Primary School Teachers' Perspective of Sexual Education in Spain. A Qualitative Study.

Sexual education is a part of the teaching-learning process that addresses cognitive, psychological, physical and social aspects of sexuality. The purpose of sexual education is to provide people with knowledge, abilities, attitudes and values that will help them to have good sexual health, well-being and dignity. The objective of this study was to explore the perspective of primary school teachers regarding Sexual Education in school. A descriptive qualitative study was designed based on content thematic analysis. Fifteen open-ended interviews with primary school teachers were carried out, followed by inductive data analysis using ATLAS.ti software. Two key themes emerged from the analysis: "In search of a comprehensive approach to Sexual Education" and "Barriers to Sexual Education in schools: From the lack of training to fear of the families". We conclude that despite the efforts to implement a comprehensive approach to Sexual Education that recognises sexuality as a right, primary school teachers face difficulties in delivering Sexual Education in schools due to a lack of training and the fear that parents will reject their children being spoken to about sexuality.

Sexual satisfaction following bariatric surgery: A prospective exploratory study. / Satisfacción sexual tras cirugía bariátrica: estudio observacional prospectivo.

INTRODUCTION: Bariatric surgery improves sexual function in obese individuals, although the extent to which sexual satisfaction is improved following surgery is unknown. The aims of this study were 1) to describe sexual satisfaction in severely/morbidly obese men and women candidates for bariatric surgery; 2) to assess the effects of bariatric surgery on sexual satisfaction at 12-months follow-up; and 3) to assess whether weight changes at follow-up following bariatric surgery are associated with changes in sexual satisfaction. METHODS: We conducted a prospective observational study from February 2011 to June 2014. A total of 44 patients with severe/morbid obesity participated in the study. Sexual satisfaction was assessed (at baseline and 12-months follow-up) through the Index of Sexual Satisfaction (ISS) questionnaire. RESULTS: Of 44 patients who completed the ISS at baseline (mean age 40.3 [SD=9.4] years and BMI 46.9 [SD=6.2] kg/m2), 17 were lost to follow-up. The baseline ISS total scores were 32.0 (SD=20.1) in women and 24.4 (SD=16.0) in men (P>0.05). The proportion of sexually satisfied men and women at baseline was 62.5% and 46.4%, respectively (P=0.360). At follow-up, sexual satisfaction improved significantly in women (average difference 13.7 units; P=0.032) but not in men (average difference 3.6 units; P=0.717). The percentage of women with sexual satisfaction problems was reduced by 33% at follow-up (P=0.038). CONCLUSIONS: A relatively large percentage of severely/morbidly obese women and men present clinically significant sexual satisfaction problems before undergoing bariatric surgery. Sexual satisfaction improves significantly 12 months following bariatric surgery, particularly in women.

Satisfacción sexual tras cirugía bariátrica: estudio observacional prospectivo / Sexual satisfaction following bariatric surgery: A prospective exploratory study

Introducción: La cirugía bariátrica mejora la función sexual en pacientes obesos, aunque el alcance de mejora de la satisfacción sexual es desconocido. Los objetivos del estudio son 1) describir la satisfacción sexual en hombres y mujeres obesos severos/mórbidos candidatos a cirugía bariátrica; 2) valorar los efectos de la cirugía bariátrica en la satisfacción sexual a los 12 meses de seguimiento y 3) evaluar si los cambios en el peso tras el seguimiento se asocian con cambios en la satisfacción sexual. Métodos: Estudio observacional prospectivo desde febrero de 2011 hasta junio de 2014. Un total de 44 pacientes con obesidad severa/mórbida participaron en el estudio. Se valoró la satisfacción sexual (al inicio del estudio y tras 12 meses de seguimiento) a través del cuestionario del índice de satisfacción sexual (ISS). Resultados: De los 44 pacientes que completaron el cuestionario preoperatoriamente con una edad media de 40,3 años (DE = 9,4) y un IMC de 46,9 kg/m2 (DE = 6,2), 17 se perdieron durante el seguimiento. La puntuación total del ISS preoperatorio fue de 32,0 (DE = 20,1) en mujeres y de 24,4 (DE = 16,0) en hombres (p > 0,05). La proporción de hombres y mujeres con satisfacción sexual preoperatoria fue 62,5 y 46,6%, respectivamente (p = 0,360). Durante el seguimiento, la satisfacción sexual mejoró significativamente en mujeres (diferencia media de 13,7 unidades; p = 0,032), pero no en hombres (diferencia media de 3,6 unidades; p = 0,717). El porcentaje de mujeres con problemas de satisfacción sexual se redujo en un 33% tras el seguimiento (p = 0,038). Conclusiones: Un porcentaje relativamente amplio de mujeres y hombres obesos severos/mórbidos presentan problemas de satisfacción sexual antes de la cirugía bariátrica. La satisfacción sexual mejora significativamente tras 12 meses de seguimiento, sobre todo en mujeres (AU)

Introduction: Bariatric surgery improves sexual function in obese individuals, although the extent to which sexual satisfaction is improved following surgery is unknown. The aims of this study were 1) to describe sexual satisfaction in severely/morbidly obese men and women candidates for bariatric surgery; 2) to assess the effects of bariatric surgery on sexual satisfaction at 12-months follow-up; and 3) to assess whether weight changes at follow-up following bariatric surgery are associated with changes in sexual satisfaction. Methods: We conducted a prospective observational study from February 2011 to June 2014. A total of 44 patients with severe/morbid obesity participated in the study. Sexual satisfaction was assessed (at baseline and 12-months follow-up) through the Index of Sexual Satisfaction (ISS) questionnaire. Results: Of 44 patients who completed the ISS at baseline (mean age 40.3 [SD = 9.4] years and BMI 46.9 [SD = 6.2] kg/m2), 17 were lost to follow-up. The baseline ISS total scores were 32.0 (SD = 20.1) in women and 24.4 (SD = 16.0) in men (P > 0.05). The proportion of sexually satisfied men and women at baseline was 62.5% and 46.4%, respectively (P = 0.360). At follow-up, sexual satisfaction improved significantly in women (average difference 13.7 units; P=0.032) but not in men (average difference 3.6 units; P = 0.717). The percentage of women with sexual satisfaction problems was reduced by 33% at follow-up (P=0.038). Conclusions: A relatively large percentage of severely/morbidly obese women and men present clinically significant sexual satisfaction problems before undergoing bariatric surgery. Sexual satisfaction improves significantly 12 months following bariatric surgery, particularly in women (AU)