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1.
BMC Cancer ; 22(1): 1003, 2022 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-36131276

RESUMO

BACKGROUND: Sexual wellbeing is a critical yet often overlooked aspect of overall wellbeing for women across cancer diagnoses. OBJECTIVE: We identified profiles of women cancer survivors by sexual and psychosocial outcomes and compared groups for differences in relevant outcomes and individual characteristics. METHODS: Partnered women treated for cancer (n = 226; M age = 51.1 (12.6); 54% breast cancer; 86% White) completed a cross-sectional survey assessing sexual and psychosocial wellbeing. K-means cluster analysis modeled subgroups (clusters) with similar response patterns on measures of sexual wellbeing (sexual function, distress, sexual communication, and self-efficacy for communication), psychosocial wellbeing (quality of life (QOL), anxiety and depressive symptoms), and time since treatment. ANOVAs with Tukey post-hoc analyses and chi-square analyses tested cluster mean differences. RESULTS: Three distinct clusters of women differed by levels of adjustment in sexual and psychosocial wellbeing: higher-adjustment (32.7%), intermediate (37.6%), and lower-adjustment (29.6%). Significant differences among the clusters were found for all outcomes, with largest effect sizes for sexual distress (η2p = 0.66), sexual communication (η2p = 0.51), sexual satisfaction (η2p = 0.44), and anxiety and self-efficacy for communication (η2p = 0.32). The intermediate adjustment group was characterized by lower adjustment on measures of sexual and relationship function, and better adjustment on measures of QOL and mood. CONCLUSIONS: Findings suggest that for women cancer survivors, measures of sexual and psychosocial wellbeing can model distinct profiles to inform targeted interventions to meet women's needs. Evidence-based targeted interventions could lead to better sexual function, and ultimately to better QOL and overall wellbeing. IMPLICATIONS FOR PRACTICE: A stepped intervention approach to sexual health care for women with cancer, where content and format depend on degree of sexual and psychosocial adjustment after cancer, may be most appropriate. Interdisciplinary teams may address sexual, emotional, and relationship functioning.


Assuntos
Neoplasias da Mama , Qualidade de Vida , Neoplasias da Mama/psicologia , Análise por Conglomerados , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Qualidade de Vida/psicologia , Comportamento Sexual/psicologia
2.
BMC Public Health ; 22(1): 1714, 2022 09 09.
Artigo em Inglês | MEDLINE | ID: mdl-36085047

RESUMO

BACKGROUND: Sexually transmitted infections are serious global public health issue, and their consequences contribute significantly to population morbidity and mortality, especially in Sub-Saharan Africa. However, there is limited information about the sexually transmitted infections related care-seeking behavior in East Africa. Therefore, this study aimed to assess the pooled prevalence of sexually transmitted infections related care-seeking behavior, and associated factors among reproductive-age women in East Africa using the recent Demographic and Health Survey. METHODS: This study was based on recent Demographic and Health Survey of 8 East African countries from 2008/09 to 2018/2019. A total weighted sample of 12,004 reproductive-age women who reported sexually transmitted infections or symptoms of sexually transmitted infections in the last 12 months wereincluded. A multi-level mixed-effect logistic regression model was used and a P-value of < 0.05 was considered a statistically significant level for identification of individual and community level factors and AOR with a 95% l CI was computed. RESULT: The overall prevalence of sexually transmitted infections related care-seeking behavior among reproductive-age women in East African countries was 54.14% [95% CI: 53.25%, 55.03%]. In multilevel analysis: being age 25-34 [AOR = 1.27 95%CI: 1.15-1.41], 35-49 [AOR = 1.26 95%CI: 1.13-1.41], women who attained secondary or above education [AOR = 1.27, 95% CI: 1.09, 1.47], being in rich household [AOR = 1.27, 95% CI 1.14, 1.41], women who were currently pregnant [AOR = 1.29, 95% CI 1.13, 1.47], who had been tested for HIV [AOR = 1.99, 95% CI 1.70, 2.33], women who had one and more than one sexual partner [AOR = 1.18, 95% CI 1.05, 1.34], women who lived in urban area [AOR = 1.16, 95% CI: 1.03, 1.31] and who perceived distance from the health facility was not a big problem was [AOR = 1.13, 95% CI 1.04, 1.23] were significantly associated with sexually transmitted infections related care-seeking behavior. CONCLUSION: sexually transmitted infections related care-seeking behavior is relatively low as compared with other studies.. This study revealed that individual-level variables such as women's age, educational status, household wealth index, pregnancy status, ever been tested for HIV, number of sexual partners, and community-level variables such as residence and distance from a health facility were associated with sexually transmitted infections related care-seeking behavior. Therefore, public health interventions targeting uneducated women, poor households, and adolescents, as well as improving counseling and awareness creation during HIV/AIDS testing and Antenatal care visits, are vital to improving sexually transmitted infections care seeking behavior.


