Association between STI and child sexual exploitation in children under 16 years old attending sexual health clinics in England: findings from a case-control study.

Objective: Child sexual exploitation (CSE) can be difficult to identify, as there may be few reliable indicators. Although they may be used in decision-making, there is no evidence that STIs are predictors of CSE. We investigated the relationship between STI presentation at sexual health clinics (SHCs) and CSE.

Sexually transmitted infections and travel.

Purpose Of Review: The present review considers recent evidence on travel-associated sexual intercourse and sexually transmitted infection (STI) risks and travel with regards to risk behavior and implications of travel on communities. It highlights the lack of research in this area and topics for consideration.

Recent Findings: A population-based study, and others, shows significant levels of sex abroad and risk behavior with inconsistent condom use despite increasing travel advice about risks.

Sexually transmitted infections in children as a marker of child sexual abuse and direction of future research.

Purpose Of Review: This review considers recent evidence on sexually transmitted infections (STIs) as a marker of child sexual abuse (CSA), when diagnosed after the neonatal period. It also aims to identify if there are specific areas where additional research is required.

Recent Findings: An evidence-based systematic review using strict inclusion criteria shows that CSA is a major cause of STIs in children.

Ebola virus as a sexually transmitted infection.

Purpose Of Review: The ongoing Ebola virus epidemic in West Africa is a major global health challenge. The main mode of transmission is through contact with bodily fluids and skin of those infected or who have died. This review was undertaken to consider the evidence for transmission by contact with bodily fluids occurring through sexual activity.

Addressing sexual health needs: a comparison of a one-stop shop with separate genitourinary medicine and family planning services.

Background And Methodology: Little evidence is available on the extent to which one-stop shops address users' sexual health needs and the extent to which they identify additional needs users may not have identified. As part of the One-Stop Shop Evaluation, a questionnaire was designed to compare the reasons for users' visits and the reported outcomes of visits at a one-stop shop with the experiences of users in separate genitourinary medicine (GUM) and contraceptive clinics.

Results: The difference in the proportions of those attending the one-stop shop and those attending the control sites services for a sexually transmitted infection (STI)-related reason who were diagnosed with an STI was minimal, but those attending for an STI-related reason in the one-stop shop were more likely to receive an additional contraceptive outcome.

Chaperones: protecting the patient or protecting the doctor?

The routine use of chaperones during medical examinations, including intimate examinations, is variable. Practice varies between countries and also within them. Use of a chaperone may protect patients from sexual abuse by medical or nursing practitioners.

HIV testing for patients attending general medical services: concise guidelines.

Traditionally, HIV testing has been confined to those accessing departments of genitourinary medicine (GUM). Blood donors, and more recently women attending for antenatal care, also undergo routine HIV testing. As more testing is undertaken in non-GUM settings there is a need to ensure standardisation of practice irrespective of where it is performed.