Sexual health最新文献

{"title":"Optimizing machine learning-based identification of sexual health influencers for HIV self-testing distribution among men who have sex with men in China: a secondary analysis of a quasi-experimental trial.","authors":"Qian Zou, Yi Zhou, Ye Zhang, Dan Wu, Xinyuan Zhang, Fengshi Jing, Jie Fan, Xi He, Joseph D Tucker, Weiming Tang","doi":"10.1071/SH25214","DOIUrl":"10.1071/SH25214","url":null,"abstract":"<p><strong>Background: </strong>Secondary distribution of HIV self-testing can expand testing among men who have sex with men. A parent quasi-experimental trial found that sexual health influencers (SHIs) identified by a machine-learning model achieved greater peer uptake than those identified by an empirical scale, but the factors driving distribution effectiveness remain unclear.</p><p><strong>Methods: </strong>We conducted a secondary analysis of the parent trial (ChiCTR2000039632) in five provinces in southern China. Participants were randomized to either the empirical scale or machine-learning identification arm, and SHIs were then selected within each arm. The current analysis included 196 SHIs with complete follow up. Effective distribution was defined as motivating at least one peer to test. Predictor variables captured sociodemographic, behavioral and network characteristics. Multivariable Poisson LASSO models with multiple imputation and cross-validation estimated adjusted incidence rate ratios (aIRRs).</p><p><strong>Results: </strong>Among 196 SHIs (mean age 28 years), 46.9% achieved effective distribution. A total of 286 unique peers returned verified HIV self-testing results, of whom 118 (41.3%) were first-time testers. Peer HIV testing was associated with stronger awareness of peers' HIV status (aIRR 1.31; 95% CI 1.16-1.48) and more active sharing of HIV information (aIRR 1.28; 95% CI 1.10-1.50). SHIs who had been accompanied during their own HIV test recruited more newly tested peers (aIRR 1.94; 95% CI 1.12-3.37).</p><p><strong>Conclusions: </strong>Our data have implications for secondary distribution of HIV self-test kits and suggest the need for capacity strengthening related to peer engagement in HIV self-testing.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935153","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":"Factors associated with PrEP use among sex workers: a cross-sectional study from female, male, and transgender sex workers in seven Thailand provinces.","authors":"Ravipa Vannakit, Surang Janyam, Chamrong Phaengnongyang, Saman Sumalu, Cheewanan Lertpiriyasuwat, Chomnad Manopaiboon, Philippe Girault, Michael Cassell, R Cameron Wolf, Jintanat Ananworanich","doi":"10.1071/SH25058","DOIUrl":"10.1071/SH25058","url":null,"abstract":"<p><strong>Background: </strong>Pre-exposure prophylaxis (PrEP) is a key strategy for HIV prevention in Thailand. National PrEP policy (2021) identifies priority populations; however, sex workers are not included, despite meeting established criteria for populations at substantial risk of HIV infection. PrEP uptake coverage among sex workers is very low - >7.5% coverage of all sex workers - and especially low among female sex workers. This study investigates key characteristics of PrEP non-users; that is, someone who has never initiated PrEP, among female, male and transgender sex workers to inform more inclusive and impactful PrEP policy and programming.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from September to December 2023 across seven high-HIV burden provinces (Bangkok, Chiang Mai, Chonburi, Kanchanaburi, Phuket, Sa Kaeo and Udonthani). We surveyed 1511 Thai female, male and transgender women aged ≥18 years, engaged in sex work (venue-based, non-venue based and online) in the past 3 months, reporting an HIV-negative or unknown HIV status. Structured questionnaires were used and data analyzed in Stata 15.1. Descriptive statistics summarized participant characteristics. Multivariate logistic regression identified factors independently associated with not using PrEP, estimating adjusted odds ratios with corresponding 95% confidence intervals.</p><p><strong>Results: </strong>PrEP uptake was 1.3% among female sex workers (n = 621), 13.9% among male sex workers (n = 452) and 14.8% among transgender sex workers (n = 438). The majority (83.9%) had not used PrEP (n = 1268). PrEP awareness was lowest among female sex workers (27.7%). Those who had never used PrEP were significantly more likely to report PrEP concerns. Young sex workers (18-24 years) and those who had recently entered sex work reported behaviors putting them at higher risk of HIV exposure. High levels of interest in using PrEP were found among PrEP non-users, which increased further when long-acting injectable PrEP was proposed.