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.

Gay Asian Proud free online event this Friday 18th September

Thorne Harbour Health, 16th September 2020

Gay Asian Proud (GAP) is excited to organise an online chat, Questioning Stereotypes And Assumptions, this Friday, 18 September, 6.00 PM – 8.00 PM pm AEST (5.30 PM  – 7.30 PM SA time). 

We welcome all GAP members, and Asian same-sex attracted men (cis and transgender).

If you are not a GAP member yet, please email gap@thorneharbour.org to be placed on our mailing list. We will invite you to upcoming events.

We want to hear your experience with stereotypes about Asian gay and bisexual men, the assumptions we make based on our cultural upbringing, our inherent bias, and how we could address them in a respectful way that facilitates intercultural understanding. This is your platform. We want to hear you talk.

Facilitated by James & Amirul, Coordinators of Gay Asian Proud (GAP), a social support group for Asian gay & bisexual men (cis and transgender).

Sign up now at Eventbrite to claim your FREE ticket! We can’t wait to see you this Friday! 

 

Disparities in characteristics in accessing public Australian sexual health services between Medicare‐eligible and Medicare‐ineligible MSM

Disparities in characteristics in accessing public Australian sexual health services between Medicare‐eligible and Medicare‐ineligible men who have sex with men

Australian and New Zealand Journal of Public Health

Anysha M. Walia, Christopher K. Fairley, Catriona S. Bradshaw, Marcus Y. Chen, Eric P.F. Chow

First published: 31 August 2020
https://doi.org/10.1111/1753-6405.13029
Abstract:

Objectives: Accessible health services are a key element of effective human immunodeficiency virus (HIV) and sexually transmitted infection (STI) control. This study aimed to examine whether there were any differences in accessing sexual health services between Medicare‐eligible and Medicare‐ineligible men who have sex with men (MSM) in Melbourne, Australia.

Methods: We conducted a retrospective, cross‐sectional study of MSM attending Melbourne Sexual Health Centre between 2016 and 2019. Demographic characteristics, sexual practices, HIV testing practices and STI diagnoses were compared between Medicare‐eligible and Medicare‐ineligible MSM.

Results: We included 5,085 Medicare‐eligible and 2,786 Medicare‐ineligible MSM. Condomless anal sex in the past 12 months was more common in Medicare‐eligible compared to Medicare‐ineligible MSM (74.4% vs. 64.9%; p<0.001) although the number of partners did not differ between groups. There was no difference in prior HIV testing practices between Medicare‐eligible and Medicare‐ineligible MSM (76.1% vs. 77.7%; p=0.122). Medicare‐ineligible MSM were more likely to have anorectal chlamydia compared to Medicare‐eligible MSM (10.6% vs. 8.5%; p=0.004).

Conclusions: Medicare‐ineligible MSM have less condomless sex but a higher rate of anorectal chlamydia, suggesting they might have limited access to STI testing or may be less willing to disclose high‐risk behaviour.

Implications for public health: Scaling up access to HIV and STI testings for Medicare‐ineligible MSM is essential.

We are back – our apologies

15/09/2020

Due to some technical difficulties we were unable to bring you posts on SASHA for a while. We apologise for this, and we trust things are up and running again from now, so we can continue to deliver you news and views in sexual health and related topics. 

We hope to have a brand new refreshed look for you soon as well!

Thank you for your patience,

SASHA Owl on Microsoft Windows 10 May 2019 Update

Sex and gender: modifiers of health, disease, and medicine

The Lancet, Volume 396, Issue 10250, 22–28 August 2020, Pages 565-582
Mauvais-Jarvis, F., et al

Clinicians can encounter sex and gender disparities in diagnostic and therapeutic responses. These disparities are noted in epidemiology, pathophysiology, clinical manifestations, disease progression, and response to treatment. This Review discusses the fundamental influences of sex and gender as modifiers of the major causes of death and morbidity. We articulate how the genetic, epigenetic, and hormonal influences of biological sex influence physiology and disease, and how the social constructs of gender affect the behaviour of the community, clinicians, and patients in the health-care system and interact with pathobiology. We aim to guide clinicians and researchers to consider sex and gender in their approach to diagnosis, prevention, and treatment of diseases as a necessary and fundamental step towards precision medicine, which will benefit men’s and women’s health.