{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:36:26Z","timestamp":1777372586509,"version":"3.51.4"},"reference-count":17,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":2590,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,7,27]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In Australia, testing and treatment for HIV and other sexually transmissible infections (STIs) is usually managed in general practice, while publicly funded sexual health clinics (PFSHC) attract people at higher risk for infection. The proportion of HIV and STI diagnoses in New South Wales (NSW) occurring in PFSHC stratified by priority population was investigated. Methods: From 2010 to 2014, NSW notification frequencies for chlamydia, gonorrhoea, infectious syphilis, and HIV were compared with the number of diagnoses in PFSHC. The annual proportion of diagnoses at PFSHC was calculated and Wilcoxon rank-sum tests assessed trends. Diagnoses from PFSHC were also organised by priority population, including gay and bisexual men (GBM), people living with HIV, Aboriginal and Torres Strait Islander people, people who use injecting drugs, sex workers and young people. Results: The annual proportion of HIV and STIs diagnosed at PFSHC increased (all P &amp;lt; 0.001): chlamydia from 12% to 15%, gonorrhoea 23% to 38%, infectious syphilis 21% to 40% and HIV 22% to 30%. Overall, the majority of all infections diagnosed at PFSHC were among GBM, with the proportional distribution of chlamydia increasing from 32% to 46% among GBM (P &amp;lt; 0.001) and decreasing among young people (50% to 40%; P &amp;lt; 0.001). There were no other significant changes by population or infection at PFSHC. Conclusions: Increasing proportions of STI and HIV are being diagnosed at NSW PFSHC, mostly among GBM. PFSHC reorientation to priority populations continues to make a large and increasing contribution to STI and HIV control efforts in NSW.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh17183","type":"journal-article","created":{"date-parts":[[2018,7,16]],"date-time":"2018-07-16T00:37:01Z","timestamp":1531701421000},"page":"366-369","source":"Crossref","is-referenced-by-count":8,"title":["Changing pattern of sexually transmissible infections and HIV diagnosed in public sexual health services compared with other locations in New South Wales, 2010\u201314"],"prefix":"10.1071","volume":"15","author":[{"given":"Christopher","family":"Bourne","sequence":"first","affiliation":[{"name":"ANSW STI Programs Unit, Centre for Population Health, NSW Health, Level 2, 349 Crown Street, Surry Hills NSW 2010."},{"name":"BSydney Sexual Health Centre, South East Sydney Local Health District."},{"name":"CKirby Institute, UNSW Australia, Wallace Wurth Building, High St, Kensington NSW 2052, Australia."},{"name":"ECorresponding author. Email: Christopher.Bourne@health.nsw.gov.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meeyin","family":"Lam","sequence":"additional","affiliation":[{"name":"DHealth Protection, NSW Health, 73 Miller Street, North Sydney NSW 2060, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Selvey","sequence":"additional","affiliation":[{"name":"DHealth Protection, NSW Health, 73 Miller Street, North Sydney NSW 2060, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Guy","sequence":"additional","affiliation":[{"name":"CKirby Institute, UNSW Australia, Wallace Wurth Building, High St, Kensington NSW 2052, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denton","family":"Callander","sequence":"additional","affiliation":[{"name":"CKirby Institute, UNSW Australia, Wallace Wurth Building, High St, Kensington NSW 2052, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2018,7,16]]},"reference":[{"issue":"5","key":"2025102615560399900_R1","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1071\/SH14121","article-title":"Knowledge about and experience of sexually transmissible infections in a representative sample of adults: the Second Australian Study of Health and Relationships.","volume":"11","author":"Grulich","year":"2014","journal-title":"Sex Health"},{"issue":"1","key":"2025102615560399900_R2","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1071\/SH13179","article-title":"Management rates of sexually transmissible infections