</p><p><strong>Conclusions: </strong>Tailored interventions to increase sex worker PrEP awareness, expanding options and addressing key concerns are needed for all sex worker populations. Specific programming is particularly needed for young, female and new entrant sex workers. Expanding PrEP options will increase PrEP demand and uptake among sex workers.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906591","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":"Daily PrEP and event-driven PrEP adherence for men who have sex with men in China.","authors":"Fei Teng, Paul A Burns, Michael A Welsch, Benjamin Walker, Ke Liang, Haojie Huang, Zhuoheng Yin, Linghua Li, Chunyan Li, Renslow Sherer, Aniruddha Hazra, Jonathan Lio, Danwen Qiu, Joseph D Tucker, Weiming Tang","doi":"10.1071/SH25074","DOIUrl":"10.1071/SH25074","url":null,"abstract":"<p><strong>Background: </strong>The HIV incidence among Chinese men who have sex with men (MSM) has still been high over the past decade. Despite HIV pre-exposure prophylaxis (PrEP) being an effective prevention strategy, few studies have examined PrEP uptake and adherence in China. This study examined PrEP initiation and adherence among Chinese MSM enrolled in a multi-site PrEP demonstration trial.</p><p><strong>Methods: </strong>Three-month data for this study were drawn from a PrEP demonstration project in Guangzhou and Wuhan, China. The project aimed to increase the engagement of MSM in China for HIV/STI screening, HIV risk reduction, and PrEP initiation and adherence through the use of a mobile phone app and community engagement with crowdsourcing of messages and study images. Part of the intervention was the provision of tenofovir/emtricitabine as PrEP through two types of modalities: (1) once-daily oral dose (Daily-PrEP), or (2) event-driven dose (i.e. the 2 + 1 + 1 approach, Event-Driven PrEP). The outcome of interest was PrEP adherence, defined as missing fewer than five pills in the past 30 days for Daily PrEP, and no missed doses for the Event-Driven PrEP regimen. Univariate and multivariate logistic regressions were conducted for data analyses.</p><p><strong>Results: </strong>A total of 927 individuals started PrEP, with follow-up data available for 650 people (70%) after 3 months. There were 593 men with a median age of 30 years (range 21-61 years) in this study. Of those people, 341 reported taking Daily-PrEP, and 93% (317/341) reported missing fewer than five pills in the past 30 days. Among 252 participants who reported taking the Event-Driven PrEP regimen, 61.5% (155/252) reported full adherence. Daily-PrEP users were more likely to report good adherence than Event-Driven PrEP users (OR 7.28, P < 0.0001, 95% CI: 4.28-12.39).</p><p><strong>Conclusion: </strong>We observed a higher adherence to daily PrEP compared with Event-Driven PrEP among a sample of MSM in China. Further research is needed to examine long-term PrEP adherence among MSM in China.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662156","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":"Healthcare and service provider perspectives on pre-exposure prophylaxis for HIV among young Australians.","authors":"Sarah Warzywoda, Amalie Dyda, Lisa Fitzgerald, Amy B Mullens, James A Fowler, Luke Coffey, Ellen Sargent, Robert Muscolino, Sally Morris, Judith A Dean","doi":"10.1071/SH25172","DOIUrl":"10.1071/SH25172","url":null,"abstract":"<p><strong>Background: </strong>The Australian Pharmaceutical Benefits Scheme was changed on 15 January 2021 to provide people aged <18 years access to government-subsidised pre-exposure prophylaxis (PrEP) for HIV. This study investigated healthcare and service providers' attitudes and practices in discussing PrEP and impacts on PrEP prescribing practices, and the differences in the provision of PrEP to young adults aged >18 years compared with people aged <18 years.</p><p><strong>Methods: </strong>An online cross-sectional survey, conducted February to November 2023, used purposive, convenience and snowball sampling to recruit healthcare providers eligible to prescribe PrEP (GPs, nurse practitioners) and non-prescribing healthcare/service providers (sexual health nurses, HIV community workers) in Australia. Young people were split into three age groups for comparison between young adults (aged 18-24 years) and adolescents, including those above (aged 16-17 years) and below (<16 years) the age of consent in Australia. Cross-tabulation with Pearson's chi-squared and Fisher's exact tests were performed to investigate sexual health and PrEP-related attitudes and practices.