Assuntos
Infecções por HIV , Infecções Sexualmente Transmissíveis , Adolescente , Adulto , Estudos Transversais , Feminino , Infecções por HIV/epidemiologia , Humanos , Lactente , Análise Multinível , Gravidez , Prevalência , Comportamento Sexual/psicologia , Infecções Sexualmente Transmissíveis/diagnóstico , Infecções Sexualmente Transmissíveis/epidemiologia
3.
BMC Public Health ; 22(1): 1773, 2022 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-36123666

RESUMO

BACKGROUND: Previous research shows that people with intellectual disabilities have less knowledge about sexual health and are more vulnerable to victimisation. In cases of sexual abuse, they are likely to encounter the criminal justice system as vulnerable witnesses. Several challenges arise when people with intellectual disabilities are in communication with the criminal justice system. We aimed to explore the perceptions, experiences and knowledge of people with intellectual disabilities regarding personal and sexual boundaries in order to identify factors relevant for preventing sexual abuse, to develop future studies. METHOD: The study had a qualitative design. Data were collected from seven people with mild intellectual disabilities (25-40 years; 2 men, five women) through one-to-one interviews in specialised health care services for people with intellectual disabilities (SHCS). The participants lived alone, in group homes and with their families. Many received professional support services. Data were analysed using thematic analysis. RESULTS: The interviews identified that the participants want to be in romantic relationships and that some, consider sex to be unimportant. Many of them have had trouble finding someone to have a romantic relationship with. The participants were unsure about sexual consent related to sexual activity, though many could explain the concept of consent in other contexts. Many participants reported that they had experienced sexual abuse, including online sexual abuse. Those participants who had reported the sexual abuse had positive experiences obtaining assistance from the criminal justice system. The participants who had experienced sexual abuse reported trauma and fear related to their experiences. CONCLUSION: This study highlights the need for information about sexually abusive relationships, risks online and ways to get help. More attention should be given to the impact of trauma, police and mental health treatment following sexual abuse against people with intellectual disabilities.


Assuntos
Deficiência Intelectual , Delitos Sexuais , Saúde Sexual , Comunicação , Feminino , Humanos , Deficiência Intelectual/psicologia , Masculino , Delitos Sexuais/prevenção & controle , Comportamento Sexual/psicologia
4.
J Consult Clin Psychol ; 90(8): 638-646, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36066865

RESUMO

OBJECTIVE: Gay and bisexual men have significantly higher rates of depression than heterosexual men. The minority stress theory (Meyer, 2003) proposed that distal minority stressors, like interpersonal discrimination, contribute to this disparity. The psychological mediation framework (Hatzenbuehler, 2009) posited several psychosocial mechanisms through which distal minority stress creates elevations in depression among sexual minorities. Despite accumulating support for this framework, there are a number of limitations to existing research, including largely relying on cross-sectional designs; focusing on a small subset of mechanisms and moderators; and using nonprobability samples. METHOD: We recruited a sample of gay and bisexual men (N = 502) obtained from a population-based data set of U.S. adults. Participants completed validated measures of distal minority stress (i.e., interpersonal discrimination), psychosocial mechanisms (i.e., rumination, emotional clarity, and social support), identity-related moderators (i.e., identity centrality, stigma consciousness, and sexual orientation identity), and depressive symptoms at baseline, 6-month follow-up, and 1-year follow-up. RESULTS: Rumination (b = 0.38, 95% CI [0.13, 0.84]), lack of emotional clarity (b = 0.43, 95% CI [0.11, 0.83]), and lack of social support (b = 0.21, 95% CI [0.04, 0.45]) each individually mediated the prospective relationship between interpersonal discrimination and depressive symptoms, controlling for initial symptoms, age, and education. These indirect effects were not moderated by identity-related characteristics or sexual identity. CONCLUSION: Our study provides some of the strongest empirical evidence for the psychological mediation framework to date and suggests targets for interventions focused on reducing the mental health consequences of minority stress for sexual minority men. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Depressão , Minorias Sexuais e de Gênero , Adulto , Estudos Transversais , Depressão/psicologia , Feminino , Humanos , Masculino , Estudos Prospectivos , Comportamento Sexual/psicologia , Estresse Psicológico/psicologia
5.
Artigo em Inglês | MEDLINE | ID: mdl-36078222