by Australian general practitioners, 2000\u20132012.","volume":"11","author":"Santella","year":"2014","journal-title":"Sex Health"},{"issue":"5","key":"2025102615560399900_R3","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1071\/SH13066","article-title":"Are Australian sexual health clinics attracting priority populations?","volume":"10","author":"Ali","year":"2013","journal-title":"Sex Health"},{"issue":"1","key":"2025102615560399900_R4","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1097\/OLQ.0b013e3182793700","article-title":"New Xpress sexually transmissible infection screening clinic improves patient journey and clinic capacity at a large sexual health clinic.","volume":"40","author":"Knight","year":"2013","journal-title":"Sex Transm Dis"},{"issue":"10","key":"2025102615560399900_R5","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1097\/OLQ.0000000000000015","article-title":"Increasing access by priority populations to Australian sexual health clinics.","volume":"40","author":"Ali","year":"2013","journal-title":"Sex Transm Dis"},{"key":"2025102615560399900_R6"},{"key":"2025102615560399900_R7"},{"issue":"2","key":"2025102615560399900_R8","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1071\/SH12020","article-title":"What proportion of sexually transmissible infections and HIV are diagnosed in New South Wales\u2019 public sexual health services compared with other services?","volume":"10","author":"Bourne","year":"2013","journal-title":"Sex Health"},{"key":"2025102615560399900_R9"},{"key":"2025102615560399900_R10","unstructured":"NSW Government. Public Health Act 2010 No 127. Sydney: NSW Government; 2012. Available online at: https:\/\/www.legislation.nsw.gov.au\/#\/view\/act\/2010\/127\/full [verified 4 June 2018]."},{"issue":"3","key":"2025102615560399900_R11","doi-asserted-by":"crossref","first-page":"319","DOI":"10.33321\/cdi.2010.34.32","article-title":"A new national Chlamydia Sentinel Surveillance System in Australia: evaluation of the first stage of implementation.","volume":"34","author":"Guy","year":"2010","journal-title":"Commun Dis Intell Q Rep"},{"key":"2025102615560399900_R12","unstructured":"Australian Government Department of Health. Australian National Notifiable Diseases and Case definitions. Canberra: Australian Government Department of Health; 2017. Available online at: http:\/\/www.health.gov.au\/internet\/main\/publishing.nsf\/Content\/cdna-casedefinitions.htm [verified 04\/06\/2018]"},{"key":"2025102615560399900_R13"},{"key":"2025102615560399900_R14"},{"key":"2025102615560399900_R15","unstructured":"Australian Bureau of Statistics, 2012. \u2018Same-sex couple families\u2019 in Reflecting a Nation: Stories from the 2011 Census, 2012\u20132013, cat. No. 2071.0, Canberra: ABS; 2014 Available online at: http:\/\/www.abs.gov.au\/socialtrends [verified 4 June 2018]."},{"issue":"10013","key":"2025102615560399900_R16","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/S0140-6736(15)00056-2","article-title":"Pre-exposure prophylaxis to prevent the acquisition of HIV-1 infection (PROUD): effectiveness results from the pilot phase of a pragmatic open-label randomised trial.","volume":"387","author":"McCormack","year":"2016","journal-title":"Lancet"},{"issue":"14","key":"2025102615560399900_R17","doi-asserted-by":"publisher","first-page":"2251","DOI":"10.1097\/QAD.0000000000001185","article-title":"Pre-exposure prophylaxis for HIV infection and new sexually transmitted infections among men who have sex with men.","volume":"30","author":"Kojima","year":"2016","journal-title":"AIDS"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/15\/4\/366\/822112\/sh17183.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/15\/4\/366\/822112\/sh17183.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T19:56:10Z","timestamp":1761508570000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/15\/4\/366\/104420\/Changing-pattern-of-sexually-transmissible"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,16]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,7,27]]}},"URL":"https:\/\/doi.org\/10.1071\/sh17183","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"value":"1448-5028","type":"print"},{"value":"1449-8987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,16]]}}}