2015 Participant Summaries

2017 Participant Summaries

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Study:
Saliva use as a lubricant for anal sex is a risk factor for rectal gonorrhoea among men who have sex with men; a new public health message

Researchers:
Chow EPF, Cornelisse VJ, Read TRH, Lee D, Walker S, Hocking JS, Chen MY, Bradshaw CS, Fairley CK

Publication:
Sexually Transmitted Infection, 2017; 92(7): 532 - 536  doi: 10.1136/sextrans-2015-052502


Summary:
Apart from penile–anal intercourse, other anal sexual practices are common in men who have sex with men (MSM) including rimming, fingering and saliva use as a lubricant for anal sex. A survey was conducted in MSM attending Melbourne Sexual Health Centre. Other anal sexual practices were common among MSM: receptive rimming (70.5%), receptive fingering or penis dipping (84.3%) and using partner’s saliva as a lubricant for anal sex (68.5%). Using saliva as a lubricant for anal sex is a common sexual practice in MSM, and was linked to having rectal gonorrhoea, whereas receptive rimming and fingering or penis dipping were not linked to having rectal gonorrhoea. Almost half of rectal gonorrhoea cases could be eliminated if MSM stopped using partner’s saliva for anal sex.


Study:
Getting the terminology right in sexual health research: the importance of accurately classifying fuck buddies among men who have sex with men

Researchers:
Clare Bellhouse, Sandra Walker, Christopher K Fairley, Eric PF Chow, Jade E Bilardi

Publication:
Sexually Transmitted Infections 2017; 29 March doi.10.1136/sextrans-2016-053000

Summary:
The aim of this report was to raise attention of how terminology about partners in men who have sex with men (MSM) is used in research, in particular to ‘fuck buddies’. Thirty MSM attending the Melbourne Sexual Health Centre were interviewed and asked for their views on terms they used to describe their relationships and sexual partners. Emotional attachment often defined the type of relationship. There was a consensus among men that partners for ‘sex only’ were classified as casual partners and partners with whom there was an emotional attachment or had a formal relationship with were classified as ‘regular partners’. The use of the term ‘fuck buddy’ for both a regular partner and a casual partner was less clear.


Study:

Human papillomavirus prevalence in unvaccinated heterosexual men after a national female vaccination program

Researchers:
Dorothy A. Machalek, Eric P. F. Chow, Suzanne M. Garland, Rebecca Wigan, Alyssa M. Cornall, Christopher K. Fairley, John M Kaldor, Jane S. Hocking, Henrietta Williams, Anna McNulty, Charlotte Bell, Lewis Marshall, Catriona Ooi, Marcus Y. Chen, and Sepehr N. Tabrizi

Publication:
Journal of Infectious Disease 2017; 215: 203-208

Summary:
The high uptake of the human papillomavirus (HPV) vaccine in Australia has led to a large drop in human papillomavirus (HPV) genotypes 6, 11, 16, and 18 in women and girls aged less than 26 years. In 2014 to 2016 511 sexually active unvaccinated heterosexual males aged 16–35 years provided a penile swab sample for HPV genotyping and also completed a questionnaire. The 4 genotypes in the vaccine were much lower in unvaccinated males aged less than 26 years (3%) than in those aged more than 26 years (14%). The other genotypes not included in the vaccine were similar in men aged less than 26 years and in those aged 26 or more years. Unvaccinated younger men may have benefited from vaccination of their female partners (herd protection).


Study:
Women view key sexual behaviours as the trigger for the onset and recurrence of bacterial vaginosis

Researchers:
Bilardi, JE, Walker, S, Bellhouse, Temple-Smith, M., C, McNair, R., Mooney-Somers J, Vodstrcil L., Fairley CK., Bradshaw C

Publication:
PLoS ONE 2017; 12(3): e0173637.doi:10.1371/journal.pone.0173637

Summary:
Women who previously had bacterial vaginosis completed a questionnaire about their experience of BV. Women reported that the onset and reoccurrence of BV was triggered by sexual activity rather than other lifestyle factors. The top 3 factors women attributed to both BV onset and recurrence were: 1) unprotected sex; 2) sex with a new male partner; and 3) sex in general. While many women felt BV was sexually transmitted and supported partner treatment, they did not consider BV an STI.