RESUMO

Couple satisfaction is seen as very important by all those in a romantic relationship; however, there are no recipes for it. Using a dyadic approach, we investigate how commitment and intimacy influence couple satisfaction and the moderator role of interpersonal emotion regulation (affect-improving and -worsening strategies). To achieve the scope of the study, we collected data from 131 couples, which were later analyzed using the actor-partner interdependence model with moderation (APIMoM). The results showed that the actor-effect of both commitment and intimacy on couple satisfaction is significant. We found mixed results for the partner-effect of the two variables. Both partners' strategies moderated the association between commitment and couple satisfaction. Women's use of affect-worsening strategies moderated the link between men's intimacy and women's couple satisfaction. The impact of the interactions of commitment or intimacy with interpersonal affect-improving and -worsening strategies on couple satisfaction is discussed further, as well as the implications and importance of the results.


Assuntos
Regulação Emocional , Satisfação Pessoal , Feminino , Humanos , Relações Interpessoais , Masculino , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia
6.
J Psychiatr Res ; 154: 198-202, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35952518

RESUMO

Population-based measures and public health response to stem the spread of the coronavirus may have caused unintended isolation and increased the risk of psychiatric illnesses. The objective of this study is to assess psychological distress among gay, bisexual, and other men who have sex with men (MSM) in China during the COVID-19 pandemic and examine whether these mental health outcomes differ by HIV status. Data were derived from a cross-sectional survey on the impact of COVID-19 on users of Blued, the largest gay social networking app in July 2020. All active users on Blued were invited to complete a survey regarding sexual behaviors, HIV prevention and treatment service utilization, and various health and mental health outcomes. Among all participants (n = 1205), over half (53.2%) of the participants screened mild to severe psychological distress: 34.9% screened mild, 11.6% screened moderate, and 6.6% screened severe psychological distress. Of all participants, 20.9% met the criteria for anxiety and 19.6% for depression. Psychological distress was associated with younger age having a degree below college, being unemployed, and having lower income. MSM with HIV were more likely to report depression or anxiety compared to HIV negative/unknown status MSM after adjusting for study covariates (AOR = 1.80, 95%CI 1.01-3.26; AOR = 2.04, 95%CI 1.11-3.67, respectively). MSM in China experience a high burden of psychological distress during the COVID-19 pandemic. Integrated HIV treatment and mental health services are needed to provide adequate and timely mental health support to MSM living with HIV.


Assuntos
COVID-19 , Infecções por HIV , Minorias Sexuais e de Gênero , COVID-19/epidemiologia , China/epidemiologia , Estudos Transversais , Infecções por HIV/epidemiologia , Infecções por HIV/psicologia , Homossexualidade Masculina/psicologia , Humanos , Masculino , Saúde Mental , Pandemias , Comportamento Sexual/psicologia
7.
PLoS One ; 17(8): e0271264, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36044463

RESUMO

BACKGROUND: In Jordan, cancer is the second leading cause of death after cardiac disease. The impact of cancer on sexual relationships is a taboo subject and hence, such issues are underreported research among Jordanian people examining unmet needs. AIM: To examine the experiences and preferences of Jordanian cancer survivors related to communication regarding their sexual needs. METHODS: Qualitative study conducted between May and June 2020 using semi-structured face-to-face interviews using the snow-balling approach for recruitment. Participants were recruited until data saturation was obtained and data were analyzed using qualitative thematic analysis. RESULTS: Analysis of participants' interview data identified three main categories: 1) The psychological impact of cancer of sexual relationships; 2) Physician support; 3) Variations in sexual life and sexual experiences. CONCLUSION: The study revealed that there is a substantial psychological impact of cancer on sexual relationships among Arab Jordanian cancer survivors. Feeling powerless, being labelled as 'sexually disabled', and lack of communication with physicians were emphasized by participants as a barrier to discuss sexual needs with their physicians. Lack of physicians support negatively impact Jordanian cancer survivors sexual experience and led to increased their sense of powerlessness and loss of control over sexual relationships. IMPLICATIONS FOR PRACTICE: Overall, the study indicated a crucial need for physicians to encourage patients to disclose their sexual experience to help them maintain their sexual and mental health while in the fight against cancer. The physicians, nurses and allied health professionals should be engaged in the conversation with patients by taking an active role in the discussion. Additionally, the family and partners of the patients should also be approached and engaged by health professionals in the discussion to address their needs or sexual issues.


