Relevant bibliographies by topics / Melbourne Sexual Health Centre

Academic literature on the topic 'Melbourne Sexual Health Centre'

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Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Melbourne Sexual Health Centre"

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Read, Tim R. H., Marcus Y. Chen, Catriona S. Bradshaw, Sriyakantha Beneragama, and Christopher K. Fairley. "Do all women attending urban sexual health services need testing for gonorrhoea?" Sexual Health 2, no. 4 (2005): 259. http://dx.doi.org/10.1071/sh05029.

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Asymptomatic women are often screened for gonorrhoea at Australian sexual health centres. The medical records of all women diagnosed with gonorrhoea at the Melbourne Sexual Health Centre (MSHC) between January 2002 and December 2003 were audited and the database was examined for risk factors in all women tested in 2003. Fifteen cases of gonorrhoea were identified among women at MSHC, all had symptoms or an identifiable risk factor. Asymptomatic women without risk factors may not require screening for Neisseria gonorrhoeae in low prevalence populations.
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Abraham, Esha, Christopher K. Fairley, Ei T. Aung, Catriona S. Bradshaw, Marcus Y. Chen, Tiffany R. Phillips, and Eric P. F. Chow. "Trichomoniasis among men presenting to a sexual health clinic in Melbourne, Australia." Sexual Health 19, no. 1 (February 14, 2022): 70–73. http://dx.doi.org/10.1071/sh21240.

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Background This study aimed to examine the positivity of urethral Trichomonas vaginalis in men attending an urban sexual health clinic in Melbourne, Australia. Methods We conducted a retrospective analysis of men who were tested for T. vaginalis using nucleic acid amplification test at the Melbourne Sexual Health Centre between August 2018 and May 2021, and calculated the positivity. Results Of the 893 men who were tested for T. vaginalis, 12 (1.3%; 95% CI 0.7–2.3) tested positive for T. vaginalis. The positivity of T. vaginalis among men who reported sexual contact with a female partner with T. vaginalis was significantly higher than men who were not contacts (18.6% [8/43] vs 0.5% [4/850], P < 0.001). Conclusions The positivity of T. vaginalis was low at our clinic. The high positivity among contacts highlights the importance of partner notification, testing and management.
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Greaves, Kate E., Christopher K. Fairley, Jaimie L. Engel, Jason J. Ong, Elena Rodriguez, Tiffany R. Phillips, and Eric P. F. Chow. "Sexual mixing patterns among male–female partnerships in Melbourne, Australia." Sexual Health 19, no. 1 (March 8, 2022): 33–38. http://dx.doi.org/10.1071/sh21161.

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Background Individuals who have both opposite- and same-sex partners have the potential to pass sexually transmitted infections (STIs) between high- and low-risk populations. Our aim was to examine assortative sexual mixing in terms of same-sex activity among male–female partnerships. Methods This was a retrospective repeated cross-sectional study of male–female partnerships attending the Melbourne Sexual Health Centre (MSHC) from 2015 to 2019. Sex of sexual partners was collected via computer-assisted self-interview. We calculated the proportion of partnerships where at least one individual reported same-sex partners in the previous 12 months and the degree of assortativity by bisexuality. Results A total of 2112 male–female partnerships (i.e. 4224 individuals) were included, with a median age of 27 years (IQR 23–31). Overall, 89.3% (1885/2112) of male–female partnerships did not report any other same-sex partners; however, in 9.5% (201/2112) of partnerships, same-sex partners were reported by one individual and in 1.2% (26/2112) of partnerships, both individuals reported same-sex partners. Bisexuality appeared to be slightly assortative in male–female partnerships (r = 0.163, 95% CI: 0.150–0.176; P < 0.001). Conclusion One in 10 individuals in male–female partnerships had at least one same-sex partner within the previous 12 months. Individuals were minorly selective by bisexuality, suggesting the patterns of bisexual mixing in male–female partners are more variable and this may have a significant impact on STI transmission in heterosexual populations.
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Gamage, Deepa G., Candice A. Fuller, Rosey Cummings, Jane E. Tomnay, Mark Chung, Marcus Chen, Cameryn C. Garrett, Jane S. Hocking, Catriona S. Bradshaw, and Christopher K. Fairley. "Advertising sexual health services that provide sexually transmissible infection screening for rural young people - what works and what doesn't." Sexual Health 8, no. 3 (2011): 407. http://dx.doi.org/10.1071/sh10144.

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Background ‘TESTme’ is a sexually transmissible infection (STI) screening service for Victorian young people living in rural areas. We evaluated the effectiveness of advertising for this service over an 11-month pilot period. Methods: The advertising that was used included websites, a Facebook page, posters, flyers, business cards, wrist bands and professional development sessions for health nurses that occurred throughout the pilot period. We also used once-off methods including advertisements in newspapers, student diaries and short messages to mobile phones. Results: Twenty-eight clients had a consultation through TESTme. Twenty found the service through health professionals, six through the Melbourne Sexual Health Centre (MSHC) web page, one through the Facebook page and one through the student diary. The total direct costs incurred by the centre for advertising were $20 850. The advertising cost per client reached for each advertising method was $26 for health professionals, $80 for the MSHC web advertisement, $1408 for Facebook and $790 for the student diary. Other advertising methods cost $12 248 and did not attract any clients. Conclusion: Advertising STI health services for rural young people would be best to focus on referrals from other health services or health care websites.
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Zappulla, Annalisa, Christopher K. Fairley, Basil Donovan, Rebecca Guy, Catriona S. Bradshaw, Marcus Y. Chen, Tiffany R. Phillips, Kate Maddaford, and Eric P. F. Chow. "Sexual practices of female sex workers in Melbourne, Australia: an anonymous cross-sectional questionnaire study in 2017–18." Sexual Health 17, no. 1 (2020): 53. http://dx.doi.org/10.1071/sh19037.

