We aimed to examine the incidence of syphilis in men who have sex with (MSM) and identify subgroups MSM at a higher risk infection.We conducted retrospective cohort study attending sexual health clinic Australia, during 2013-2019, had least 2 serological tests period. The was expressed as per 100 person-years. A cox regression analysis factors for syphilis.A total 24 391 individual (75 086 consultations) were included. 1404 new cases diagnosed an 3.7/100 person-years (95% confidence...

Our aim was to determine whether exposure the anatomical sites (oropharynx, penis, or anus) of male partners men who have sex with (MSM) were independent risk factors for oropharyngeal gonorrhoea after adjusting exposures these sites.In this cross-sectional study, we invited MSM attended Melbourne Sexual Health Centre (MSHC) in Victoria, Australia between 26-November 2018 and 31-December 2020 complete a survey their sexual practices past three months. We collected data on number whom engaged...

Additional approaches to HIV prevention and management, such as Nudgeathons, are required increase access pre-exposure prophylaxis (PrEP) among overseas-born men who have sex with (MSM).In September 2021, we conducted a 4-h online Nudgeathon, wherein four teams co-designed behaviourally informed adverts improve PrEP uptake for MSM. After the eight of 17 invited Nudgeathon attendees were interviewed about their experience. We qualitative content analysis interview data highlight participants'...

Purpose There is a growing body of research into the utilisation social networking sites (SNS) by alcohol marketers, but less how young people utilise SNS to create their own meanings of, and interactions with, alcohol. The purpose this study was explore adults’ perceptions nexus between SNS. Design/methodology/approach In total, 60 adults aged 18-21 years took part in an intensive data collection process over six months. All references media interviews, focus groups written introspections...

We examined combinations of nine sexual activities that occurred during a sex episode with recent male partner among men who have (MSM) attended an urban health clinic from April-2017 to September-2017. collected the following activities: tongue-kissing, penises touching, using saliva mutual masturbation, performed rimming, received fellatio, insertive anal sex, and receptive sex. During single-sex episode, most common involved all (10.6%, 166/1542). assessed agreement between any two...

Objective To describe the Australian adult public’s knowledge and experiences regarding substitute decision-making for medical decisions their preferences obtaining information about decision-maker (SDM) role. Methods This is a national cross-sectional online survey of public. The examined participants’ advance care planning (ACP) awareness experience, SDM more SDM, participant SDM. Results Of 1586 people who opened survey, 1120 (70.6%) were included in final sample. 13% (n=142) participants...

Few studies have examined the types of sexual activities and condom use during group sex among men who with (MSM). This study aimed to examine sex.A cross-sectional survey MSM attending a health clinic in Melbourne, Australia, between May 2019 March 2020.Participants were asked whether they had engaged (sex involving more than 2 participants) within past 3 months, number people involved, in, their most recent sex.More quarter (26.8%, 287 1071) median involved was (interquartile range 3-4),...

Early detection and treatment of syphilis will reduce the infectious period transmission. We aimed to determine whether screening men who have sex with (MSM) taking HIV pre-exposure prophylaxis (PrEP) for using Treponema pallidum polymerase chain reaction (PCR) could detect before appearance antibodies in serology. MSM attending 3-monthly PrEP clinic visits Melbourne, Australia, were screened a PCR assay targeting polA gene T. from an anal swab oral rinse between November 2019 March 2020....

Background There are few studies investigating group sex among female workers (FSWs). This study aimed to examine the typical number of participants, sexual activities and condom use in FSWs attending a health clinic Melbourne, Australia. Methods We conducted cross-sectional survey between May 1, 2019 March 13, 2020 Melbourne. Participants were asked whether they had participated (sex involving more than two participants) within past 3 months, size most recent event, engaged use. It is...

Background Few studies investigate group sex among heterosexuals. The aim of this study was to provide an exploration characteristics and practices heterosexual men women who engage in sex. Method We conducted a cross-sectional survey between May 2019 March 2020 attending sexual health clinic Melbourne, Australia. Participants were asked whether they had participated (sex involving more than two participants) the past 3 months, size most recent event, activities which engaged, condom use....

The saliva of individuals with oropharyngeal gonorrhoea can contain viable Neisseria gonorrhoeae. This study examined if using as a lubricant for masturbation is risk factor urethral among men who have sex (MSM).

Abstract We hypothesized that the incubation for urethral gonorrhoea would be longer men with oropharyngeal than those without gonorrhoea. conducted a chart review of who have sex symptoms at sexual health clinic between 2019 and 2021. The period was defined as number days men’s last contact onset symptoms. used Mann–Whitney U test to compare differences in median There were 338 (median age = 32 years; IQR: 28–39), these, 307 (90.1%) tested gonorrhoea, whom 124 (40.4%, 95% CI: 34.9–46.1) had...

Despite mounting evidence showing that kissing (tongue-kissing) may transmit gonorrhoea between men who have sex with (MSM), little data exists on factors influencing the duration of while they are above and/or lying underneath a partner for this population group.

The Melbourne Sexual Health Centre (MSHC) implemented an opt-out syphilis test for women in December 2017. We aimed to examine the differences testing uptake and confirmed cases among after switching from risk-based strategies.This was a retrospective study examining all attending MSHC first time periods of (2015-2017) (2018-2020). calculated proportion who tested with each period. A chi-square performed determine between periods.A total 27,481 (i.e. 13,059 period 14,422 period) were...

Background Kissing may be a risk factor for gonorrhoea. Past studies have focused on male kissing partners among men who sex with (MSM). This study aimed to examine the practices of MSM kiss and female partners. Methods We conducted cross-sectional survey at Melbourne Sexual Health Centre (MSHC) between March April 2019. Men attending MSHC, aged ≥16 years reported any sexual contact another man in previous 12 months were invited participate survey. Data about number kissing-only (kissing...

Regular anal self-examination could potentially reduce syphilis transmission by detecting earlier among men who have sex with (MSM). This study aimed to examine the preferences of MSM on performing detect syphilis.An online survey a discrete choice experiment (DCE) was distributed attending sexual health clinic and through social media in Australia between June November 2020. The DCE examined preferred attributes that would encourage perform self-examination. Data were analysed using random...

Abstract Studies suggest men who have sex with (MSM) practising receptive anal are more likely to present secondary syphilis, implying primary anorectal lesions be missed. If could detect in the stage by regular self-examination (ASE), transmission reduced early diagnosis and treatment. We aimed explore attitudes of MSM on performing ASE syphilis. An online anonymous cross-sectional survey among over 18 years age living Australia, was conducted between July November 2020 recruitment from a...

Emerging data suggest tongue-kissing may transmit gonorrhea. We aim to examine the duration or body position of heterosexual men and women during (henceforth, known as kissing).A cross-sectional survey among attending Melbourne Sexual Health Centre in Australia between May 2019 March 2020 collected on (i.e., top lying down underneath) their most recent kissing partner past 3 months. Univariable multivariable linear regressions were performed association gender duration.Of 2,866 individuals,...

We aimed to investigate the sexual mixing by human papillomavirus (HPV) vaccination status in male-male partnerships and estimate proportion of protected against HPV. analyzed attending Melbourne Sexual Health Center between 2018 2019. Data on self-reported HPV were collected. Newman’s assortativity coefficient was used examine status. Assortativity refers tendency individuals have partners with similar characteristics (i.e. same status). Of 321 where both men reported their status, 52.6%...