This project was undertaken as a component of the (Research Excellence in Aboriginal Community Controlled Health) REACCH collaboration. Service-wide testing for sexually transmitted and blood borne viral infections in addition to demographic information including pregnancy status was extracted via GRHANITE software. Overall STI and BBV testing and positivity in clients identified as pregnant in the system was examined.
A total of 203 pregnant women with 229 pregnancies attended the service in the time covered in this study. The mean age of pregnant women was 23.7 (SD=5.9) with a range of 15 (the youngest age covered by this data collection) to 40. Of the 203 women, 176 (87%) were Aboriginal or Torres Strait Islander with 19 (9%) non-Indigenous and 8 (4%) not identified. Across the four years of data reported here, the percentage of clients tested for syphilis 69%, HIV 66% and Hepatitis B infection 72% and chlamydia 80%. Across all age group, 63% of clients had all recommended STI tests and 89% had chlamydia testing in accordance with guidelines. The prevalence of chlamydia was 14.4% in women aged under 25 compared to 1.2% of women aged 25 and older.
These results add to the evidence base on specialised antenatal care services within Aboriginal Community Controlled Health Services. Rates of STI testing are generally comparable to other specialist services.
Background: STI prevalence is changing. With society aging, life expectancy increasing and changes in sexual practices, STIs in senior citizens are of interest from economic, health related and social burden perspectives. Few studies on STIs in older men greater than 60 years of age exist, hence, a need to obtain further information about this subpopulation.
Conducting clinical audits in the context of continuous quality improvement (CQI) programs in Aboriginal Community Controlled Health Services (ACCHS) has provided valuable information regarding what factors facilitate or create challenges to improving outcomes in sexual health service delivery.
Homosexual men are at increased risk of anal cancer. Screening and treatment of the precursor, HSIL, has been advocated by some, but screening is not recommended in widely-accepted guidelines. We aimed to describe the prevalence, incidence, and clearance rates of anal HSIL, and association with human papillomavirus (HPV) status, in a community-recruited cohort of homosexual men.
We investigated the association between chlamydia detection and stage in the menstrual cycle to investigate whether chlamydia detection was higher at different stages of the cycle. Electronic medical records for women attending Melbourne Sexual Health Centre March 2011 - 31st December 2012, who were tested for chlamydia by nucleic acid amplification of high vaginal, cervical, or urinary samples, and who recorded a date of last normal menstrual period (LNMP) between 0-28 days were included in the analysis. Logistic regression was used to calculate OR (95%CI) for the association of chlamydia with menstrual cycle adjusted by demographics and behavioural variables.
Chlamydia is prevalent among young Australians. The latest national surveillance report (2011) shows a rate of diagnosis of 1400 per 100,000 population aged 15-29 years. In Victoria, the number of notifications in 2011 was 19,238; 81% in 15-29 year olds; however notifications continue to rise in all age groups. International evidence suggests chlamydia reinfection is responsible for a substantial burden of infections. Given the associated health risks, monitoring reinfection in the population is important to understand disease burden and evaluate interventions. We describe the rate of reinfection and time between infections in Victoria, 2004-2011.
Based on evidence of the success of utilising online campaigns to access MSM, RPA Sexual Health, a publically funded sexual health service (PFSHS) in the inner-west of Sydney, trialled two clinic advertising campaigns over a three year period. Both campaigns were developed with community consultation, targeting MSM and were predominantly online. They were evaluated and compared to measure their success and the effectiveness of advertising a PFSHS online.