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Medicine (Baltimore) ; 99(36): e21981, 2020 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-32899040


Early life family relationships affect the sexuality in adulthood, and these influences might be reflected in sexual dreams. The present study was designed to investigate the exact associations between family relationships and sexual dream experience. We therefore invited 62 frequent sexual dreamers (dreamers) and 104 healthy volunteers (controls) to answer the Sexual Dream Experience Questionnaire (SDEQ) and the Family Relationship Questionnaire (FRQ). Compared to controls, dreamers scored higher on all SDEQ factors and sexual dream frequency, higher on FRQ Paternal Abuse, and lower on FRQ General Attachment and Maternal Freedom Release. In controls, Paternal Abuse was associated with Joyfulness, Maternal Dominance with Aversion, and Maternal Abuse with dream frequency (-). In dreamers, Paternal Abuse was associated with Aversion, Bizarreness and dream frequency, and Maternal Freedom Release with Aversion (-). In conclusion, there were pronounced associations between sexual dreams and family relationships in frequent sexual dreamers. Paternal Abuse in particular was associated with sexual dream experience. Adverse family relationships might induce frequent sexual dream occurrence, and family therapy or early intervention of Paternal Abuse might alleviate the negative sexual dream experience.

Sonhos , Relações Familiares , Sexualidade , Adolescente , Adulto , Estudos de Casos e Controles , Feminino , Voluntários Saudáveis , Humanos , Masculino , Adulto Jovem
Khirurgiia (Mosk) ; (7): 18-24, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32736459


OBJECTIVE: To compare quality of life in patients undergoing proctocolectomy with ileal pouch procedure and ileostomy taking into account sexual function. MATERIAL AND METHODS: The comparative observational study included 138 patients with ulcerative colitis for the period 2013-2018. All patients underwent surgery with one- or two-stage formation of pelvic pouch (n=76) or ileostomy (n=62). Validated questionnaires SF-36, The International Index of Erectile Function (IIEF), Female Sexual Function Index (FSFI) were used in the study. RESULTS: Patients with pelvic pouch were significantly younger than patients with terminal ileostomy (33.7±10.9 and 44.6±14.9 years, respectively, p<0.0001). The majority of the parameters of SF-36 questionnaire were similar in both groups. Pain syndrome intensity was the only sign demonstrating the advantage of ileostomy over pelvic pouch. However, regression analysis did not confirm the effect of surgical technique on pain severity. Orgasmic function was significantly better in men with pelvic pouch compared to ileostomy. Other indicators of sexual function were similar. According to FSFI questionnaire, women with pelvic pouch also showed significantly better results than patients with permanent ileostomy. However, multivariate regression analysis revealed no significant effect of surgical technique on sexual function in men and women. At the same time, significant negative correlation between IIEF and FSFI scores and age was revealed. CONCLUSION: No significant influence of surgical technique on postoperative QOL was observed in patients with ulcerative colitis. Better sexual function in men and women with pelvic pouch are due to younger age rather type of surgery.

Colite Ulcerativa/cirurgia , Ileostomia/efeitos adversos , Proctocolectomia Restauradora/efeitos adversos , Qualidade de Vida , Disfunções Sexuais Fisiológicas/etiologia , Adulto , Fatores Etários , Colite Ulcerativa/fisiopatologia , Colite Ulcerativa/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dor Pós-Operatória/etiologia , Fatores Sexuais , Disfunções Sexuais Psicogênicas/etiologia , Sexualidade/fisiologia , Adulto Jovem
Soins Gerontol ; 25(144): 12-16, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32792235


Negative stereotypes are often conveyed in the area of older adults' sexuality. Contrary to popular belief, sexual desire persists in elderly. Sexual activity has a positive impact on psychological well-being but it must be adapted to the elderly body because it can be hindered by somatic pathologies or medications. In this article we emphasize the rights to privacy and to sex life in the elderly.

Sexualidade , Idoso , Humanos , Privacidade , Comportamento Sexual
Soins Gerontol ; 25(144): 17-22, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32792236


Talking about sexuality of the elderly remains a taboo in our society. However, care given in a Cognitive and Behavioural Unit to people with major neurocognitive disorders can led health professionals to being confronted with sexuality of patients. We discuss about elements that distinguish sexual behavioural disorders, including ability to consent to sexuality, as well as elements useful in care of innapropriate sexual behaviours.

