Aboriginal and Torres Strait Islander young people aged 16-29 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 health service utilisation of this population.
A national cross sectional survey 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 2877 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. Overall 41% of respondents reported that they had been tested for STIs in the last year (males39%, females 44%). People aged 16-19 reported lower STI testing rates in the last year than for people aged 20-24 and 25-29. Of those that had been tested, Aboriginal medical services were the most common place where STI testing occurred 55% then followed by private general practice 34%. Overall 30% of respondents reported they had been tested for HIV. Overall 55% of respondents reported having an adult health check in the last year. Aboriginal Medical services were reported as the best way to seek help for STI and BBV advice as well as for alcohol and other drug issues.
Health service access for young Aboriginal and Torres Strait Islander people appears reasonable. Lowest levels of testing for both STIs and HIV occurs in the age group 16-29 years. Males attend less frequently and reported lower testing rates compared to females. Strategies to address male health are required as are strategies to ensure testing occurs more frequently when people aged 16-29 attend health 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.