The effectiveness of sexual behaviour change interventions in sexual health clinics is
unknown. Risk factors for poor sexual and reproductive health such as depression, violence,
alcohol and smoking in sexual health clinics are all common and can be identified easily in
sexual health services. Targeting these risk factors could be as effective as traditional sexual
health promotion and could have additional benefits. The authors propose a pilot to assess
the cost-effectiveness and acceptability of incorporating screening and interventions for …

In a response to the recent article by Rudiger Pitroff and Elizabeth Goodburn on changing
the focus of health promotion in sexual health clinics, Crouch and Fagan draw attention to
the confusion among practitioners between brief interventions in clinics (health education)
and the actual nature and scope of sexual health promotion. The response refocuses
attention on the Ottawa Charter for Health Promotion and on the social determinants of
sexual health inequity as appropriate design drivers of a pilot initiative proposed by Pitroff …