</p><p><strong>Results: </strong>Of the 122 respondents, 40.2% (49/122) were nurses, 18.0% (22/122) GPs, 11.5% (14/122) HIV community workers, 11.5% (14/122) were another profession (including public health physician, LGBTIQA child and family practitioner, social worker, counsellor), 10.7% (13/122) were sexual health physicians, 6.6% (8/122) nurse practitioners and two were HIV specialists. Most (73.8%, 90/122) reported initiating PrEP conversations with 18-24-year-olds, compared with 13.1% (16/122) with those aged >16 years. Of the 48 (39.3%) eligible PrEP prescribers, 47.9% (23/48) reported feeling 'extremely/somewhat' comfortable assessing PrEP eligibility, 41.7% (20/48) reported awareness of 2021 Pharmaceutical Benefits Scheme changes and 18.8% (9/48) reported changes to prescribing practices. Prescribers were significantly more likely than non-prescribers to consider PrEP suitable (54.2% vs 35.8%, P < 0.05) for clients aged <16 years.</p><p><strong>Conclusion: </strong>Guidelines and prescribing criteria need to reflect current Pharmaceutical Benefits Scheme eligibility for young people to support healthcare prescriber decision-making in recommending and prescribing PrEP for HIV for young people where appropriate. Greater education, training and support is required for healthcare providers to improve provider confidence in discussing sexual health needs, and recommending and prescribing PrEP to young people to optimise the possible benefits of access to sexual health services and PrEP in this priority sub-group.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145669726","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":"Strategies to advocate for access to abortion: a qualitative study on the perspectives of experts in Victoria, Australia.","authors":"Carrie Van Rensburg, Catherine Kirby, Louise Keogh","doi":"10.1071/SH25147","DOIUrl":"10.1071/SH25147","url":null,"abstract":"<p><strong>Background: </strong>In Australia and internationally, organisations (i.e. health promotion organisations, healthcare services, universities) have been at the forefront of advocacy for enactment of rights-based abortion policies and regulations. Despite abortion being decriminalised in all Australian states and territories, advocacy is needed to address prevailing legal and non-legal barriers that impede accessibility of abortion. There is a paucity of literature documenting strategies implemented by organisations to advocate for improved abortion access. This study examines the perspectives and experiences of people working for organisations engaged in abortion advocacy in Victoria, Australia.</p><p><strong>Methods: </strong>The study applies qualitative methods. Between July and September 2023, we conducted 50-60-min semi-structured interviews. Interviews were transcribed verbatim, de-identified and thematically analysed inductively. We conducted nine interviews with people working for health promotion organisations, healthcare providers, and universities across metropolitan and regional Victoria.</p><p><strong>Results: </strong>We identified four strategies described by participants to strengthen advocacy efforts. These features were: (1) a collaborative, trust-building approach to advocacy; (2) building up to conversations on abortion; (3) the power of shared knowledge; and (4) the role of data.</p><p><strong>Conclusion: </strong>These findings can inform the development of strategic plans produced by organisations involved in abortion advocacy, and provide a starting point on which future strategies can be built.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769202","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":"What sexual health information do older adults want? Findings from the Australian SHAPE2 survey.","authors":"Louise Bourchier, Helen Bittleston, Meredith Temple-Smith, Sue Malta, Jane S Hocking","doi":"10.1071/SH25069","DOIUrl":"10.1071/SH25069","url":null,"abstract":"<p><strong>Background: </strong>Despite not being a priority group in sexual health (SH) promotion, there is increasing interest, concerns, and knowledge gaps regarding older adults SH information needs.</p><p><strong>Methods: </strong>In 2021, the 'SHAPE2' online survey of Australians aged 60+ years old on SH information-seeking was conducted. Data was obtained from two questions: (1) the SH topics that participants wanted more information about; and (2) the most recent SH topic that participants sought information on since turning 60 years old. Quantitative data were collected as Topics and organised into Categories. Free-text comments were classified into Categories using Content Analysis. Data were analysed using descriptive statistics and chi2 test.</p><p><strong>Results: </strong>There were 1470 respondents (median age, 69 years old; gender balance between men and women).  