To describe contraceptive use in Australia and in different population subgroups, Data from the Household, Income and Labour Dynamics in Australia (HILDA) Survey 2011 were analysed. Data from 2,677 women aged 18-44 years who were not currently pregnant, who did not have any physical difficulties in getting pregnant, who had not had a hysterectomy, were analysed.
Results: Two thirds (67%) of women used contraception and 83% had ever used contraception. Oral contraception use was most common (32%), followed by condom use (22%), vasectomy (8.5%) and tubal ligation (4.1%). Very few women used long acting reversible methods of injectable contraception (1.6%), the implant (3.6%) and intrauterine devices (3.2%). Contraceptive use increased from 62% among women aged 18-24 years to 74% among women aged 25-29 years, decreased to 66% among women aged 30-34 years and increased again to 70% among women aged 40-44 years. Oral contraception and condoms were more common among younger women and sterilisations were more common among older women. Only 61% of women with no children used contraception compared to 81% of women with three or more children. Women with fewer children were more likely to use oral contraception and condoms while women with more children were more likely to use sterilisations. Women from non-English speaking backgrounds reported lower contraceptive use than women from English speaking backgrounds (50% compared to 71%). Oral contraception was less common (21% vs. 35%) as well as vasectomy (4.3% vs. 9.4%). Indigenous women reported lower contraceptive use than non-Indigenous women (64% compared to 71%). Use of oral contraception was less common among Indigenous women (23% vs. 35%) but tubal ligation was more common (14% vs. 4.1%).
Conclusions: Effort to increase contraceptive use, especially long acting reversible methods, should be focused on identified high risk groups of women.
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.