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Sexual behaviour and well being of Australian prisoners

Sexual behaviour and well being of Australian prisoners

Prisoners are at risk for sexual ill health. On average they start having sex at an earlier age than other people, have more sexual partners and more unprotected sex, and are more likely to have done sex work. They are also an under-serviced and under-researched group. We used a computer-assisted telephone interview based on the Australian Study of Health and Relationships to survey a random sample of 2,351 men and women in prison in New South Wales and Queensland in 2006–2008.

Inmates were ineligible if they could not speak English, were intellectually disabled, seriously mentally ill, unavailable (e.g. due to a court appearance), or could not safely be moved to the telephone location. The response rate was 83% in NSW and 75% in Queensland.
Most men (96%) in prison identified as heterosexual and reported attraction (91%) and sexual experience (87%) only with females. Many women in prison (29%) identified as bisexual and 8% as lesbian. Prisoners reported more lifetime opposite-sex partners than people in the community (median men 24 v. 6; women 10 v. 3). More than a third of men in prison (36%) had ever paid for sex, as had 3% of women; 8% of men and 24% of women had ever been paid for sex.
Prisoners were more likely than Australians in general to have had an STI, but their knowledge levels about STIs were as good as other people’s. Female prisoners were more likely than other Australians to disapprove of abortion, but they were more likely to have had one. Rates of sexual difficulties were high among both male and female prisoners. High proportions (13% men and 59% women) had a history of sexual coercion.
Prisoners as a group are vulnerable to sexual ill health when outside jail because of low income, low education, inadequate housing and, for some, chaotic lives and drug use. Surveys of prisoners are a unique opportunity to research a disadvantaged group who are usually omitted from household surveys. Prison is also a setting for provision of sexual health care that many do not receive when outside prison.

With thanks to the SHAAP team for 2005–2008 and later: Tony Butler, Basil Donovan, Luke Grant, Tony Falconer, Alun Richards, Lorraine Yap, Kristie Kirkwood, Karen Schneider and Eva Malacova.

Speakers: Juliet Richters

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.