Screening of HIV-infected patients for non-AIDS-related morbidity: an evidence-based model of practice.

Abstract:

OBJECTIVE:To develop guidelines to facilitate management of HIV infection as a chronic disease within the setting of a sexual health or other HIV outpatient clinic. METHODS:We undertook a literature search to identify published guidelines and expert panel commentaries on screening and managing non-AIDS comorbidities in the general and HIV-infected population. We developed evidence-based guidelines for screening and management of non-AIDS comorbidities in HIV-positive clients attending the Sydney Sexual Health Centre (SSHC) that could be used in other HIV outpatient settings. RESULTS:Guidelines have been developed that describe the recommended tests and an interpretation of results, and outline actions to take if abnormal. A summary document can be placed in the medical notes to record completed tests, and resources such as lifestyle modification pamphlets and cardiovascular risk assessment tools made easily available in clinics. CONCLUSIONS:These guidelines are being used by nurses and doctors to facilitate the management of HIV as a chronic disease in the SSHC. This represents a significant shift in practice from the traditional role of a sexual health clinic, and is likely to become increasingly important in resource-rich countries such as Australia where individuals with HIV are expected to live beyond their seventh decade. This model could be used in other HIV outpatient settings including general practice.

journal_name

Sex Health

journal_title

Sexual health

authors

Foster R,Morris S,Ryder N,Wray L,McNulty A

doi

10.1071/SH10021

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

30-42

issue

1

eissn

1448-5028

issn

1449-8987

pii

SH10021

journal_volume

8

pub_type

杂志文章
  • Using hepatitis A and B vaccination as a paradigm for effective HIV vaccine delivery.

    abstract:BACKGROUND:An understanding of vaccine acceptance and uptake is imperative for successful vaccination of populations that will be primary targets for vaccination after a vaccine against HIV is developed and ready for dissemination. Experiences with vaccination against vaccine-preventable hepatitis (VPH) among men who h...

    journal_title:Sexual health

    pub_type: 杂志文章,评审

    doi:10.1071/sh06069

    authors: Rhodes SD,Yee LJ

    更新日期:2007-06-01 00:00:00

  • Male sex work and HIV risk among young heroin users in Hanoi, Vietnam.

    abstract::The present study describes complex drug and sexual risk in a group of male sex workers (n = 79) who were recruited in the context of a larger study of young heroin users in Hanoi, Vietnam (n = 1270). Male sex workers were significantly more likely than male non-sex workers to be migrants (P < 0.001) and to have unsta...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/sh07018

    authors: Clatts MC,Giang le M,Goldsamt LA,Yi H

    更新日期:2007-12-01 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

  • Low yield of anogenital examination among asymptomatic clients of an urban sexual health clinic.

    abstract:BACKGROUND:The use of self-collected specimens to test for sexually transmissible infections (STI) has reduced the opportunity for physical examination. Physical examination has been found to be of limited value in asymptomatic heterosexual women and men; however, prior studies have excluded higher risk populations. We...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH10024

    authors: Yong Ma J,Ryder N,Wray L,McNulty A

    更新日期:2011-03-01 00:00:00

  • Misperceptions regarding protective barrier method use for safer sex among African-American women who have sex with women.

    abstract:BACKGROUND:Barrier methods for HIV and sexually transmissible infection (STI) prevention among women who have sex with women (WSW) are available, although their effectiveness has not been systematically investigated. These methods are infrequently used by WSW. As part of a larger study on STI risk perceptions and safer...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH12106

    authors: Muzny CA,Harbison HS,Pembleton ES,Hook EW,Austin EL

    更新日期:2013-05-01 00:00:00

  • Patient-delivered partner therapy for chlamydia in Australia: can it become part of routine care?

    abstract::Background Patient-delivered partner therapy (PDPT) is a method for an index patient to give treatment for genital chlamydia to their sexual partner(s) directly. In Australia, PDPT is considered suitable for heterosexual partners of men and women, but is not uniformly endorsed. We explored the policy environment for P...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH20024

    authors: Goller JL,Coombe J,Bourne C,Bateson D,Temple-Smith M,Tomnay J,Vaisey A,Chen MY,O Donnell H,Groos A,Sanci L,Hocking J

