Sexual risk assessment in general practice: evidence from a New South Wales survey.

Abstract:

BACKGROUND:Physicians' inadequate involvement in sexual risk assessment has the potential to miss many asymptomatic cases. The present study was conducted to explore sexual risk assessment by physicians in clinical practice and to identify barriers in eliciting sexual histories from patients. METHODS:A stratified random sample of 15% of general practitioners (GP) from New South Wales was surveyed to assess their management of sexually transmissible infections (STI). In total, 409 GP participated in the survey with a response rate of 45.4%. RESULTS:Although nearly 70% of GP regularly elicited a sexual history from commercial sex workers whose presenting complaint was not an STI, this history taking was much lower (<10%) among GP for patients who were young or heterosexual. About 23% never took a sexual history from Indigenous patients and 19% never elicited this history from lesbian patients. Lack of time was the most commonly cited barrier in sexual history taking (55%), followed by a concern that patients might feel uncomfortable if a sexual history was taken (49%). Other constraints were presence of another person (39%) and physician's embarrassment (15%). About 19% of GP indicated that further training in sexual history taking could improve their practice. CONCLUSIONS:The present study identifies inconsistent involvement by GP in taking sexual histories, which can result in missed opportunities for early detection of many STI. Options for overcoming barriers to taking sexual histories by GP are discussed.

journal_name

Sex Health

journal_title

Sexual health

authors

Khan A,Plummer D,Hussain R,Minichiello V

doi

10.1071/sh06012

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

1-8

issue

1

eissn

1448-5028

issn

1449-8987

pii

SH06012

journal_volume

4

pub_type

杂志文章
  • Wear and care of the SILCS diaphragm: experience from three countries.

    abstract:BACKGROUND:Women have been regularly underestimated in their ability to care for and wear cervical barrier devices such as diaphragms appropriately. METHODS:Data from two non-randomised, non-blinded, non-significant risk acceptability studies of a novel cervical barrier device, the SILCS diaphragm, conducted in the Do...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH09049

    authors: Coffey PS,Kilbourne-Brook M

    更新日期:2010-06-01 00:00:00

  • The development of an online risk calculator for the prediction of future syphilis among a high-risk cohort of men who have sex with men and transgender women in Lima, Peru.

    abstract::Background Syphilis incidence worldwide has rebounded since 2000, particularly among men who have sex with men (MSM). A predictive model for syphilis infection may inform prevention counselling and use of chemoprophylaxis. METHODS:Data from a longitudinal cohort study of MSM and transgender women meeting high-risk cr...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH17118

    authors: Allan-Blitz LT,Konda KA,Vargas SK,Wang X,Segura ER,Fazio BM,Calvo GM,Caceres CF,Klausner JD

    更新日期:2018-06-01 00:00:00

  • Awareness and knowledge of anal cancer in a community-recruited sample of HIV-negative and HIV-positive gay and bisexual men.

    abstract::Background Anal cancer disproportionately affects people with HIV infection, especially gay and bisexual men (GBM). The awareness and understanding of human papillomavirus (HPV) and anal cancer in a community-based sample of people living with HIV and GBM was explored to inform future evidence-based public health inte...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH18219

    authors: Feeney L,Poynten M,Jin FJ,Cooper C,Templeton DJ,O Dwyer MR,Grulich A,Hillman RJ

    更新日期:2019-06-01 00:00:00

  • Promising strategies for cervical cancer screening in the post-human papillomavirus vaccination era.

    abstract::Human papillomavirus (HPV) vaccination is expected to reduce the burden of cervical cancer in most settings; however, it is also expected to interfere with the effectiveness of screening. In the future, maintaining Pap cytology as the primary cervical screening test may become too costly. As the prevalence of cervical...

    journal_title:Sexual health

    pub_type: 杂志文章,评审

    doi:10.1071/SH10022

    authors: Tota J,Mahmud SM,Ferenczy A,Coutlée F,Franco EL

    更新日期:2010-09-01 00:00:00

  • Preferences for condom placement in stores among young Dutch men and women: relationships with embarrassment and motives for having sex.

    abstract:BACKGROUND:Condom purchasing is an important preparation for condom use. The present study examined if products surrounding condoms in the store play a role in preferences for where to buy condoms among young people. METHODS:Sixty-nine men and 111 women (<30 years) completed an online questionnaire on their preference...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH11050

    authors: Gebhardt WA,van der Doef MP,Billingy N,Carstens M,Steenhuis I

    更新日期:2012-07-01 00:00:00

  • Sexual exposure to blood and behavioural risks among STI clinic patients in Cape Town, South Africa.

