Young men need sexual health information yet attend General Practice relatively infrequently, and uncommonly seek sexual health advice. Little is known about the attitudes of young men to opportunistic health screening or education by a General Practitioner (GP).
Methods: One-on-one semi-structured interviews were conducted with 16 male TAFE students aged 16-17 years old. All interviews were audio-recorded, transcribed and thematic analysis applied to the data.
Results: Interviews took 10-35 minutes. Most young men attended the GP on their own but described parental involvement in booking appointments, transport and dealing with reception staff. Most young men were sexually active but needed terms such as ‘STI’ and ‘contraception’ explained by the interviewer. The young men were unwilling to display their lack of knowledge regarding sexual health. Apathy was the dominant attitude of young men to sexual health that came through the interviews. Most young men were not initially supportive of a GP bring up sexual health in an unrelated consult, but when offered a segue such as ‘ The government is doing a big push to offer a Chlamydia test to all young men your age…’ they said they would be happy to engage in discussion/education. Most of the young men preferred a young to middle aged male doctor to discuss sexual health.
Conclusion: Young men are not fully functioning as independent beings but are fully functioning as sexual beings. They are willing to engage with sexual health material/education in an appropriate setting. GPs should not seek to assess knowledge but rather should offer education and screening tests in a gentle, non-confrontational manner. Male GPs should ensure they do this at every opportunity. Female GPs should raise the subject and offer discussion with herself or a male colleague.
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.
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.
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.
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