{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:31:52Z","timestamp":1792427512316,"version":"4.5.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T00:00:00Z","timestamp":1604880000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>The Young People\u2019s Health Service (YPHS) is a free, nurse-led Primary Health Care Clinic, in Melbourne, for young people aged 12\u201324 who are experiencing homelessness. Sexually transmitted infection (STI) screening is routinely offered as part of comprehensive psychosocial assessments. We wanted to determine the number of people positive for Chlamydia trachomatis (Ct) and Mycoplasma genitalium (Mg), amongst this asymptomatic high-risk population. We also wanted to review our screening practice. All asymptomatic sexually active clients seen by YPHS between 2014 and 2016 were offered a first pass urine polymerase chain reaction-based test for Ct and Mg. Urine samples were taken for men and women. Positivity for Ct and Mg out of those tested was determined and association with gender examined. Between 2014\u20132016, 272 males and 278 females (n\u2009=\u2009550) were screened for Ct, and 72 infections were detected (13.1%. Chlamydia positivity did not differ between males (n\u2009=\u200935; 12.9%, 95% confidence interval [CI]: 8.8\u201316.8) and females (n\u2009=\u200937; 13.3%, 95%CI: 9.3\u201317.3). Over the same period 273 males and 284 females were screened for Mg (n\u2009=\u2009557) and 55 infections were detected (9.9%). A higher proportion of females (n\u2009=\u200935; 12.3%, 95%CI: 8.5\u201316.1) tested positive compared to males (n\u2009=\u200920; 7.3%, 95%CI: 4.2\u201310.4), p\u2009=\u20090.048. Our study demonstrates both Ct and Mg are prevalent in the population, Mg being more common in young women than young men. Referral for specialist care for macrolide-resistant Mg increased and the updated Australian STI management guidelines led to a review of practice.<\/jats:p>","DOI":"10.1177\/0956462420958904","type":"journal-article","created":{"date-parts":[[2020,11,10]],"date-time":"2020-11-10T02:57:10Z","timestamp":1604977030000},"page":"83-85","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Homelessness, sex and a tale of two sexually transmitted infections"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1146-0312","authenticated-orcid":false,"given":"D","family":"Henning","sequence":"first","affiliation":[{"name":"Royal Children\u2019s Hospital, Young People's Health Service, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Parrott","sequence":"additional","affiliation":[{"name":"Royal Children\u2019s Hospital, Young People's Health Service, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Read","sequence":"additional","affiliation":[{"name":"Monash Medical School, Clayton, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Cook","sequence":"additional","affiliation":[{"name":"Royal Children\u2019s Hospital, Young People's Health Service, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CS","family":"Bradshaw","sequence":"additional","affiliation":[{"name":"Monash Medical School, Clayton, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,11,9]]},"reference":[{"key":"bibr1-0956462420958904","doi-asserted-by":"publisher","DOI":"10.1177\/0956462413502317"},{"key":"bibr2-0956462420958904","first-page":"8","volume":"24","author":"Henning D","year":"2007","journal-title":"Aust J Adv Nurs"},{"key":"bibr3-0956462420958904","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000633"},{"key":"bibr4-0956462420958904","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01053-16"},{"key":"bibr5-0956462420958904","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-015-1041-6"},{"key":"bibr6-0956462420958904","unstructured":"Australian Institute of Health and Welfare (AIHW). The health of Australia\u2019s males, www.aihw.gov.au\/reports\/men-women\/male-health\/contents\/how-healthy\/sexual-health (2019, accessed June 2020)."},{"key":"bibr7-0956462420958904","unstructured":"Australian Institute of Health and Welfare (AIHW). The health of Australia\u2019s females, www.aihw.gov.au\/reports\/men-women\/female-health\/contents\/how-healthy\/sexual-health (2019, accessed June 2020)."},{"key":"bibr8-0956462420958904","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13567"},{"key":"bibr9-0956462420958904","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50399"},{"key":"bibr10-0956462420958904","unstructured":"Australasian Sexual Health Alliance.\n                      Mycoplasma genitalium\n                      (Australian STI management guidelines for use in primary care), www.sti.guidelines.org.au\/sexually-transmissibleinfections\/ mycoplasma-genitalium (accessed March 2020)."}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420958904","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462420958904","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420958904","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:41:18Z","timestamp":1777675278000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462420958904"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,9]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1177\/0956462420958904"],"URL":"https:\/\/doi.org\/10.1177\/0956462420958904","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,9]]}}}