Taboo Nature Research Articles

Effect of swearing on physical performance: a mini-review

Swearing, or using taboo language with the potential to offend, has been shown to improve physical performance during short and intense tasks requiring strength and power development. While consistent ergogenic effects of swearing have been observed across studies, the mechanisms by which swearing impacts physical performance are not fully clear. Swearing has been shown to modulate physiological (i.e., heart rate, blood pressure, skin conductance), psychological (i.e., state disinhibition), and nociceptive (i.e., pain threshold, pain tolerance, pain perception) responses, thus making it plausible that these mechanisms allow swearing to positively impact physical performance. A variety of dosages of swearing (i.e., word used, intensity, frequency, quantity) have been reported to improve physical performance. Although habituation to the positive physical performance effects of swearing has not been explored formally through empirical research, habituation to swearing has been observed in other contexts. From a practical application standpoint, swearing represents a low-risk, effective, and inexpensive intervention that has the potential to acutely improve physical performance although the taboo nature of swearing may limit its utility in real-world situations. The purpose of the following review is to provide an overview of available evidence on swearing and physical performance and discuss likely underlying mechanisms. Exploration of different swearing approaches and habituation will also be highlighted and suggestions for future research will be discussed, to more comprehensively understand if swearing can be strategically used for performance enhancement.

Prevention of sexual exploitation of children in sport clubs and social work in Switzerland

Abstract The Convention on the Rights of the Child, ratified in 1989, provides a clear normative basis for the protection of children from violence, abuse and exploitation. Despite efforts to protect children, many children and young people are victims of sexual violence. In the extracurricular sector, clubs offer great potential for preventing sexual exploitation. However, obstacles such as the taboo nature of the topic and the clubs’ limited resources make it difficult to develop and independently implement specific prevention offers. The aim of the project was to record the activities and competencies of sports clubs, youth associations and other youth organizations in the area of prevention of sexual assault among children and adolescents in the leisure sector and to determine the need for prevention services in the canton of Zurich in Switzerland. In addition, information was obtained on the impact of existing prevention services as well as information on their further development in terms of content and organization. Together, 979 participants from sports clubs, youth associations and youth organizations (e.g. board members, coaches, leaders) as well as the parents of children who are members of these clubs were surveyed. An impact model was developed for systematic modeling, as proposed by “Health Promotion Switzerland”. The prevention of sexualized violence is seen as a very relevant topic by sports clubs, youth associations, open child and youth work and parents. However, the current implementation of prevention measures also shows that there are still barriers to implementation and room for improvement in prevention work. Participants from all areas would particularly like support with advice on how to deal with suspected cases/incidents, the provision of information materials and the creation of a protection concept. Specific ideas for the further development of prevention work were also generated and will be discussed. Key messages • The prevention of sexualized violence is seen as a very relevant topic by sports clubs, youth associations, open child and youth work and parents. • The study reveals that prevention measures are only partially implemented and identifies barriers and facilitators for improvement.

The Nature of Taboo within Cultural Complexes: Theoretical and Clinical Applications.

The symbolic nature of taboo is examined as a container that differentiates developmental stages between the social values order/disorder through a ritual, liminal process of separating order as clean/blessed/safety and disorder as polluted/disassociated/risky. Unconscious/conscious taboos embody that perilous journey across margins in rites of passage and their emotional value and intensity in the form of symptomology varies cross-culturally. Two clinical cases are presented to illustrate the influence of taboo on obsessive compulsions and anorexia nervosa. Particular attention is given as to whether dirt as disorder/rubbish can be recycled at the margins between safety and risk and value redistributed to the intrapsychic and psychosocial anomalous bits and pieces that are discarded as rubbish.