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Background Sexually transmissible infections (STIs) are rising among female sex workers (FSW) in Australia. The rise might be explained by changes in sexual practices; however, there is limited behavioural data available. This study aimed to explore the current sexual practices among FSW in Melbourne. Methods: This cross-sectional study was conducted among FSW at Melbourne Sexual Health Centre between September 2017 and March 2018. Participants were asked about current sexual practices with male clients in an average working week. The frequency and proportion of each sexual practice was calculated. Results: There were 180 questionnaires included in the analysis. The median age of the FSW was 28 years (interquartile range [IQR]: 25–34). Most FSW (80.6%) worked in brothels. In an average working week, FSW had a median of 10 (IQR: 7–20) male clients. The most common sexual practices included: vaginal sex (98.3%), fellatio (97.2%), cunnilingus (92.2%) and tongue-kissing (83.7%). FSW had a median number of 10 (IQR: 6–18) vaginal, 10 (IQR: 5–18) fellatio, 7 (IQR: 2–10) cunnilingus and 6 (IQR: 2–10) tongue-kissing clients. Consistent condom use with all clients was highest for vaginal sex (97.1%), followed by anal sex (92.3%), then fellatio (78.9%). Only 3.1% used dental dams consistently for cunnilingus. Conclusion: Consistent condom use with all clients was high among FSWs, especially for vaginal and anal sex. However, one-fifth of FSW had condomless fellatio during an average working week. Tongue-kissing was more common than previously published. Peer-led sexual health education on safe sex practice for FSW is of high importance.
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Turek, Evelyn M., Christopher K. Fairley, Marjan Tabesh, Tiffany R. Phillips, and Eric P. F. Chow. "Group sex events among female sex workers in Melbourne, Australia." Sexual Health 17, no. 6 (2020): 534. http://dx.doi.org/10.1071/sh20136.

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Background Group sex is associated with increased risk of HIV and sexually transmissible infections (STIs), but there is limited data on group sex among female sex workers (FSW). Understanding current group sex practices among FSW may assist with understanding and addressing the rise in STIs observed among Australian FSW in the 2010s. The aim of this study was to examine the proportion of FSWs who had engaged in group sex. Methods: A cross-sectional survey was conducted among FSWs attending the Melbourne Sexual Health Centre, Australia, between March and April 2019. Females aged ≥18 years who self-reported as a sex worker were invited to participate in the survey asking whether they had had group sex in the past 3 months. Group sex was defined as sex that involved two or more sexual partners. Results: Of the 51 FSWs who completed the survey, the median age was 29 years (IQR 24–34). Almost half (49%; n = 25) reported having group sex in the past 3 months, with a median number of group sex events of two (IQR 1–4). Australian-born FSW were more likely to report group sex than overseas-born FSW (76% vs 42%; P = 0.02). Age, number of paid clients and injecting drug use were not associated with group sex. Conclusion: The present study findings show that group sex is common among FSW and should be included in peer sexual health education and interventions among FSW.
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McDonald, A., and J. M. Kaldor. "37. MONITORING HIV TRANSMISSION AMONG MEN SEEN AT METROPOLITAN SEXUAL HEALTH CLINICS IN AUSTRALIA, 1996-2005." Sexual Health 4, no. 4 (2007): 299. http://dx.doi.org/10.1071/shv4n4ab37.

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National surveillance for newly diagnosed HIV infection indicates an increasing trend in Queensland, South Australia and Victoria but not in New South Wales. It was not clear if trends in newly diagnosed HIV infection were due to different patterns of HIV antibody testing. We report the pattern of HIV antibody testing among people seen through a network of sexual health clinics in Australia. Six public metropolitan sexual health clinics (Sydney Sexual Health Centre (SSHC), South West Sexual Health Centre (SSWSHC), NSW; Brisbane Sexual Health Clinic (BSHC), Gold Coast Sexual Health Clinic (GCSHC), QLD; Clinic 275, SA; Melbourne Sexual Health Centre (MSHC), VIC) provide annual tabulations of the number of people seen, the number tested for HIV antibody, and the number with newly diagnosed HIV infection, broken down by sex, exposure category and testing history. The number of men seen at the clinics ranged from 17 138 in 1996 to 19 184 in 2005. Among men seen, the percentage who were tested for HIV declined from 62% in 1996 to 50% in 2001 and increased to 56% in 2005. HIV prevalence remained stable in 1996-2005 at 0.5% and was highest at SSHC (0.7-1.1%) and among homosexually active men (1.8% in 1996 and 1.6% in 2005). The percentage of men retested within 12 months of a negative test increased from 41% in 1996 to 44% in 2005. At SSHC, retesting among homosexually active men declined from 56% in 1996 to 44% in 2001 and increased to 58% by 2005. At Clinic 275 and MSHC, 50-60% and around 50% of homosexually active men were retested in 1996 - 2005 and in 2004-2005, respectively. HIV infection was newly diagnosed in 0.4% (8) in 1996 and in 0.8% (26) in 2005. While HIV antibody testing patterns vary between the clinics, incidence of newly diagnosed HIV infection has remained low.
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Martín-Sánchez, Mario, Richard Case, Christopher Fairley, Jane S. Hocking, Catriona Bradshaw, Jason Ong, Marcus Y. Chen, and Eric P. F. Chow. "Trends and differences in sexual practices and sexually transmitted infections in men who have sex with men only (MSMO) and men who have sex with men and women (MSMW): a repeated cross-sectional study in Melbourne, Australia." BMJ Open 10, no. 11 (November 2020): e037608. http://dx.doi.org/10.1136/bmjopen-2020-037608.