Terapia Cognitivo-Comportamental , Unidades Hospitalares , Hospitalização , Sexualidade , Idoso , Humanos
Soins Gerontol ; 25(144): 23-24, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32792237


The elderly person has the right to respect for their dignity and privacy. Society needs to change its perception on various aspects regarding seniors, including sexuality. A reflection and specific trainings for caregivers should be systematic.

Sexualidade , Idoso , Humanos , Privacidade
Soins Gerontol ; 25(144): 25-28, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32792238


A reflection can be carried out on intimacy within private areas in institutions. An analysis of the concepts that currently underpin the architectural design of rooms in health and medico-social institutions helps to understand the reasons why privacy and a sense of home are often undermined. A sensitive approach makes it possible to explore people's lived experiences and to propose avenues for reflection to improve living conditions in institutions.

Arquitetura de Instituições de Saúde , Instituições Residenciais , Sexualidade , Idoso , Humanos , Privacidade
PLoS One ; 15(8): e0237707, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32797069


BACKGROUND: Gender role non-conforming behaviors are a significant risk factor for school-related violence. The objective of this study is to describe the types, prevalence and correlates of social violence among Thai secondary school students, with a focus on gender role non-conformity. METHODS: This article uses secondary data from a national study of 2070 secondary school students aged 13-20 years representing Bangkok and all four regions of Thailand. Students were asked about their gender/sexual identity, self-perception of their masculinity or femininity, and experiences of social violence. Correlates of social violence were examined using multivariable logistic regression models. RESULTS: Prevalence of social violence victimization was high (57%). Most students considered themselves to be as masculine or as feminine as other members of their sex (82.6%), while 9.1% thought that they were less masculine/less feminine, and 8.3% thought they were more masculine/more feminine. Students who considered themselves less masculine or less feminine than others of their sex (AOR = 1.59, 95% CI: 1.13, 2.25) were more likely to experience social violence, compared to students who considered themselves equally masculine/feminine. Students who self-identified as lesbian, gay, bisexual or transgender (LGBT) (AOR = 1.37, 95% CI: 1.01, 1.86) were also more likely to experience social violence, compared to students who did not identify as LGBT. However, students who considered themselves more masculine or feminine than other students of their sex (AOR = 0.62, 95% CI: 0.44, 0.88) were less likely to experience social violence. DISCUSSION: Students who identified as LGBT, or considered themselves to be less masculine or less feminine than other students of their sex, had higher odds of social violence victimization. Anti-bullying campaigns need to emphasize that perpetrating social violence is not tolerated, and gender-based violence needs to be included in comprehensive sexuality education curricula.

Bullying , Identidade de Gênero , Sexualidade , Adolescente , Adulto , Vítimas de Crime , Feminino , Feminilidade , Humanos , Masculino , Masculinidade , Instituições Acadêmicas , Autoimagem , Estudantes , Tailândia , Violência , Adulto Jovem
Pediatrics ; 146(2)2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32719089


Female genital mutilation or cutting (FGM/C) involves medically unnecessary cutting of parts or all of the external female genitalia. It is outlawed in the United States and much of the world but is still known to occur in more than 30 countries. FGM/C most often is performed on children, from infancy to adolescence, and has significant morbidity and mortality. In 2018, an estimated 200 million girls and women alive at that time had undergone FGM/C worldwide. Some estimate that more than 500 000 girls and women in the United States have had or are at risk for having FGM/C. However, pediatric prevalence of FGM/C is only estimated given that most pediatric cases remain undiagnosed both in countries of origin and in the Western world, including in the United States. It is a cultural practice not directly tied to any specific religion, ethnicity, or race and has occurred in the United States. Although it is mostly a pediatric practice, currently there is no standard FGM/C teaching required for health care providers who care for children, including pediatricians, family physicians, child abuse pediatricians, pediatric urologists, and pediatric urogynecologists. This clinical report is the first comprehensive summary of FGM/C in children and includes education regarding a standard-of-care approach for examination of external female genitalia at all health supervision examinations, diagnosis, complications, management, treatment, culturally sensitive discussion and counseling approaches, and legal and ethical considerations.

