Conocimientos sobre sexualidad en adolescentes estudiantes de medicina. Bayamo, 2014 / Knowledge on sexuality by adolescents medical students. Bayamo, 2014

El conocimiento sobre sexualidad en la adolescencia es esencial para lograr una sexualidad responsable. Se realizó un estudio descriptivo, transversal con el objetivo de determinar conocimientos sobre sexualidad en adolescentes estudiantes de Medicina, Filial de Ciencias Médicas Bayamo, Granma, año 2014. El universo lo constituyeron 200 estudiantes adolescentes y la muestra, los 190 estudiantes con voluntariedad de participación. Se confeccionó cuestionario, los datos obtenidos fueron digitados en hoja de cálculo de Microsoft Excel versión 2013, y trasladadas al Programa SPSS versión 22.0 para Windows; se realizó el análisis estadístico, empleando frecuencias absolutas y relativas como medidas de resumen. Predominaron los adolescentes que conocían sobre inicio de sexualidad, sexualidad responsable, métodos anticonceptivos, diversidad sexual, inclinación sexual y juegos sexuales (70, 68, 84, 82 y 78 por ciento, respectivamente). Referente a conocimientos sobre las actitudes y prácticas sexuales, destacaron los adolescentes que los poseían, los criterios más relevantes fueron: la primera relación sexual debe tenerse en la adolescencia media o tardía (61 por ciento), debe practicarse el sexo siempre con protección (73 por ciento) y por amor (69 por ciento). Se concluyó que los adolescentes que tenían conocimientos sobre sexualidad superaron a los que carecían de ellos(AU)

Knowledge on sexuality in adolescence is essential to achieve responsible sexuality. A descriptive, cross-sectional study was carried out with the objective of determining knowledge on sexuality in adolescents medical students at Filial of Medical Sciences from Bayamo in 2014. The universe was constituted by 200 adolescents students and the sample 190 students volunteered. A questionnaire was prepared, data were entered in a Microsoft Excel sheet version 2013, and transferred to SPSS version 22.0 for Windows; the statistical analysis was performed using relative frequencies. It prevailed the group of adolescents who knew about the onset of sexuality, responsible sexuality, contraceptive methods, sexual diversity, sexual inclination and sexual games (70, 68, 84, 82, and 78; respectively). Regarding knowledge about attitudes and sexual practices, the most relevant was about the first sexual intercourse, they suggested it should be in the middle of late adolescence (61 percent), sex should always be practiced protected (73 percent) and based on love (69 percent). It was concluded that adolescents who had knowledge on sexuality surpassed to the one who did(EU)

Conocimientos sobre sexualidad en adolescentes estudiantes de medicina. Bayamo, 2014 / Knowledge on sexuality by adolescents medical students. Bayamo, 2014

El conocimiento sobre sexualidad en la adolescencia es esencial para lograr una sexualidad responsable. Se realizó un estudio descriptivo, transversal conel objetivo de determinar conocimientos sobre sexualidad en adolescentes estudiantes de Medicina,Filial de Ciencias Médicas Bayamo, Granma, año 2014. El universo lo constituyeron 200 estudiantes adolescentes y la muestra, los 190 estudiantes con voluntariedad de participación. Se confeccionó cuestionario, los datos obtenidos fueron digitados en hoja de cálculo de Microsoft Excel versión 2013, ytrasladadas al Programa SPSS versión 22.0 para Windows; se realizó el análisis estadístico, empleando frecuencias absolutas y relativas como medidas de resumen. Predominaron los adolescentes que conocían sobre inicio de sexualidad, sexualidad responsable, métodos anticonceptivos, diversidad sexual, inclinación sexual y juegos sexuales (70, 68, 84, 82 y 78 por ciento,respectivamente). Referente a conocimientos sobre las actitudes y prácticas sexuales, destacaron los adolescentes que los poseían, los criterios más relevantes fueron: la primera relación sexual debe tenerse en la adolescencia media o tardía (61 por ciento), debe practicarse el sexo siempre con protección (73 por ciento)y por amor (69 por ciento). Se concluyó que los adolescentes que tenían conocimientos sobre sexualidad superaron a los que carecían de ellos(AU)

Knowledge on sexuality in adolescence is essential to achieve responsible sexuality. A descriptive, cross-sectional study was carried out with the objective of determining knowledge on sexuality in adolescents medical students at Filial of Medical Sciences from Bayamo in 2014. The universe was constituted by 200 adolescents students and the sample 190 students volunteered. A questionnaire was prepared, data were entered in a Microsoft Excel sheet version 2013, and transferred to SPSS version 22.0 for Windows; the statistical analysis was performed using relative frequencies. It prevailed the group of adolescents who knew about the onset of sexuality, responsible sexuality, contraceptive methods, sexual diversity, sexual inclination and sexual games (70, 68, 84, 82, and 78; respectively). Regarding knowledge about attitudes and sexual practices, the most relevant was about the first sexual intercourse, they suggested it should be in the middle of late adolescence (61 percent), sex should always be practiced protected (73 percent) and based on love (69 percent). It was concluded that adolescents who had knowledge on sexuality surpassed to the one who did not(EU)

