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What do we know works? Findings from a systematic rapid review of effective programs to reduce STI in young people

What do we know works? Findings from a systematic rapid review of effective programs to reduce STI in young people

A systematic rapid review was conducted to synthesise the available evidence regarding public health interventions most effective in reducing STI in young people. The review analysed the evidence for public health intervention across different settings, intervention types, and socio-demographic groups. Young people were defined as less than 30 years of age. The review was limited to systematic reviews, meta-analyses and economic evaluations.

The level and type of evidence varied significantly. Evidence about interventions based within schools and primary care included a high proportion of experimental and quasi-experimental studies. Whereas interventions that operate at broader community wide or structural levels, where it is difficult or inappropriate to conduct in controlled experimental contexts, needed to rely on adapted or non-experimental methodologies. Also, due to the complexity of sexual health interventions operating across different health promotion levels it can be difficult to determine the relative impact of a particular intervention from the combined impact of other related interventions.

Programs were most effective in increasing protective behaviours for STIs when they: • were skills, self-efficacy and motivation based programs rather than knowledge based programs; • targeted multiple components of young people’s lives and context in which they live and addressed multiple domains across the interpersonal, social and structural level; • were explicitly based on recognised behavioural and social theories. Evidence showed that no single public health intervention had a sustained long term impact on the sexual health of young people and young adults. Overwhelmingly this pointed towards programs that target multiple aspects of young people’s lives and context and were based within broader interpersonal, social and system level behavioural theories. Specific findings will be presented for programs based within: schools; primary care; mass media; communication technology and social media programs; at-risk or minority youth; Community, Structural and multi-level programs; as well identified research gaps.

Speakers: Graham Brown

Australian Society for HIV 2014

Immune Control of the HIV reservoirs

Prevalence of Sexually Transmitted Infections (STIs) and patient characteristics of older men over 60 years of age attending a public STD clinic in South Australia

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 to improve sexual health service delivery in primary health care services: Successes, challenges and lessons learnt

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.

High prevalence, incidence and clearance of anal high-grade squamous intraepithelial lesions (HSIL) in homosexual men: early evidence from the Study of the Prevention of Anal Cancer (SPANC)

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.

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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.

Is the stage of the menstrual cycle related to chlamydia detection?

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Unpacking Chlamydia in Victoria: Retrospective analysis of surveillance data to estimate reinfection

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.