Circuncisão Feminina , Criança , Maus-Tratos Infantis , Cicatriz/etiologia , Circuncisão Feminina/efeitos adversos , Circuncisão Feminina/classificação , Circuncisão Feminina/legislação & jurisprudência , Circuncisão Feminina/psicologia , Competência Clínica , Confidencialidade , Documentação , Feminino , Doenças Urogenitais Femininas/etiologia , Procedimentos Cirúrgicos em Ginecologia , Humanos , Infecções/etiologia , Infertilidade Feminina/etiologia , Consentimento Livre e Esclarecido , Classificação Internacional de Doenças , Notificação de Abuso , Anamnese , Saúde Mental , Dor/etiologia , Pediatras , Exame Físico , Prevalência , Refugiados/legislação & jurisprudência , Sexualidade
Rev. Saúde Pública Paraná (Online) ; 3(1): 137-143, 08/07/2020.
Artigo em Português | Coleciona SUS, CONASS, SESA-PR | ID: biblio-1119421


A pirâmide etária mostra um envelhecimento progressivo no mundo. Esse processo envolve aspectos relacionados à saúde, entre eles a sexualidade como variável interferente na qualidade de vida do ser humano. Este relato buscou discorrer sobre uma ação de educação em saúde voltada para os idosos, realizada no âmbito da Atenção Primária em Saúde, desenvolvida por estudantes de medicina. A experiência ocorreu por meio de rodas de conversa e aconselhamento acerca do tema sexualidade na terceira idade, abordando assuntos referentes aos preconceitos e tabus nessa fase, além das mudanças decorrentes do envelhecimento e alertas sobre as Infecções Sexualmente Transmissíveis (ISTs). Dessa forma, a dinâmica estabelecida teve como foco principal contribuir para o empoderamento dos idosos, tornando-os capazes de discernir os mitos e estereótipos da sexualidade, bem como instruir quanto aos riscos e as formas de prevenção às ISTs. (AU)

The age pyramid shows progressive ageing in the world. This process involves aspects related to health, including sexuality as an interfering variable in the quality of life of the human being. This report aimed to discuss a health education action directed to senior citizens, carried out within the scope of Primary Health Care, developed by medical students. The experience took place through conversation and counseling concerning the theme 'sexuality in old age', addressing issues related to prejudice and taboos in this phase, as well as changes due to aging and warnings about Sexually Transmitted Infections (STIs). Thus, the established dynamics had as main focus to contribute to the empowerment of the elderly, making them capable of discerning the myths and stereotypes of sexuality, as well as instructing on the risks and ways to prevent STIs. (AU)

Humanos , Masculino , Feminino , Idoso , Envelhecimento , Doenças Sexualmente Transmissíveis , Saúde do Idoso , Sexualidade , Promoção da Saúde
Rev. Saúde Pública Paraná (Online) ; 3(1): 108-119, 08/07/2020.
Artigo em Português | Coleciona SUS, CONASS, SESA-PR | ID: biblio-1119414


A adolescência é caracterizada como a passagem da infância para a fase adulta. Período de maior suscetibilidade a situações de risco. Assim, objetivou-se analisar e comparar as vulnerabilidades de estudantes do ensino médio público e privado em um município paranaense. Trata-se de uma pesquisa de campo, transversal, exploratória-descritiva, de caráter quantitativo, realizada por meio da aplicação de um questionário fechado, adaptado. A pesquisa foi constituída por 470 estudantes, sendo 351 da rede pública e 119 da privada. Observou-se que, alguns já fizeram uso de cigarro e drogas ilícitas, enquanto a maioria já consumiu bebida alcoólica. Acerca do pensamento e da tentativa de suicídio, os alunos de escolas privadas são mais propensos. Ainda, evidenciou-se que, os alunos de escolas públicas apresentaram maior vulnerabilidade. Nesse contexto, salienta-se a importância da promoção e prevenção de saúde por intermédio de ações de educação em saúde nas escolas, voltadas para essa população. (AU)

Adolescence is the passage from childhood to adulthood. This is a period when adolescents are most susceptible to risky situations. Thus, the objective of this study was to analyze and compare the vulnerabilities of public and private high school students in a municipality of the state of Paraná. This is a quantitative, cross-sectional, exploratory-descriptive field research using a closed, adapted questionnaire. The research consisted of 470 students, 351 from the public, and 119 from the private schools. It was observed that some have already used cigarettes and illicit drugs, while most of them have consumed alcohol. Private school students are more likely to think of and attempt suicide, and public school students show more vulnerability. The importance of health promotion and prevention through health education actions in schools aimed at this population is emphasized. (AU)

Humanos , Masculino , Feminino , Adolescente , Adolescente , Análise de Vulnerabilidade , Sexualidade
Siglo cero (Madr.) ; 51(2): 33-53, abr.-jun. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-193111