Study:
Molecular diagnosis of bacterial vaginosis: does adjustment for total bacterial load or human cellular content improve diagnostic performance?

Researchers:
Plummer EL, Garland SM, Bradshaw CS, Law MG, Vodstrcil LA, Hocking JS, Fairley CK, Tabrizi SN

Publication:
Journal of Microbiological Methods 2017; 133: 66 - 68 doi:10.1016/j.mimet.2016.12.024

Summary:
We looked at using a molecular diagnostic test that measured the amount of bacteria in bacterial vaginosis (BV) among women. A diagnosis of BV did not increase when compared to current methods of diagnosis.


Study:
Self-reported use of mouthwash and pharyngeal gonorrhoea detection by nucleic acid amplification test

Researchers:
Eric P.F. Chow, Sandra Walker, Tim R.H. Read, Marcus Y Chen, Catriona S Bradshaw and Christopher K Fairley

Publication:
Sexually Transmitted Diseases, May 2017; doi: 10.1097/OLQ.0000000000000654

Summary:
Using alcohol-containing mouthwash may reduce throat gonorrhoea. We looked at whether men who have sex with men (MSM) who said they used mouthwash had throat gonorrhoea. The men completed a short questionnaire on their mouthwash use and they were also tested for throat gonorrhoea. Throat gonorrhoea was found more often in younger men under 24 years than men over 25 years. Reported daily use of mouthwash increased with age. More detailed studies are needed to examine whether mouthwash could be recommended to reduce throat gonorrhoea.



Study:                         

Quadrivalent vaccine-targeted human papillomavirus genotypes in heterosexual men after the Australian female human papillomavirus vaccination programme: a retrospective observational study.

 

Researchers:             

Chow EPF, Machalek DA, Tabrizi SN, Danielewski JA, Fehler G, Bradshaw CS, Garland SM, Chen MY, Fairley CK

                                   

Publication:               

Lancet Infectious Diseases 2017; 17(1): 68–77 doi: 10.1016/S1473-3099(16)30116-5 

                   

Summary:                  

Australia introduced a national human papillomavirus vaccination (HPV) programme for young women in April, 2007. This study reports the HPV yearly trends among young, sexually active, predominantly unvaccinated heterosexual men with chlamydia infection during an 11-year period. A dramatic fall was seen in the 4 HPV genotypes included in the vaccine in Australian-born men after the introduction of a national female vaccination programme. This fall in the 4 HPV genotypes fits in with reductions in genital warts in men reported in previous studies. These findings provide the first evidence that the female vaccine provides indirect protection (herd protection) to their male partners from the HPV genotypes included in the vaccine. 

 


Study:                         

 

HIV testing self-efficacy is associated with higher HIV testing frequency and perceived likelihood to self-test among gay and bisexual

 

Researchers:             

Jamil M, Bavinton B, Fairley CK, Grulich AE, Holt M, Smith K, Chen MY, McNaulty A, Conway D, Keen P, Bradley J, Russell D, Kaldor J

                                   

Publication:               

Sexual Health 2017; 14: 164-169 doi: 10.1071/SH16100

          

Summary:                  

This study looked at whether there has been a change in HIV testing among men who have sex with men (MSM) over the past 20 years at the South Australia Specialist Sexual Health (SASSH) clinic. Medical records of MSM who attended the SASSH at their first visit between 1994 and 2015 were used. The number of MSM who reported as ever having a test for HIV went down. The proportion of MSM who returned to the clinic for HIV testing within 12 months did not change, with less than 40% returning for HIV tests. The number who had an HIV test on the day they attended the clinic increased to approximately 90%. Regular and frequent HIV testing is essential for HIV prevention and care. New approaches are needed to encourage the uptake of HIV testing to find early HIV infection.