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ObjectivesIn the 2010s, there has been an increase in sexually transmitted infections (STI) in men who have sex with men (MSM) in Australia, and since 2015 also in urban heterosexuals. Men who have sex with both men and women (MSMW) have characteristics that may differ from both men who have sex with men only (MSMO) and heterosexual men. We aimed to compare the sexual practices and the trends in HIV/STI positivity between MSMO and MSMW.DesignRepeated cross-sectional study.SettingA sexual health centre in Melbourne, Australia.ParticipantsMSM aged 18 years and above who attended the Melbourne Sexual Health Centre for the first time between 2011 and 2018. This includes 12 795 MSMO and 1979 MSMW.Primary outcome measuresDemographic characterics, sexual practices and HIV/STI positivity.ResultsCompared with MSMW, MSMO were more likely to practice anal sex and to have condomless receptive anal sex with casual male partners, and less likely to have a current regular relationship. Over the 8-year period, there was an increase in condomless receptive anal sex with casual male partners for both groups (MSMO: from 46.2% to 63.3%, ptrend <0.001; MSMW: from 41.3% to 57.9%, ptrend=0.011). Syphilis positivity increased in MSMO (from 5.5% to 7.9%, ptrend=0.012) and MSMW (from 0.9% to 6.4%, ptrend=0.004) and HIV remained stable. Gonorrhoea increased among MSMO from 2011 to 2014 (from 6.7% to 9.6%, ptrend=0.002), and remained stable from 2015 to 2018. MSMO had higher odds of testing positive for gonorrhoea (adjusted OR (aOR) 1.36, 95% CI 1.13 to 1.64), chlamydia (aOR 1.39, 95% CI 1.16 to 1.67), syphilis (aOR 1.74, 95% CI 1.37 to 2.22) and HIV (aOR 4.60, 95% CI 2.43 to 8.70) than MSMW.ConclusionsMSMW have overall lower condomless sex and lower HIV/STI positivity. In the last years, changes in sexual practices in MSM have affected both MSMW and MSMO leading to an increased STI risk.
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Lister, Nichole A., Anthony Smith, and Christopher K. Fairley. "Introduction of screening guidelines for men who have sex with men at an STD clinic, the Melbourne Sexual Health Centre, Australia." Sexual Health 2, no. 4 (2005): 241. http://dx.doi.org/10.1071/sh05006.

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Background: A recent audit indicated that a substantial proportion of men who have sex with men (MSM) were not screened for rectal gonorrhoea and chlamydia at the Melbourne Sexual Health Clinic, Melbourne, Australia. In response, screening guidelines for MSM were introduced at the clinic using a computer reminder. The aim of this study was to evaluate the impact of the guidelines and alert on screening MSM for gonorrhoea and chlamydia. Methods: The medical records of MSM were reviewed for gonorrhoea and chlamydia screening by site (pharyngeal, urethral and rectal), four months before the implementation of the guidelines and alert (July to October 2002), and one year thereafter (beginning November 2002). Results: After the introduction of the guidelines there was a significant increase in rectal chlamydia testing (55% to 67%, P < 0.001), and significant reduction in pharyngeal chlamydia and gonorrhoea testing (65% to 28%, P < 0.001, and 83% to 76%, P = 0.015 respectively). The proportion of tests that were positive by any site did not change (7% to 7%). Conclusions: The introduction of a computer reminder for new guidelines was temporally associated with screening that conformed more closely to clinical guidelines.
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Cleere, Eoin F., Christopher K. Fairley, Launcelot McGrath, Catriona S. Bradshaw, Marcus Y. Chen, and Eric P. F. Chow. "Sex with a transgender or gender diverse person among patients attending a sexual health centre in Melbourne, Australia." Sexually Transmitted Infections 95, no. 1 (June 27, 2018): 46–52. http://dx.doi.org/10.1136/sextrans-2018-053653.

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ObjectivesAll males and females attending the Melbourne Sexual Health Centre (MSHC) from August 2017 were asked whether they had had sex with a transgender or gender diverse (TGD) person using computer-assisted self-interviewing (CASI). We aimed to verify the self-reported responses via chart review. The secondary aim of this study was to identify whether having sex with a TGD person was associated with STI risk.MethodsThis was a retrospective chart analysis of patients visiting MSHC between August and December 2017. Chart review was performed to verify the self-reported responses. Multivariable logistic regression was performed to examine the association between having sex with a TGD person and patients’ characteristics and STI risk.ResultsOf the 10 100 male and female consultations, the proportion who reported having sex with a TGD person was 111 (1.0%) and was higher among males (1.3%) than females (0.6%) (p=0.001). After chart review, we could verify 66.9% of the responses, more for males (75.2%) than females (45.2%) (p<0.001). Of the 6822 males, men aged ≥35 years (adjusted OR=2.2; 95% CI 1.1 to 4.1) were more likely to have sex with a TGD person compared with men aged ≤24 years, after adjusting for confounding factors. Sex with a TGD person was not associated with sexual orientation in males. Of the 3278 females, gay and bisexual females had 13.7-fold (95% CI 5.1 to 37.0) higher odds of having sex with a TGD person than heterosexual females. There was no association between chlamydia positivity and sex with a TGD person in both males and females.ConclusionWhen a question on TGD partners is asked as part of routine sexual history using CASI, the majority of responses could be verified. TGD partners were most commonly reported among males. These findings underscore the value of asking patients about sex with TGD partners.
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Dissertations / Theses on the topic "Melbourne Sexual Health Centre"

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Foley, Marian. "Rape : a feminist analysis of recent public service provisions with particular reference to the Sexual Assault Referral Centre." Thesis, University of Salford, 1990. http://usir.salford.ac.uk/14740/.

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The starting point of this thesis is an examination of recent changes in public service provision of services for women who have experienced rape. I focus on the Sexual Assault Referral Centre (SARC) in Manchester, using this case to open up discussion about the 'treatment and 'management' of rape. The SARC is a joint initiative between police and Health Authority and I look at their respective interests in the centre. My central argument in the thesis is that the recent British interest in services for those who have been raped/sexually assaulted, and the consequent growth of these services, reflect a particular medical ideology of rape which in general is not helpful to women, while recognizing that individual women may benefit. I develop this thinking to argue that service provision of this kind seeks to pathologize women by treating their reactions to rape as an 'illness' which needs medical intervention to be 'cured'. Drawing upon analogous work in medical sociology I show that women who fail to fit this model are further pathologized within the medical system. I locate my argument in an examination of the national and local contexts which I seek to demonstrate provided the catalyst for changes in police handling of rape investigations. I argue that arising out of these circumstances the police have sought to establish their 'professionalism', using this as an ideological support for their practices. I look at the concept of professionalism and how it is used by police and medical personnel in their dealings with other associations which work in the field of sexual assault and victim support. This analysis covers the areas of professional attempts to incorporate the work of feminist groups but without the political analysis informed by feminism; the pressure on feminist groups to 'professionalize'; the relation between voluntary associations working in the field of crime and assault, in particular the relationship between Victim Support Schemes and Rape Crisis Centres; the policies used by Government for funding work in the field of sexual assault and other crimes. The thesis concludes with an assessment of the workings of the SARC and the irrlicat ion that I see for women's issues.
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Voss, L. "Multi-agency response to childhood sexual abuse : a case study that explores the role of a specialist centre." Thesis, University of Southampton, 2015. https://eprints.soton.ac.uk/378385/.

