Websites that assist individuals infected with an STI to contact their sexual partners using SMS and email have been established, but few have published data that demonstrate their effectiveness in enhancing notification of partners. In March 2010, the ‘Let Them Know’ website www.letthemknow.org.au – was expanded to support individuals diagnosed with one of five STIs to notify their partners. We undertook an evaluation of the service including feedback received by users.
Using Google analytics and in house data we examined visits to the website and the number of SMS and emails sent. During 4 of the 13 months, those users who sent an SMS or email message to a partner were asked if it was more likely they contacted a partner because of the website. Between March 1st 2010 and March 31st 2011, there were 19,395 visits to the website with an average of 4.5 pages viewed per visit. Twenty two percent (4317) and 0.8% (155) of visits resulted in an SMS and email being sent. The number of SMS and email messages that were sent for chlamydia, gonorrhoea, syphilis, Mycoplasma genitalium and trichomonas were: 2218 (50%), 957 (21%), 908 (20%), 300 (7%) and 89 (2%) respectively.
Eighty four percent of notifications were anonymous while 16% were named by the sender. Seventy percent of 1383 consecutive users indicated that they were more likely to contact a partner because of the website while 10% indicated this was not the case and the remainder were unsure. During the audit period there were 55 feedback emails including 21 (0.5% of total SMS and email sent) relating to possible hoaxes or expressing anger at being notified. Websites such as’ Let Them Know’ can be an effective resource for supporting individuals infected with an STI to notify their partners.
In 2006 two new innovative features were added to the WhyTest website; the ‘Tell them’ service allowing visitors to forward anonymous e-postcard or short message services (SMS) to sexual partners who may have been exposed to an STI, and the ‘remind me’ service allowing visitors to register for a 3, 6 or 12 monthly SMS reminder for a sexual health check. We describe the usage of the new website functionality, and recognition of a health promotion campaign conducted in January-June 2007 to promote these new features.
Repeat infection with Chlamydia trachomatis is common. If left untreated it can lead to onward transmission and in females it increases the risk of pelvic inflammatory disease by four-fold. In late 2008, Sydney Sexual Health Centre implemented a reminder system using short message service (SMS) to improve re-testing rates following treatment of chlamydial infection. Clinicians were advised to set up SMS reminders to be sent out at 3 months after the visit. We compared the frequency of re-screening within 1-4 months of the initial infection in women and heterosexual men who received the SMS in the 12 month period of January-December 2009 (intervention group) to a 18-month period before the SMS was introduced (historical control group) using a Chi-square test, and multivariate regression.
Western Australia’s (WA) Online Chlamydia Program was launched in February 2010 as a case-finding vehicle aimed to address increasing rates of genital Chlamydia trachomatis (CT). The free test can be accessed via two websites (http://www.getthefacts.health.wa.gov.au & http:// www.couldihaveit.com.au). Participants must be 16 years or older, have a mobile telephone, access to a computer with printer and the ability to visit a PathWest specimen collection site. Specimens are tested for both chlamydia and gonorrhoea. All results are faxed to Fremantle’s B2 sexual Health Clinic. Positive results are actioned, negative results are available via a toll-free number.
Sydney Sexual Health Centre (SSHC) commenced an express STI clinic (Xpress) for asymptomatic clients in March 2010, utilising CASI and self-collected samples. Client feedback and satisfaction was assessed over 6 months and comparisons made between priority groups. This was a cross sectional study questionnaire. Results were stratified by gender, MSM status, age (<25/>25) and sex work.
Recent studies have shown up to 30% Neisseria gonorrhea (NG) and Chlamydia trachomatis (CT) co-infection rates in men. Historically, Men who have Sex with Men (MSM) were generally considered to have a low incidence of Chlamydia. In Australia and overseas, there has been increasing prevalence of CT and NG in MSM, especially asymptomatic anorectal infection. Despite well-established guidelines providing presumptive co-treatment for Chlamydia to patients with treatment indications for N. Gonorrhea, various centers in Australia differ in their approach to management in MSM. At our Clinic, epidemiological treatment for Chlamydia is given to heterosexual males with a presumptive diagnosis of urethral gonorrhea. This is not the case for MSM. We wanted to determine if the local prevalence of co-infection in MSM is enough to justify epidemiological treatment when there is a presumptive diagnosis of urethral gonorrhea.
The concerning high prevalence of Chlamydia within the population of young people aged 16 – 25 in Australia has been well established. Creative strategies are required to overcome barriers to screening for this population, as improved screening rates will promote better understanding and management of this condition. Various initiatives have been designed to increase access to screening for young people, from awareness and education campaigns, to mail out home testing kits. Many initiatives have had limited success in overcoming inherent barriers to testing for this important population.
Human papillomavirus (HPV) induced oropharyngeal squamous cell carcinoma is a unique subtype of oropharyngeal cancer. It has a significantly better prognosis than that caused by tobacco and/ or alcohol. The incidence of HPV related oropharyngeal cancer is raising in the western countries.
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent