Sexual Health Of People Research Articles

Pathological sexual stereotypes stipulated by masturbation, combined with pornography

Two classifications of masturbation are submitted: G. S Vasilchenko classification (1977), in which its various types are distinguished, as well as our classification of pathogenic effects of masturbation on general and sexual health of people. It is concluded that the joint use of these two classifications makes it possible comprehensively assess the possibilities of its influence, including pathogenic, on the human organism. The main negative consequences of masturbation that take place at the present time – the formation of pathological sexual stereotypes. This formation is greatly facilitated by using pornography. Clinical examples are given that demonstrate such possibility.

Perception of Iranian Patients with Cancer Regarding Sexual Health: A Content Analysis Study

Sexual health is one of element of general health that has great impact on the health of people with cancer. It has been expressed as a strategy to achieve the millennium development goals. In a review of literature, it was found that there are not qualitative researches on sexual health of individuals with cancer in the background of Iranian culture. The purpose of this study was to explore the perceptions of Iranian patients with cancer regarding sexual health. The study took a qualitative approach. Semi-structured interviews were held with 27 patients with cancer in Iran. Transcripts of the interviews underwent conventional content analysis, and categories emerged. The findings came under 4 major categories: physical health, psychological health, informational health, and socio-cultural health. The major categories also included several subcategories that were explained with the statements of patients. Findings of the current study have the potential to identify sexual health of individuals with cancer in the context of Iranian culture. Our results recommend that all health care providers should work to remain sensitive to sexual health of people with cancer.

An exploratory investigation of sexual health screening in the first 12 weeks of case management in populations with severe mental illness

The sexual health of people with mental illness is commonly overlooked, neglected or inadequately addressed in mental health care, despite evidence showing that people with severe mental illness are more vulnerable to sexually transmitted infections (including HIV), sexual side-effects, and sexual dysfunction than the general population. This article reports a study that investigated sexual health screening in five community mental health clinics within a large a regional health service in Victoria, Australia. The aim of the study was to examine the extent to which sexual health screening is currently undertaken on newly admitted case-managed consumers, and to identify the types of screening undertaken. An exploratory design using retrospective file audit was used in the study. A total of 186 medical records met the study inclusion criteria. The study found that less than 40% of consumers were provided with sexual health screening during their first 12weeks of case management. The study also found that sexual side-effects, issues of fertility, sexual self-esteem, safe sexual practices, and sexual dysfunction were rarely screened for. Poor sexual health screening has implications for the safety and quality of mental health care and requires targeted research to improve understandings and approaches to care.

Reproductive and Sexual Health of People with Physical Disabilities: A Metasynthesis

This article provides an overview on reproductive and sexual health of people with physical disabilities in developed and underdeveloped countries from 1995 to 2011. Based on the metasynthesis approach, the authors reviewed 15 qualitative studies. These studies were searched using Medline, CINAHL, CINAHL (health), ProQuest Central, Google Scholar, Cochrane, Embase, Informit Health, Sciences Direct, Pubmed, Pubmed Health, AAHD (abstracts), ProQuest Journal (sexuality and disability) and were also manually searched. All studies were judged on their qualities using the Critical Appraisal Skills Programme. Reproductive health, sexual attractiveness and experiences, reproductive and sexual health knowledge, and dealing with reproductive and sexual health issues were four main themes that emerged from these studies. This paper proposes a new model to explain the factors that impacted the reproductive and sexual life of people with physical disabilities: internal and external factors. Implications for health and social care are discussed in light of the findings.

Gender and sexuality of people with mental disorders in Brazil

The goal of this study was to understand the ways of living and thinking about sexuality of people with mental disorders. Open interviews were conducted with men and women in public mental health services in Brazil. Transcrips were examined based on the proposal of sexual scripts. Major imbalances coming from conceptions of masculinity and femininity in society were identified in the sexual scripts experienced by these men and women. Interviewees have little pleasure in their sexual lives, with recurrent complaints of sexual abuse, even by steady partners; prejudice; and lack of affection in their relationships. Additionally, they were found to have few self-care skills concerning sexual health, in a context marked by social exclusion. The results showed the need to promote sexual health as a human right, and fight gender stereotypes, which cause so much damage to the sexual health of people with mental disorders.

