The Experts below are selected from a list of 186 Experts worldwide ranked by ideXlab platform
Anna Mcnulty - One of the best experts on this subject based on the ideXlab platform.
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unprotected Fellatio between female sex workers and their clients in sydney australia
Sexually Transmitted Infections, 2012Co-Authors: Phillip Read, Handan Wand, Rebecca Guy, Basil Donovan, Anna McnultyAbstract:Objectives To assess the frequency and predictors of inconsistent condom use for Fellatio at work by female sex workers (FSW) in Sydney and the prevalence of pharyngeal gonorrhoea and other sexually transmitted infections in these women. Methods Cross-sectional study including all FSW attending the Sydney Sexual Health Centre for sexually transmitted infection screening between May 2009 and January 2011 and reporting Fellatio at work. Univariate and multivariate regression was used to identify predictors of inconsistent condom use for Fellatio. Results Of 1540 FSW who offered Fellatio at work, 372 (25%) reported inconsistent condom use for this Fellatio. In multivariate analysis, speaking Mandarin or Cantonese rather than English (adjusted OR (AOR) 2.03, 95% CI 1.44 to 2.86), reporting inconsistent condom use for vaginal sex at work (AOR 10.82, 95% CI 6.13 to 19.09), reporting no vaginal sex at work (AOR 7.48, 95% CI 2.42 to 23.12) and being a new client to the clinic (AOR 2.10, 95% CI 1.56 to 2.83) were associated with inconsistent condom use for Fellatio. Thai-speaking women were less likely to report unprotected Fellatio (AOR 0.36, 95% CI 0.23 to 0.57). 17 women were diagnosed with pharyngeal gonorrhoea (AOR 1.1%, 95% CI 0.6% to 1.7%). Conclusions Condom use for Fellatio by Sydney FSW varies by work location and language spoken. Health promotion targeting these at-risk women is warranted. Women working in brothels masquerading as massage parlours were particularly likely to report inconsistent condom use for Fellatio. Local government reluctance to approve brothels may be contributing to this problem.
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p1 s2 19 unprotected Fellatio and pharyngeal gonorrhoea in sydney sex workers
Sexually Transmitted Infections, 2011Co-Authors: Phillip Read, Handan Wand, Rebecca Guy, Anna Mcnulty, Basil DonovanAbstract:Background Sex workers are a priority population in the WHO sexually transmitted infection (STI) global strategy. In Australia, condom use for vaginal sex has remained high over the past decade rates in sex workers with corresponding low rates of STIs. In recent years, there have been anecdotal reports of Sydney sex workers increasingly reporting unprotected Fellatio with clients which has coincided with an increase in cases of pharyngeal gonorrhoea in these women. The aim of this study was to investigate the extent and predictors of inconsistent condom use for Fellatio at work, and rates of pharyngeal gonorrhoea among sex workers attending a large sexual health clinic. Methods All female sex workers reporting Fellatio at work seen at the Sydney Sexual Health Centre from May 2009 to January 2011 were included. Demographic data, risk behaviours and STI diagnoses were extracted from the clinic database. Pharyngeal gonorrhoea cultures were collected routinely. Multivariate logistic regression analysis was used to determine predictors of inconsistent condom use for Fellatio at work. Results There were 1539 sex workers seen during the study period—most (n=1142, 74%) worked in brothels and 24% reported inconsistent condom use for Fellatio at work. Significant independent predictors of reporting inconsistent condom use for Fellatio at work were being a new client at our clinic (compared to an existing client) (adjusted (AOR) 2.66, 95% CI 2.08 to 3.44), speaking a Mandarin or Cantonese language (AOR 3.01, 95% CI 1.67 to 5.42), inconsistent condom use for vaginal sex at work (AOR 12.54, 95% CI 7.32 to 21.48), and being older than 40 years (AOR 2.85, 95% CI 1.91 to 4.25). Thai language speakers were less likely to report inconsistent condom use for Fellatio (AOR 0.44, 95% CI 0.23 to 0.83). No significant association was demonstrated for injection drug use or sexual practice outside of work. During the study period 17 of the 1539 sex workers (1.1%, 95% CI 0.6 to 1.8) were diagnosed with pharyngeal gonorrhoea. Conclusions These finding suggest interventions to promote condoms for Fellatio by sex workers are needed. We could not determine if inconsistent condom use for Fellatio at work was directly associated with pharyngeal gonorrhoea due to the low sample size of cases. Further research into the determinants of this behaviour, particularly among different language groups is warranted.
Phillip Read - One of the best experts on this subject based on the ideXlab platform.