Avaliação da tendência da utilização dos serviços de saúde amigos de adolescentes e jovens (saaj) e seus determinantes no hospital central de maputo e cantos de aconselhamento pelos adolescentes e jovens da cidade de maputo, moçambique (2008 a 2010) / Evaluation of the trend of utilization of adolescent and youth friendly health services (saaj) and its determinants at maputo central hospital and counseling corners by adolescents and youth in maputo city, mozambique (2008 to 2010)

Em Moçambique, os Adolescentes e Jovens (AJ) têm enfrentado múltiplos riscos e desafios durante a sua transição para a idade adulta. Estudos têm demonstrado que muitos AJ morrem prematuramente devido a acidentes, suicídio, violência, complicações relacionadas com a gravidez e outros problemas/eventos de interesse para a saúde pública que podem ser prevenidos ou tratados. Informações sobre tendências da utilização dos Serviços de Saúde Amigos de Adolescentes e Jovens (SAAJ) em Moçambique ainda são escassas. Este estudo visava avaliar a tendência da utilização do SAAJ e seus determinantes no Hospital Central de Maputo e Cantos de Aconselhamento das Escolas sob tutela dos SAAJ, pelos adolescentes e jovens da Cidade de Maputo. Método: O estudo decorreu no SAAJ do HCM e Cantos de Aconselhamento das Escolas Secundárias, Comercial e Industrial, sob tutela do SAAJ do HCM. A população do estudo foi constituída por AJ (homens e mulheres) dos 15 a 26 anos de idade, provedores do SAAJ do HCM (activistas e enfermeiras) e professores responsáveis pelos cantos de aconselhamento das escolas seleccionadas. Foi usada uma abordagem mista para responder os objectivos do estudo, sendo a abordagem retrospectiva para avaliar a tendência da utilização dos serviços do SAAJ com base nos dados de registo do período entre 2008 a 2010 e; abordagem transversal para identificação de determinantes associados a procura e utilização dos serviços do SAAJ, com base nos dados obtidos através de entrevistas individuais entre Abril a Maio de 2012. As informações dos dados quantitativos foram gerados a partir das bases de dados e analisados com recurso ao programa estatístico SPSS versão 15 e os qualitativos gerados a partir de perguntas abertas contidas nos questionários auto-administrados e analisados com recurso ao Software qualitativo MAXQda...

In Mozambique, Adolescents and Youth have faced multiple risks and challenges during their transition to adult age. Studies have shown that many adolescents and young people die prematurely from accidents, suicide, violence and complications related to pregnancy and other problems / events of public health interest that can be prevented or treated. Information's about youth friendly services (YFS) trends and utilization in Mozambique are still scarce. This study aimed to assess the trend of YFS utilization "SAAJ" and its determinants in Maputo Central Hospital (HCM) and School Counseling Corners related to this by youth in Maputo City. Method: The study took place at HCM YFS and at the Secondary, Commercial and Industrial School Counseling Corners, under the HCM YFS supervision. The study population was composed by adolescent and youth (men and women) with 15 to 26-years-old, HCM youth frendly service providers (activists and nurses) and teachers responsible for counseling corners of the selected schools. A mixed approach was used to tucle the study objectives,when retrospective approach was used to assess the trend of YFS use based on the registred data between 2008 to 2010period, and; cross sectional approach to identify associated determinants related to demand and use of YFS, based on data obtained through individual interviews from April to May 2012. The quantitative data informations were generated from databases and analyzed using the SPSS version 15 and qualitative generated from open questions contained in the self-administered questionnaires and analyzed using the MAXQda qualitative software…

Relational safety and liberating training spaces: an application with a focus on sexual orientation issues.

This article describes and discusses a teaching case of a clinical training situation involving a gay marriage and family therapy student working with a same-sex affectional couple. The conceptual pillars of this teaching case, relational safety and liberating spaces, are advanced as illustrations of how the student developed his voice in the training process. Pivotal moments in this process are discussed, as are implications for training and personal and professional growth.

Depois de ontem / After yesterday

O filme que narra os medos e angústias de jovens diante do diagnóstico positivo para o HIV/Aids. O objetivo é discutir o medo de contar ou não contar sobre a sorologia positiva para a família, escola ou o(a) parceiro(a).

Management of psychosexual and relationship problems in general mental health services by psychiatry trainees.

AIMS AND METHODS: All psychiatry trainees (both Basic and Higher Specialist Trainees in Adult and Old Age Psychiatry) in the Nottingham (Mid-Trent rotation) were invited to complete a questionnaire evaluating the assessment and training of psychosexual and relationship problems in the general mental health services. RESULTS: Only 24% of trainees reported to routinely asked patients about psychosexual history, 65% felt comfortable about taking a detailed psychosexual history. 81% of trainees reported inadequacy whilst dealing with psychosexual disorders during their training in psychiatry. Only 30% reported asking patients for potential sexual side-effects when on psychotropic medication. All the trainees would refer the patient to a local psychosexual disorder clinic (if available). CLINICAL IMPLICATIONS: Taking a sexual and relationship (both past and current) history should be an integral part of any psychiatric assessment. Training in human sexuality should be introduced in medical schools. Training in human sexuality is a core part of psychiatric training curriculum and trainees should be tested for their competency in dealing with sexual dysfunctions.