    更新日期:2020-08-01 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

  • Identifying types of sex conversations in adolescent health maintenance visits.

    abstract:UNLABELLED:Background Physician-adolescent sexuality discussions are a recommended element in health maintenance visits, but such discussions - if they occur at all - probably vary by adolescents' characteristics and situations, and physicians' personal beliefs and training. However, little is known about the form and ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH15080

    authors: Alexander SC,Christ SL,Fortenberry JD,Pollak KI,Østbye T,Bravender T,Shields CG

    更新日期:2016-02-01 00:00:00

  • It Starts With Me: Privacy concerns and stigma in the evaluation of a Facebook health promotion intervention.

    abstract:UNLABELLED:Background As efforts continue to increase rates of HIV testing and condom use among at-risk communities in England, organisations have sought use social media for health promotion interventions. As part of a wider evaluation of It Starts With Me (ISWM), a sexual health promotion intervention in England targ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH15231

    authors: Witzel TC,Guise A,Nutland W,Bourne A

    更新日期:2016-06-01 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

  • Current research gaps: a global systematic review of HIV and sexually transmissible infections among transgender populations.

    abstract::Transgender populations are heavily burdened by HIV and other sexually transmissible infections (STIs). However, data on co-infection with HIV and STIs among transgender people are limited. A systematic review was conducted of peer-reviewed articles and conference abstracts between January 2010 and November 2015 that ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH17096

    authors: MacCarthy S,Poteat T,Xia Z,Roque NL,Hyun Jin Kim A,Baral S,Reisner SL

    更新日期:2017-10-01 00:00:00

  • Gonorrhoea: tackling the global epidemic in the era of rising antimicrobial resistance.

    abstract::This Special Issue of Sexual Health aims to collate the latest evidence base focussed on understanding the current epidemic and transmission of gonorrhoea, choice of treatment, molecular epidemiology application, concerns about antimicrobial resistance and alternative prevention and control for gonorrhoea. ...

    journal_title:Sexual health

    pub_type: 社论

    doi:10.1071/SH19121

    authors: Ong JJ,Wi T,Hughes G,Williamson DA,Mayaud P,Chow EPF

    更新日期:2019-09-01 00:00:00

  • Sexual health promotion in Thailand.

    abstract::Sexuality and power are at the root of most sexual and reproductive health problems in Thailand, including reproductive tract infections, fertility and population control, unwanted pregnancy and abortion, unsafe abortion, unsafe motherhood and violence against women, as well as issues emerging from the mobile and migr...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/sh04050

    authors: Chandeying V

    更新日期:2005-01-01 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

  • 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

  • A cross-sectional study of reported symptoms for sexually transmissible infections among female sex workers in Papua New Guinea.

    abstract:BACKGROUND:Sexually transmissible infections (STIs) are common in female sex workers (FSWs), most of which are asymptomatic and therefore under-reported. Our aim was to determine the sensitivity and specificity of reported symptoms obtained via questionnaire augmented with leukocyte esterase (LE) urine dipstick test fo...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH09093

    authors: Bruce E,Bauai L,Masta A,Rooney PJ,Paniu M,Sapuri M,Keogh L,Kaldor J,Fairley CK

    更新日期:2010-03-01 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

  • 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

  • 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

  • A community-led, harm-reduction approach to chemsex: case study from Australia's largest gay city.

    abstract::Rates of drug use remain substantially higher among gay and bisexual men (GBM) and people living with HIV (PLHIV) in Sydney, New South Wales, Australia. The use of drugs to enhance sexual pleasure within cultures of Party and Play creates opportunities to discuss sexual health, mental health, consent and wellbeing. Co...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH17145

    authors: Stardust Z,Kolstee J,Joksic S,Gray J,Hannan S

    更新日期:2018-04-01 00:00:00

  • Boundaries of sexual communication: a mixed-method study exploring Chinese young adults' engagement with online sexual health information.

    abstract:BACKGROUND:Although previous research suggests that a majority of Chinese young adults get sexual health information through the Internet, the details of this process and how it translates into subsequent actions are unknown. This study aims to understand the dynamic nature of Chinese young adults' engagement with onli...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH16009

    authors: Zhang J,Nurik C,Jemmott JB

    更新日期:2016-06-01 00:00:00

  • Non-consensual sexting: characteristics and motives of youths who share received-intimate content without consent.

