A research assistant, placed in each clinic, is responsible for recruiting a consecutive sample of 70 to 100 16 to 29 year old patients within each postcode (4000 patients in total). Patients complete a demographic and sexual behaviour questionnaire and have a chlamydia test.
Recruitment began in July 2010; 383 GPs in 80 clinics in 30 postcodes have been recruited across VIC, NSW, QLD and SA. 1187 individuals have been tested with a participation of 65%. Chlamydia prevalence is 4.1% (95%CI: 3.1%, 5.4%). Prevalence is slightly higher among males 5.0% (95%CI: 3.0%, 7.7%) than females 3.8% (95%CI: 2.6%, 5.3%; p=0.33) and in rural (4.8%; 95%CI: 3.4%, 6.4%) compared with metropolitan areas (2.8%; 95%CI: 1.4%, 4.9%, p=0.09). Men in rural areas (7.0%; 95%CI: 3.9%, 11.2%) have a higher prevalence than rural women (4.0%; 95%CI: 2.5%, 6.0%; p=0.09) Chlamydia is associated with 2+ opposite sex partners in the last 12 months (OR=5.3; 95%CI: 2.8,10.2) with both sexes reporting a median of 1 sex partner. Recruitment will be completed by December 2011.
Chlamydia prevalence continues to be high among young Australians. A prevalence of 7% among rural men provides further evidence for the importance of targeting men for testing. This will be Australia’s largest chlamydia prevalence survey to date.
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.
There have been many recent media debates and controversies in Australia over what sexuality education in schools should constitute. Concerns for sexual health can inform pushes for educating young people on topics such as hygiene, biology or safe sex. Yet other agendas privilege censorship, the teaching of abstinence, a focus on sexual morality or the inclusion of gay rights and other diverse perspectives. A review of the literature uncovered the key approaches to sexuality education, and 14 specific messages they offer young people about their sexuality. This presentation considers the relevance of these messages for gay, lesbian, bisexual, transgender and intersex students.
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.
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.
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.
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.
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.
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