acts, 55.7% (83/149) of participants used their own saliva, whereas 44.3% (66/149) used their partner's (P =0.19); 72.4% (108/149) would spit on their hands first before applying to the genitals, whereas only 27.5% (41/149) would spit directly on their own/partners' genitals (P P P P Conclusion MSM who use saliva as a lubricant are more likely to kiss and solo masturbate, with a preference for using their own saliva and spitting it onto the hands first.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113886","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":"Association between uric acid to high-density lipoprotein cholesterol ratio and infertility risk: evidence from a cross-sectional study.","authors":"Huijuan Ni, Cuiping Cao","doi":"10.1071/SH24241","DOIUrl":"https://doi.org/10.1071/SH24241","url":null,"abstract":"<p><p>This study explores the relationship between uric acid to high-density lipoprotein cholesterol ratio (UHR) and female infertility using data from 5814 participants in the National Health and Nutrition Examination Survey database. Multivariable logistic regression models were used to assess the association while adjusting for potential confounders. The findings revealed a significant positive correlation between UHR and infertility risk, suggesting that higher UHR levels may contribute to an increased likelihood of infertility. A dose-response relationship was observed, further supporting the robustness of the association. Additionally, subgroup analyses were conducted to examine potential heterogeneity across different populations, and the results remained consistent, reinforcing the reliability of our conclusions. While the study provides valuable insights into the potential role of UHR in female reproductive health, the cross-sectional design limits causal inference. Future longitudinal studies are needed to confirm these findings and explore the underlying mechanisms.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114175","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 public health ethics analysis of Doxy-PEP: arguments for and against - the 'yes' case.","authors":"Sam Templeman, Bridget Haire","doi":"10.1071/SH24013","DOIUrl":"https://doi.org/10.1071/SH24013","url":null,"abstract":"<p><p>In September 2023, the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine recommended consideration of doxycycline post-exposure prophylaxis to prevent STIs in gay, bisexual and other men who have sex with men. On 6 June 2024, the US Centers for Disease Control and Prevention added the intervention to its clinical guidelines. However, expanding antibiotic use carries the risk of propagating antimicrobial resistance among target STIs and non-target pathogens, prompting some experts to advocate withholding doxycycline post-exposure prophylaxis until further research is done. Thus, the use of doxycycline post-exposure prophylaxis is a question of whether the risk of antimicrobial resistance to the population is justified by the health benefits to gay, bisexual and other men who have sex with men. Here, we outline the public health ethics cases for and against this strategy.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114219","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 public health ethics analysis of Doxy-PEP: arguments for and against - the 'no' case.","authors":"Shreyas Iyer, Bridget Haire","doi":"10.1071/SH24008","DOIUrl":"https://doi.org/10.1071/SH24008","url":null,"abstract":"<p><p>In September 2023, the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine recommended doxycycline pre-exposure prophylaxis to prevent STIs in gay, bisexual and other men who have sex with men. However, expanding antibiotic use carries the risk of propagating antimicrobial resistance among target STIs and non-target pathogens, prompting some experts to advocate withholding doxycycline pre-exposure prophylaxis until further research is done. Thus, the use of doxycycline pre-exposure prophylaxis is a question of whether the risk of antimicrobial resistance to the population is justified by the health benefits to gay, bisexual and other men who have sex with men. Here, we outline the public health ethics cases for and against this strategy.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114185","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 pilot study, auditing digital communication to conduct sexual and reproductive health service outreach to Chinese- and Thai-speaking sex workers in Sydney.","authors":"Katherine Coote, Maggie Ma, Birdie Thirapat, Limin Mao, Rick Varma","doi":"10.1071/SH24188","DOIUrl":"10.1071/SH24188","url":null,"abstract":"<p><p>Background A large sexual health service (SHS) in Sydney has piloted the use of Mandarin-language app 'WeChat' and Thai-language app 'LINE', to enhance outreach to Chinese- and Thai-speaking sex industry workers (SIWs). These platforms offer a novel and unique means for Thai and Chinese SIWs to access the SHS, bypassing potential lengthy wait times otherwise experienced through phone triage, using telephone interpreters. Method From 5 February to 5 April 2024, data from clients' posts on both platforms were extracted and dissected according to the following indices: current registration with the SHS, approximate time taken for response to messages, demographic client information, and key service/s requested. Results During the 2-month data extraction period, the total subscription to the online platforms was 329, comprising 227 (69%) posts on WeChat and 102 (31%) on LINE. New clients made up about one-third of the overall clientele on both platforms. Overall, an estimated average of 10 min was the most common (the mode) length of time taken to respond to clients' online posts. The two most frequently requested services were to introduce relevant sexual reproductive health services and to book clinical appointments. Conclusion This pilot provided valuable information about how the SHS WeChat and LINE platforms are used by their target populations. This information has informed the development of resources to enhance efficient administration of these platforms. The data may also be used to help justify the continued use of these platforms to reach these at-risk priority populations, despite wider security concerns about foreign-owned platforms, such as WeChat.