Counseling on Prevention of Sexual Violence and Bullying at State Elementary School 100 Barru

Sexual violence is an act involving sexual coercion or harassment against someone without their consent. Bullying is aggressive behavior that is carried out repeatedly by one individual or a group of individuals with the aim of hurting, degrading, or intimidating the victim. Sexual violence and bullying often occur in school environments. Children and adolescents are vulnerable to being victims or perpetrators of these acts. However, due to the taboo nature of this issue, many cases go unreported so existing statistics may not reflect the true numbers. Sexual violence and bullying in schools have serious impacts on victims, including psychological trauma, anxiety disorders, depression, decreased academic performance, and even a high risk of suicide. An unsafe school environment can also affect the entire student population, hindering their learning and social development. Some factors that contribute to sexual violence and bullying in schools include institutional indifference to reporting and action, lack of awareness and adequate education, power imbalances, detrimental social norms, and negative media influences. Preventing sexual violence and bullying in schools requires collaboration between students, teachers, parents, school staff, and the community. This shared responsibility is essential to protecting children and adolescents from physical and psychological harm. With proper education, social support, and proactive action, we can create safe, inclusive, and supportive school environments for all individuals.

Sexual dysfunction in men and women with arterial hypertension

Sexual dysfunction is often associated with hypertension but is not recognized, reported, or adequately treated. Research on sexual dysfunction is sparse, which may be due to the taboo nature of the topic. A literature search was conducted in five databases (PubMed, Web of Science, Scopus, Cochrane Library and PsycINFO) to identify articles published over the past ten years (from 2014 to 2024), using the keywords “sexual dysfunction”, “arterial” hypertension", "antihypertensive drugs", "erectile dysfunction". The review examines the prevalence, pathophysiology, clinical manifestations of sexual dysfunction in men and women, its relationship with arterial hypertension, antihypertensive therapy, concomitant pathology, and possible methods of correction.

Settler Colonial Classifications of Edibility

The pastoral economies introduced during the colonial invasion have radically transformed Australian diets, cultures, and ecosystems. Stolen land was tenured to settlers and emancipated convicts to develop profitable and productive enterprises for the British Empire. Land rights and animal care are intrinsically linked to modern food systems, yet there is a gap in Australian literature regarding the legacy of colonial pastoralism and its connection to current food systems. This essay questions how introduced species evolved to command the Australian diet. Wallabies and kangaroos were legally relegated to national emblems, and thus inedible. Their conditions of being, whether edible, iconic, or wild, were dictated by the Commonwealth Government. The taboo nature of these native marsupials leaves them largely unconsumed, and therefore, unprotected. Modern conditions of edibility are less concerned with physical metabolic matters, instead driven by historic cultural attitudes and political and economic motives. Nourishment was commodified. My research uses Tasmanian legal archives in conjunction with cookbooks and popular iconography to trace the historical legacies of foodways since the invasion. Scholarship around waste, sociology, ecology, and food justice and sovereignty are incorporated to consider how modern agricultural practices perpetuate violence against Aboriginal and Torres Strait Islander peoples and ecosystems. Modern agriculture affects every being on the planet, both human and more-than-human. My research goal is to encourage people to question their metabolic practices to ascertain how everyday acts of consumption implicate them within unjust systems. Though consumptive wallaby culling is legal, the industry remains privatized, and Indigenous Australians have little agency to influence how their native species are used, and who profits from their utility. By sharing these concerns with researchers from a broad range of disciplines, I hope to connect with individuals who can help to make future metabolic matters more inclusive, more ethical, and more sustainable.

Belonging as a Predictor of Substance Use for Muslim American Emerging Adults

Identified as a human need, belonging is severely under-studied among Muslim American emerging adults. During this transitional period, Muslim American emerging adults must also grapple with experiences of discrimination and ostracization, which may increase the likelihood of substance use as a coping mechanism. Due to the experiences of marginalization, combined with the taboo nature of substance use in religious and cultural contexts, Muslim American young adults may be at an increased risk for negative mental health outcomes compared to their non-Muslim peers. Therefore, it is important to identify predictors of substance use in Muslim American young adults to provide culturally relevant and responsive prevention and intervention measures. Our study surveyed 183 Muslim American young adults using snowball sampling to collect data on substance use and belonging experiences. Findings from the study provide evidence of moderate substance use among Muslim American young adults, with nearly half of the sample reporting lifetime use. Results from a binary logistic regression indicate that young American Muslims with higher rates of belonging to the Muslim community are less likely to report using substances compared to young Muslims with lower rates of belonging to the Muslim community.

