Crystal Clear: Forum & Podcast Launch

SAMESH, 25/11/2019

Join our panel of researchers, health care workers, community members and psychologists as they delve into the issues of crystal use among gay men and men who have sex with men.

No photo description available.

Following the Crystal Pleasures study into methamphetamine use in gay men and men who have sex with men, CSRH has produced a series of podcasts discussing this issue at length from a variety of viewpoints, including interviews with people who use crystal, and health care professionals who work in these communities.

Panellists:
– Kerryn Drysdale – Research Fellow, Centre for Social Research in Health, UNSW
– Dr. Carole Khaw – Consultant Sexual Health Physician, Adelaide Sexual Health Centre
– Travis Atkinson – SAMESH Peer Educator
– Jack O’Connor – Social Worker, Drug & Alcohol Services South Australia
– Gary Spence – Health Educator, Hepatitis SA

When: Monday 2nd December 2019, 6:30 PM

Where: SHINE SA, 57 Hyde Street, Adelaide

Cost: FREE

Updated Guidelines: Australian STI & HIV Testing Guidelines 2019 for Asymptomatic MSM

Sexually Transmissible Infections in Gay Men Action Group (STIGMA), September 2019

Most sexually transmitted infections (STIs) are asymptomatic. Testing and treatment of asymptomatic men who have sex with men (MSM) is the most effective method to interrupt transmission and reduce the burden of illness. In particular, syphilis is increasingly common, is often asymptomatic, and can cause significant morbidity.

The main barriers to STI control are insufficient frequency of testing in MSM, and incomplete testing. For example, chlamydia and gonorrhoea tests should be performed at all three sites (swab of oropharynx and anorectum, and first
pass urine), and syphilis serology should be performed every time a HIV test or HIV treatment monitoring is performed.

HIV is now a medically preventable infection. All men who are eligible under the Australian HIV Pre-Exposure guidelines should be actively offered PrEP: www.ashm.org.au/HIV/PrEP All people with HIV should be advised to commence treatment and, where possible, have an undetectable viral load.
These guidelines are intended for all MSM, including trans men who have sex with other men .

This current version is endorsed by the Australasian Society for HIV, Viral Hepatitis, and Sexual Health Medicine, Australasian Sexual Health Alliance, Australasian Chapter of Sexual Health Medicine of the Royal Australasian College of Physicians and is approved as an accepted clinical resource by the Royal Australian College of General Practitioners.

Kissing may be an important and neglected risk factor for oropharyngeal gonorrhoea

Kissing may be an important and neglected risk factor for oropharyngeal gonorrhoea: a cross-sectional study in men who have sex with men

Chow EPFCornelisse VJWilliamson DA, et al

Abstract:

Objectives A mathematical model suggested that a significant proportion of oropharyngeal gonorrhoea cases are acquired via oropharynx-to-oropharynx transmission (ie, tongue-kissing), but to date, no empirical study has investigated this. This study aimed to examine the association between kissing and oropharyngeal gonorrhoea among gay and bisexual men who have sex with men (MSM).

Methods MSM attending a public sexual health centre in Melbourne, Australia, between March 2016 and February 2017 were invited to participate in a brief survey that collected data on their number of male partners in the last 3 months, in three distinct categories: kissing-only (ie, no sex including no oral and/or anal sex), sex-only (ie, any sex without kissing), and kissing-with-sex (ie, kissing with any sex). Univariable and multivariable logistic regression analyses were performed to examine associations between oropharyngeal gonorrhoea positivity by nucleic acid amplification tests and the three distinct partner categories.

Results A total of 3677 men completed the survey and were tested for oropharyngeal gonorrhoea. Their median age was 30 (IQR 25–37) and 6.2% (n=229) had oropharyngeal gonorrhoea. Men had a mean number of 4.3 kissing-only, 1.4 sex-only, and 5.0 kissing-with-sex partners in the last 3 months. Kissing-only and kissing-with-sex were associated with oropharyngeal gonorrhoea, but sex-only was not. The adjusted odds for having oropharyngeal gonorrhoea were 1.46-fold (95% CI 1.04 to 2.06) for men with ≥4 kissing-only partners and 1.81-fold (95% CI 1.17 to 2.79) for men with ≥4 kissing-with-sex partners.

Conclusions These data suggest that kissing may be associated with transmission of oropharyngeal gonorrhoea in MSM, irrespective of whether sex also occurs.

Hyde Street Practice: a service of SHINE SA

SHINE SA, September 2019

Hyde Street Practice is a service of SHINE SA. We offer affordable appointments with friendly and non-judgemental staff.

