Digital chemsex support and care: The potential of just-in-time adaptive interventions

International Journal of Drug Policy, Volume 85, November 2020

https://doi.org/10.1016/j.drugpo.2020.102927

T. Platteau, C. Herrijgers, J. de Wit

Abstract

Chemsex among gay, bisexual and other men who have sex with men (GBMSM) has received increasing attention as a public health concern in recent years. Chemsex can affect a variety of aspects of the lives of GBMSM and contribute to physical, social and emotional health burden. Starting from a continuum perspective of chemsex, rather than a binary view of problematic vs. non-problematic use, we argue that men engaging in chemsex at different points in their chemsex journey may benefit from tailored and personalized support to cope with the various and evolving challenges and concerns that may be related to their chemsex behavior. To date, interactive digital communication technologies are not much used to provide support and care for GBMSM engaging in chemsex, neither for community-based support and care nor by health services. This suggests potential for missed opportunities, as GBMSM are generally avid users of these technologies for social connections and hookups, including in relation to chemsex. Recent research has provided emerging evidence of the potential effects of so-called just in time adaptive interventions (JITAI) to provide effective support and care for a variety of health issues. JITAI hold much promise for the provision of appropriate, tailored support and care for GBMSM at different points in the chemsex journey. Co-designing JITAI with potential users and other stakeholders (co-design) is key to success. At the Institute for Tropical Medicine, in Antwerp (Belgium), we initiated the Chemified project to develop an innovative digital chemsex support and care tool for GBMSM. This project illustrates how current understanding of chemsex as a journey can be integrated with a JITAI approach and make use of co-design principles to advance the available support and care for GBMSM engaging in chemsex.

 

 

Free online event – What Is Your Vision: The Future Of Abortion Care In Australia

Children by ChoiceFamily Planning NT, I Had One Too1800 My OptionsOur Bodies Our ChoicesSouth Australian Abortion Action CoalitionSexual Health Quarters WASPHERE and Women’s Health Tasmania, September 2020

What Is Your Vision: The Future Of Abortion Care In Australia Event Banner

Event time and date: Mon 28th Sep 2020, 7:00 pm – 8:15 pm AEST (NB: this event starts at 6.30 PM Adelaide Time)

About the event

Gina Rushton will be chatting to health consumers with lived experience, abortion care providers, advocates, policymakers, and you the audience about what the future of abortion care should and could look like in Australia.

This event will be exploring the Australian abortion landscape, recognising that each State and Territory has it’s own legal, cultural and practice context.

Our panellists:

  • Chrissie Bernasconi – Health Consumer
  • Dr Sarah McEwan – Wiradjuri woman and Medical Doctor
  • Hon Dr Sharman Stone – Professor of Practice for Gender, Peace and Security, Monash University
  • Dr Mark Farrugia – Rural GP and MTOP provider
  • Professor Deb Bateson – Medical Director, Family Planning NSW
  • Dr Suzanne Belton – Medical Anthropologist and Midwife

About the facilitator

Gina Rushton is a journalist who has written for BuzzFeed News, The Guardian, The Monthly, The Saturday Paper, Crikey, PRIMER and The Australian. She is a Royal Australian and New Zealand College of Obstetricians and Gynaecologists media excellence award winner and Australian Human Rights Commission media award finalist for her coverage of reproductive rights.

About International Safe Abortion Day

28th of September is International Safe Abortion Day, the herstory of this day begins in Latin America and the Caribbean where women’s groups have been mobilizing around September 28 for the last two decades to demand their governments decriminalize abortions, provide access to safe and affordable abortion services and to end stigma and discrimination towards people who choose to have abortions.

Extra info

There will be an opportunity to ask questions in a Q&A – You can also submit a question prior to the event when you register.

This event is offered in accordance with Children by Choice’s pro-choice framework. Children by Choice reserve the right to refuse registrations and remove individuals from the event.

Phylogenetic clustering networks among heterosexual migrants with new HIV diagnoses post-migration in Australia

Phylogenetic clustering networks among heterosexual migrants with new HIV diagnoses post-migration in Australia

Rachel Sacks-Davis  et al

PLOS One

Published: September 1, 2020

https://doi.org/10.1371/journal.pone.0237469

Background:

It is estimated that approximately half of new HIV diagnoses among heterosexual migrants in Victoria, Australia, were acquired post-migration. We investigated the characteristics of phylogenetic clusters in notified cases of HIV among heterosexual migrants.

Conclusion:

Migrants appear to be at elevated risk of HIV acquisition, in part due to intimate relationships between migrants from the same country of origin, and in part due to risks associated with the broader Australian HIV epidemic. However, there was no evidence of large transmission clusters driven by heterosexual transmission between migrants. A multipronged approach to prevention of HIV among migrants is warranted.

 

Changing Epidemiology of Gonorrhea in Adelaide, South Australia

Ellis SL, Tsourtos G, Waddell R, Woodman R, Miller ER.

Changing Epidemiology of Gonorrhea in Adelaide, South Australia.

Sex Transm Dis. 2020 Jun;47(6):402-408. doi: 10.1097/OLQ.0000000000001162.

Abstract

Background: Gonorrhea is a significant public health concern. The changing epidemiology of gonorrhea in Australia has highlighted the need for detailed examination of surveillance data to determine population groups at greatest risk for infection.

Methods: We analyzed deidentified gonorrhea notification data for the years 2012 to 2017, in Adelaide (N = 3680), calculating age-adjusted notification and antibiotic resistance rates. Age, gender, year, sexual orientation, and socioeconomic status were assessed for associations with gonorrhea notifications using negative binomial, log binomial and spatial autoregressive models. Maps were generated to examine spatial localization of gonorrhea rates in Adelaide.

Results: Gonorrhea notification rates in Adelaide increased annually, with a 153% adjusted increase in rates from 2012 to 2017, localized to specific areas and inversely associated with income levels. The increase in rates in 2016 and 2017 was associated with young heterosexuals from low income areas. Azithromycin-resistant notifications increased significantly in 2016 in young heterosexuals. Reinfections were significantly more likely in men who have sex with men than other population groups.

Conclusions: This study demonstrates the changing epidemiology of gonorrhea in Adelaide from a largely men who have sex with men profile toward an increase in young heterosexual gonorrhea. This could be seen as a harbinger for future increases in heterosexually transmitted HIV and other sexually transmitted infections in Australia.

  • Abstract only freely available online. For full text, purchase access here or see your librarian.

RACGP offers new suite of IUD resources

RACGP, 25th August 2020

The newly released suite consists of five intrauterine device (IUD) resources, including a checklist and patient confirmation form, patient pre- and post-insertion checklist, practitioner checklist and disclaimer. Current evidence-based options for pain relief during IUD procedures are provided as an appendix.

Dr Amy Moten, Chair of the RACGP Specific Interests Sexual Health Medicine network, led development of the resources, which she says are designed to provide guidance and support to all Australian practitioners.

SAMESH cooking class presents: Classic Egg and Bacon Pie

SAMESH, 18/09/2020

SAMESH have still not been able tor resume their face to face cooking classes for PLHIV & older LGBTIQ+ community members, so Paul is continuing to develop recipes for you to try at home.

This week he brings us is a classic easy pie that “tastes great, is quick to make, can be eaten hot or cold, and uses a few simple fillings”.

“If you love bacon & eggs you will love this pie”, says Paul.

This recipe will make 1 large or 4 individual pies.