Centring participant experience: a realist evaluation of a menstruator-friendly facility design project in a refugee settlement, Lebanon

IntroductionMenstrual health in humanitarian contexts is a neglected topic. Its taboo nature presents difficulties for participants in menstrual health projects in these particularly challenging settings. Namely, their experiences may be concealed or overlooked in projects that are typically outcome focused. Realist Evaluation is a useful method to unearth and explore the hidden mechanisms and their causes, which lead to positive or negative participant experiences. The authors have applied this approach to a robust humanitarian menstrual health project to explore how to centre the emotional wellbeing of participants at all stages: prior to, during, and post-participation.Study settingThe project studied was led by the International Federation of Red Cross and Red Crescent Societies who piloted their adaptable manual for menstruator–friendly water, sanitation and hygiene (WaSH) facility design in humanitarian contexts. It was conducted by the Lebanese Red Cross in an informal tented settlement hosting Syrian refugees in Qaa, Lebanon.MethodsThe authors collected interview and focus group data on the contextual factors and processes within the project from nine project staff and 16 settlement inhabitants. They used a realist process of theory development, testing, and consolidation to understand how and under what circumstances the project inputs affected participants’ wellbeing.ResultsThe contextual factors and causal mechanisms promoting participant experience comprised individual (choices influencing and experience during participation), interpersonal (group dynamics and the role of non-menstruators), and organisational (expertise and knowledge, relationship to participants and cultural differences) factors.ImplicationsThe research uses a case study from a renowned humanitarian organisation who provided a well-delivered project in a conducive environment to explore the mechanisms and contexts that can promote wider learning and refine understanding and programming in this under-researched and -theorised space. Specifically, it informs which contextual factors and project inputs must be present within a menstrual health project to ensure participant satisfaction whilst efficiently delivering well-designed menstruator-friendly WaSH facilities.

Sacred Children, Taboo Tradeoffs, and Distorted Discourses

This Article brings together three literatures—bioethics, psychological research on taboo tradeoffs, and family law—to reveal pervasive distortions in current family law scholarship and judicial reasoning. Empirical work in bioethics shows that child welfare occupies a unique moral sphere. People routinely resist making tradeoffs between spheres. Just as sacrificing adult lives for money is taboo, so too is sacrificing child welfare for adult welfare. When faced with the prospect of these tradeoffs, people engage in a predictable set of avoidance and moral mitigation strategies. Across five case studies, this Article shows how child welfare has talismanic qualities which, even in the rarified world of the legal academy, ward off any open discussion of competing interests and powerfully distort scholarly arguments. The problems are worse in the context of elected officials. No legislator can plausibly say: “Of course I’m harming these children, but look at all the offsetting benefits to adults!” Recognizing the taboo nature of trading off child welfare is critical to fully understanding recent critiques of empirics within family law and has sobering implications for the budding movement toward evidence-based policymaking.

Southern California Asian Americans and the Obesity Epidemic: A Qualitative Study to Improve Understanding and Cultural Competence

ABSTRACT Background Obesity continues to be a public health concern in the United States, yet limited research exists on the impact of obesity and weight gain among Asian Americans. Purpose The purpose of this study was to illuminate the lived realities and physical, mental, and social impacts of obesity on overweight and obese Asian Americans in Southern California. Methods A basic qualitative exploratory approach was used. Twenty-five participants were interviewed, leveraging a protocol derived from the health belief model (HBM). Results Six themes highlight obesity’s impact among Asian Americans in Southern California: physical and mental health disadvantages, motivation and consistency, taboo nature of being overweight or obese, model minority misnomer, cultural incongruence, and perception of BMI as an outdated measure. Discussion Findings reveal obesity’s impact among Asian Americans to be complex, linked to both internal and external factors, and suggest that this population is as important as others when discussing obesity prevention. Translation to Health Education Practice Health Educators and health professions need to improve their understanding of the complexities and impact obesity has among Asian Americans and increase cultural competence to develop more responsive obesity and weight interventions and Health Education content. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars