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unprotected Fellatio between female sex workers and their clients in sydney australia
Sexually Transmitted Infections, 2012Co-Authors: Phillip Read, Handan Wand, Rebecca Guy, Basil Donovan, Anna McnultyAbstract:Objectives To assess the frequency and predictors of inconsistent condom use for Fellatio at work by female sex workers (FSW) in Sydney and the prevalence of pharyngeal gonorrhoea and other sexually transmitted infections in these women. Methods Cross-sectional study including all FSW attending the Sydney Sexual Health Centre for sexually transmitted infection screening between May 2009 and January 2011 and reporting Fellatio at work. Univariate and multivariate regression was used to identify predictors of inconsistent condom use for Fellatio. Results Of 1540 FSW who offered Fellatio at work, 372 (25%) reported inconsistent condom use for this Fellatio. In multivariate analysis, speaking Mandarin or Cantonese rather than English (adjusted OR (AOR) 2.03, 95% CI 1.44 to 2.86), reporting inconsistent condom use for vaginal sex at work (AOR 10.82, 95% CI 6.13 to 19.09), reporting no vaginal sex at work (AOR 7.48, 95% CI 2.42 to 23.12) and being a new client to the clinic (AOR 2.10, 95% CI 1.56 to 2.83) were associated with inconsistent condom use for Fellatio. Thai-speaking women were less likely to report unprotected Fellatio (AOR 0.36, 95% CI 0.23 to 0.57). 17 women were diagnosed with pharyngeal gonorrhoea (AOR 1.1%, 95% CI 0.6% to 1.7%). Conclusions Condom use for Fellatio by Sydney FSW varies by work location and language spoken. Health promotion targeting these at-risk women is warranted. Women working in brothels masquerading as massage parlours were particularly likely to report inconsistent condom use for Fellatio. Local government reluctance to approve brothels may be contributing to this problem.
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p1 s2 19 unprotected Fellatio and pharyngeal gonorrhoea in sydney sex workers
Sexually Transmitted Infections, 2011Co-Authors: Phillip Read, Handan Wand, Rebecca Guy, Anna Mcnulty, Basil DonovanAbstract:Background Sex workers are a priority population in the WHO sexually transmitted infection (STI) global strategy. In Australia, condom use for vaginal sex has remained high over the past decade rates in sex workers with corresponding low rates of STIs. In recent years, there have been anecdotal reports of Sydney sex workers increasingly reporting unprotected Fellatio with clients which has coincided with an increase in cases of pharyngeal gonorrhoea in these women. The aim of this study was to investigate the extent and predictors of inconsistent condom use for Fellatio at work, and rates of pharyngeal gonorrhoea among sex workers attending a large sexual health clinic. Methods All female sex workers reporting Fellatio at work seen at the Sydney Sexual Health Centre from May 2009 to January 2011 were included. Demographic data, risk behaviours and STI diagnoses were extracted from the clinic database. Pharyngeal gonorrhoea cultures were collected routinely. Multivariate logistic regression analysis was used to determine predictors of inconsistent condom use for Fellatio at work. Results There were 1539 sex workers seen during the study period—most (n=1142, 74%) worked in brothels and 24% reported inconsistent condom use for Fellatio at work. Significant independent predictors of reporting inconsistent condom use for Fellatio at work were being a new client at our clinic (compared to an existing client) (adjusted (AOR) 2.66, 95% CI 2.08 to 3.44), speaking a Mandarin or Cantonese language (AOR 3.01, 95% CI 1.67 to 5.42), inconsistent condom use for vaginal sex at work (AOR 12.54, 95% CI 7.32 to 21.48), and being older than 40 years (AOR 2.85, 95% CI 1.91 to 4.25). Thai language speakers were less likely to report inconsistent condom use for Fellatio (AOR 0.44, 95% CI 0.23 to 0.83). No significant association was demonstrated for injection drug use or sexual practice outside of work. During the study period 17 of the 1539 sex workers (1.1%, 95% CI 0.6 to 1.8) were diagnosed with pharyngeal gonorrhoea. Conclusions These finding suggest interventions to promote condoms for Fellatio by sex workers are needed. We could not determine if inconsistent condom use for Fellatio at work was directly associated with pharyngeal gonorrhoea due to the low sample size of cases. Further research into the determinants of this behaviour, particularly among different language groups is warranted.
Basil Donovan - One of the best experts on this subject based on the ideXlab platform.