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This study explores the role of a specialist centre in responding to actual or suspected childhood sexual abuse. Children, families and professionals from several agencies are required to navigate an intricate journey when abuse is suspected to have occurred. Through the application of case study research methods in which a specialist centre forms ‘the case’, the complexities of the journey are explored. The literature review highlights the emergent nature of ‘knowledge’ about specialist children’s centres. To inform the research study, papers that focus on children and families’ experience of the multiagency response, the rate of positive medical findings on examination and their relationship with criminal justice outcomes are examined. The available literature relating to the nursing role in responding to child sexual abuse is also reviewed. This case study comprises three data sets: 1) Sixty children (0-17 years) who attended the Centre following suspected sexual abuse were ‘tracked’ to ascertain reasons for referral, type of examination undertaken and outcomes in terms of health status, social care input and criminal justice actions. 2) Semi structured interviews with 16 professionals (paediatricians, nurses, police officers and social workers) in which their perceptions of the centre were explored. 3) Analysis of patient and parent/carer satisfaction questionnaires. Medical examination rarely confirmed abuse had occurred and only 13% of cases were pursued within criminal justice systems. However, 66% of children had an identified health need that required professional follow up. Interviews demonstrated that professionals believed the Centre provided a ‘child friendly’ facility that enhanced multiagency co-operation, but challenges associated with the principles of multiagency working were identified. Patient questionnaires demonstrated positive views of the care received by those who completed them. Findings from the three data sets are presented as the child’s journey through a complex series of events in a case study ‘story’. The study demonstrates the way in which professionals may be distracted by the medico-legal demands of the ‘system’. Children’s active participation in decision making should be promoted when actual or suspected abuse has occurred and a combined approach by multi-agency professionals, based on the individual needs of each child, is advocated not only during attendance at the specialist centre but also during a follow up period. Where abuse is not confirmed, children may benefit from continued care from health professionals. Nursing has the potential to adopt a greater leadership role in achieving the required change.
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Legasion, Michael. "A study on Factors associated with non-disclosure of HIV positive status to sexual partners by adult patients attending the VCT clinic at Nhlangano health centre, Swaziland." Thesis, University of Limpopo (Medunsa Campus), 2010. http://hdl.handle.net/10386/543.

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Thesis (M. Med.(Family Medicine))--University of Limpopo (Medunsa Campus), 2010.
A study on Factors associated with non-disclosure of HIV positive status to sexual partners by adult patients attending the VCT clinic at Nhlangano health centre, Swaziland. Aim: To describe the factors associated with non-disclosure of known HIV sero-positive status to sexual partners by adult patients attending the VCT clinic at Nhlangano health center, Swaziland. Design:- Cross-sectional study using questionnaire administered by a trained research assistant. Setting:- Nhlangano health center VCT clinic, Nhlangano town in the Shiselweni region, Southern Swaziland. Study population:- All adult patients above the age of 18 years who had undergone HIV testing, who knew their positive HIV status and had follow up visits at the VCT clinic of Nhlangano health centre, from November 2005 (when the centre started rendering VCT service) till the beginning of the data collection, in September, 2008. Results:-The vast majority (89.1%) disclosed their positive HIV status to their sexual partners and 94.6% believed that letting their sexual partner/s know about their HIV status was very important. In terms of knowing the HIV status of their partners, 55.4% knew the HIV status of all of their sexual partners and 44.6% knew only the status of the regular partner/s. With regard to condom use, 96.7% believed that using condoms helps them to prevent transmission of HIV and 91.3% expected that letting their partners know about their HIV status would help them use condom IV more frequently. Only 53.3% said they would insist on condom use even if their partner is not willing to use. Conclusion:-  The rate of positive HIV status disclosure to sexual partner found in this study compared to many studies done in other settings is considerably high. This is encouraging especially considering the existing very high prevalence of HIV infection in the country. Despite this though, knowing partner's HIV status was relatively lower. Therefore, people are more likely to share their HIV status with a partner than insist that the partner does the same.  Even though the study was done only amongst patients attending VCT, it is important to note that the majority of the patients had positive attitudes about HIV status disclosure to a partner, and believed in the importance of letting their sexual partner/s know about their HIV status. Patients understood the unethical nature of engaging into sexual intercourse without disclosing their positive HIV status to their partner. It is possible to conclude that factors which contributed to these positive results should be implemented at a larger scale, namely creating awareness, health education, good counseling and follow up of treatment.  Awareness of the importance of condom use in preventing HIV transmission (including the fact that disclosure of HIV status to a partner enhances its better use) was impressively high amongst almost all participants. But it is worrisome that only half of the participants said they would insist on condom use irrespective of their partners’ willingness to use it or not. V  The variables that were found to be independently associated with disclosure to a partner comparing those who disclosed with those who did not were gender, age, marital status, education, number of sexual partners, and stage of the HIV condition.
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Clements, Alice Faith, and alice clements@rmit edu au. "Let's talk (discreetly) about sex. The content generation and design of an online sexual and reproductive health information resource for young Vietnamese: a communications perspective." RMIT University. Applied Communication, 2007. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20080207.100012.