“If You Prayed More, You Would Feel Better”: The Dual Nature of Religion and Spirituality on Black Youths’ Mental Health and Access to Care in Canada

This study explores Black Canadian youth’s relationship with religion and the impact religion has on their mental health and wellbeing. In addition, we probed promising practices for religious leaders and service providers who want to improve Black youth’s access to care. The results of this article draw from a larger study that aimed to explore the barriers and facilitators to mental healthcare for Black youth in Ontario, Canada. 128 (n = 66 youth, n = 35 service providers, n = 27 family and community members; 91% Black, 24% people of colour, 67% white) participants from six regions across Ontario were engaged in 23 qualitative focus groups held virtually between March 2020 and August 2021. Data were analyzed using thematic analysis. Three themes emerged from the data: The stigma and taboo nature of mental illness, the influence of religion and mental health and suggestions to improve care for Black youth. Mental illness is stigmatized in specific ways in Black communities and intergenerational differences exist in how mental illness is conceptualized. In addition, Black Two-Spirit, lesbian, gay, bisexual, transgender, queer/questioning and other diverse or marginalized sexual orientations and gender identities (2SLGBTQ+) youth face additional difficulties in relation to stigma. Religion and religious affiliation stigmatized mental illness yet, both were considered important for inclusion in traditional mental health supports. To improve access to care for Black youth, there is a need for community-practitioner partnerships, incorporating religion into traditional mental healthcare, and increasing mental health awareness in religious and community spaces. This study is among the first to explore the impact of religion on Black youth’s mental health, findings can contribute to increased access to affirming and responsive care for this population.

Experiences of dysmenorrhea and its treatment among allistic and autistic menstruators: a thematic analysis

BackgroundDysmenorrhea (i.e., period pain) is common and debilitating. Autistic people are known to experience pain differently, yet little is known about the menstrual pain experiences of autistic menstruators relative to non-autistic peers. This study aimed to explore the experience of period pain and treatment uptake for period pain among allistic and autistic populations.MethodsThis study used a qualitative design and opportunity sampling approach. Thirty-seven participants (of whom 17 were autistic) were interviewed via video-conferencing software using a semi-structured topic guide. Transcriptions of interviews were analysed using Braun and Clarke’s Reflexive Thematic Analysis. Data were initially analysed together for common themes. Autistic menstruators’ data was subsequently analysed separately to elucidate the unique experiences of this group.ResultsA total of six themes were constructed from the data. Initial analysis determined three themes related to experiences of period pain and treatment uptake in both allistic and autistic menstruators. Social perception of menstruation was discussed, highlighting the normalisation of pain, the taboo nature, and gendered experience of menstruation, contributing to untreated menstrual pain. Issues within menstrual healthcare were also shared, including experiences of ineffective treatment, dismissive interactions, and insufficient menstrual education. Impaired functionality was repeatedly highlighted, with menstruators detailing significant limitations to their usual functioning due to menstrual pain and ineffective treatment. Three further themes were constructed from separate analysis of data from autistic menstruators. Autistic menstruators discussed the impact of menstruation on their sensory experiences and needs, with many identifying overstimulation during menstruation. Social exclusion was discussed as a factor contributing to the experience of menstrual pain and poor treatment uptake. The final theme identified pain communication differences between autistic and allistic menstruators resulting in reports of ineffective treatment and challenges in healthcare interactions.ConclusionsCommunication differences, sensory aspects, and social factors contributed to the experience of period pain and treatment uptake for autistic menstruators. The perception of menstruation within society was highlighted by allistic and autistic menstruators as influential to their pain experience and engagement with treatment. Functionality was significantly impacted by pain for this sample. The study highlights societal and healthcare factors that could be improved to ensure accessibility of support and treatment for menstrual issues.