    abstract:BACKGROUND:Exposure to blood during sexual intercourse is potentially important and yet understudied in HIV transmission. METHODS:The study included 415 men and 127 women receiving diagnostic and treatment services at a sexually transmitted infections (STI) clinic in Cape Town, South Africa, who completed anonymous se...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/sh04041

    authors: Kalichman SC,Simbayi LC

    更新日期:2005-01-01 00:00:00

  • High rates of sexually transmissible infections in HIV-positive patients in the Australian HIV Observational Database: a prospective cohort study.

    abstract:UNLABELLED:Background In HIV-positive people, sexually transmissible infections (STIs) probably increase the infectiousness of HIV. METHODS:In 2010, we established a cohort of individuals (n=554) from clinics in the Australian HIV Observational Database (AHOD). We calculated retrospective rates for four STIs for 2005-...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH13074

    authors: Mulhall BP,Wright S,Allen D,Brown K,Dickson B,Grotowski M,Jackson E,Petoumenos K,Read P,Read T,Russell D,Smith DJ,Templeton DJ,Fairley CK,Law MG

    更新日期:2014-09-01 00:00:00

  • Masculinity, condom use self-efficacy and abusive responses to condom negotiation: the case for HIV prevention for heterosexual African-American men.

    abstract:BACKGROUND:This study explored the role of masculinity and perceived condom use skills in African-American men's abusive response to female partners' condom requests. METHODS:Eighty African-American men aged 18-29 years completed measures on sexual behaviour, responses to condom requests, condom use self-efficacy and ...

    journal_title:Sexual health

    pub_type: 信件

    doi:10.1071/SH13011

    authors: Raiford JL,Seth P,Braxton ND,DiClemente RJ

    更新日期:2013-11-01 00:00:00

  • Anova Health Institute's harm reduction initiatives for people who use drugs.

    abstract::Chemsex is the colloquial term used for a specific pattern of drug use that is increasingly common among men who have sex with men (MSM) globally. The recreational substances employed are used specifically in a sexualized context. The reasons for chemsex among MSM are complex. The Anova Health Institute (Anova) provid...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH17158

    authors: Hugo JM,Rebe KB,Tsouroulis E,Manion A,de Swart G,Struthers H,McIntyre JA

    更新日期:2018-04-01 00:00:00

  • PrEP Communications Accelerator: a digital demand creation tool for sub-Saharan Africa.

    abstract::Background Strategic communications are critical for successful market introduction of oral pre-exposure prophylaxis (PrEP). This paper focuses on the OPTIONS Consortium's approach to developing the PrEP Communications Accelerator, a digital tool that provides communication strategies and tools for generating demand f...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH18064

    authors: Schwartz K,Ferrigno B,Vining S,Gomez A,Briedenhann E,Gardiner E,Jeckonia P,Torjesen K

    更新日期:2018-11-01 00:00:00

  • Sexual health of Indian immigrant men in Australia: an exploratory research on help-seeking attitudes.

    abstract::The help-seeking attitudes for sexual health of Indian men living in Australia was explored. Of all survey respondents (n=225), many preferred to seek help from medical doctors. Young (18-25 years) Indian men were three times more likely to prefer a specialist medical doctor than older men. Ethnicity and gender of the...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH12199

    authors: Ramanathan V,Sitharthan G,Pepper K,Wylie K

    更新日期:2013-08-01 00:00:00

  • Sexual health-related information delivery - are patient information leaflets still relevant?

    abstract:UNLABELLED:Background Patient information leaflets (PILs) are widely utilised within publically funded sexual health clinics to deliver sexual health-related information (SHRI); however, their continued value to clients in the era of social media is unclear. This study aimed to evaluate clients' opinions on three newly...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH15205

    authors: Varma R,Chung C,Townsend A,Power M

    更新日期:2016-06-01 00:00:00

  • Sexual behaviour and sexual health of Australian prisoners.

    abstract:OBJECTIVE:To describe prisoners' sexual experiences and sexual practices while in the community, sexual identities, and sexual health (e.g. self-reported exposure to sexually transmissible infections (STIs) and female reproductive outcomes) using data from the Sexual Health and Attitudes of Australian Prisoners (SHAAP)...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH12104

    authors: Butler T,Malacova E,Richters J,Yap L,Grant L,Richards A,Smith AM,Donovan B

    更新日期:2013-03-01 00:00:00

  • A survey of partner notification practices among general practitioners and their use of an internet resource for partner notification for Chlamydia trachomatis.

