Sexual health最新文献

{"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":"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":"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":"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":"<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}

{"title":"Financial sustainability of HIV services for key populations in four countries in Asia: a mixed-methods study.","authors":"James Tapa, Matthew Kusen, Felicity Young, Mike Merrigan, Jason J Ong","doi":"10.1071/SH24210","DOIUrl":"10.1071/SH24210","url":null,"abstract":"<p><p>Background Key populations and their sexual partners account for 98% of new HIV infections in the Asia-Pacific region. Despite increased domestic funding for HIV programs, concerns persist about the sustainability of services for key populations as external donor programs wind down, potentially reversing progress and contributing to new infections. This study aims to understand structural, political and institutional barriers to domestic funding for key population-led HIV programming in these countries through diverse stakeholder perspectives, including limitations of procurement processes, budget allocation systems and political will. Methods A mixed methods approach was utilized, with 60 participants completing an online survey and 145 participating in key informant interviews across four countries in 2022. Stakeholders were categorized according to their organization (government, key population-led, non-government (NGO), and multilateral), with 30 stakeholders per country identified. The same respondents were targeted for quantitative and qualitative data collection. Results Key informant interviews included 60 staff from government organizations, 42 from key population-led organizations, 31 from NGOs, and 12 from multilateral organizations. For the survey (n =60), responses were from key population-led (35%), government (32%), NGOs (23%) and multilateral organizations (10%). Regarding the timeline for increased domestic financing for key population-led HIV services, 45% of participants thought it would take 5-10years to expand them without reliance on external donors, 25% thought more than 10years and 5% thought between 0 and 3years. Almost all government and key population-led organization respondents in each country agreed on government funding or purchasing of community-based services across various HIV-related areas, including linkage to treatment and antiretrovirals (92%), HIV self-testing (95%), PrEP (80%), and stigma-reduction programs (92%). Although most supported the government funding community-based services/NGOs for delivering essential key population HIV services, 28.3% believed that existing laws and policies are in place for such funding, highlighting implementation gaps while knowledge and buy-in remain high. Conclusions This study underscores the importance of identifying realistic timelines with key national stakeholders when designing and deciding timelines for transitioning from international external donor support to domestic budgeting for key population-led HIV programming. It also highlights that although buy-in and understanding of key interventions is well known, there is a lack of sustained funding for these interventions that are essential to ending AIDS as a public health threat by 2030.</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":"144162323","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":"Preferences and willingness to use pre-exposure prophylaxis for HIV among men who have sex with men in mainland China and Hong Kong.","authors":"Jiajun Sun, Jason J Ong, Heather-Marie Schmidt, Curtis Chan, Benjamin R Bavinton, Kimberly Elizabeth Green, Nittaya Phanuphak, Midnight Poonkasetwattana, Nicky Suwandi, Doug Fraser, Weiming Tang, Michael Cassell, Hua Boonyapisomparn, Edmond Pui Hang Choi, Lei Zhang, Warittha Tieosapjaroen","doi":"10.1071/SH24247","DOIUrl":"10.1071/SH24247","url":null,"abstract":"<p><p>Background Pre-exposure prophylaxis (PrEP) uptake remains low in mainland China and Hong Kong. We examined preferences for different PrEP modalities among men who have sex with men (MSM) in mainland China and Hong Kong. Methods We conducted a cross-sectional online survey from May to November 2022 in mainland China and Hong Kong. Eligible participants were aged ≥18years, identified as MSM and self-reported HIV-negative, or unknown HIV status. Random forest models and SHapley Additive exPlanations analyses were used to identify key factors influencing preferences for and willingness to use six PrEP options: (1) daily oral, (2) on-demand oral, (3) monthly oral, (4) two-monthly injectable, (5) six-monthly injectable, and (6) implantable PrEP. Results Among 2142 participants (mainland China: 1604; Hong Kong: 538), the mean age was 28.4 (±7.0) years in mainland China and 34.7 (±9.5) years in Hong Kong. Current PrEP use was similar between mainland China and Hong Kong (18.0% vs 17.8%, P =0.93), with an additional 10.5% and 8.0% reporting past PrEP use (P =0.11), respectively. A greater proportion of participants from mainland