Assuntos
Sobreviventes de Câncer , Neoplasias , Árabes , Humanos , Jordânia , Pesquisa Qualitativa , Comportamento Sexual/psicologia
8.
Cogn Behav Ther ; 51(6): 503-519, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35960277

RESUMO

Vulvodynia is common and has an immense impact on affected women and their partners. Psychological factors have been found to contribute to pain maintenance and exacerbation, and treatments addressing psychological factors have yielded positive results. This study employed a replicated single-case experimental design to examine a cognitive behavioral therapy (CBT) group treatment with partner involvement in vulvodynia. Repeated measures of pain intensity related to pain-inflicting behaviors were collected weekly throughout baseline and treatment phases. Associated outcomes were measured pre-, post- and at two follow-up assessments. Participants were 18-45-year-old women, in a stable sexual relationship with a man, experiencing vulvodynia. Five women completed the treatment consisting of 10 group sessions and 3 couple sessions. Data were analyzed through visual inspection and supplementary nonparametric calculations. The study showed promising results of the CBT treatment in alleviating pain intensity in connection to specific pain-inflicting behavior since three out of five participants showed improvements. For the participants who improved, sexual function, pain catastrophizing, avoidance, and endurance behavior changed during treatment and were maintained at follow-ups. These results warrant further study of the CBT treatment, in larger, and controlled formats.


Assuntos
Terapia Cognitivo-Comportamental , Vulvodinia , Adolescente , Adulto , Catastrofização/psicologia , Terapia Cognitivo-Comportamental/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dor , Comportamento Sexual/psicologia , Inquéritos e Questionários , Vulvodinia/psicologia , Vulvodinia/terapia , Adulto Jovem
9.
J Med Internet Res ; 24(8): e39094, 2022 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-35916700

RESUMO

BACKGROUND: Efficacious mental health interventions for sexual and gender minority youth have had limited reach, given their delivery as time-intensive, in-person sessions. Internet-based interventions may facilitate reach to sexual and gender minority youth; however, there is little research examining their efficacy. OBJECTIVE: This study aims to describe the results of a pilot randomized controlled trial of imi, a web application designed to improve mental health by supporting lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority identity affirmation, coping self-efficacy, and coping skill practice. METHODS: Sexual and gender minority youth (N=270) aged 13 to 19 (mean 16.5, SD 1.5) years and living in the United States were recruited through Instagram advertisements. Approximately 78% (210/270) of the sample identified as racial or ethnic minorities. Participants were randomized in a 1:1 fashion to the full imi intervention web application (treatment; 135/270, 50%) or a resource page-only version of the imi site (control; 135/270, 50%). The imi application covered four topical areas: gender identity; lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority identity; stress and coping; and internalized homophobia and transphobia. Participants explored these areas by engaging with informational resources, exercises, and peer stories at a self-guided pace. Both arms were assessed via web-based surveys at baseline and 4-week follow-up for intervention satisfaction, stress appraisals (ie, challenge, threat, and resource), coping skills (ie, instrumental support, positive reframing, and planning), and mental health symptoms among other outcomes. Main intent-to-treat analyses compared the arms at week 4, controlling for baseline values on each outcome. RESULTS: Survey retention was 90.4% (244/270) at week 4. Participants in the treatment arm reported greater satisfaction with the intervention than participants in the control arm (t241=-2.98; P=.003). The treatment arm showed significantly greater improvement in challenge appraisals (ie, belief in one's coping abilities) than the control (Cohen d=0.26; P=.008). There were no differences between the arms for threat (d=0.10; P=.37) or resource (d=0.15; P=.14) appraisals. The treatment arm showed greater increases in coping skills than the control arm (instrumental support: d=0.24, P=.005; positive reframing: d=0.27, P=.02; planning: d=0.26, P=.02). Mental health symptoms improved across both the treatment and control arms; however, there were no differences between arms. Within the treatment arm, higher engagement with imi (≥5 sessions, >10 minutes, or >10 pages) predicted greater improvement in stress appraisals (all P values <.05). CONCLUSIONS: The results provide initial evidence that asynchronous psychosocial interventions delivered via a web application to sexual and gender minority youth can support their ability to cope with minority stress. Further research is needed to examine the long-term effects of the imi application. TRIAL REGISTRATION: ClinicalTrials.gov NCT05061966; https://clinicaltrials.gov/ct2/show/NCT05061966.