    abstract::Background:One of the possible negative consequences of sexting is the non-consensual sharing of received-intimate content. This study aimed to determine the characteristics and motives of youths who shared received-intimate images without consent. Methods: Data were obtained from a self-administrated Swiss survey on ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH19201

    authors: Barrense-Dias Y,Akre C,Auderset D,Leeners B,Morselli D,Surís JC

    更新日期:2020-06-29 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

  • Pending research issues in male condom use promotion.

    abstract::Sufficient evidence has accumulated to warrant the expansion of condom use research in several additional directions. Possible risk compensation pertaining to human papillomavirus vaccination and vaginal microbicides is one example. A second area of needed research involves the question of when couples can be advised ...

    journal_title:Sexual health

    pub_type: 社论

    doi:10.1071/sh08080

    authors: Crosby R,Warner L

    更新日期:2008-12-01 00:00:00

  • Is screening for anal cancer warranted in homosexual men?

    abstract::Some investigators have proposed screening homosexual men for anal cancer and its probable precursor, high grade anal intraepithelial neoplasia (AIN). Using widely accepted criteria for the introduction of screening programmes, this paper reviews the current evidence for screening for this condition in this high risk ...

    journal_title:Sexual health

    pub_type: 杂志文章,评审

    doi:10.1071/sh03019

    authors: Anderson JS,Vajdic C,Grulich AE

    更新日期:2004-01-01 00:00:00

  • Does regretting first vaginal intercourse have an effect on young adults' sexual behaviour?

    abstract::Background The aims of this research were to determine personal differences depending on the reason for regretting or not first vaginal intercourse and its effects on sexual behaviour later on among young adults, and to assess the association between reasons for engaging in first vaginal intercourse and regretting it....

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH19174

    authors: Suris JC,Akre C,Jacot-Descombes C,Leeners B,Morselli D,Barrense-Dias Y

    更新日期:2020-06-01 00:00:00

  • Male sexuality in Vietnam: the case of male-to-male sex.

    abstract:BACKGROUND:To implement effective behaviour change interventions for men who have sex with men, qualitative information was collected about the contexts and meanings of sex and relationships between men in Ho Chi Minh City. METHODS:Individual interviews and focus groups were conducted with 74 men aged 18 years or olde...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/sh07064

    authors: Vu BN,Girault P,Do BV,Colby D,Tran LT

    更新日期:2008-03-01 00:00:00

  • Making sense of syphilis: beliefs, behaviours and disclosure among gay men recently diagnosed with infectious syphilis and the implications for prevention.

    abstract:BACKGROUND:The resurgence of syphilis in men who have sex with men (MSM) has proved remarkably resilient in the face of innovative control and prevention interventions. Understanding the determinants of the current outbreaks has been restricted by the available data. Qualitative work is needed to understand individual ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/sh06028

    authors: Lambert NL,Imrie J,Fisher MJ,Phillips A,Watson R,Dean G

    更新日期:2006-09-01 00:00:00

  • High rates of chlamydia found among 12- to 16-year-olds attending a rural sexual health clinic: implications for practice.

    abstract:UNLABELLED:Background Chlamydia is the most commonly diagnosed bacterial sexually transmissible infection (STI) and is asymptomatic in ~80% of women. If untreated, potential consequences include pelvic inflammatory disease, ectopic pregnancy and infertility. METHODS:In 2014, a retrospective audit was undertaken at a r...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH15140

    authors: Tomnay JE,Coelli L,Hocking JS

    更新日期:2016-04-01 00:00:00

  • Utility of a US Food and Drug Administration (FDA) label indication for condoms for anal sex.

    abstract::Condoms are highly effective for HIV prevention, yet are not currently indicated by the US Food and Drug Administration (FDA) for anal sex. We surveyed a national sample of men who have sex with men to assess whether FDA label indication could affect anticipated condom use, and to determine levels of perceived condom ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH18152

    authors: Siegler AJ,Ahlschlager L,Rosenthal EM,Sullivan PS,Kelley CF,Rosenberg ES,Sanchez TH,Moore RH,Mehta CC,Cecil MP

    更新日期:2020-02-01 00:00:00