    abstract:OBJECTIVES:To determine in which circumstances Victorian general practitioners (GPs) offer chlamydia testing to patients, the attitudes of GPs in relation to contact tracing, how often GPs use a pre-printed partner letter and patient brochure and what proportion of GPs have immediate internet access in their consulting...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/sh05052

    authors: Tomnay JE,Gebert RL,Fairley CK

    更新日期:2006-12-01 00:00:00

  • Is anal sex a marker for sexual risk-taking? Results from a population-based study of young Croatian adults.

    abstract:BACKGROUND:There is evidence that anal sex is becoming increasingly popular among heterosexual women and men. Several studies carried out in especially vulnerable populations (e.g. sex workers and low-income youth) suggested that anal sex may indicate a more general propensity to sexual risk-taking. METHODS:To assess ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH10078

    authors: Stulhofer A,Baćak V

    更新日期:2011-09-01 00:00:00

  • Parents' views on human papillomavirus vaccination for sexually transmissible infection prevention: a qualitative study.

    abstract:UNLABELLED:Background Human papillomavirus (HPV) is the most common sexually transmissible infection (STI) in the United States (US) and an important cause of several cancers. Vaccines that prevent HPV infections are now recommended for routine use in adolescents but coverage remains suboptimal in the US. Because they ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH14047

    authors: Niccolai LM,Hansen CE,Credle M,Ryan SA,Shapiro ED

    更新日期:2014-07-01 00:00:00

  • Association between sexually transmissible infection testing, numbers of partners and talking to partners and friends about sexual health: survey of young adults.

    abstract::Background Young adults, aged 18-30 years, comprise the largest proportion of sexually transmissible infection (STI) notifications in Australia compared with other age groups. Understanding the influence of partner and friendship networks on their STI testing practices may enhance health promotion efforts to increase ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH16076

    authors: Hendry NA,Brown G,Dowsett GW,Carman M

    更新日期:2017-08-01 00:00:00

  • Evaluation of an ethnic media campaign on patterns of HIV testing among people from culturally and linguistically diverse backgrounds in Australia.

    abstract:OBJECTIVE:To evaluate a 2-week pilot ethnic media campaign that was implemented in 14 languages to promote awareness of HIV/AIDS and HIV testing among selected non-English speaking populations in Australia in November/December 2000. METHODS:The main outcome measure was clinic attendances for the purpose of HIV testing...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/sh03001

    authors: McMahon T,Fairley CK,Donovan B,Wan L,Quin J

    更新日期:2004-01-01 00:00:00

  • Symptomatic Trichomonas vaginalis infection in the setting of severe nitroimidazole allergy: successful treatment with boric acid.

    abstract::This report describes a patient with symptomatic Trichomonas vaginalis infection who was unable to tolerate nitroimidazole drugs because of severe hypersensitivity, for which desensitisation was not possible. Use of intravaginal clotrimazole, intravaginal paromomycin, intravaginal furazolidone, povidone-iodine douches...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH11114

    authors: Muzny C,Barnes A,Mena L

    更新日期:2012-09-01 00:00:00

  • Using electronic communication technologies for improving syphilis partner notification in Chile: healthcare providers' perspectives - a qualitative case study.

    abstract::Background Partner notification (PN) in Australia has been studied and improved in recent decades. International researchers have highlighted the use of electronic communication technologies to assist PN (Internet partner notification or IPN). Using the Australian experience as an example, the aim of this study is to ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH19007

    authors: Iturrieta-Guaita NG,Temple-Smith MJ,Tomnay J

    更新日期:2019-08-01 00:00:00

  • Testing for chlamydial infection: are we meeting clinical guidelines? Evidence from a state-level laboratory data linkage analysis for 15- to 29-year-olds.

    abstract::Background Clinical guidelines recommend annual chlamydia tests for all sexually active people aged 15-29 years. This study measured adherence to these guidelines and compared testing rates to the projected levels required to reduce chlamydia prevalence. METHODS:All chlamydia tests conducted in Tasmania during 2012-1...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH16146

    authors: Stephens N,Coleman D,Shaw K,Sullivan MO,McGregor A,Cooley L,Vally H,Venn A

    更新日期:2017-11-01 00:00:00

  • HIV infection and aging of the innate immune system.

    abstract::The increased life expectancy of HIV-infected individuals due to improved treatment has revealed an unexpected increase in non-AIDS comorbidities that are typically associated with older age including cardiovascular disease, dementia and frailty. The majority of these diseases arise as the result of dysregulated syste...