Incorporating sexual and reproductive health care in the medical curriculum in developing countries.

Medical educators have a responsibility to train physicians and other health professionals in the core competencies needed to improve the sexual and reproductive health of their communities. Yet sexual and reproductive health care is significantly under-represented in the basic educational curriculum for medical and other health professionals, as well as in continuing medical education and professional development programmes for practising physicians and other health professionals. The Commonwealth Medical Association Trust is developing a model curriculum on sexual and reproductive health that can be integrated into undergraduate medical education and used with appropriate amendments for continuing medical education. This paper outlines topics for inclusion in the curriculum and three strategies for incorporating core components of sexual and reproductive health in the curriculum--by developing themes that can be integrated into the general curriculum in a multi-disciplinary fashion, adding free-standing modules as electives, and delegating cross-cutting issues such as gender issues and adolescent reproductive health to courses run by other departments. It argues for the use of problem-solving and case-based learning methodologies, as well as lectures, as the best way to teach health professionals how to provide information, counselling and support for sexual and reproductive health, as well as to cover the range of prevention and treatment needs of women and men seeking these services.

Sexuality training for psychiatry residents: a national survey of training directors.

The current status of training in human sexuality is relevant to all health care professionals. The purpose of the current study was to determine the extent of sexuality training offered in psychiatric residency programs. The training directors of psychiatry residencies were surveyed with regard to the number of expert faculty in sexuality training as well as resident exposure to seven related curricular areas. Of the 69 respondents, the majority reported expert faculty in sexual dysfunctions, sex therapy, therapy with gay/lesbian patients, and HIV/AIDS. For each sexuality topic, approximately 80% of programs reported curricula offerings through either didactics or clinical rotations. For didactics, most topics were presented in the context of a broader course. With the exception of HIV/AIDS, it was rare for programs to offer a clinical rotation involving sexuality issues. In conclusion, the majority of training programs in psychiatry provide curriculum offerings in sexuality training, primarily through didactic education. Results are discussed with regard to comparison to training in professional psychology and the need for assessment of sexuality training in health care professions generally.

Psychosexual therapy.

Sexual problems are more likely to originate from psychological or relationship difficulties rather than 'mechanical failure'. Here Peter Gregory reveals the often closed world of psychosexual therapy.

Educational requirements of human sexuality in the counseling for and prevention of sexually transmitted diseases.

Sexually transmitted diseases (STDs) are usually stigmatizing, displaying not only medical but also social, psychological, and/or sexual consequences. Thus, it is of importance to provide STD patients with qualified counseling including three goals (1) providing comprehensive medical care; (2) providing information aimed at preventing spread of disease or reinfection; and (3) reducing social, psychological, and/or sexual sequelae. To accomplish these goals, health professionals need to be comfortable with their own sexuality, sensitive to patients' sexual concerns or problems, familiar with basic sexological knowledge, aware of their professional limitations, and warm, supportive, genuine, and empathic in the professional patient relationship. It is of further importance to not imply that sexual partners are necessarily of the opposite sex. Professionals often feel incapable of giving help as to sexual issues partly because a lack of basic knowledge and skills and partly because professionals are affected, like their patients, by taboos and constraints that make it difficult to talk about sexuality. Therefore, there is a need for including sexuality issues in professional training courses, focusing on preparing health personnel to provide patients with permission to talk about individual sexual concerns, as well as with information and specific suggestions related to a given sexual topic. Through increased awareness of one's own sexual affective attitudinal orientation combined with sexological knowledge and clinical skills, health professionals will become better counselors in human sexuality and hence in primary prevention of STDs.

User's perspective of counseling training in Ghana: the "mystery client" trial.

Evaluating counseling training programs from the client's perspective has posed a methodological challenge for family planning researchers. This report describes an evaluation method that combines clinic observation with an exit interview methodology. Eighteen women posing as clients were requested to visit three clinics with trained and three clinics with untrained family planning counselors. These clients (called "mystery clients" in Ghana) were later interviewed to uncover any perceived differences between the consultations. The effect of training was evident. Trained counselors consistently provided more complete information about all available contraceptives. However, both trained and untrained counselors often treated younger clients with disrespect or refused to give them the information they requested. This behavior indicated the need to strengthen the values clarification section of the counselors' training sessions, which has now been done.

A curriculum in clinical sexuality for arthritis health care professionals.

The results of an experimental training program in sexologic interviewing for a multidisciplinary arthritis patient care team are reported. The program included didactic instruction, observation and practice of interviewing skills, a seminar, and a case presentation. Trainees had gained more knowledge than control subjects at one year. Both groups improved their interviewing skills, but trainees showed more improvement than controls on problem-list generation. All participants showed more improvement when interviewing male than female patients. The data show that training programs in sexologic interviewing can improve both knowledge and skills. Programs should include actual practice interviewing patients.