{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T22:51:11Z","timestamp":1761519071057,"version":"build-2065373602"},"reference-count":17,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":4564,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,4,12]]},"abstract":"<jats:p>Background: In New South Wales (NSW), publicly funded sexual health services (PFSHSs) target the populations at greatest risk for important sexually transmissible infections (STIs) and so may make a large contribution to the diagnosis of notifiable STIs. We aimed to determine the proportions of STIs diagnosed in PFSHSs and notified to the NSW Ministry of Health in 2009, and describe geographical variations. Methods: The number of notifiable STIs (infectious syphilis, gonorrhoea, HIV and chlamydia) diagnosed in 2009 was obtained for each Area Health Service (AHS) and each PFSHS. The proportion of diagnoses made by PFSHSs was calculated at the state and AHS level according to five geographical regions: inner and outer metropolitan, regional, rural and remote. Results: The overall proportions of diagnoses made by NSW PFSHSs were syphilis, 25%; gonorrhoea, 25%; HIV, 21%; and chlamydia, 14%. Within each zone, the proportions of these STIs were (respectively): (i) inner metropolitan: 32%, 26%, 21% and 13%; (ii) outer metropolitan: 41%, 24%, 43% and 9%; (iii) regional: 62%, 15%, 23% and 10%; (iv) rural: 8%, 29%, &amp;lt;5% and 20%; and (v) remote: &amp;lt;5%, 43%, &amp;lt;5% and 29%. There was considerable variation in proportions of STIs between and within AHSs (&amp;lt;5\u2013100%). Conclusions: NSW PFSHSs contribute a large proportion of diagnoses for syphilis, gonorrhoea and HIV, but less so for chlamydia. Across AHSs and zones, there was considerable variation in the proportions. These data support the role of PFSHS in identifying and managing important STIs in high-risk populations.<\/jats:p>","DOI":"10.1071\/sh12020","type":"journal-article","created":{"date-parts":[[2013,3,1]],"date-time":"2013-03-01T15:56:20Z","timestamp":1362153380000},"page":"119-123","source":"Crossref","is-referenced-by-count":7,"title":["What proportion of sexually transmissible infections and HIV are diagnosed in New South Wales\u2019 public sexual health services compared with other services?"],"prefix":"10.1071","volume":"10","author":[{"given":"Chris","family":"Bourne","sequence":"first","affiliation":[{"name":"ANSW Sexually Transmitted Infections Programs Unit, PO Box 1614, Sydney, NSW 2001, Australia."},{"name":"OCorresponding author. Email: christopher.bourne@sesiahs.health.nsw.gov.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debbie","family":"Allen","sequence":"additional","affiliation":[{"name":"BHolden Street Sexual Health Clinic, PO Box 361, Gosford, NSW 2250, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Brown","sequence":"additional","affiliation":[{"name":"CIllawarra Sexual Health Services, PO Box 21, Warrawong, NSW 2502, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen C.","family":"Davies","sequence":"additional","affiliation":[{"name":"DNorth Shore Sexual Health Service, Clinic 16, Herbert Street, St Leonards, NSW 2065, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"McNulty","sequence":"additional","affiliation":[{"name":"ESydney Sexual Health Centre, PO Box 1614, Sydney, NSW 2001, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Don E.","family":"Smith","sequence":"additional","affiliation":[{"name":"FAlbion Street Centre, 150 Albion Street, Surry Hills, NSW 2010, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine C.","family":"O\u2019Connor","sequence":"additional","affiliation":[{"name":"GRoyal Prince Alfred Hospital Sexual Health, 25 Lucas Street, Camperdown, NSW 2050, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Couldwell","sequence":"additional","affiliation":[{"name":"HParramatta Sexual Health Clinic, 162 Marsden Street, Parramatta, NSW 2150, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Jackson","sequence":"additional","affiliation":[{"name":"INepean\/Blue Mountains Sexual Health & HIV Clinics, Nepean Hospital, Kingswood, NSW 2747, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michale","family":"Bolton","sequence":"additional","affiliation":[{"name":"JGreater Southern HIV and Related Programs Unit, 63 Johnston Street, Wagga Wagga, NSW 2650, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Rodgers","sequence":"additional","affiliation":[{"name":"KKirketon Road Centre, Victoria Street, Kings Cross, NSW 2011, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pam","family":"Konecny","sequence":"additional","affiliation":[{"name":"LShort Street Centre, Short Street, Kogarah, NSW 2217, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J.","family":"Smith","sequence":"additional","affiliation":[{"name":"MLismore Sexual Health Services, 4 Shepherd Lane, Lismore, NSW 2480, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Parker","sequence":"additional","affiliation":[{"name":"NWestern NSW and Greater Western NSW, HIV and