Unaccompanied migrant children and indebted relations: Weaponizing safeguarding

AbstractUK statutory guidance for practitioners suggests that indebtedness is an area where safeguarding red flags should be raised and action taken to minimize the risk of exploitation. Yet, our research shows that unaccompanied migrant children have complex indebted relationships, which can range from extractive to connective. Drawing on interviews with unaccompanied children, we show that these indebted relationships can include financial debt to smugglers, responsibilities to support transnational families, as well as social obligations to peers and others. Their accounts present a nuanced understanding of the taboo nature of indebted relationships, not to be shared with the practitioners in their lives. This is due, in part, to the potential threat of reporting to the Home Office, which might jeopardize their immigration status. In response to this weaponization of social care, we demonstrate how children turn to peer networks of support, creating their own alternative forms of social protection. In so doing, we complicate critiques of adultification, which traditionally highlight the ways that racially minoritized children may be treated as adults—to their detriment. In so doing, we show that because indebtedness is normatively linked to adulthood, unaccompanied children's hopes and fears may be rendered unsayable and therefore unsupportable in social care, all in the name of safeguarding.

Присоединение как табу в коммуникативном поведении медиатора

The article is devoted to the description and justification of prohibitions in the communicative behavior of a professional linguistic personality. The communicative taboos of a mediator as a neutral mediator in a conflict/dispute are considered. Attention is paid to the prohibitions associated with the mediator joining the parties in the negotiation process.
 The impossibility of direct observation of the mediator's communicative behavior in connection with the principle of confidentiality in mediation led to the choice of research methods and material: linguopragmatic and discourse analysis of open mediation sources, participant observation and intraprofessional communication with mediators.
 The author examines the implementation of the principle of neutrality in mediation and defines the value guideline of the mediator's communicative behavior – non-alignment with the parties. There are prohibitions that characterize joining as a strict taboo of the mediator's communicative behavior: verbal (language and speech) prohibitions, thematic and non-verbal (sound, mimic and gesture) prohibitions, spatial-temporal and organizational prohibitions.
 It is noted that joining the parties significantly affects the process and results of mediation. The mediator's partiality and emotional involvement can lead to the loss of confidence of the parties and to the end of negotiations. The high taboo nature of the mediator's communicative behavior requires from the specialist of this communicative profession the ability of self-reflection and self-control.

Working with young peer researchers in sexuality studies: benefits, challenges and lessons learnt

Involvement as peer researchers provides young people with an opportunity to exercise their right to participation and can facilitate unique insights into young people’s lives, social contexts, choices and negotiations. However, evidence on the approach has to date included little in-depth discussion on the complexities presented by sexuality research. Here, engaging young people as researchers is influenced by intersecting cultural discourses, particularly regarding youth agency and sexual freedom. This article provides practice-based insights from involving young people as peer researchers within two rights-based sexuality-focused research projects in Indonesia and the Netherlands. Drawing on two contrasting cultural contexts, it explores benefits and challenges regarding youth-adult power dynamics, the taboo nature of sexuality, research quality and dissemination. Recommendations for future studies include ongoing training and capacity strengthening for peer researchers which recognise cultural and educational backgrounds, strong youth-adult partnerships creating an enabling environment for the engagement of peer researchers, careful consideration of how young people are involved and critical reflection on adult-centric views of what constitutes “academic” research.

End of the line: An exploration into the creation and challenges of infertility poetry

Infertility is an aspect of motherhood that is ‘Other’ and is broadly met with silence by the wider western society and its pronatalist culture. The silence surrounding infertility impacts our individual, mutual and cultural understandings of motherhood, as this silence arises from its taboo nature. Speaking up about any aspect of motherhood that is not typical is still treated as taboo, and the experiences of ‘atypical’ mothers, such as those who have experienced infertility, are still side-lined. The taboo nature of infertility, coupled with the grief and absence that define it, all contribute to the silence that surrounds it. This article is in the form of a lyric essay that combines my own poetry about infertility and Polycystic Ovary Syndrome (PCOS) with a broader critical analysis about the challenges of writing about infertility. I intersperse my own infertility poetry with a close textual analysis of infertility poetry composed by contemporary western women poets, such as Kerry Priest, Gerrie Fellows and Julia Copus. This close reading highlights the poetics employed by these writers that recreate, reformulate and reinvent writing about infertility, and motherhood more broadly. Alongside my own poetry, I include a self-reflection that highlights how my poems challenge and resist the conventional approaches to performing maternity. This self-reflection also details how I utilized poetics to both present and represent the silence and absence of infertility’s ‘non-event’, and give it presence and language.