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Vietnam is a populous nation experiencing rapid social and economic transition. These changes, in combination with the spread of sexually transmitted infections such as HIV/AIDS, are compromising the reproductive health of young Vietnamese. Access to reliable reproductive health information is limited and social taboos prevent young people from talking openly about this topic. A huge number of young people living in Vietnam thus find themselves without access to relevant, accurate, non-threatening and unbiased information about sexuality and sexual health. The research outlined in this thesis approaches the issue of sexual health information provision for young people living in Vietnam from a participatory action research foundation. A key focus is investigation of the ways in which young people living in Vietnam can be included in the development of online sexual health communication tools by, for and about young Vietnamese. As part of this investigation, this thesis describes research conducted with young Vietnamese in Australia and Vietnam to identify and elucidate their reproductive health information needs, as situated within the contemporary Vietnamese socio-cultural context. The research was undertaken in order to determine how an online resource might meet these needs. This exploratory process involved the utilisation of a range of research methods to determine the website's optimal content, style, features and tone in relation to the Vietnamese context and requirements of its target users. It is hoped that the record of discovery resulting from this research journey will contribute to the existing body of knowledge on online health communication and participatory approaches to the development of context-sensitive health and behaviour-change communication.
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Nielsen, Matilda, and Jenny Landebring. "Unga kvinnors uppfattning om sexuellt våld efter MeToo : En enkätstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-90941.

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Bakgrund: Enligt WHO har en tredjedel av alla unga kvinnor rapporterat att deras första sexuella möte skett genom tvång. Under 2018 var det 22 500 sexualbrott som anmäldes i Sverige. Sexuellt våld mot unga kvinnor kan få långvariga konsekvenser i form av försämrad fysisk- och mental hälsa. MeToo-rörelsen startade 2017 och beskrivs som ett globalt upprop mot sexuella trakasserier och övergrepp mot kvinnor. Syfte: Var att beskriva unga kvinnors uppfattningar om sexuellt våld efter MeToo. Metod: Studien var en tvärsnittsstudie med kvantitativ ansats. Datainsamling gjordes via enkäter som delades ut på en ungdomsmottagning. Enkäten bestod av frågor/påståenden om sexuellt våld och MeToo. Data beskrevs med deskriptiv statistik och analyserades med Chi2 test. Resultat: Totalt svarade 103 unga kvinnor. En majoritet av deltagarna ansåg att sexuellt våld var allt ifrån sexuell förnedring till att någon tar på ditt könsorgan mot din vilja. Det sågs ingen signifikant skillnad mellan bakgrundsfaktorer och uppfattning av sexuellt våld. Majoriteten av deltagarna hade hört talas om MeToo, 97.1% (n=99). Endas ett fåtal av deltagarna (2.1%) ansåg att MeToo förändrat deras sätt att se på sexuellt våld. Av deltagarna var det 35.1% (n=34) som ansåg att det blivit lättare att prata om sexuellt våld efter MeToo. Endast 14.6% (n=14) skulle berätta för ungdomsmottagningen om de blivit utsatta för sexuellt våld. Konklusion: Studien ger en ökad förståelse för unga kvinnors sätt att prata om sexuellt våld samt deras uppfattning om sexuellt våld efter MeToo. Genom att uppmärksamma och prata om sexuellt våld kan det bidra till att tabustämpeln på lång sikt försvinner och att den som blivit utsatt inte ska känna skam eller skuld.
Background: According to WHO a third of all young women has reported that their first sexual encounter happened under duress. In 2018 more than 22 500 sexual offences were registered in Sweden. Sexual violence towards young women may have long-lasting effects such as impaired physical- and mental health. The MeToo movement saw the light of day in 2017 and has been described as a global uprising against sexual harassment and assault on women. Aim: The purpose of this paper was to describe young women’s views on sexual violence after the emergence of the MeToo movement. Method: In this paper a cross-sectional study with a quantitative approach. Data collection was made through questionnaires which was handed out at a youth guidance centre. The questionnaire consisted of questions/assumptions regarding sexual violence and the MeToo movement. The data was then described with descriptive statistics and analysed through a Chi2 test. Result: 103 women in total answered the questionnaire. Everything, from sexual humiliation to someone touching your genitals against you will, was considered an act of sexual violence by a majority of the participants. There were no significant differences when regarding factors, such as, age, lifestyle factors and conception of sexual violence. A majority of the participants had heard about the MeToo movement, 97.1% (n=99). However, only a few of the participants (2.1%) answered that the MeToo movement had changed their views on sexual violence. 35.1% (n=34) of the participating women answered that it has become easier to talk about sexual violence after the emergence of the MeToo movement. Only 14.6% (n=14) of the participants would report an act of sexual violence to the youth guidance centre. Conclusion: This study provides us with a greater understanding on how young women talk about and view sexual violence in the wake of the MeToo movement. In order to break the taboo regarding sexual violence through speaking about it and bringing it to light we might also be able to eliminate the feelings of shame that many victims feel.
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McDonald, Kathryn. "A Critical Analysis of Aquatic and Recreation Centre Planning and Decision-making: A Tale of Two Cases in Metropolitan Melbourne." Thesis, 2021. https://vuir.vu.edu.au/42968/.