Related Programs Manager, PO Box 29, Mudgee, NSW 2850, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2013,3,1]]},"reference":[{"key":"2025102617042133900_R1","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1111\/j.1467-842X.2003.tb00814.x","article-title":"Sex in Australia: sexually transmissible infection and blood-borne virus history in a representative sample of adults.","volume":"27","author":"Grulich","year":"2003","journal-title":"Aust N Z J Public Health"},{"key":"2025102617042133900_R2","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1136\/sti.2005.016931","article-title":"Sexual health problems managed in Australian general practice: a national, cross sectional survey.","volume":"82","author":"Freedman","year":"2006","journal-title":"Sex Transm Infect"},{"key":"2025102617042133900_R3","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1136\/sti.2009.040972","article-title":"Does the frequency of HIV and STI testing among MSM in primary care adhere with Australian guidelines?","volume":"86","author":"Guy","year":"2010","journal-title":"Sex Transm Infect"},{"key":"2025102617042133900_R4","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1071\/SH06042","article-title":"Chlamydia testing in general practice \u2013 a survey of Victorian general practitioners.","volume":"3","author":"Hocking","year":"2006","journal-title":"Sex Health"},{"key":"2025102617042133900_R5","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1071\/SH09010","article-title":"Role of the general practitioner in testing for genital Chlamydia trachomatis infection: an analysis of enhanced surveillance data.","volume":"6","author":"Shaw","year":"2009","journal-title":"Sex Health"},{"key":"2025102617042133900_R6","unstructured":"New South Wales Government (NSWG). NSW sexual health clinics. Sydney: NSWG; 2010. Available online at: http:\/\/www.health.nsw.gov.au\/PublicHealth\/sexualhealth\/sexual_phus.asp [verified July 2010]."},{"key":"2025102617042133900_R7","unstructured":"NSW Department of Health (NSWDoH). NSW sexually transmissible infections strategy 2006\u20132009. Sydney: NSWDoH; 2006. Available online at: http:\/\/www.health.nsw.gov.au\/policies\/pd\/2006\/pdf\/PD2006_071.pdf [verified February 2012]."},{"key":"2025102617042133900_R8","unstructured":"NSW Department of Health (NSWDoH). Communicable disease branch. Notification of infectious diseases under the Public Health Act 1991. Sydney: NSWDoH; . Available online at: http:\/\/www.health.nsw.gov.au\/phact\/pages\/default.aspx [verified 15 November 2012]."},{"key":"2025102617042133900_R9"},{"key":"2025102617042133900_R10","unstructured":"Government of Western Australia, Department of Health (GWADH). The epidemiology of notifiable sexually transmitted infections and blood-borne viruses in Western Australia 2009. Perth: GWADH; 2010. Available online at: http:\/\/www.public.health.wa.gov.au\/cproot\/3640\/2\/Epidemiology%20Report%202009.pdf [verified February 2012]."},{"key":"2025102617042133900_R11","unstructured":"Centers for Disease Control and Prevention. Sexually transmitted disease surveillance 2010. Atlanta: US Department of Health and Human Services; 2011. Available online at: http:\/\/www.cdc.gov\/std\/stats10\/surv2010.pdf [verified February 2012]."},{"key":"2025102617042133900_R12","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1097\/OLQ.0b013e3181d5e01e","article-title":"Improving clinical operations: can we and should we save our STD clinics?","volume":"37","author":"Golden","year":"2010","journal-title":"Sex Transm Dis"},{"key":"2025102617042133900_R13","unstructured":"Centre for Epidemiology and Research. The health of the people of New South Wales \u2013 report of the Chief Health Officer. Summary report. Sydney: NSW Department of Health; 2010. Available online at: http:\/\/www.health.nsw.gov.au\/resources\/publichealth\/hsnsw\/pdf\/special_topics_stis.pdf [verified January 2012]."},{"key":"2025102617042133900_R14"},{"key":"2025102617042133900_R15","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1186\/1743-8462-6-28","article-title":"Geographical classifications to guide rural health policy in Australia.","volume":"6","author":"McGrail","year":"2009","journal-title":"Aust New Zealand Health Policy"},{"key":"2025102617042133900_R16"},{"key":"2025102617042133900_R17"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/10\/2\/119\/1254216\/sh12020.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/10\/2\/119\/1254216\/sh12020.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:04:27Z","timestamp":1761512667000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/10\/2\/119\/184797\/What-proportion-of-sexually-transmissible"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,1]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,4,12]]}},"URL":"https:\/\/doi.org\/10.1071\/sh12020","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"type":"print","value":"1448-5028"},{"type":"electronic","value":"1449-8987"}],"subject":[],"published":{"date-parts":[[2013,3,1]]}}}