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unprotected Fellatio between female sex workers and their clients in sydney australia
Sexually Transmitted Infections, 2012Co-Authors: Phillip Read, Handan Wand, Rebecca Guy, Basil Donovan, Anna McnultyAbstract:Objectives To assess the frequency and predictors of inconsistent condom use for Fellatio at work by female sex workers (FSW) in Sydney and the prevalence of pharyngeal gonorrhoea and other sexually transmitted infections in these women. Methods Cross-sectional study including all FSW attending the Sydney Sexual Health Centre for sexually transmitted infection screening between May 2009 and January 2011 and reporting Fellatio at work. Univariate and multivariate regression was used to identify predictors of inconsistent condom use for Fellatio. Results Of 1540 FSW who offered Fellatio at work, 372 (25%) reported inconsistent condom use for this Fellatio. In multivariate analysis, speaking Mandarin or Cantonese rather than English (adjusted OR (AOR) 2.03, 95% CI 1.44 to 2.86), reporting inconsistent condom use for vaginal sex at work (AOR 10.82, 95% CI 6.13 to 19.09), reporting no vaginal sex at work (AOR 7.48, 95% CI 2.42 to 23.12) and being a new client to the clinic (AOR 2.10, 95% CI 1.56 to 2.83) were associated with inconsistent condom use for Fellatio. Thai-speaking women were less likely to report unprotected Fellatio (AOR 0.36, 95% CI 0.23 to 0.57). 17 women were diagnosed with pharyngeal gonorrhoea (AOR 1.1%, 95% CI 0.6% to 1.7%). Conclusions Condom use for Fellatio by Sydney FSW varies by work location and language spoken. Health promotion targeting these at-risk women is warranted. Women working in brothels masquerading as massage parlours were particularly likely to report inconsistent condom use for Fellatio. Local government reluctance to approve brothels may be contributing to this problem.
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p1 s2 19 unprotected Fellatio and pharyngeal gonorrhoea in sydney sex workers
Sexually Transmitted Infections, 2011Co-Authors: Phillip Read, Handan Wand, Rebecca Guy, Anna Mcnulty, Basil DonovanAbstract:Background Sex workers are a priority population in the WHO sexually transmitted infection (STI) global strategy. In Australia, condom use for vaginal sex has remained high over the past decade rates in sex workers with corresponding low rates of STIs. In recent years, there have been anecdotal reports of Sydney sex workers increasingly reporting unprotected Fellatio with clients which has coincided with an increase in cases of pharyngeal gonorrhoea in these women. The aim of this study was to investigate the extent and predictors of inconsistent condom use for Fellatio at work, and rates of pharyngeal gonorrhoea among sex workers attending a large sexual health clinic. Methods All female sex workers reporting Fellatio at work seen at the Sydney Sexual Health Centre from May 2009 to January 2011 were included. Demographic data, risk behaviours and STI diagnoses were extracted from the clinic database. Pharyngeal gonorrhoea cultures were collected routinely. Multivariate logistic regression analysis was used to determine predictors of inconsistent condom use for Fellatio at work. Results There were 1539 sex workers seen during the study period—most (n=1142, 74%) worked in brothels and 24% reported inconsistent condom use for Fellatio at work. Significant independent predictors of reporting inconsistent condom use for Fellatio at work were being a new client at our clinic (compared to an existing client) (adjusted (AOR) 2.66, 95% CI 2.08 to 3.44), speaking a Mandarin or Cantonese language (AOR 3.01, 95% CI 1.67 to 5.42), inconsistent condom use for vaginal sex at work (AOR 12.54, 95% CI 7.32 to 21.48), and being older than 40 years (AOR 2.85, 95% CI 1.91 to 4.25). Thai language speakers were less likely to report inconsistent condom use for Fellatio (AOR 0.44, 95% CI 0.23 to 0.83). No significant association was demonstrated for injection drug use or sexual practice outside of work. During the study period 17 of the 1539 sex workers (1.1%, 95% CI 0.6 to 1.8) were diagnosed with pharyngeal gonorrhoea. Conclusions These finding suggest interventions to promote condoms for Fellatio by sex workers are needed. We could not determine if inconsistent condom use for Fellatio at work was directly associated with pharyngeal gonorrhoea due to the low sample size of cases. Further research into the determinants of this behaviour, particularly among different language groups is warranted.
Alexandra M Oster - One of the best experts on this subject based on the ideXlab platform.