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Aquatic and recreation centres (ARCs) are social spaces that provide communities with opportunities to be physically active. They deliver important health, well-being, and social benefits to communities and contribute to local economies by providing job and income opportunities (Howat et al., 2012; Tower et al., 2014; Victorian Auditor General’s Office, 2016). Despite the significant role ARCs play in the community, the factors that have guided ARC planning and decision-making processes are largely unknown. To address this knowledge gap, two public sector management theories, new public management theory (NPMT) and public choice theory (PCT), were employed to explain ARC planning and decision-making processes. This is the first time these theoretical lenses have been applied simultaneously to explain ARC planning and decision-making processes. The current study was guided by two research questions, ‘How is a leisure planning process used in ARC planning?’ and ‘How is a decision-making process used in ARC planning?’ A qualitative multiple-case-study design investigated two local government cases in metropolitan Melbourne, Australia. The current study employed two data sources: documents (n= 264) and semi-structured interviews (n=19) to explore the research questions. Data analysis, deductively guided by NPMT and PCT, were conducted using a six-step thematic analysis (Braun & Clarke, 2006, 2012). Data were analysed within the individual cases by using thematic maps to illustrate the components for ARC planning and decision-making processes. The data were then analysed across these two cases through triangulation and pattern-matching to identify the global, organising, and basic themes. The current study is the first in-depth academic investigation into ARC planning and decision-making processes. The findings explain the lived experiences of people involved in ARC planning and decision-making processes. The current study identified the two cases followed a non-systematic leisure planning process i.e., the local governments applied individual components based on leisure planning models and NPMT to suit their individual ARC’s development. Therefore, the planning process fits somewhere between an ad-hoc planning method, which has no structure, and a structured process similar to a leisure planning model. The ARC planning data analysis identified four focus areas i.e., research, service delivery, engaged experts, and organisational outputs, to explain the process used by the local government when planning an ARC in metropolitan Melbourne. The ARC decision-making data analysis identified three focus areas i.e., government influence, financial influence, and political influence, to explain the ARC decision-making process. Further, the ARC planning and decision-making processes was reliant upon each other. From a practical perspective, the findings explained that local government did not use a structured planning model, however, the two ARCs applied similar planning and decision-making focus areas. These focus areas act as a starting point in the development of a model of how ARCs are planned in metropolitan Melbourne. From a theoretical perspective, the findings identified that the ARC planners in the two cases made decisions that were explained by financial outputs (NPMT) and political behaviours (PCT), indicating that ARC decision-making was more weighted towards financial outcomes rather than community benefit.
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Murimba, Lynnette. "Examining sexual and reproductive health needs of adolescents infected with HIV at Chiedza Child Care Centre, Harare, Zimbabwe." Diss., 2014. http://hdl.handle.net/10500/18704.

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The study examined the sexual and reproductive health needs of adolescents infected with HIV and AIDS. This was a qualitative study that involved semi-structured interviews and observation. The sampling method used was purposive and it entailed 10 adolescents (4 boys and 6 girls) who are living with HIV at Chiedza Child Care Centre in Zimbabwe. This study revealed that adolescents’ sexual and reproductive health needs are the desire to have sex, desire to have children, the need for prevention of unwanted pregnancy and care and treatment support. However, their knowledge of HIV and AIDS was inadequate. Adolescents also revealed their lack of proper information regarding their health care and treatment needs. However, adolescents illustrated an adequate knowledge of the services available for them for their health, treatment and care needs. The study recommended that there is need to strengthen the provision of information and services on adolescents’ sexual and reproductive health issues. The study also recommended that counsellors should improve their counselling skills so that they can empower adolescents living with HIV to be able to negotiate condom usage, matters of dating and handling relationships.
Sociology
M. A. (Social Behaviour Studies in HIV and AIDS)
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Conway, Judith (Jude). "The Newcastle women’s movement in the 1970s and 1980s through the lens of Josephine Conway’s activism and archives." Thesis, 2022. http://hdl.handle.net/1959.13/1430745.

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Research Doctorate - Doctor of Philosophy (PhD)
From the late 1960s, women in the Australian industrial city of Newcastle, New South Wales (NSW), joined women around the world in agitating for a broader role in all areas of society and Josephine Conway was one of those women. Josephine raised awareness of, and campaigned on, many of the feminist causes of the 1970s and 1980s. She was passionate about women’s healthcare, protested against women’s objectification in the media, and lobbied for legislation that offered legal parity for women. She fought never-ending battles for the right to legal and affordable pregnancy terminations; and campaigned for equal employment opportunities and the provision of childcare services. Josephine supported women’s activism in the peace movement and for women’s ordination; and was involved in the blossoming of feminist spirituality and creativity in Newcastle. Using Josephine’s extensive archives as a lens, supplemented with oral histories from campaign allies, the thesis explores their pathways to feminism and shared activism. It dissects the women’s groups which Josephine joined, and the modes of operation and relationships within them, as well as the actions that were carried out in pursuing their feminist causes. The themes that emerge are, first that Josephine’s role in the women’s movement was that of the ‘committed individual’ posited by Gerda Lerner as necessary for social change. Second, the thesis demonstrates the wide range and value of the macro and micro-actions undertaken by Josephine and her cohorts in mounting and maintaining effective campaigns. Third, this study reveals the web of relationships and the flow of ideas, tactics and artefacts along transnational and national feminist pathways, and between the capital cities and the regions, which were essential for bringing about nationwide change. In doing so it reveals an important regional story which has not previously been included in histories of the Australian women’s movement.
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Books on the topic "Melbourne Sexual Health Centre"

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Health, Palau Ministry of. The Palau National HIV & STIs Strategic Plan, 2009-2013: People are the centre of our plan. [Palau: Ministry of Health?, 2008.

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Seminar, on Maximizing Access :. Can Cure Propel HIV Prevention? (2004 India International Centre New Delhi). Maximising access: Care propelling prevention in HIV/AIDS : key resource material for an effective HIV response / organized by Oxfam GB in collaboration with Sexual Health Resource Centre. New Delhi: Oxfam (India) Trust, 2005.

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Jef, Jones, Adams Jo, and Sheffield Health Authority, eds. Sheffield Centre for HIV and Sexual Health: Annual report 1992. Sheffield: [Sheffield Health Authority], 1993.

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Book chapters on the topic "Melbourne Sexual Health Centre"

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Compton, Michael T., and Beth Broussard. "Understanding Mental Health First Aid for Psychosis." In The First Episode of Psychosis. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780195372496.003.0026.