Assuntos
Identidade de Gênero , Minorias Sexuais e de Gênero , Adaptação Psicológica , Adolescente , Feminino , Humanos , Masculino , Projetos Piloto , Comportamento Sexual/psicologia , Estados Unidos
10.
J Health Popul Nutr ; 41(1): 39, 2022 08 30.
Artigo em Inglês | MEDLINE | ID: mdl-36042467

RESUMO

BACKGROUND: In Bangladesh, men's sexual and reproductive health (SRH) needs and related services are often neglected. Little is known of men's SRH concerns, and of the phenomenal growth of the informal and private health actors in the provision of sexual health services to men in rural and urban areas of Bangladesh. METHODS: Using a mixed methods approach, a survey of 311 married men in three rural and urban sites was conducted in three different districts of Bangladesh and 60 in-depth interviews were conducted to understand their SRH concerns and choice of providers to seek treatment. RESULTS: The research findings reveal that- men's various SRH concerns are embedded in psychosocial and cultural concerns about their masculinity and expectations of themselves as sexual beings, with worries about performance, loss of semen and virility being dominant concerns. Sexually transmitted infections (STIs) were also mentioned as a concern but ranked much lower. Informal providers such as village doctors (rural medical practitioners and palli chikitsoks), drug store salespeople, homeopaths, traditional healers (Ojha/pir/fakir, kabiraj, totka) and street sellers of medicines are popular, accessible and dominate the supply chain. CONCLUSION: There is a need of appropriate interventions to address men's anxieties and worries about their sexual abilities, well-being and choice of providers. This would go a long way to address and alleviate concerns, as well as identify and push men to seek  formal care for asymptomatic STIs, and thereby reduce costs incurred and gender tensions in households.


Assuntos
Saúde Reprodutiva , Infecções Sexualmente Transmissíveis , Bangladesh , Humanos , Masculino , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Comportamento Sexual/psicologia
11.
J Sex Res ; 59(8): 984-999, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35917190

RESUMO

Sexual communication between adolescent partners is an important component of sexual health and wellbeing. Over 40 years of research on adolescent sexual communication has yielded rich information, yet there remain gaps in our understanding of the communication process. The purpose of this scoping review was to synthesize the body of research on adolescent sexual communication to identify how communication has been conceptualized, how researchers have measured communication, and what theoretical frameworks have been applied across the literature. We identified 198 assessments of sexual communication across 119 quantitative studies. This work included 127,489 adolescents (Mage = 15.97) from 15 countries (81.5% U.S.-based). Most studies relied on self-reports (93.4%) and surveyed only one member of a couple (97.5%). The definition of sexual communication was highly varied across the literature: in half of assessments (52.0%) sexual communication was operationalized as a behavior-the verbal or nonverbal exchange of messages about sex-whereas the remaining half of assessments captured social-cognitive aspects of communication (e.g., communication self-efficacy, fear/anxiety). There was also a tendency for investigators to create their own idiosyncratic instruments: half of studies (48.9%) used instruments created by the research team with limited or no discussion of reliability/validity. Regarding the topic of communication, a third of assessments (33.8%) focused exclusively on condom communication and another quarter (24.0%) focused on other safer-sex issues (e.g., STDs, abstinence). Notably absent were studies focused on communication surrounding consent or sexual pleasure. Also absent was a guiding conceptual model or theory that could unify this body of work. Overall, results highlight gaps and inconsistencies in how partner sexual communication has been conceptualized, measured, and theorized about in previous work. We provide several recommendations for future theory-building efforts as well as rigorous, multimethod empirical investigations of adolescent sexual communication that would further our understanding of this important aspect of adolescent sexual wellbeing.


Assuntos
Comportamento Sexual , Infecções Sexualmente Transmissíveis , Adolescente , Comunicação , Preservativos , Humanos , Reprodutibilidade dos Testes , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia
12.
Artigo em Inglês | MEDLINE | ID: mdl-35954656

RESUMO

Human immunodeficiency virus (HIV) is a global health problem, with sexual risk behaviors (SRB) being the main routes of spreading the virus. Evidence indicates that different psychological factors influence SRB (e.g., attitude towards condoms, sexual self-concept, sexual sensation seeking, knowledge of sexual risk behaviors, risk perception). This study proposes an explanatory model of sexual risk behaviors in young people and adults. The sample consisted of 992 young people and adults aged between 18 and 35 years. The model presented good levels of fit (X2 = 3311.433, df = 1471, CFI = 0.964, TLI = 0.959, RMSEA = 0.036), explaining 56% of the variance of sexual activity with multiple partners, 77% of the inadequate use of protective barriers, and 58.8% of sexual activity under the influence of alcohol or drugs from a set of psychological factors in self-report measures. The details of the results offer novel contextual evidence for the prioritization of prevention-oriented psychosocial interventions.


