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Behavioural practices associated with bacterial vaginosis (BV) in women who have sex with women (WSW): The Women on Women’s (WOW) health study

Behavioural practices associated with bacterial vaginosis (BV) in women who have sex with women (WSW): The Women on Women’s (WOW) health study

Study kits containing consent forms, questionnaires, swabs and slides were sent to participants and returned by post. At baseline, women self-collected 3 vaginal smears at weekly intervals and provided detailed demographic behavioural data. Smears were scored by the Nugent method. BV was defined as ≥1 smears with a Nugent score (NS) of 7-10. Univariate and multivariate analyses were performed using SPSS to examine the association between BV and behavioural practices.

By April 2011, 431 of 450 (96%) women had been recruited. Median age was 30 years (range 17-55), 420 (97%) reported a FSP in the last year and 341 (79%) reported past vaginal sex with a male. The baseline prevalence of BV was 27% (95% CI 23-32). In the multivariate analysis, BV was associated with: increased numbers of FSPs (≥3) in the prior 5 years (OR=1.9; 95%CIs:1.2-3.2); cigarette smoking (OR = 1.7; 95%CI:1.1-2.8); and a history of genital warts (OR=2.2; 95%CIs:1.1-4.5). Notably, BV was not associated with increased numbers of FSPs > 5 years prior to diagnosis, age or male partnerships. BV is common in WSW and is strongly associated with greater numbers of FSPs in the prior 5 years, smoking and a past history of warts. In this population sexual practices with women more than 5 years prior to diagnosis did not impart an increased risk for BV; this may have implications for duration of infection.

Areas of Interest / Categories: Australasian Sexual Health Conference 2011

Australasian Sexual Health Conference 2011

Current Medical Treatment of Premature Ejaculation

Over the past 20-30 years, the Premature Ejaculation (PE) treatment paradigm, previously limited to behavioural psychotherapy, has expanded to include drug treatment. Animal and human sexual psychopharmacological studies have demonstrated that serotonin and 5-HT receptors are involved in ejaculation and confirm a role for SSRIs in the treatment of PE. Multiple well-controlled evidence-based studies have demonstrated the efficacy and safety of SSRIs in delaying ejaculation, confirming their role as first-line agents for the medical treatment of lifelong and acquired PE. Daily dosing of SSRIs is associated with superior fold increases in IELT compared to on-demand SSRIs.

The importance of mobility in sustaining high STI prevalence in remote indigenous communities

Despite high rates of screening and treatment in many remote Indigenous communities in Australia, diagnosis rates for sexually transmitted infections (STI), chlamydia and gonorrhoea in particular, remain alarmingly high. One contributing factor may be the high rate of temporary mobility for residents of remote communities. We use mathematical modelling to explore the impact of mobility on STI transmission within remote communities.

Gay men prefer partner notification by short message service (SMS) rather than e-postcards: a web-based evaluation

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.

Lighting the fire, not filling the pail - positioning sexuality in the Australian curriculum

This symposium presentation will discuss conceptual approaches to how processes underway to develop the Australian Curriculum might link to improved sexual health outcomes. It will also explore the assumptions underpinning the ‘partnership’ between health and education sectors to uncover both the opportunities and the pitfalls for those who want to promote young people’s learning. 

Oropharyngeal carcinoma related to human papillomavirus

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.

High chlamydia prevalence found among young Australian men and women - results from the Australian Chlamydia Control Effectiveness Pilot (ACCEPt).

ACCEPt is a multi-state cluster randomised trial that aims to increase annual chlamydia testing in 16-29 year olds attending general practice. 54 postcodes (80% in rural areas) are being randomised to a multi-faceted intervention and GP clinics within each postcode enrolled. The primary outcome is change in chlamydia prevalence, and a prevalence study is being conducted at the beginning and end of the trial. We report on the findings of the baseline prevalence study.

Surgical Aspects of Transgender Medicine

Surgery for gender dysphoria was not routinely available prior to the 80’s, surgery and psychiatry having had an unhappy liaison. While gender dysphoria is DSM classified it’s not because it is deemed to be an illness, rather than to give guidelines as to establishing a diagnosis, and surgery is now deemed to be an appropriate activity.