The Categories of most interest were 'sexual anatomy and physiology' (1043/1248, 83.6%; 95% CI: 81.4-85.6), 'sex and ageing' (942/1175, 80.2%; 95% CI: 77.8-82.4), and 'sexual difficulties' (937/1236, 75.8%; 95% CI: 73.3-78.2). The Topics of most interest were 'ageing and libido (sex drive)' (771/1175, 65.6%; 95% CI: 62.8-68.3), 'ageing and sexual pleasure' (766/1175, 65.2%; 95% CI: 62.4-67.9), and 'ageing and sexual performance' (765/1175, 65.1%; 95% CI: 62.3-67.8). Men were more likely to seek information (51.5% vs 30.6%, P < 0.001) and indicated higher levels of interest. Women were interested in and/or had sought information on a wider range of issues. Differences were observed between SH issues of interest and those that participants had sought information.</p><p><strong>Conclusion: </strong>Older adults are interested in a variety of SH topics. To improve their sexual wellbeing, the priorities of older adults needs consideration when designing SH promotion strategies.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828378","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":"Characterizing STI testing and diagnosis disparities between Asian people with HIV and other racial/ethnic subpopulations in Washington, District of Columbia: a longitudinal analysis of the DC Cohort, 2018-2023.","authors":"Jenny Yeon Hee Kim, Lauren F O'Connor, Yun Seong Ji, Morgan Byrne, Michael A Horberg, Amanda D Castel, Anne K Monroe","doi":"10.1071/SH25144","DOIUrl":"10.1071/SH25144","url":null,"abstract":"<p><strong>Background: </strong>People of Asian ethnicity represent one of the fastest-growing populations in the United States and may experience unique social and cultural challenges to accessing sexual healthcare. This analysis explores disparities in annual sexually transmitted infection screening and diagnosis rates per person-year between Asian and non-Asian people with human immunodeficiency virus in Washington, District of Columbia (DC).</p><p><strong>Methods: </strong>Using District Columbia cohort data, a longitudinal study of people living with human immunodeficiency virus receiving care in Washington, DC, we analyzed people with human immunodeficiency virus aged 18 or older with at least 1 year of follow-up between 2018 and 2023. Logistic regression was used to examine differences in sexually transmitted infection screening and diagnoses between Asian and non-Asian participants, while linear trend analyses were used to assess changes in the number of screenings and diagnoses between Asian and non-Asian participants.</p><p><strong>Results: </strong>Among 8679 eligible participants, 0.88% (n = 76) were Asian. No significant differences in total sexually transmitted infection screenings or diagnoses were observed. However, Asian participants had higher screening rates per person-year for pharyngeal and urogenital gonorrhea, pharyngeal chlamydia, and syphilis. Chlamydia incidence was higher among Asian than non-Asian participants. Over 30% of both groups met the annual screening recommendation during the study period.</p><p><strong>Conclusions: </strong>Asians had comparable screening rates to non-Asians, but the small sample size limited the generalizability of our findings. Nonetheless, this study helps address an existing gap in the literature on Asian sexual health. Larger studies with detailed ethnic and social data are needed to deepen our understanding of sexual health service use within Asian communities.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662139","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":"Dialectics of disclosure: Communication Privacy Management in provider-patient conversations about sexual health.","authors":"Rachael Hernandez, Diana S Ebersole","doi":"10.1071/SH25131","DOIUrl":"10.1071/SH25131","url":null,"abstract":"<p><strong>Background: </strong>Conversations between physicians and patients about sexual health are influenced by interpersonal dynamics and social expectations, which shape how patients disclose sensitive information. The theory of Communication Privacy Management reveals inherent tensions and motivations for revealing and concealing private information, particularly in the context of broader cultural discourses.</p><p><strong>Methods: </strong>In-depth interviews with 20 female patients revealed how privacy management is shaped by broader discourses about clinical communication.</p><p><strong>Results: </strong>Themes involve traditional dialectics of openness/closedness, conventionality/uniqueness, and emotional subjectivity/logical objectivity informed by cultural discourses around being a 'good' doctor or 'good' patient. Two novel dialectics are introduced. The first addresses 'their time/my time', which discusses the tension between valuing the patient's time and valuing the doctor's time. The second explores 'high power/low power' where patients discuss dilemmas around patients claiming their power.</p><p><strong>Conclusion: </strong>Theoretical advancements in Communication Privacy Management and practical implications for physician training are discussed.