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209578","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":"Attitudes towards and use of point-of-care tests for STIs: results from a survey of STI conference attendees in 2023.","authors":"Yu-Hsiang Hsieh, Yukari C Manabe, Charlotte A Gaydos, Matthew M Hamill, Haneefa Saleem, Golsa M Yazdy, Anne M Rompalo, Susan Tuddenham","doi":"10.1071/SH25003","DOIUrl":"10.1071/SH25003","url":null,"abstract":"<p><p>Background Point-of-care tests (POCTs) for sexually transmitted infections (STIs) have become increasingly available since the COVID-19 pandemic. There is limited data on the use of these tests in clinical practice as well as the potential challenges to integrating them into care. Methods We conducted a survey of participants at an international STI conference in July 2023 to better understand the use of STI POCTs. Results A total of 83% of respondents reported using traditional POCTs (such as Gram stain and wet prep) in their practices, and 52% used newer POCTs (most commonly: rapid tests for Treponema pallidum (26%) and molecular tests for Neisseria gonorrhoeae /Chlamydia trachomatis (26%)). Newer POCTs were commonly used for symptomatic (77%) and asymptomatic patients (46%), in addition to asymptomatic contacts of people with STIs (51%) and those with increased vulnerabilities (47%). Disclosure of results from newer POCTs occurred during the clinic visit for the majority of respondents (71%). When asked about the most important obstacles to using newer POCTs, cost of the test to the clinical practice or healthcare system was the most cited issue (43%), whereas concerns regarding changing or establishing new clinic workflows was the second most cited issue (23%). Most participants were 'definitely' (58%) or 'maybe' (29%) in favor of patient self-tests; however, top concerns included lack of follow-up to ensure counseling/appropriate treatment for the patient and their partner. Conclusions To meaningfully adopt newer STI POCTs, further research is needed to understand practice patterns and barriers to implementation.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engage and adapt: peer-led implementation of HIV navigation in Australia.","authors":"Timothy Krulic, Graham Brown, Sara Graham, Adam Bourne","doi":"10.1071/SH24126","DOIUrl":"https://doi.org/10.1071/SH24126","url":null,"abstract":"<p><p>Background Alongside partnership, adaptation is one of the enduring themes of the Australian response to HIV, but the ability of peer insight and engagement to shape responses to change is often undervalued. In this article, we present a case study of a peer navigation for people living with HIV, run in partnership with clinical stakeholders, to examine its effectiveness and adaptability within a changing epidemiological landscape. Methods We draw on interviews and focus groups conducted in 2019 and 2020 with 30 peer workers, management and clinical stakeholders of a peer navigation program for people living with HIV operating in Victoria, Australia. Our interpretation uses a complex systems framework to evaluate peer programs, including their influence on health and service systems. Results We found that the peer navigation program's ability to adapt and remain effective in a changing epidemic and clinical service landscape was based partly on its engagement with its communities and partly on its efforts to align with the service and policy systems. There was evidence that the program influenced the policy sector based on the quality of its community engagement to reduce the vulnerabilities the sudden implementation of COVID-19-related restrictions created for people living with HIV. Conclusions Our findings demonstrate the wider value peer navigation programs deliver in the response to HIV and illustrate the partnership and investment strategies required to improve the implementation and impact of similar programs.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508415","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":"The relative importance of socio-ecological factors in regard to psychosexual health among adolescent students: based on dominance analysis.","authors":"Xiuqing Fang, Mengfan Zhang, Mengjie Yang, Wenjing Liu, Linpei Dong, Yawen Ren, Wenguang Wang, Ting Liu, Li Yang","doi":"10.1071/SH25001","DOIUrl":"https://doi.org/10.1071/SH25001","url":null,"abstract":"<p><p>Background Psychosexual health refers to an individual's capacity to acquire sexual knowledge through appropriate means, develop healthy values, accept bodily changes, align with socio-cultural norms and regulate sexual behaviors. The study aimed to explore the relative importance of general self-efficacy, sexual refusal self-efficacy, peer relationship, parental monitoring and parent-teen communication about sex in influencing psychosexual health among secondary vocational school students. Methods A total of 2895 secondary vocational school students from of Shandong province in China were selected to complete the General Self-Efficacy Scale, Sexual Refusal Self-Efficacy Questionnaire, Peer Relationship Scale, Parental Monitoring Questionnaire, Parent-Teen Communication about Sex Questionnaire, School Connectedness Scale, School Sex Education Questionnaire and High School Student Psychosexual Health Scale. Dominance analysis was used for statistical analysis. Results Dominance analysis revealed that importance rankings of the socio-ecological factors on psychosexual health in descending order were: peer relationship (the degree of contribution was 36.1%), parent-adolescent communication about sex (the degree of contribution was 34.2%), general self-efficacy (the degree of contribution was 14.5%), sexual refusal self-efficacy (the degree of contribution was 9.6%) and parental monitoring (the degree of contribution was 5.9%). Conclusions Peer relationship, parent-adolescent communication about sex, general self-efficacy, sexual refusal self-efficacy and parental monitoring are the main socio-ecological factors on psychosexual health among secondary vocational school students. Accordingly, helping students build good peer relationships, facilitating appropriate parent-adolescent communication about sex and proper parental monitoring, and increasing students' general self-efficacy and sexual refusal self-efficacy are crucial measures to improve psychosexual health for secondary vocational school students.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508416","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}