The Language of Ethnic Conflict in English Online Lexicography: Ethnophaulisms in "powered by Oxford" Lexico.com

This article aims to explore the relationship between the language of ethnic conflict (Allen 1983; Palmore 1962) and English online lexicography in the present cultural moment. Given the influence of the Internet on dictionary consulting (Béjoint 2016; Jackson 2017) and the alarming increase of racism and xenophobia, especially online, at the global level in this digital age (see Gagliardone et al. 2015), this article presents a pilot study examining the treatment of "ethnophaulisms" (Roback 1944), commonly referred to as ethnic or racial slurs, in the "powered by Oxford" dictionary content, which is licensed for use to technology giants like Google, Microsoft, and Apple by Oxford University Press (Ferrett and Dollinger 2021; Pettini 2021). In particular, the analysis focuses on the online edition of the Oxford Dictionary of English, as hosted on the "powered by Oxford" Lexico.com website. Preliminary findings show how this free online dictionary mirrors the taboo and discriminatory nature of ethnophaulisms and warns the Internet user against the derogatory and offensive power of these words. Keywords: English lexicography, online dictionaries, linguistic racism, xenophobia, hate speech, ethnic slurs, ethnophaulisms, Oxford Dictionary of English, lexico.com

Adapting cognitive behavioural therapy for depression in later life for Irish Travellers: a case example and considerations for practice

Abstract Gypsies and Travellers are at significantly increased risk of poor physical and mental health compared with the general population. Barriers to accessing mental health services include fear of stigma and discrimination from services, difficulties with signing up to services due to poor educational levels, and the taboo nature of mental health difficulties within the community. To the authors’ knowledge, no research has identified best practice for adapting psychological therapy to meet the needs of this community. This paper presents the case of John (pseudonym), an 80-year-old Irish Traveller, whose respiratory team referred him for psychological intervention for depression and anxiety symptoms. The psychology service was embedded within the respiratory team which enabled easy access to therapy services via an already trusted service. He received 10 sessions of cognitive behavioural therapy for depression, adapted to his age, physical health, and cultural background. His low mood was maintained by withdrawal from activities, rumination of losses, lack of confidence and avoidance of help-seeking. Treatment consisted of culturally adapted psychoeducation, behavioural activation, cognitive restructuring, and behavioural experiments to increase his activity, mood and confidence. The Patient Health Questionnaire and Generalised Anxiety Disorder Scale demonstrated improvements in both depressive and anxious symptoms at the end of therapy. The paper presents an overview of relevant literature before describing John’s case, formulation, culturally adapted intervention techniques and outcomes. Considerations to support best practice for clinicians working with Irish Travellers are made. Key learning aims (1) Integrating psychological services into physical health services has the potential to improve access to psychological support for minority groups facing multi-morbidity, such as Irish Travellers. This approach offers a less stigmatised route for individuals to receive help and involves fewer administrative processes, which may pose challenges for those with varying levels of literacy ability. (2) This case example presents initial evidence that short-term transdiagnostic cognitive behavioural therapy can be an effective intervention for reducing depression and anxiety symptoms in older people from an Irish Traveller background. (3) Successful outcomes in this case example hinged on: (a) A comprehensive formulation that considered the client’s full identity (e.g. cultural identity, intergenerational connections, cohort beliefs, physical health needs) in addition to their presenting problem. (b) Adapting the intervention to accommodate for culturally relevant aspects of the individual’s presentation. This involved modifying homework to reduce the literacy requirements, involving a trusted family member as a co-therapist, and integrating culturally relevant language into the therapy. (4) This case report underscores the scarcity of rigorous research involving Irish Traveller populations and emphasises the need for further exploration of their experiences of mental health difficulties and engagement with mental health services. Further research should actively involve Irish Travellers to identify unmet needs and explore potential adaptations for therapeutic interventions. This would help to ensure accurate representation and prevent the homogenisation of this diverse group of individuals.

