{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T19:39:15Z","timestamp":1761507555030,"version":"build-2065373602"},"reference-count":30,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":483,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Australian National Health and Medical Research Council Partnership Grant","award":["GNT2003399"],"award-info":[{"award-number":["GNT2003399"]}]},{"name":"Australian National Health and Medical Research Council Emerging Leadership Investigator Grant","award":["GNT1172873"],"award-info":[{"award-number":["GNT1172873"]}]},{"name":"Australian National Health and Medical Research Council Leadership Investigator Grant","award":["GNT1172900, GNT1173361"],"award-info":[{"award-number":["GNT1172900, GNT1173361"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The incidence of sexual assault continues to rise in Australia. This study aimed to describe the nature of assault, HIV\/STI positivity, and its management at a sexual health clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a chart review of 516 sexual assault cases presenting to Melbourne Sexual Health Centre between 2012 and 2021, collecting data on victim demographics, details of assault, HIV\/STI testing and positivity, police involvement, and offer of counselling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included 516 cases: 124 males (24.0%); 384 females (74.4%); and eight transgender (1.6%) victims. The proportion of assault cases presenting to Melbourne Sexual Health Centre increased from 0.1% (37\/37,070) in 2012 to 0.2% (56\/36,514) in 2021 (Ptrend\u00a0=\u00a00.006). HIV post-exposure prophylaxis was prescribed for 64.5% (80\/124) of males and 12.5% (48\/384) of females. Among victims, 69.4% (358\/516) were tested for HIV and no one tested positive, while 71.9% (371\/516) were tested for syphilis, with 1.6% (6\/371) positive. Gonorrhoea and chlamydia were tested at the oropharynx (44.8% [231\/516] vs 28.7% [148\/516]), genitals (83.7% [432\/516] vs 92.4% [477\/516]) and anorectum (35.3% [182\/516] vs 35.3% [182\/516]). Positivity for gonorrhoea and chlamydia were: 2.6% (6\/231) vs 2.0% (3\/148) at oropharynx, 1.4% (6\/432) vs 2.9% (14\/477) at genitals, and 5.5% (10\/182) vs 7.1% (13\/182) at anorectum. According to clinical records, 25.2% (130\/516) of victims sought police involvement, and 71.7% (370\/516) were offered counselling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sexual assault was an uncommon presentation at Melbourne Sexual Health Centre, with diverse circumstances surrounding assault; however, clinical documentation varied, indicating a need for a standard primary care protocol for clients presenting with acute sexual assault.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh23175","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T23:54:17Z","timestamp":1712793257000},"source":"Crossref","is-referenced-by-count":0,"title":["Management of acute sexual assault presenting to a large Australian sexual health clinic in 2012\u20132021: a retrospective clinical audit"],"prefix":"10.1071","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6034-2833","authenticated-orcid":true,"given":"Aleah","family":"Kink","sequence":"first","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."},{"name":"BMelbourne Medical School, The University of Melbourne, Melbourne, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2714-4680","authenticated-orcid":true,"given":"Janet M.","family":"Towns","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."},{"name":"CSchool of Translational Medicine, Monash University, Melbourne, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9081-1664","authenticated-orcid":true,"given":"Christopher K.","family":"Fairley","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."},{"name":"CSchool of Translational Medicine, Monash University, Melbourne, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6920-7710","authenticated-orcid":true,"given":"Tiffany R.","family":"Phillips","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."},{"name":"CSchool of Translational Medicine, Monash University, Melbourne, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6643-5678","authenticated-orcid":true,"given":"Catriona S.","family":"Bradshaw","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."},{"name":"CSchool of Translational Medicine, Monash University, Melbourne, Vic., Australia."},{"name":"DCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1766-0657","authenticated-orcid":true,"given":"Eric P. F.","family":"Chow","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."},{"name":"CSchool of Translational Medicine, Monash University, Melbourne, Vic., Australia."},{"name":"DCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2024,4,11]]},"reference":[{"unstructured":"Australian Bureau of Statistics. Sexual assaults increase for tenth year in a row. Australian Bureau of Statistics; 2022. Available at https:\/\/www.abs.gov.au\/media-centre\/media-releases\/sexual-assaults-increase-tenth-year-row [accessed 10 September 2023]","key":"2025102615335284800_R1"},{"unstructured":"Australian Institute of Health and Welfare. Sexual assault in Australia. Australian Institute of Health and Welfare; 2020. 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