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Throughout this guide, we have tried to explain all parts of a first episode of psychosis in a detailed way. But what happens if you know someone who may be experiencing an episode of psychosis and you have to act fast or help them get into treatment? This last chapter includes advice on how to provide mental health “first aid” to those who may be experiencing an episode of psychosis. These guidelines were developed by and reprinted here with permission from Professor Anthony Jorm and Ms. Betty Kitchener from the University of Melbourne and ORYGEN Research Centre in Melbourne, Victoria, Australia. As a result of an extensive process, they are based on the agreement of a panel of patients, family members, and mental health professionals from Australia, Canada, New Zealand, the United Kingdom, and the United States. For more information on their Mental Health First Aid program, please visit www.mhfa.com.au. The remainder of this chapter is organized around nine questions that are addressed to help people who may need to provide “first aid” to someone experiencing psychosis. The purpose of these guidelines is to help members of the public to provide first aid to someone who may be experiencing psychosis. The role of the first aider is to assist the person until he or she receives appropriate professional help or the crisis resolves. These guidelines are a general set of recommendations about how you can help someone who may be experiencing psychosis. Each individual is unique, and it is important to tailor your support to that person’s needs. So, these recommendations will not be appropriate for every person who may have psychosis. It is important to learn about the early warning signs of psychosis and the symptoms of psychosis so that you can recognize when someone may be developing psychosis. Although some of these signs may not be very dramatic on their own, when you consider them together, they may suggest that something is not quite right. It is important not to ignore or dismiss such warning signs or symptoms, even if they appear gradually and are unclear.
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Nhu, Duong, Mubeen Janmohamed, Lubna Shakhatreh, Ofer Gonen, Patrick Kwan, Amanda Gilligan, Chang Wei Tan, and Levin Kuhlmann. "Automated Inter-Ictal Epileptiform Discharge Detection from Routine EEG." In Healthier Lives, Digitally Enabled. IOS Press, 2021. http://dx.doi.org/10.3233/shti210012.

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Epilepsy is the most common neurological disorder. The diagnosis commonly requires manual visual electroencephalogram (EEG) analysis which is time-consuming. Deep learning has shown promising performance in detecting interictal epileptiform discharges (IED) and may improve the quality of epilepsy monitoring. However, most of the datasets in the literature are small (n≤100) and collected from single clinical centre, limiting the generalization across different devices and settings. To better automate IED detection, we cross-evaluated a Resnet architecture on 2 sets of routine EEG recordings from patients with idiopathic generalized epilepsy collected at the Alfred Health Hospital and Royal Melbourne Hospital (RMH). We split these EEG recordings into 2s windows with or without IED and evaluated different model variants in terms of how well they classified these windows. The results from our experiment showed that the architecture generalized well across different datasets with an AUC score of 0.894 (95% CI, 0.881–0.907) when trained on Alfred’s dataset and tested on RMH’s dataset, and 0.857 (95% CI, 0.847–0.867) vice versa. In addition, we compared our best model variant with Persyst and observed that the model was comparable.
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Das, Abhijit, Satish Kumar Singh, Rimjhim Jain, and Sana Contractor. "Gender Transformative Change With Men." In Handbook of Research on New Dimensions of Gender Mainstreaming and Women Empowerment, 472–86. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2819-8.ch026.

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Traditionally, the approach to address gender equality has been to empower women through education, collective organising, legal remedies, electoral participation, and institutional engagement. Empowerment of women undoubtedly increases women's awareness of their rights and their ability to confront discrimination and violence; however, engagement with men can make this process collaborative and address men's accountability towards advancing gender justice. This chapter describes the Centre for Health and Social Justice's efforts to engage men within a gender-transformative framework, in different domains of gender equality such as advancing sexual and reproductive rights, eliminating gender-based violence, addressing men's responsibility in care work, and supporting women's leadership in governance.
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Das, Abhijit, Satish Kumar Singh, Rimjhim Jain, and Sana Contractor. "Gender Transformative Change With Men." In Research Anthology on Child and Domestic Abuse and Its Prevention, 297–311. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-6684-5598-2.ch017.

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Traditionally, the approach to address gender equality has been to empower women through education, collective organising, legal remedies, electoral participation, and institutional engagement. Empowerment of women undoubtedly increases women's awareness of their rights and their ability to confront discrimination and violence; however, engagement with men can make this process collaborative and address men's accountability towards advancing gender justice. This chapter describes the Centre for Health and Social Justice's efforts to engage men within a gender-transformative framework, in different domains of gender equality such as advancing sexual and reproductive rights, eliminating gender-based violence, addressing men's responsibility in care work, and supporting women's leadership in governance.
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Compton, Michael T., and Beth Broussard. "Finding Specialized Programs for Early Psychosis." In The First Episode of Psychosis. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780195372496.003.0024.

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Most of the time, people of all different ages and with all sorts of mental illnesses go to the same place to see a doctor, get medicines, or participate in counseling. That is, they go to mental health clinics or the office of a mental health professional that provides treatments for a number of different illnesses. Most young people who have psychosis get their medical care and treatment in a hospital, clinic, or doctor’s office. In these places, the doctors and other mental health professionals may have taken special classes about how to help young people with psychosis, but that may not be their only focus. They may see people with other illnesses too. However, in some places around the world, there are special clinics that are for people in the early stages of psychosis. These types of specialized programs have been developed recently, since the 1990s. These programs have a number of different types of mental health professionals, including psychiatrists, psychologists, nurses, social workers, counselors, and others. In some programs, mental health professionals and doctors in training may rotate through the clinic spending several months at a time training in the clinic. Some programs, like the Early Psychosis Prevention and Intervention Centre (EPPIC) in Melbourne, Victoria, Australia, operate within the framework of a youth health service. Such youth services treat all sorts of mental health issues in young people. Other programs are located primarily in adult mental health facilities. Such programs may offer classes or group meetings just for people who recently developed psychosis and other classes or group meetings especially for the families of these young people. Typically, these programs provide someone with 2–3 years of treatment. They usually do a full evaluation of the patient every few months and keep track of how he or she is doing. If the patient needs more care afterwards, they help him or her find another program for longer-term care. In this chapter, we list some of these clinics located in various parts of the world and describe what these specialized early psychosis programs provide.
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Beckmann, Nadine, Alessandro Gusman, Catrine Shroff, and Rijk van Dijk. "Introduction." In Strings Attached. British Academy, 2014. http://dx.doi.org/10.5871/bacad/9780197265680.003.0001.

