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Notifications for sexually transmitted diseases in young people in Australia are increasing. Young people are a priority population within the National Sexually Transmissible Infections Strategy, yet their knowledge of sexual health issues is limited. In the context of Health-Promoting Universities, we examined sexual health knowledge and access to care of both on and off-campus students at a regional university. In late 2012, 418 tertiary students aged 18-29 years completed an online baseline survey on their recent sexual behaviours and attitudes. In mid-2014, 956 students aged 18-31 years, of which 105 had completed the 2012 survey, completed the same or "endline" survey which also measured exposure to a university sexual health campaign. The low response rate to both the baseline and endline surveys meant only endline survey data were analysed. Two-thirds of students had been sexually active in the past 12 months. Students had positive attitudes towards condom use and STI screening. Around half reported using condoms at last sexual encounter. Students were positive about condom use, but hesitant about instigating it. STI screening was more prevalent than in the general Australian population, and largely accessed at General Practices. Screening was least likely in those with the greatest number of recent sexual partners and highest for those in de facto relationships. Students felt annual reminders or scheduled appointments would assist in ensuring STI screening. Findings showed regional university students are positive and knowledgeable about sexual health issues. Despite this, condom use is not consistent and more emphasis needs to be placed on STI transmission in this population. Students were willing to increase STI screening, and current initiatives to increase chlamydia screening in Australia are relevant to this population. [ABSTRACT FROM AUTHOR]

Data from a national, population-based longitudinal study of Australian women (26-34 years) were analyzed to investigate the association between domestic relocation and multiple explanatory factors, namely intimate partner violence (IPV), metropolitan versus non-metropolitan residence, education, income, housing tenure, number of children, and changes in relationship status. Experience of IPV in the past 12 months was significantly associated with increased odds of domestic relocation. This association remained significant after controlling for age, social support, area of residence, income, number of children, education, and housing situation. Change in relationship status attenuated the association between recent IPV and domestic relocation. Metropolitan versus non-metropolitan residence had no major influence on these results. [ABSTRACT FROM AUTHOR]

Objective: To investigate differences in self-reported health among Australian women with a history of intimate partner violence (IPV) in relation to rurality of residence. Methods: Data were drawn from six survey waves of the Australian Longitudinal Study on Women’s Health 1973–78 birth cohort. Self-reported general and mental health scores derived from the SF-36 scale were compared for women with a history of IPV living in metropolitan, regional and rural areas. Multivariable generalised estimating equations were constructed adjusting for income hardship, number of children, education, social support, age and marital status. Results: Women with a history of IPV living in regional and rural areas had no significant differences in self-reported general health scores compared to their metropolitan counterparts. Rural women affected by IPV had slightly better self-reported mental health than equivalent women living in metropolitan or regional areas. The socio-demographic factors with the strongest association with self-reported health were income, education, social support, and number of children. Conclusions: Women in regional and rural areas were no more disadvantaged, in terms of self-reported general health or mental health, than IPV affected women living in major cities in Australia. [ABSTRACT FROM AUTHOR]

Intimate partner violence (IPV) is known to be linked to significant negative physical and mental health outcomes. This study addresses a gap in the Australian IPV literature by investigating lifetime IPV prevalence by rurality of residence, using data from a populationbased sample of young women. The overall lifetime IPV prevalence rate in the sample was 21.6%, but there were significant differences in IPV rates from major cities (19.6%), inner regional areas (24.4%) and other rural areas (26.1%). After adjusting for demographic variables, multivariable analysis revealed that there were still significantly raised odds of women from inner regional (OR 1.16, 95% CI 1.01-1.33) and other rural areas (OR 1.31, 95% CI 1.11-1.56) reporting lifetime IPV compared to women from major cities. Multivariable analysis also showed that a history of IPV was significantly associated with women being separated/divorced/widowed, having lower levels of education, income hardship and limited available social support. [ABSTRACT FROM AUTHOR]

Associations between intimate partner violence (IPV) and poor physical and mental health of women have been demonstrated in the international and national literature across numerous studies. This paper presents a review of the literature on this topic. The 75 papers included in this review cover both original research studies and those which undertook secondary analyses of primary data sources. The reviewed research papers published from 2006 to 2012 include quantitative and qualitative studies from Western and developing countries. The results show that while there is variation in prevalence of IPV across various cultural settings, IPV was associated with a range of mental health issues including depression, PTSD, anxiety, self-harm, and sleep disorders. In most studies, these effects were observed using validated measurement tools. IPV was also found to be associated with poor physical health including poor functional health, somatic disorders, chronic disorders and chronic pain, gynaecological problems, and increased risk of STIs. An increased risk of HIV was reported to be associated with a history of sexual abuse and violence. The implications of the study findings in relation to methodological issues, clinical significance, and future research direction are discussed. [ABSTRACT FROM AUTHOR]