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Showing posts with label sexual history taking. Show all posts
Showing posts with label sexual history taking. Show all posts
Tuesday, February 2, 2016
Monday, November 16, 2015
A Comparison of Recreational Drug Use amongst Sexual Health Clinic Users in London with Existing Prevalence Data
The objective was to give an
overview of self-reported recreational drug use amongst attendees of sexual
health clinics in London and compare this to existing datasets. Between
December 2013 and March 2014, attendees of two sexual health clinics in London
were surveyed. Data collected were: sexual history, smoking and alcohol and
recreational drug use.
Data were analysed using SPSS (version 21). A total of
1472 respondents were included; 778 (52.9%) men, 676 (45.9%) women and 3 (0.2%)
transgender (15 [1.0%] did not answer). Mean age was 30.6 ± 9.0 years. A total
of 339 (43.6%) men were men who have sex with men, and 18 (2.4%) women were
women who have sex with women.
Lifetime prevalence of use was: alcohol 94.1%;
cannabis 48.5%; 'poppers' (volatile nitrites) 28.2%; cocaine 26.8% and
3,4-methylenedioxy-methamphetamine pills 23.2%. Our population had higher
current popper, methamphetamine and mephedrone use than the Crime Survey of
England and Wales but lower use of cannabis, poppers and Viagra than the
European MSM Internet Survey.
Global Drug Survey and Part of the Picture
respondents' use were higher than our population for all drugs. Drug use in
this population had a different pattern to general population surveys and
studies involving only men who have sex with men.
Purchase full article at: http://goo.gl/AB736V
- 1Clinical Toxicology Department, Guys and St Thomas' NHS Foundation Trust and King's Health Partners, London, UK nat_thurtle@yahoo.com.
- 2Clinical Toxicology Department, Guys and St Thomas' NHS Foundation Trust and King's Health Partners, London, UK Clinical Toxicology Department, King's College London, London, UK.
- 3Clinical Toxicology Department, Guys and St Thomas' NHS Foundation Trust and King's Health Partners, London, UK.
- 4Genitourinary Medicine, Guy's and St Thomas' NHS Foundation Trust and King's Health Partners, London, UK.
More at: https://twitter.com/hiv_insight
Sunday, November 15, 2015
Access To & Use Of Sexual Health Care Services among Young Canadians With & Without a History Of Sexual Coercion
To determine access to and use of sexual health care
services among adolescents and young adults with and without a history of
sexual coercion, and to examine whether a history of sexual coercion was a
barrier to using sexual health care services.
Main outcome measures :Participants’
sexual histories, sexual coercion histories, current psychological functioning,
and perceptions and use of health care services.
A history of sexual coercion was reported by 29.6% of
participants; more female participants reported a history of sexual coercion
than male participants did, and female participants reported more related
distress than male participants did. Those with a history of sexual coercion
reported more sexual health–related visits than those without a history of
sexual coercion did. Among participants with and without sexual coercion
histories, there were no differences in difficulty accessing care, perceived
quality of care, or rates of unmet health needs. Among those who reported a
history of sexual coercion, the odds of having a sexual health–related visit
increased for those who had had a routine checkup in the previous year (odds
ratio = 8.29) and those who believed it was not difficult to access care (odds
ratio = 1.74).
Having a history of sexual coercion was not a barrier to the
use of health care services among adolescents and young adults. In fact, rates
of health care service use were higher among those with a history of sexual
coercion than those without such a history.
Full article at: http://goo.gl/qHRLPB
By:
Lucia F. O’Sullivan, PhD
Professor in the
Department of Psychology and Canada Research Chair in Adolescents’ Sexual
Health Behaviour at the University of New Brunswick in Fredericton.
E. Sandra Byers, PhD
Professor in the
Department of Psychology at the University of New Brunswick.
Lori A. Brotto, PhD
Associate
Professor in the Department of Obstetrics and Gynaecology at the University of
British Columbia in Vancouver.
Physician at the
Student Health Centre and Adjunct Professor in the Faculty of Nursing at the
University of New Brunswick.
More at: https://twitter.com/hiv_insight
Monday, October 19, 2015
Differing Identities but Comparably High HIV & Bacterial Sexually Transmitted Disease Burdens among Married & Unmarried Men Who Have Sex with Men in Mumbai, India
Although HIV incidence has declined in India, men and
transgender women who have sex with men (MSM) continue to have high rates of
HIV and sexually transmitted disease (STD). Indian MSM face substantial
pressures to marry and have families, but the HIV/STD burden among married
Indian MSM is not well characterized.
A diverse sample of Indian MSM were recruited through
respondent-driven sampling. Independent variables that produced a P value of
0.10 or less were then added to a multivariable logistic regression model.
Most of the 307 MSM (95 married and 212 unmarried) recruited
into the study were younger than 30 years, and less than one-third had more
than a high school education. Almost two-thirds of the married men had
children, compared with 1.4% of the unmarried men. The numbers
of condomless anal sex acts did not differ by marriage status. Although
unmarried MSM more often identified themselves as "kothi" (receptive
role), their rates of HIV or bacterial STD were similar to married MSM, with
14.3% being HIV infected. The respondent-driven sampling-adjusted prevalence of
any bacterial STD was 18.3% for married MSM and 20% for unmarried MSM (not
significant). Participants reported high levels of psychological distress, with
27.4% of married and 20.1% of unmarried MSM reporting depressive symptoms (not
significant).
Men who have sex with men in Mumbai had high rates of HIV,
STD, and behavioral health concerns. Clinicians need to become more comfortable
in eliciting sexual histories so that they can identify MSM who need HIV/STD
treatment and/or prevention services.
Purchase full article at:
By:
- 1From the *The Fenway Institute, Fenway Health, Boston, MA; †Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA; ‡National AIDS Research Institute, Pune, India; §The Humsafar Trust, Mumbai, India; and ¶Harvard T.H. Chan School of Public Health and ∥Harvard Medical School, Massachusetts General Hospital, Boston, MA.
More at: https://twitter.com/hiv_insight
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