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935065","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":"Evaluating completion rates between kiosk and smartphone computer-assisted self-interviewing at a sexual health clinic in Melbourne: a before-and-after implementation study.","authors":"Danushi Wijekoon, Phyu Mon Latt, Christopher K Fairley, Jason J Ong, Marcus Y Chen, Rashidur Rahman, Ria Fortune, Eric P F Chow","doi":"10.1071/SH25119","DOIUrl":"10.1071/SH25119","url":null,"abstract":"<p><strong>Background: </strong>Digital self-reporting tools are increasingly used in sexual health clinics for individuals to disclose sensitive information. In December 2023, the Melbourne Sexual Health Centre replaced its touchscreen kiosk system with a smartphone-enabled Digital Front Door platform for administering computer-assisted self-interviewing (CASI) to collect sexual history data before clinical consultation. This study aimed to evaluate how this change impacted response completeness.</p><p><strong>Methods: </strong>We conducted a before-and-after study using routine data collected from clients aged ≥16 years who attended Melbourne Sexual Health Centre from January to June 2023 (kiosks period) and from January to June 2024 (smartphone period). We compared the CASI completeness (i.e. the proportion of questions for which each client provided a response, based on the total number they were expected to complete) between the two periods. Linear regression with generalised estimating equations was used to examine associations between completeness and individuals' characteristics.</p><p><strong>Results: </strong>Among 56,095 eligible consultations (28,093 kiosks; 28,002 smartphones), the mean questionnaire completeness was significantly lower in the smartphone group (36.2%) compared with the kiosk group (54.0%; P < 0.0001). The proportion of clients who did not respond to any single question (i.e. 0% completeness) increased from 45.1% (12,676/28,093) during the kiosk period to 57.4% (16,065/28,002) during the smartphone period. Smartphone use was associated with a 15.31 percentage point reduction in completeness (β = -15.31, 95% CI: -16.12 to -14.49) after adjusting for other confounding factors. Reduced completeness was also independently associated with older age, birth outside Oceania, Indigenous identity and people living with HIV. First-time attendees demonstrated substantially higher completeness.</p><p><strong>Conclusion: </strong>The transition from kiosks to smartphones for administering CASI was associated with a modest, but consistent, decline in data completeness. Incomplete CASI data may reduce clinic efficiency by requiring clinicians to collect missing information during consultations, posing challenges in high-demand settings. Further research is needed to assess whether response completeness improves as users become more familiar with the new digital system.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145744580","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 HIV response at Resilience During an Inflection Point: Resilience, Innovation and Equity.","authors":"Joseph Tucker, Amy Mullens, Chelsea Morroni, Jason Ong","doi":"10.1071/SH25236","DOIUrl":"https://doi.org/10.1071/SH25236","url":null,"abstract":"<p><p>World AIDS Day 2025 arrives at a critical inflection point for the global HIV response. Four decades of scientific progress have transformed HIV into a manageable chronic condition, yet funding contractions, widening inequities, and persistent stigma threaten progress towards epidemic control. This review of the Special Collection highlights emerging challenges and opportunities across prevention, care, and social contexts, with a focus on resilience. Digital innovation, accelerated by COVID-19, is reshaping HIV service delivery through telehealth, remote engagement, and online research platforms. Studies of PrEP use across the Asia-Pacific region reveal cyclical patterns of prevention, varying preferences for long-acting and oral formulations, and the centrality of person-centred approaches. Other papers examine sexual satisfaction among people living with HIV, showing the ongoing influence of stigma even in the era of U=U (Undetectable equals untransmittable). Several contributions highlight enduring social and gendered inequities, including stigma among healthcare workers and gaps in menopause, reproductive health, and psychosocial care for women living with HIV. Evidence from humanitarian settings demonstrates how climate-related crises heighten HIV vulnerabilities, while peer-led navigation models illustrate community resilience. These papers underscore the need to integrate scientific innovation with equity, community leadership, and sustained solidarity as the global HIV movement adapts to a rapidly changing landscape.</p>","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145990913","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}