Sexuality and Physical Disability: A Disability-Affirmative Approach to Assessment and Intervention Within Health Care

The role of sexual health has been historically underaddressed in the assessment and treatment of people with disabilities. This is due to several factors, including provider discomfort and lack of competence in discussing sexual health, and few assessment tools or treatment strategies designed specifically for people with disabilities. However, the literature suggests that people with disabilities desire opportunities for sexual expression and are engaging in sexual activity. The research shows that sexual health is an important component of overall quality of life. We aim to update readers to ongoing and new discourse about the complex factors associated with sexual health for people with disabilities, review available assessments and interventions and make suggestions for how to integrate these into a disability-affirmative framework that is relevant for a range of health-care providers in varied settings, and make recommendations for future inquiry and practice. We emphasize that providers working with people with disabilities need to be educated in the social model of disability and aware of the biopsychosocial factors affecting sexual health, as well as encouraged to develop insight into their own disability biases. People with disabilities represent the largest minority population in the USA, and the health-care system is now challenged to grow and adapt to the needs of this traditionally underserved population. Through the lens of a health-care system, we recommend incorporating discussions about sexual health into an integrative primary care model that promotes accessibility and patient-centered care for people with disabilities.

Sexual health of people with an intellectual disability: An ecosystem approach

Summary The goal of this article is to propose a state of knowledge on the situation of people with an intellectual disability regarding their sexual health from factors that facilitate or obstruct it. Definitions of sexual health and disability suggest an ecosystem approach, which considers both personal and environmental factors that may have an impact on sexual life. A literature review confirms the role of intellectual restrictions and social configurations on the sexual health of people with an intellectual disability.

Barriers to sexual health provision for people with intellectual disability: A disability service provider and clinician perspective

Background Sexual health remains one of the most overlooked areas of life for people with intellectual disability. In recent years there has been an increasing expectation that this issue will be addressed by disability service providers. In this paper we examine the barriers to sexual health provision of people with intellectual disability as experienced by disability service providers and clinicians.Method This research uses a constructionist grounded theory approach. It was conducted in 2 phases using semistructured qualitative interviews to collect data from disability service managers and clinicians working with people with intellectual disability in New South Wales, Australia.Findings and Discussion Key themes within the interviews – including funding shortages and a lack of policy guidelines – were identified as significant administrative barriers to sexual health provision. Myths about the sexual health of people with intellectual disability, family attitudes, and lack of staff training were also identified as barriers.

Considering the Psychosocial Aspects of Sexual Health for People with Exstrophy–Epispadias Complex: A Critical Narrative Review

This narrative review argues that the current conceptualization of sexuality in exstrophy–epispadias complex research places value on the achievement of sexual function to the detriment of psychosocial factors. It is argued that the adoption of a new conceptualization of sexual health would provide a framework for addressing this concern. This argument is developed through critique of current evidence and supported by further relevant arguments from within health and disability fields. Consideration is given to how potential implications for research and clinical practice arising from this change could be overcome.

Plaintes et dysfonctions sexuelles des personnes vivant avec le VIH (PVVIH), traitées par antirétroviraux (ARV) depuis une dizaine d’année au Sénégal

The sexual health of people who have been living with HIV (PLHIV) and who have been receiving ARV drug treatment for several years is still a virtually unexplored topic in Africa today. A study was conducted in Senegal on people who have been treated with ARVs for ten years. Half of those interviewed believe that their sexuality has deteriorated. HIV infection has become a chronic disease in which sexual dysfunction related to the disease or age is interpreted in the context of popular representations of HIV infection and those on sexuality defined by social norms.

Valoración del Patrón de la Sexualidad: atención integral de la salud de las personas

Background: Sexuality is an important component of life and health. Also of severe conflicts related to physical or psychological events, including the transmission of diseases, negative experiences, sexual patterns, violence and cultural or religious determinants. Nevertheless, the information collected in the nurse’s files is frequently limited to the reproductive and/or marital status of the patients. Objective: The objective of this study was to evaluate the quality of information on issues related to sexuality, its determinants and the iof the data obtained can have on people's health Methods: Observational study conducted in the respiratory medicine department of a provincial referral hospital where initial assessments (IA) were revised 250 medical charts and interviewed 292 consecutively admitted patients by questionnaire focused. In a first step, the information collected and the nature of the data about the information related to sexuality in 250 IA of medical records of patients admitted in the year before the study. In a second step, a questionnaire was developed, based on the evaluation criteria of functional patterns Gordon and focused on assessing the pattern of sexuality and applied to 292 patients hospitalized. The influence of different aspects of this pattern using the Chi-square test. Results: In the first step of the 250 IA reviewed, it was found that in the IA data were recorded breeding in 75% of the IA. In the second phase, 292 subjects were included, 46.9% men and 53.1% women, mean age 57 years, and the response rate to the questionnaire in patients was 100%, with a higher response rate 95% in all questions. Was collected: reviews by the specialist, use of contraceptives methods, STD condition, quality of relationship with partner, perceived sense of your partner, the importance of sex in his life, a history of sexual violence, stable partner relationships outside. In the development labor Diagnoses were identified relevant to the evolution of the overall health of people in 70.2% of cases. Conclusions: The response rate to the questionnaire was high. The differences in the pattern of sexuality influenced most health conditions requiring full of people. The information collected was relevant to the overall health of people in a large number of cases. Problems are identified risk practices and abuse in a large number of people, indicating the need for assessment. Do not ask about this pattern or do only referred to the reproduction, it is biased for the information, often with serious implications for the health of people. Nurses have expertise on sexual health of people and should be the scientific knowledge to determine the suitability of the decision making in this regard.

