Background: YACWA’s Youth Educating Peers (YEP) Project aims to increase the capacity of the WA youth sector to support and educate young people on sexual health and blood- borne virus (SHBBV ) issues. The YEP Project has conducted ongoing evaluation and research with the WA youth sector since its inception in 2009. The research demonstrates clearly the significant and unique role the youth sector can play in supporting young people’s wellbeing in relation to sexuality and relationships issues. However, the research also shows the WA youth sector faces significant challenges in being able to address SHBBV issues with young people. Challenges centre on youth workers lacking the training, knowledge, skills, confidence, resources, leadership, organisational support and broader community support to be able to effect change. Methods: The YEP Project conducted a series of 11 focus groups with over 110 youth sector staff and convened two cross-sector reference groups, and as a result, developed three integrated capacity building strategies: an online engagement strategy including regular newsletters with SHBBV information and resources; a youth sector-specific blog for information and resources sharing; youth sector guidelines for sexual health promotion; and a suite of easy access training opportunities. results: Preliminary evaluation of the YEP Project indicates significant gains. Youth workers report gaining new professional networks, increased information sharing, increased access to training and resources, improved sexual health knowledge and increased confidence to work with young people in the area of sexual health. Conclusion: Investing in a strong community development approach, including actively and consistently engaging the target group throughout the project development, has enabled the YEP Project to develop capacity building strategies that are innovative, sector-owned andrelevant. Disclosure of Interest: The Youth Educating Peers (YEP) Project is funded by the Department of Health, Western Australia, Sexual Health and Blood Borne Virus Program.
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.