China preferred on-demand PrEP compared to those from Hong Kong (55.7% vs 48.1%, P P =0.02). Willingness to use non-oral options was lower, with two-monthly injectable PrEP preferred by 21.1% (19.1-23.1%) in mainland China and 15.4% (12.3-18.5%) in Hong Kong (P Conclusions On-demand and monthly PrEP options remain the preferred choices, though the monthly oral option is neither proven nor available. However, the factors influencing these preferences vary, highlighting the need for tailored and targeted approaches to PrEP 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":"144151696","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":"#TheHealthYouthWant: a qualitative analysis of a global crowdsourcing open call for innovative ideas to promote adolescent health and well-being in countries with a high HIV burden.","authors":"Takhona G Hlatshwako, Ifeoma Obionu, Yang Zhao, Kelechi Chima, Brian Ahimbisibwe, Chisom Obiezu-Umeh, Eleanor Namusoke Magongo, Onyekachukwu Anikamadu, Oliver Ezechi, Dorian Ho, Yusha Tao, Susan Vorkoper, Rachel Sturke, Juliet Lwelunmor, Damilola Walker, Joseph D Tucker","doi":"10.1071/SH24175","DOIUrl":"10.1071/SH24175","url":null,"abstract":"<p><p>Background Improving adolescent health and well-being is a key policy priority in countries with a high HIV burden, because adolescents have lower rates of treatment coverage, viral load suppression and survival compared with others. This study aimed to identify innovative ideas from young people (aged 10-30years) on how adolescent health and well-being can be improved in communities most affected by HIV. Methods We organized a global crowdsourcing open call for ideas from young people on how to improve adolescent HIV outcomes and well-being in countries with a high HIV burden. At least three independent judges assessed each submission based on prespecified criteria. We then conducted a thematic analysis of eligible submissions to identify key themes to inform HIV programming and policy. Results We received 357 submissions from 37 countries. Of 107 eligible submissions, 91 (85%) described new ideas. Seventy-one (66%) participants were aged 20-30years, and 30 (28%) were aged 10-19years. Major themes suggested that edutainment interventions linking entertainment and education could increase adolescent uptake of HIV services. Digital interventions adapted for analog cellphone users (e.g. unstructured supplemental service delivery) could increase the reach of HIV information and engage remote, rural participants. Peer-based interventions could improve feelings of social inclusion among adolescents. Conclusions Adolescents and young people in countries with a high HIV burden can create innovative and feasible ideas for improving health and well-being. Exceptional ideas were presented to senior leadership at UNICEF/WHO/UNAIDS as part of a multi-sectoral HIV strategic planning exercise.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011595","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":"Can network-based testing services have an impact beyond testing for HIV?","authors":"Aliza Monroe-Wise, Magdalena Barr-DiChiara, Antons Mozalevskis, Busisiwe Msimanga, Maeve Brito de Mello, Kafui Senya, Niklas Luhmann, Cheryl Case Johnson, Rachel Baggaley","doi":"10.1071/SH24027","DOIUrl":"10.1071/SH24027","url":null,"abstract":"<p><p>New strategies and innovations are needed to achieve ambitious global goals for the control of HIV, hepatitis B, hepatitis C and STIs. Network-based testing (NBT) services, including partner services, social network testing, and family and household testing, are a heterogeneous group of practices in which healthcare providers support clients with STIs or bloodborne infections to offer testing and/or other services to sexual or injecting partners, biological children, or household members or contacts. Although significant evidence supports the efficacy of NBT services to identify, diagnose and link to care partners and other contacts of people with HIV, there has been less direct research about NBT for viral hepatitis or STIs, or for providing prevention services to partners. Research is needed to better understand how NBT can best be utilised for multiple infections, specific populations and to achieve maximal impact. Integrating NBT service delivery to achieve testing, treatment and/or prevention for multiple infections may be efficient, and this might include dual or multiplex testing for different populations. Self-testing or self-sampling for partners may overcome barriers to testing. Providing partners who test negative with prevention options, including PrEP or hepatitis B vaccination where appropriate, might be a powerful way to expand prevention efforts for multiple pathogens. NBT is an important tool for identifying those in need of interventions; a better understanding of how to expand and integrate this tool may help achieve cross-cutting health outcomes globally.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"22 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804132","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}