Sexual Health for People with Disabilities

Recent years have seen continuous reports about the successful reconstruction of numerous organs with the application of tissue‐engineering techniques. Thus, we assess the outcomes for vagina reconstruction using tissue‐engineered biological material, which we suggested previously as an ideal graft for vaginoplasty.To evaluate the anatomic and sexual outcomes in patients undergoing vaginoplasty using tissue‐engineered biomaterial mesh.This prospective study included 53 patients with Mayer‐Rokitansky‐Küster‐Hauser syndrome admitted to our hospital. Patients underwent vaginoplasty with tissue‐engineered biological material (acellular dermal matrix). Postoperatively, a silicone vaginal dilator (length: 10 cm, diameter: 3.5 cm) was advised to be used for the first 3–6 months to prevent contraction of the neovagina. Follow‐up was performed at 4 weeks, 12 weeks, 12 months, and then annually. Twenty‐four age‐matched women who underwent health examinations during the same time period were selected as a health control group and answered Female Sexual Function Index (FSFI) questionnaires for the purpose of comparing sexuality.Anatomic success was defined by a vaginal length ≥8 cm and a width allowing the easy introduction of two fingers. Sexual outcomes were assessed at the 12‐month follow‐up according to body image perception and FSFI questionnaires validated for the Chinese‐speaking population.No severe intra‐operative complications occurred. No graft‐related infection, rejection, or detachment was recorded. The cost for tissue‐engineered biomaterial graft was $1,900 (¥12,000) per person. Postoperatively, granulomatous polyps occurred in 6/53 patients (11.3%) at the vaginal vault and were removed in an outpatient clinic. During a mean follow‐up of 21.1 months, the anatomic success rate was 100%, and all of the patients were satisfied with their body image. Postoperatively, 42 patients were followed up for more than 1 year, and 32 of them were sexually active. Among the 24/32 patients (75%) who answered the FSFI questionnaire, the mean total FSFI score was 26.7 ± 3.5, which was similar to that of the control group (25.6 ± 7.4, P = 0.46). The similarity was also observed in six separate domains of the functional aspect of female sexuality.Vaginoplasty with tissue‐engineered biomaterial graft is a safe, effective, minimally invasive cosmetic procedure that provides near normal sexual function for patients with vaginal aplasia.

Una aproximación a la realidad de la sexualidad en pacientes con traumatismo craneoencefálico (TCE)

Los traumatismos craneoencefálicos (TCE) constituyen una causa importante de minusvalía neurológica persistente que afecta con mayor frecuencia a personas relativamente jóvenes, con diferentes grados de incapacidad durante muchos años. La respuesta y la expresión sexual, puede verse alterada por las secuelas físicas, neuropsicológicas, emocionales y conductuales. La atención y educación de estos aspectos, por parte del personal de Enfermería es fundamental. Objetivos General: Conocer el estado de salud sexual de las personas con TCE. Objetivo Específicos: 1) Describir las características socio-demográficas y los datos relativos al accidente; 2) Describir si hay alteraciones sexuales tras el TCE; 3) Valorar las relaciones interpersonales anteriores y posteriores al TCE; 4) Conocer si durante la rehabilitación han recibido educación sexual. Metodología: Estudio descriptivo transversal. Datos: Cuestionario anónimo validado. Población: Asociaciones adscritas a la Federación Española de Daño Cerebral (FEDACE). 488 afectados. Contestan 70 pacientes (14,3%, 52 varones y 18 mujeres entre 16 y 46 años). Resultados: La causa más frecuente de TCE es accidente de tráfico. La mayoría después del TCE tienen afectada la sexualidad negativamente, no tienen pareja estable, han notado cambios a nivel de su vida social, afecto, autoestima y confianza, no han recibido educación sexual. Conclusiones: Después de un TCE, la sexualidad se ve alterada en la mayoría de los pacientes, siendo fundamental que el personal de enfermería aborde el tema y dé respuestas a estas necesidades y para ello, han de tener una formación previa en sexualidad, a fin de abordar y actuar de manera correcta ante tal situación.