Assuntos
Infecções por HIV , Conhecimentos, Atitudes e Prática em Saúde , Adolescente , Adulto , Chile/epidemiologia , Preservativos , Infecções por HIV/epidemiologia , Infecções por HIV/psicologia , Humanos , Fatores de Risco , Assunção de Riscos , Comportamento Sexual/psicologia , Parceiros Sexuais , Adulto Jovem
13.
BMC Pregnancy Childbirth ; 22(1): 616, 2022 Aug 04.
Artigo em Inglês | MEDLINE | ID: mdl-35927705

RESUMO

BACKGROUND & AIM: Pregnancy is associated with numerous physical and psychological changes and affects the sexual function of couples. Since the root of many marital problems lies in the quality of the relationship and sexual function, the present study investigates the effect of virtual cognitive-behavioral sexual counseling on pregnant women's sexual function and intimacy. METHODS & MATERIALS: This study is a randomized clinical trial, and 80 pregnant women aged 18 to 35 years and in 16-24 weeks of pregnancy were assigned to two intervention and control groups based on randomized blocks from June 2021 to July 2021. The control group received routine prenatal care, but the intervention group, in addition to routine prenatal care, underwent virtual counseling with a cognitive-behavioral approach during eight sessions of 90 minutes. Data were collected using the Female Sexual Function Index (FSFI) and sexual intimacy questionnaire. SPSS software was used for statistical analysis. RESULTS: The comparison of mean scores of sexual function and intimacy in the two groups before the intervention was not statistically significant with each other. However, after the intervention, the mean scores of sexual function and intimacy in the intervention group were significantly increased compared to the control group (p < 0.001). The effect size of the intervention was 0.52 for sexual function and 0.272 for sexual intimacy. CONCLUSION: Virtual cognitive-behavioral counseling can be used as an effective treatment to promote sexual function and intimacy of women during pregnancy. TRIAL REGISTRATION: IRCT20161230031662N10. Registry date: 21/06/2021.


Assuntos
Gestantes , Comportamento Sexual , Cognição , Aconselhamento , Feminino , Humanos , Gravidez , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia
14.
BMC Womens Health ; 22(1): 340, 2022 08 12.
Artigo em Inglês | MEDLINE | ID: mdl-35962332

RESUMO

BACKGROUND: Nowadays, Female Genital Cosmetic Surgery is quite prevalent, resulting in a wide range of medical and cultural implications. The majority of women who undergo this operation suffer from anxiety, depression, and other emotional symptoms. The present study was carried out in order to explore women's perspective on and experience of genital cosmetic surgery given their special context and cultural aspects. METHODS: The qualitative study applying content analysis examined the experiences of nine women who received genital cosmetic surgery in Erbil, Kurdistan-Iraq, between 2021 and 2022. Each of the semi-in-depth face-to-face interviews lasted between 40 and 60 min and was conducted at the physician's clinics. RESULTS: Semi-structured interviews led to emergence of two main themes, namely "husband satisfaction" and "self-confidence". Interpreting the participants' stories resulted in some relevant subthemes and meaning units like "ugly appearance", "anxiety related to husband undesirable intercourse", and "dyspareunia". Finally, the related conclusions of each theme were explored. CONCLUSION: As suggested by the study findings, female genital cosmetic surgery improves the women's body image and sexual function and the couples' sexual satisfaction, especially that of husbands. Because of the people's sociocultural aspects in Kurdistan region, their awareness of female sexual needs and marital relationship needs to be raised.


Assuntos
Cirurgia Plástica , Coito/psicologia , Feminino , Genitália , Humanos , Iraque , Comportamento Sexual/psicologia
15.
F1000Res ; 11: 177, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36035886

RESUMO

Since thousands of years ago, oral sex has become part of sexual behavior among humans. Oral sex is considered taboo. Its taboo does not lie in the behavior, but its expression is deemed inappropriate. As technology becomes more sophisticated, human rights also stand out, leading to the disclosure of the practice in the 21 st century. The oral sex that is discussed on a large scale in media encourages people to express it as feedback whether within right or not. It all depends on the value of each people. We found that this sexual behavior is found everywhere regardless of religion, culture, and race. Pop culture influences this behavior so much, it can be seen from music, movies, and television programs that provoke oral sex. Many motivations underlying this behavior include getting sexual pleasure for the sake of living well-being. But it is undeniable that this behavior is still controversial. It could be at risk of causing disease and, on the other hand, is reported to provide many benefits.  According to our theory, oral sex is not a new behavior crossing boundaries. It is just an old behavior that surfaces because of the factors that support it. This behavior, which is still considered taboo, has its disadvantages such as sexually transmitted disease but has also benefits such as preventing preeclampsia.


