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Sexual health peer education programs in the community youth sector: what works, what doesn’t and what can they achieve?

Sexual health peer education programs in the community youth sector: what works, what doesn’t and what can they achieve?

The community youth sector has often been an underutilised asset in engaging young people around sexual health and blood borne viruses (BBV). Many of these organisations have sustained and effective relationships with groups of young people who may have disengaged with school education, or who may not have received relevant, holistic sexual health education (through school, parents etc). The use of peer based programming can be an effective approach in health promotion, particularly given the influential role peers play in shaping young people’s attitudes and behaviours.

Youth Educating Peers (YEP) was a two-year participatory action research (PAR) project seeking to mobilise and improve sexual health and BBV education and support efforts in the WA youth sector. There were three broad aims: to increase the capacity of youth workers and young people to address youth sexual health and BBV issues; to determine critical enabling factors for delivering peer-based programs in youth sector contexts; and to determine the impact of these programs on young people’s sexual health. To achieve these aims, YEP Project partnered with six WA youth sector agencies who trialled youth peer-based sexual health and BBV programs.
Thematic data analysis of the six diverse data sets deduced a number of critical enablers and barriers, giving a rich description of ‘what works’ and ‘what doesn’t’ when delivering these programs. Programs that achieved good-practice standards (had critical enablers in place) were able to achieve significant outcomes with young people, including increased knowledge, confidence, social and interpersonal skills, social connectedness, leadership, empowerment for change and reduced stigma toward STIs and BBVs. Youth worker capacity was also increased through program experience and reflective practice.
The results have enabled the development of an evidenced-based resource specific to youth workers and supporting positive youth sexual health outcomes in youth sector contexts

Speakers: Rebecca Walker

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.