    journal_title:Sexual health

    pub_type: 杂志文章,评审

    doi:10.1071/SH11028

    authors: Hearps AC,Angelovich TA,Jaworowski A,Mills J,Landay AL,Crowe SM

    更新日期:2011-12-01 00:00:00

  • Prevalence of porA pseudogene deletion among Neisseria gonorrhoeae isolates referred to the UK's Gonococcal Resistance to Antimicrobials Surveillance Program.

    abstract::porA pseudogene-negative Neisseria gonorrhoeae isolates produce false-negative results when examined by polymerase chain reaction (PCR) with porA pseudogene targets. In the present study, 533 representative gonococcal isolates received in 2011 via the Gonococcal Resistance to Antimicrobials Surveillance Program were e...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH16162

    authors: Toby M,Saunders P,Cole M,Grigorjev V,Alexander S,Ison C

    更新日期:2017-08-01 00:00:00

  • Association between education level and HIV-associated neurocognitive disorder: a systematic review and meta-analysis.

    abstract::In the era of antiretroviral treatment, human immunodeficiency virus (HIV)-associated neurocognitive disorder (HAND) is common in HIV-positive (HIV+) patients, with an incidence of 30-50%. The relationship between education level and HAND has been evaluated in some studies, however, the results were inconsistent. The ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH20057

    authors: Liu B,Li W

    更新日期:2020-12-21 00:00:00

  • Pilot of non-invasive (oral fluid) testing for HIV within a community setting.

    abstract:BACKGROUND:The present study sought to determine the level of undiagnosed HIV infection within a community setting of men who have sex with men (MSM) and identify any associated sexual risk behaviours. METHODS:A total of 427 MSM were recruited in sex-on-premises venues (SOPV) and gay bars within the inner city of Bris...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH09029

    authors: Birrell F,Staunton S,Debattista J,Roudenko N,Rutkin W,Davis C

    更新日期:2010-03-01 00:00:00

  • Outreach services to brothels facilitate sexually transmissible infection testing for Asian sex workers in regional Australia.

    abstract::Outreach services providing sexually transmissible infection (STI) testing on-site in brothels were introduced in 2012 by Pacific Clinic Newcastle, Australia. Asian female sex workers (FSW) were more likely than non-culturally and linguistically diverse (CALD) FSW to access testing via outreach services than in clinic...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH19213

    authors: Mesure J,Ryder N

    更新日期:2020-06-01 00:00:00

  • Sexting among singles in the USA: prevalence of sending, receiving, and sharing sexual messages and images.

    abstract::Background: The transmission of sexual images and messages via mobile phone or other electronic media (sexting) has been associated with a variety of mostly negative social and behavioural consequences. Research on sexting has focussed on youth, with limited data across demographics and with little known about the sha...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH15240

    authors: Garcia JR,Gesselman AN,Siliman SA,Perry BL,Coe K,Fisher HE

    更新日期:2016-07-29 00:00:00

  • Condom use motivations and selected behaviours with new versus established sex partners.

    abstract:UNLABELLED:Objective To compare condom use motives and behaviours in the context of penile-vaginal intercourse (PVI) with new versus established sexual partners, using daily event-level data among a clinic-recruited sample. METHODS:Participants (ages 15-65 years old) were recruited from five sexually transmissible inf...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH13159

    authors: Crosby RA,Milhausen RR,Graham CA,Yarber WL,Sanders SA,Charnigo R,Shrier LA

    更新日期:2014-07-01 00:00:00

  • Experiences of sexual coercion in a representative sample of adults: the Second Australian Study of Health and Relationships.

    abstract:UNLABELLED:Background It is important to have current reliable estimates of the prevalence, correlates and consequences of sexual coercion among a representative sample of Australian adults and to identify changes over time in prevalence and consequences. METHODS:Computer-assisted telephone interviews were completed b...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH14103

    authors: de Visser RO,Badcock PB,Rissel C,Richters J,Smith AM,Grulich AE,Simpson JM

    更新日期:2014-11-01 00:00:00

  • Substantial increase in yield of Neisseria gonorrhoeae testing 2008-2013 at a Sydney metropolitan sexual health clinic: an observational study.

    abstract::Background A substantial increase in gonorrhoea notifications in New South Wales has been observed in recent years. METHODS:We assessed yield of testing and characteristics of those diagnosed with gonorrhoea from January 2008 to December 2013 at RPA Sexual Health in the inner-west of Sydney. Yield was defined as the ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH17080

    authors: Rajagopal P,Goddard SL,Templeton DJ

    更新日期:2018-02-01 00:00:00