Assuntos
Comportamento Sexual , Infecções Sexualmente Transmissíveis , Feminino , Humanos , Gravidez , Religião , Comportamento Sexual/psicologia
16.
J Adolesc Health ; 71(4): 446-454, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35811246

RESUMO

PURPOSE: This study aims to compare low socioeconomic status, urban early adolescents' (EAs) attitudes toward gender, gender diversity and sexual diversity in two contexts with similar progressive legal frameworks for gender equality and nondiscrimination, South Africa and Belgium, to understand the ways in which adolescents modify or conform to prevailing attitudes. METHODS: The study used a cross-sectional design and sampled 1,102 and 569 EAs (between 11 and 15 years old) in Belgium and South Africa respectively. Quantitative data were collected using tablets. Sample characteristics and gender attitude scales are described and compared in the two countries, and between boys and girls within each country. Comparisons are conducted on the mean score for the 5-point Likert scale items on the gender attitude scales. RESULTS: Girls in both countries expressed more tolerant attitudes toward same-sex romantic relationships and experienced more gender diverse emotional attraction and physical attraction to same-sex individuals than boys. Generally, boys endorsed more heteronormative relationship norms and other stereotypical attitudes than girls. Conversely, girls tended to embrace sexual double standards more than boys. South African EAs exhibited more sexual diversity but less tolerant attitudes toward gender and gender diversity. Belgian EAs, especially girls, tended to exhibit more tolerant attitudes toward diversity in gender identity. DISCUSSION: There were important differences in attitudes toward gender, gender diversity, and sexual diversity among EAs, despite the countries' similar progressive legislative frameworks. In the future, sociocultural and other determinants of EAs' attitudes should be further explored at different levels from the individual to the societal.


Assuntos
Identidade de Gênero , Comportamento Sexual , Adolescente , Atitude , Bélgica , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Fatores Sexuais , Comportamento Sexual/psicologia , África do Sul
17.
BMC Public Health ; 22(1): 1368, 2022 Jul 16.
Artigo em Inglês | MEDLINE | ID: mdl-35842627

RESUMO

BACKGROUND: Gender inequity and the subsequent health impacts disproportionately affect communities in the Global South. However, most gender equity measures, such as Pulerwitz' (2000) Sexual Relationship Power Scale (SRPS), are developed and validated in the Global North and then applied in Global South settings without investigation of context applicability or validity. This study examines the SRPS' validity evidence, comprehensiveness, and contemporary relevance for young South African women and men. METHODS: Between 2019 and 2021, 38 cognitive interviews (CIs) were conducted among previous participants of a South African youth cohort study 'AYAZAZI' (2015-2017) to explore youth's perceptions of the SRPS. The SRPS measures women's perceptions of their partner's controlling behaviours, and men's perceptions of their own controlling behaviours. Using CIs, participants responded to a 13-item adaptation of the SRPS for use among South African youth (strongly agree-strongly disagree), and then were asked to think-aloud their reasoning for responses, their understanding and perceived relevance of each item, and made overall suggestions for scale adaptations. An item appraisal coding process was applied, whereby Cognitive Coding assessed the types of cognitive problems youth had with understanding the items, and Question Feature Coding assessed which item features caused problems for participant understandings. Finally, youth recommendations for scale adaptations were summarized. RESULTS: Overall, 21 women and 17 men aged 21-30 participated in CIs in Durban and Soweto, South Africa. Cognitive Coding revealed 1. Comprehension issues, and 2. Judgements related to items' applicability to lived experiences and identities (e.g., being unmarried). Question Feature Coding revealed items' 1. Lack of clarity or vagueness in wording and 2. Logical problems in assumptions leading to multiple interpretations (e.g., item 'my partner always need to know where I am' interpreted as both controlling and caring behaviour). Multiple, overlapping issues revealed how many items failed to "fit" within the present-day living realities of South African youth. Youth recommended several item adaptations and additions, including strength-based items, to existing measures of gender equity and relationship power. CONCLUSION: Given identified issues, several adaptations including revising items to be more inclusive, contemporary, context specific, relational, and strength-based are needed to validly measure gender equity and power dynamics within the relationships of South African youth.


