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Quantitative Examination of Antibiotic Susceptibility of Neisseria gonorrhoeae Aggregates Using ATP-utilization Commercial Assays and Live/Dead Staining
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Mediated Urgency: Exploring GBTQ+ Perceptions of Antibiotic-Resistant Sexually Transmitted Infections.

Shiva Chandra1, Alex Broom1, Damien Ridge2

  • 1Sydney Centre for Healthy Societies, School of Social and Political Sciences, Faculty of Arts and Social Sciences, The University of Sydney, Sydney, New South Wales, Australia.

Sociology of Health & Illness
|December 6, 2025
PubMed
Summary

Antimicrobial resistance (AMR) in sexually transmitted infections (STIs) is a growing concern. This study reveals that perceptions of urgency around antibiotic-resistant STIs are shaped by individual experiences and social contexts, not just the crisis itself.

Keywords:
LGBTQIA+STIs/STDsqualitative researchsexual healthsexuality

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Area of Science:

  • Public Health
  • Social Sciences
  • Infectious Diseases

Background:

  • Escalating antimicrobial resistance (AMR) in sexually transmitted infections (STIs) is a significant global health concern.
  • Clinicians face challenges with resistant Neisseria gonorrhoeae and Mycoplasma genitalium, with limited treatment options.
  • Discrepancies exist between health authorities' and populations' understanding of health 'urgency' and 'crisis'.

Purpose of the Study:

  • To explore how states of 'urgency' and 'crisis' are socially produced within everyday contexts.
  • To investigate contemporary GBTQ+ (gay, bisexual, trans and queer+) understandings of antibiotic-resistant STIs and perceptions of urgency.
  • To conceptualise 'mediated urgency' as a framework for understanding crisis reception.

Main Methods:

  • Conducted semi-structured interviews with 49 gay and bisexual cisgender men and trans and gender diverse people.
  • Explored participants' everyday contexts, understandings of resistance, and perceptions of urgency related to STIs.
  • Utilised a qualitative approach to analyse social production of crisis.

Main Results:

  • Perceptions of urgency regarding antibiotic-resistant STIs are influenced by pre-existing knowledge of resistance.
  • Urgency is shaped by spatial-temporal factors, personal histories, and experiences related to pleasure.
  • Findings highlight a 'mediated urgency,' emphasizing the multidimensional production and reception of crisis.

Conclusions:

  • Urgency and crisis surrounding antibiotic-resistant STIs are socially constructed and context-dependent.
  • Understanding 'mediated urgency' is crucial for effective community engagement and intervention strategies.
  • Focusing on everyday, relational, and contextual manifestations of crisis is key to addressing AMR in STIs.