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The AIDS pandemic has given rise to transnational connections through which ideas and resources in relation to HIV/AIDS flow between Western and African organisations, as well as between organisations on the African continent. This book argues that religious and faith-based organisations in Africa engage in these transnational connections, which have underlying, scripted, hidden, or rather explicit moral codes. In other words, there are strings attached. The Introduction outlines key strands of transnational theory and interrelations between religion, sexuality, and AIDS in Africa. It shows how matters of sexual morality have been at the centre of conservative political agendas and a central concern in religious and transnational public health interventions. It argues that this linkage between conservatism and a dominant trajectory in the flows of transnational resources, ideas, attitudes and expertise is deeply problematic, since it corroborates stereotyped ideas of what religion is doing in the context of AIDS and sexuality, while ignoring counter-movements among both Christian and Muslim organisations aiming to find other ways of approaching the moral dilemmas posed by HIV/AIDS. Moreover, this linkage raises the question of what exactly conservatism is in an African context.
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Conference papers on the topic "Melbourne Sexual Health Centre"

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Hughes, Y., C. Chung, I. Zablotska-Manos, and D. Lewis. "P351 Clinical presentations of syphilis diagnosed at Western Sydney Sexual Health Centre, 2015–2019." In Abstracts for the STI & HIV World Congress, July 14–17 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/sextrans-2021-sti.398.

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O’Donnell, Najette Ayadi, and Alice Monfrinoli. "1423 The impact of COVID-19 on child sexual abuse referrals seen at an urban sexual assault referral centre." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 15 June 2021–17 June 2021. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2021. http://dx.doi.org/10.1136/archdischild-2021-rcpch.634.

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Tooley, Camilla, and Lorena Valdearenas. "W8 Let’s talk about sex: bringing sexual health conversations into simulation." In Abstracts of the Association for Simulated Practice in Healthcare 9th Annual Conference, 13th to 15th November 2018, Southport Theatre and Convention Centre, UK. The Association for Simulated Practice in Healthcare, 2018. http://dx.doi.org/10.1136/bmjstel-2018-aspihconf.87.

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Bowes, Alexandra, and Joseph Arumainayagam. "P12 An audit to assess the use of post-exposure prophylaxis for HIV following sexual exposure in a North Birmingham sexual health centre." In BASHH 2022 Abstracts. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/sextrans-bashh-2022.59.

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Constantinou, H., C. Fairley, C. Bradshaw, E. Choi, K. Maddaford, T. Phillips, and E. Chow. "P451 Factors associated with group sex in heterosexual males and females attending a sexual health clinic in Melbourne, Australia." In Abstracts for the STI & HIV World Congress, July 14–17 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/sextrans-2021-sti.463.

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Allen, C., C. Fairley, M. Chen, K. Maddaford, J. Ong, D. Williamson, and E. Chow. "O08.1 Oropharyngeal gonorrhoea infections among females and heterosexual males with genital gonorrhoea attending a sexual health clinic in Melbourne, Australia." In Abstracts for the STI & HIV World Congress, July 14–17 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/sextrans-2021-sti.92.

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Phillips, T., C. Fairley, C. Bradshaw, K. Maddaford, E. Rodriguez, S. Hall, and E. Chow. "P270 Acceptability of self-collected throat swabs among men who have sex with men attending a sexual health centre." In Abstracts for the STI & HIV World Congress, July 14–17 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/sextrans-2021-sti.341.

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Farrington, Grace, and Sarah Duncan. "P50 Three cycle QIP: Improving testing and management of Mycoplasma genitalium in a tertiary sexual health centre 2019 – 2021." In BASHH 2022 Abstracts. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/sextrans-bashh-2022.96.

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Farquharson, Rebecca, Christopher Fairley, Esha Abraham, Catriona Bradshaw, Erica Plummer, Jason Ong, Lenka Vodstrcil, Marcus Chen, Tiffany Phillips, and Eric Chow. "O11 Time to healthcare-seeking following the onset of symptoms among men and women attending a sexual health clinic in Melbourne, Australia." In BASHH 2022 Abstracts. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/sextrans-bashh-2022.11.

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Vodstrcil, Lenka, Christopher Fairley, Catriona Bradshaw, Marcus Chen, and Eric Chow. "P516 Low immunity to hepatitis a amongst men who have sex with men attending a large sexual health clinic in melbourne, australia." In Abstracts for the STI & HIV World Congress (Joint Meeting of the 23rd ISSTDR and 20th IUSTI), July 14–17, 2019, Vancouver, Canada. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/sextrans-2019-sti.594.

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Reports on the topic "Melbourne Sexual Health Centre"

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ADHD, Self-Harm, and the Importance of Early Childhood Intervention - In Conversation with Dr. Melissa Mulraney. ACAMH, October 2021. http://dx.doi.org/10.13056/acamh.17233.

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In this podcast, we talk to Dr. Melissa Mulraney, Senior Lecturer and co-leader of the Child Mental Health Research Centre at the Institute for Social Neuroscience in Melbourne, Australia, Honorary Research Fellow at the Murdoch Children's Research Institute in the Department of Paediatrics at the University of Melbourne, and Associate Editor of CAMH.
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Sexual violence within marriage: A case study of rural Uttar Pradesh. Population Council, 1997. http://dx.doi.org/10.31899/rh1997.1010.

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Until recently the study of sexual behavior, despite being a very important area of human behavior, has remained an untouchable subject. The sensitivity of the subject and difficulties collecting required information discouraged social scientists from venturing into this area of human behavior. However, the advent of AIDS and its rapid spread in India has changed the scenario. Today the study of sexual behavior is an important subject and both national and international agencies, as part of the AIDS control program, are encouraging research on the subject. This paper addresses a totally neglected area, which is sexual coercion within marriage. The paper is based on a detailed qualitative study carried out by the Centre for Operations Research and Training on the decision-making process involved in seeking abortion. The study was carried out in two villages of Lucknow district located in central Uttar Pradesh. Data were collected by two trained social scientists, who spent five months in the field using various qualitative approaches—in-depth case studies, focus-group discussions with community members, and informal interviews with health and abortion service providers.
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