Assuntos
Delitos Sexuais , Comportamento Sexual , Adolescente , Estudos de Coortes , Feminino , Humanos , Masculino , Homens , Comportamento Sexual/psicologia , África do Sul
18.
J Obstet Gynaecol Res ; 48(9): 2285-2295, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35844087

RESUMO

BACKGROUND: To systematically review and summarize the available literature regarding the women's sexual function during COVID-19 pandemic and compare it to pre-pandemic period. METHODS: We searched PubMed and Embase from the inception of the databases until 15th April 2021. Data regarding the sexual function, measured by female sexual function index (FSFI), of adult sexually active women were extracted from the eligible studies and compared between the before and during the COVID-19 pandemic. The secondary outcome was the frequency of intercourse during pandemic time. The random-effect model was used to pool the mean differences and corresponding 95% confidence intervals (CIs). Heterogeneity was assessed using the I2 value. RESULTS: Our search resulted in a sample of six eligible studies, which involved 1114 female participants. The total FSFI score among study participants during pandemic was 22.93 (95% CI: 19.26-26.59), which indicated a significant decrease in sexual function of women during pandemic as compared to pre-pandemic time (mean difference = -3.80, 95% CI: -6.48 to -1.12, p = 0.005, I2  = 96%). We also conducted a meta-analysis of individual FSFI domains. During pandemic, women had problems with arousal (p < 0.0001), orgasm (p = 0.0008), satisfaction (p = 0.0009), and pain (p = 0.009). No significant difference in frequency of intercourse was observed between pre- and during pandemic (p = 0.80). Furthermore, no significant publication bias was present among included studies. CONCLUSION: Overall, there was a significant decrease in sexual function of sexually active adult women during COVID-19 pandemic. The most affected areas of sexual function were arousal, orgasm, pain, and satisfaction. Physicians must be aware of COVID-19 impact on sexual life of women and provide proper counseling.


Assuntos
COVID-19 , Adulto , Coito , Feminino , Humanos , Orgasmo , Dor , Pandemias , Comportamento Sexual/psicologia , Inquéritos e Questionários
19.
Arch Sex Behav ; 51(6): 2955-2967, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35849207

RESUMO

Increased urination urgency has been shown to facilitate impulse control in cognitive domains, but its effects in other areas are unknown. We examined whether inhibitory spillover effects would replicate and extend to close relationships-specifically, influencing decision making related to sexual risk-taking. Across three studies, we either measured (Studies 1 and 3) or manipulated (Study 2) participants' bladder pressure and assessed sexual self-control using a questionnaire of sexual risk-taking intentions (Study 1) or a simulated semi-behavioral sexual risk-taking (Choose Your Own Sexual Adventure) task (Studies 2 and 3). Study 1 (N = 44 men, 59 women) showed greater urination urgency was associated with greater sexual risk-taking. Study 2 (N = 65 men, 91 women) showed that increasing urination urgency led to greater sexual risk-taking, but only among men. Study 3 (N = 86 men, 183 women) showed elevated urination urgency was associated with an increase in sexual arousal, which accounted for the greater sexual risk-taking.


Assuntos
Excitação Sexual , Micção , Feminino , Humanos , Intenção , Masculino , Assunção de Riscos , Comportamento Sexual/psicologia , Incontinência Urinária de Urgência
20.
Arch Sex Behav ; 51(6): 2867-2877, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35859261

RESUMO

Jealousy is an affective state activated by a perceived threat to a valued relationship by a third party. On average, males report higher distress about their partner's sexual extra-pair involvement, while females show higher emotional jealousy. These sex differences are specific to heterosexuals and to contexts with potential reproductive costs. We tested the effect of sex and sexual orientation of the individual, and sex of the partner and potential rival on sexual versus emotional jealousy. Sexual orientation was operationalized as a willingness to form long-term relationships with men, women, or both. Heterosexual, homosexual, and bisexual males (N = 416) and females (N = 1328) from Brazil, Chile, and Portugal responded to the Sexual vs. Emotional Jealousy Scale and then ranked their distress to four hypothetical scenarios: sexual or emotional involvement of their partner with a male or a female rival. This is the first study to simultaneously test for an effect of self, partner, and rival sex on jealousy: bisexual individuals responded twice, about a hypothetical female and about a male partner. Individuals were most preoccupied with their partner's emotional relationship with a rival of the same sex as the respondent. Heterosexual males reported higher sexual jealousy than the other groups, but did not differ from bisexual men responding about female partners. Bisexual females were more upset by sexual extra-pair involvement of their female (versus male) partners with a male rival. Thus, jealousy was influenced by sex and sexual orientation of the individuals, sex of the partners, and also by sex of the rivals: same-sex rivals were perceived as most threatening. This suggests that besides being a strategy to maintain a primary relationship, jealousy is particularly sensitive to same-sex competitors, being an intra-sexual competition strategy.


Assuntos
Ciúme , Comportamento Sexual , Bissexualidade/psicologia , Feminino , Heterossexualidade/psicologia , Homossexualidade , Humanos , Masculino , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia
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