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update interim guidance for prevention of sexual transmission of zika virus united states 2016
Morbidity and Mortality Weekly Report, 2016Co-Authors: Alexandra M Oster, Kate Russell, Jo Ellen Stryker, Allison L Friedman, Rachel Kachur, Emily E Petersen, Denise J Jamieson, Amanda C Cohn, John T BrooksAbstract:CDC issued interim guidance for the prevention of sexual transmission of Zika virus on February 5, 2016. The following recommendations apply to men who have traveled to or reside in areas with active Zika virus transmission and their female or male sex partners. These recommendations replace the previously issued recommendations and are updated to include time intervals after travel to areas with active Zika virus transmission or after Zika virus infection for taking precautions to reduce the risk for sexual transmission. This guidance defines potential sexual exposure to Zika virus as any person who has had sex (i.e., vaginal intercourse, anal intercourse, or Fellatio) without a condom with a man who has traveled to or resides in an area with active Zika virus transmission. This guidance will be updated as more information becomes available.
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update interim guidance for health care providers caring for women of reproductive age with possible zika virus exposure united states 2016
Morbidity and Mortality Weekly Report, 2016Co-Authors: Emily E Petersen, Alexandra M Oster, Kate Russell, Amanda C Cohn, Kara N D Polen, Dana Meaneydelman, Sascha R Ellington, Titilope Oduyebo, Jennifer F Kawwass, Mateusz P KarwowskiAbstract:CDC has updated its interim guidance for U.S. health care providers caring for women of reproductive age with possible Zika virus exposure to include recommendations on counseling women and men with possible Zika virus exposure who are interested in conceiving. This guidance is based on limited available data on persistence of Zika virus RNA in blood and semen. Women who have Zika virus disease should wait at least 8 weeks after symptom onset to attempt conception, and men with Zika virus disease should wait at least 6 months after symptom onset to attempt conception. Women and men with possible exposure to Zika virus but without clinical illness consistent with Zika virus disease should wait at least 8 weeks after exposure to attempt conception. Possible exposure to Zika virus is defined as travel to or residence in an area of active Zika virus transmission ( http://www.cdc.gov/zika/geo/active-countries.html), or sex (vaginal intercourse, anal intercourse, or Fellatio) without a condom with a man who traveled to or resided in an area of active transmission. Women and men who reside in areas of active Zika virus transmission should talk with their health care provider about attempting conception. This guidance also provides updated recommendations on testing of pregnant women with possible Zika virus exposure. These recommendations will be updated when additional data become available.
Emily E Petersen - One of the best experts on this subject based on the ideXlab platform.
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update interim guidance for prevention of sexual transmission of zika virus united states 2016
Morbidity and Mortality Weekly Report, 2016Co-Authors: Alexandra M Oster, Kate Russell, Jo Ellen Stryker, Allison L Friedman, Rachel Kachur, Emily E Petersen, Denise J Jamieson, Amanda C Cohn, John T BrooksAbstract:CDC issued interim guidance for the prevention of sexual transmission of Zika virus on February 5, 2016. The following recommendations apply to men who have traveled to or reside in areas with active Zika virus transmission and their female or male sex partners. These recommendations replace the previously issued recommendations and are updated to include time intervals after travel to areas with active Zika virus transmission or after Zika virus infection for taking precautions to reduce the risk for sexual transmission. This guidance defines potential sexual exposure to Zika virus as any person who has had sex (i.e., vaginal intercourse, anal intercourse, or Fellatio) without a condom with a man who has traveled to or resides in an area with active Zika virus transmission. This guidance will be updated as more information becomes available.
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update interim guidance for health care providers caring for women of reproductive age with possible zika virus exposure united states 2016
Morbidity and Mortality Weekly Report, 2016Co-Authors: Emily E Petersen, Alexandra M Oster, Kate Russell, Amanda C Cohn, Kara N D Polen, Dana Meaneydelman, Sascha R Ellington, Titilope Oduyebo, Jennifer F Kawwass, Mateusz P KarwowskiAbstract:CDC has updated its interim guidance for U.S. health care providers caring for women of reproductive age with possible Zika virus exposure to include recommendations on counseling women and men with possible Zika virus exposure who are interested in conceiving. This guidance is based on limited available data on persistence of Zika virus RNA in blood and semen. Women who have Zika virus disease should wait at least 8 weeks after symptom onset to attempt conception, and men with Zika virus disease should wait at least 6 months after symptom onset to attempt conception. Women and men with possible exposure to Zika virus but without clinical illness consistent with Zika virus disease should wait at least 8 weeks after exposure to attempt conception. Possible exposure to Zika virus is defined as travel to or residence in an area of active Zika virus transmission ( http://www.cdc.gov/zika/geo/active-countries.html), or sex (vaginal intercourse, anal intercourse, or Fellatio) without a condom with a man who traveled to or resided in an area of active transmission. Women and men who reside in areas of active Zika virus transmission should talk with their health care provider about attempting conception. This guidance also provides updated recommendations on testing of pregnant women with possible Zika virus exposure. These recommendations will be updated when additional data become available.