Breaking the Silence: Men's Experience of Miscarriage. An Interpretative Phenomenological Analysis

This study explored men's experience of miscarriage. Semi-structured interviews were conducted with ten men with personal experience of miscarriage, analysed using Interpretative Phenomenological Analysis. Three superordinate themes emerged: ‘This is happening…we’re pregnant!’ captures how men were invested in the pregnancy from either preconception or conception; ‘Left with empty arms, what now?’ uncovers what happened during and following miscarriage; and ‘men feel the loss too, you know’ demonstrates how men crave recognition and appreciation of the loss. Insights are given into the impact that miscarriage has on men and the planning of their families thereafter. We hope the findings enhance health professionals’ understanding of men and miscarriage and assist in challenging both the taboo nature of the topic and outdated, unhelpful stereotypes. Recommendations for future research are provided.

Sexual Dysfunction In Cirrhosis: A Prospective Multicenter Study

Introduction: All the manifestations of cirrhosis, sexual dysfunction, mainly because of its taboo nature. The least sought after by hepatologists and the least reported spontaneously by patients. Taking this condition into account is a necessity to improve the quality of life of patients. Methods: We conducted a prospective descriptive and analytical study over 14 months from March 2020 to April 2021 in patients followed for cirrhosis. Recruitment was multicenter. We included all cirrhotic patients who gave their consent to participate in the study. The diagnosis of cirrhosis was made on the basis of clinical, biological, radiological, endoscopic and histological evidence. The classification used was the simplified ASEX classification. Each element of the classification was scored from 1 to 3. Sexual Dysfunction was defined by a total ≥7, or a score of 3 on any item, or 2 on at least 3 items. Data were entered with Sphinx software version 5.1.0.2 and analyzed with version 18. The comparison of frequencies was done using Pearson's Chi-square test or Fisher's two-tailed exact test according to their applicability conditions with a significance threshold of 0.05. Results: We interviewed 50 patients with cirrhosis during our study period. Sexual dysfunction was observed in 34 patients, 68% of our population. The mean age was 52 years with extremes of 23 and 73 years. An age below 50 years was found in 40% of the patients.In patients with sexual dysfunction, the average age was 53 years with extremes of 35 and 73 years. Of these, 32.4% were younger than 50 years of age. The population was composed of 35 men and 15 women, for a sex ratio of 2.33. Sexual dysfunction was found in 24 men (84%). Active smoking was present in 18 patients. Alcohol abuse was present in 21 patients. Alcohol abuse was present in 21 patients. 95.2% of them had an alcohol abuse (p = 0.0001). Cirrhosis was most often associated with diabetes (13 cases), metabolic syndrome (11 cases) and hypertension (10 cases). In multivariate analysis, only diabetes was significantly associated with sexual dysfonction (p = 0.027). The most common etiologies of cirrhosis were alcohol (25 cases), HBV (15 cases), and NASH (10 cases). Sexual dysfonction was found in 84% of patients with alcoholic cirrhosis, in 80% of patients with postNASH cirrhosis, and 40% of patients with post-HBV cirrhosis. In multivariate analysis, there was a significant association between alcohol and sexual dysfonction (p = 0.015), and between HBV and Sexual dysfonction (p = 0.002). Twenty-nine patients had cirrhosis classified as CHILD A (58% of cases), and 18 patients (36% of cases) had cirrhosis classified as CHILD B. All patients with cirrhosis classified as CHILD C had sexual dysfonction. Sexual dysfonction was significantly related to the severity of the CHILD PUGH score (p = 0.002). Twenty-nine patients had cirrhosis classified as CHILD A (58% of cases), and 18 patients (36% of cases) had cirrhosis classified as CHILD B. All patients with cirrhosis classified as CHILD C had sexual dysfonction. Sexual dysfonction was significantly related to the severity of the CHILD PUGH score (p = 0.002). Conclusion: Our study shows that about three quarters of cirrhotic patients present a sexual dysfunction. The alcoholic etiology and the severity of cirrhosis seem to be the factors associated with sexual dysfunction in cirrhotic patients.