Embodying sexual subjectivity after cancer: A qualitative study of people with cancer and intimate partners

Research has increasingly recognised the profound impact that cancer can have upon embodied subjectivity. However, there has been little acknowledgement of the centrality of sexuality to subjectivity, and marginalisation of the experiences of intimate partners of people with cancer. This Australian qualitative study explores the post-cancer experiences of embodied sexual subjectivity for 44 people with cancer (23 women and 21 men) and 35 partners of people with cancer (18 women and 17 men) across a range of cancer types and stages. Semi-structured interviews were analysed with theoretical thematic analysis, guided by a post-structuralist approach to sexual subjectivity as a dynamic process of becoming that can change over time, and by Williams’ [(1996). The vicissitudes of embodiment across the chronic illness trajectory. Body and Society, 2, 23–47] framework on post-illness embodiment. Participants took up the following post-cancer subject positions: ‘dys-embodied sexual subjectivity’ – characterised by bodily betrayal, sexual loss, lack of acceptance, depression, and anxiety; ‘re-embodied sexual subjectivity’ – characterised by greater sexual confidence, acceptance, the exploration of non-coital sexual practices and increased relational closeness; and ‘oscillating sexual subjectivity’ – involving a shift between states of sexual dys-embodiment and sexual re-embodiment. The findings point to the importance of focusing on the sexual health of people with cancer and partners across the cancer trajectory.

Medical Staff's Support for Sexual Health of People with HIV in Japan

Medical Staff's Support for Sexual Health of People with HIV in Japan

HPV vaccination programme: GSK awarded contract

The Department of Health have chosen GSK’s vaccine, Cervarix, for the vaccination programme that will be launched in September 2008. In August, Sexual Health Week will be upon us, and the focus this year is on the sexual health of people with learning disabilities. September brings the new school year and Meningitis Awareness Week, and in October we have the second school nursing conference.

Sexual health for people with intellectual disability

People with intellectual disability experience the same range of sexual needs and desires as other people. However, they experience many difficulties meeting their needs. They may be discouraged from relieving sexual tension by masturbating. They face a high risk of sexual abuse. They are likely not to be offered the full range of choices for contraception and sexual health screening. Poor education and social isolation may increase their risk of committing sexual offences. However, with appropriate education and good social support, people with intellectual disability are capable of safe, constructive sexual expression and healthy relationships. Providing such support is an essential part of supporting people with intellectual disability.

Clinical standards for the screening and management of acquired syphilis in HIV-positive adults.

These clinical standards for the screening and management of acquired syphilis in HIV-positive patients in the UK were first made available on the MSSVD website in February 2002. They have been updated by the 2006 UK National Guideline on the Sexual Health of People with HIV which is also published in this issue of the Journal [pp. 594-606]. Many of the recommendations remain in force and therefore the original document is published in full here.

2006 United Kingdom National Guideline on the Sexual Health of People with HIV: Sexually Transmitted Infections

This is the first of three planned guidelines to address the sexual health of people with who are HIV positive. The other two under consideration are reproductive health choices for women and sexual dysfunction in men with HIV. This guideline complements existing BASHH Clinical Effectiveness Group guidelines on individual sexually transmitted infections and screening and testing available at: www.bashh.org/guidelines/ceguidelines. There is also a separate BASHH guideline available on post-exposure prophylaxis after sexual exposure (PEPSE) [1].

The first time: young people and sex in Northern Ireland

The sexual health of people, particularly young people, in Northern Ireland is currently poor. Yet there has been little research conducted on sexual attitudes and lifestyles. This paper is based on data from the first ever major research project in this field in Northern Ireland. Using quantitative and qualitative methods, it targeted young people aged 14–25. A combination of a self‐administered survey questionnaire, focus group discussions and one‐to‐one interviews was found to be most suitable for the collection of sensitive data on sexuality in a country where the social and moral climate had previously prevented studies of this nature. Information was collected on sexual attitudes and behaviour generally. This paper focuses on one crucial issue: the age of first sexual encounter. It explores the attitudes of young people to that experience and the use of contraception. Many of the findings match those of similar large‐scale surveys in England and Wales, including the modal age of first sexual encounter and the influence of peer pressure on decision‐making about first sex. There were significant gender differences in both behaviour and attitudes. It is hoped that the research results will influence future education and health policy, which has all too often been based on ignorance.