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.
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.