Aboriginal and Torres Strait Islander young people are a population prioritised in all national and jurisdictional STI and BBV strategies, largely because of higher notification rates of STI and BBV reported among this population. However very little is known of levels of knowledge of this population. A national cross sectional survey asking questions of knowledge, risk behaviour and health service utilisation was administered using hand held personal digital assistants at Aboriginal and Torres Strait Islander community events in every jurisdiction during 2011-2013. Aboriginal organisations and staff were engaged at every level of the project ensuring a self determination approach was applied to this research.
A total of 2 877 surveys were completed. 60% were female, median age of respondents was 21, 51% of surveys were collected from residents in major cities, 36% from regional centres and 9% from remote areas. 57% of respondents were single at time of survey and of those in a relationship 53% reported their partner to be of Aboriginal and/or Torres Strait Islander. Participant scores on each of the knowledge questions were aggregated to form a composite knowledge scale, with scale scores ranging from 0-12. A score of 12 corresponds to all questions answered correctly. Mean composite scores overall for knowledge was 9.1. Mean scores were lower in the younger age groups; 8.5 for 16-19 year olds compared with 9.9 in the oldest age group 25-29. Males overall had a lower mean score; 8.8 compared with 9.3 for females. Notable exceptions for lower levels of knowledge irrespective of gender and or remoteness were poor levels of knowledge of outcomes associated with Chlamydia infection particularly poor outcomes in pregnancy and hepatitis B transmission knowledge.
This data provides baseline knowledge information from young Aboriginal and Torres Strait Islander people. Levels of knowledge were lowest for the youngest age groups among males and for more remote residents. Greater efforts are required to ensure safe sex and sexual health information is appropriate and accessible for young people, males, and translatable in communities where English is not the primary spoken language.
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.
Since 2009, the Victorian syphilis enhanced surveillance system has been collecting HIV status and syphilis re-infection status for infectious syphilis cases. Baseline data from 2009 showed that 31% of the infectious syphilis cases were HIV positive and 18% reported were re-infections. This suggested that syphilis transmission among a pool of HIV positive MSM was making a considerable contribution to the syphilis epidemic in Victoria. We analysed the data from 2009 to 2012 to determine whether this pattern of transmission is continuing. Notification data for infectious syphilis between 2009 and 2012 were reviewed by HIV infection status, syphilis re-infection status and risk factor exposures.
HIV positive gay men have high rates of cigarette smoking. The risks of smoking in addition to the elevated risk of cardiovascular disease and some malignancies in people with HIV means smoking cessation interventions should be prioritised.
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.