We are a safe and inclusive practice with general practitioners, specialist services, sexual health and relationship wellbeing services.

Services include:

  • General Practitioners

General GP services, including support for diabetes and cardiovascular health, Pre and post exposure HIV prevention (PEP and PrEP), HIV, hepatitis B and hepatitis C prescribing, STI testing and management

  • Sexual Health Services

SHINE SA sexual health services including contraception, STI testing and management, HIV, PEP & PrEP

  • Sexual Health Physician

A private specialist sexual health and HIV service available by referral

HIV, sexual health, PEP & PrEP, hepatitis C, transgender medicine, LGBTI health

  • Rapido – Rapid HIV Testing

Walk in and Wait service, peer led with results in 20 minutes

  • Psychologist and Counselling

General psychological services and sexual health counselling

  • Gender Wellbeing Service

Professional, peer support and information services for people who are questioning their gender or who identify as trans or gender diverse

  • SAMESH

Support services for gay men, MSM (men who have sex with men), trans men and people living with HIV and people at risk of HIV and STIs, health promotion and education

  • Bobby Goldsmith Foundation

Financial assistance for health related issues to people living with HIV on low incomes

Details:

57 Hyde Street, Adelaide
Call 7099 5320
Monday – Friday 9:00 am – 5:00 pm
Fees available on hydestreet.com.au
To make an appointment visit
www.hydestreet.com.au

or call 7099 5320

Rapido – Rapid HIV Testing
Mondays 3:00 – 6:00 pm
(except Public Holidays)

Sexual Health Service
Walk in and Wait
Fridays 1:00 – 4:00 pm

Clean Needle Program
Monday – Friday 9:00 am – 5:00 pm

HIV diagnoses in Australia drop to lowest number in 18 years: report

Kirby Institute, July 3rd, 2019

Australia continues to lead the world in HIV prevention and in 2018 recorded the lowest number of HIV diagnoses since 2001.

According to a report released today by the Kirby Institute at UNSW Sydney, last year there were 835 HIV diagnoses across the country, which represents a decline of 23% over five years.

The declines reported today are largely due to reductions in the number of HIV diagnoses that are reported as attributable to sex between men. Over the past five years, HIV diagnoses have reduced by 30% among this population.

The report reveals no declines among heterosexual populations, with new diagnoses relatively stable among this group.

Similarly, there have been no declines in HIV diagnoses among Aboriginal and Torres Strait Islander populations.

Lastest Gay Community Periodic Survey for Adelaide released

Centre for Social Research in Health, UNSW, June 2019

Gay Community Periodic Survey: Adelaide 2018

Authors: Broady, T., Mao, L., Bavinton, B., Jeffries, D., Bartlett, S., Calabretto, H., Narciso, L., Prestage, G., & Holt.

The Adelaide Gay Community Periodic Survey is a cross-sectional survey of gay and homosexually active men recruited at a range of gay community sites in Adelaide, and online throughout South Australia. The major aim of the survey is to provide data on sexual, drug use, and testing practices related to the transmission of HIV and other sexually transmissible infections (STIs) among gay men. The most recent survey, the twelfth in South Australia, was conducted in November and December 2018 to coincide with the Adelaide Feast Festival.

Key points

– The proportion of men who reported ever having been tested for HIV increased from 83% in 2011 to 87% in 2018.

– The percentage of non-HIV-positive men who reported testing for HIV in the 12 months prior to the survey remained stable (and was reported by 71% in 2018), although the percentage reporting three or more HIV tests in the previous year increased (from 11% in 2014 to 22% in 2018).

– The use of HIV treatment by HIV-positive men has remained stable over time (and was reported by 93% of HIV-positive men in 2018). The percentage of men on antiretroviral treatment who reported an undetectable viral load also remained stable (reported by 94% in 2018).

Mobile phone apps remained the most common way that men met male sex partners, reported by 44% in 2018.

– The proportion of men with regular male partners reporting condomless anal intercourse with those partners (CAIR) increased from 55% in 2011 to 65% in 2018.

– The proportion of men with casual male partners reporting condomless anal intercourse with those partners (CAIC) increased from 38% in 2011 to 51% in 2018.

– Most of the recent increase in CAIC appears to be attributable to the growing proportion of HIV-negative men using pre-exposure prophylaxis (PrEP).

STI testing among HIV-negative men has remained stable over time, with 74% reporting any STI test in the year prior to the 2018 survey. The proportion of HIV-positive men reporting any STI test in the previous year decreased from 91% in 2011 to 72% in 2018.

Use of PrEP increased between 2014 and 2018 from 1% to 16% of non-HIV-positive men.