Esta investigación pretende conocer las experiencias de los profesionales de la educación con respecto a la expresión sexual del alumnado con TEA e identificar las dificultades o necesidades que puedan generarse en el proceso de intervención educativa sexual. Mediante una metodología interpretativa-descriptiva se analizan cinco dimensiones (sexualidad, manejo privacidad, interacción social, actuación profesionales y familias) del diseño generadas a través de las entrevistas realizadas a 31 profesionales. Los resultados muestran que el alumnado con TEA presenta dificultades en el manejo de habilidades sociales, una escasa conciencia de la privacidad y escaso autocontrol. Se confirma la necesidad de realizar adaptaciones personalizadas donde se atiendan necesidades e intereses específicos, trabajando y dando prioridad a las áreas relacionadas con la sexualidad ya que el alumnado muestra interés por el desarrollo de diferentes aspectos de la sexualidad y necesidad de diferentes formas de experimentarla. Los profesionales reclaman la participación activa de la familia, aunque a ambos les resulta complicado abordarlo dado que predominan tabúes, miedos y desconocimiento al respecto. Se evidencia la necesidad de desarrollar programas específicos de formación para el profesorado y la construcción de una red específica de apoyo a los profesionales para intervenir con alumnado con TEA y su entorno familiar

This research aims to know about the experiences of education professionals regarding the sexual expression of students with ASD and to identify the difficulties or needs that may arise in the process of sexual education intervention. Through an interpretative-descriptive methodology, five dimensions (sexuality, privacy management, social interaction, professional and families performance) of the design are analyzed generated via interviews with 31 professionals. The results show that students with ASD have difficulties in managing social skills, little awareness of privacy and little self-control. The study confirms the need for personalized adaptations, which address specific needs and interests by working on areas related to sexuality. The students show interest in the development of aspects of sexuality and the need for different ways to experience it. The professionals claim that the active participation of the family is important. However, both professionals and families find it complicated to address the topic, due to still existing taboos, the fears and the lack of information. The need to develop specific programmes for teacher training and to construct a specific supporting network for professionals to intervene directly with students with ASD and their family environment is evidente

Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Transtorno Autístico , Educação Sexual , Pessoal de Educação , Sexualidade , Entrevistas como Assunto , 25783
PLoS One ; 15(6): e0235260, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32589652


INTRODUCTION: The prevalence of HIV, hepatitis B, and hepatitis C amongst migrants in France is high. Thus, effective screening and follow-up is needed. The mandatory medical check-up for residency application is an opportunity to offer rapid HIV and hepatitis testing. The main objective of the STRADA study is to create a feasible and acceptable screening strategy for migrants. Within the STRADA study, this qualitative research examined the acceptability of conducting screening tests in the context of residency application. METHODS: We conducted a qualitative study amongst legal migrants over 18 years of age with sufficient knowledge of the French, English, or Arabic language. Interviews were performed following a semi-structured interview guide of open-ended questions. Interviews were transcribed verbatim and subsequently analyzed through thematic analysis. RESULTS: We interviewed 34 migrants. Mean age was 32.6 (min-max: 19, 59) years. The participants' region of origin was mostly Sub-Saharan Africa and the main reason for migrating to France was family reunification. Migrants' acceptability of HIV and hepatitis testing was high. Participants who accepted testing indicated a benefit for individual health and to avoid transmission. Most preferred rapid tests; reluctance was related to anxiety about the immediate results and the perceived reliability of rapid tests. Migrants' knowledge about HIV was satisfactory, but inadequate for hepatitis. Screening in the context of a compulsory medical visit did not present an obstacle for acceptability. Some expressed concern in the case of HIV but when explained, the independence between obtaining the residence permit along with screening and access to medical care was well understood. DISCUSSION: Medical check-ups at immigration centers is an opportunity to screen for HIV and hepatitis which is considered acceptable by migrants. Informing migrants that test results do not affect residency applications, and incorporating their preferences, are all important to optimize the acceptability of screening.

Infecções por HIV/diagnóstico , Hepatite B/diagnóstico , Hepatite C/diagnóstico , Programas de Rastreamento/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Migrantes/psicologia , Adulto , Feminino , França , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Sexualidade , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Migrantes/estatística & dados numéricos , Adulto Jovem
Clín. investig. ginecol. obstet. (Ed. impr.) ; 47(2): 78-88, abr.-jun. 2020. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-193716


La histerectomía es una de las intervenciones ginecológicas más frecuentes en todo el mundo. En ocasiones, esta cirugía puede generar importantes cambios en los aspectos emocionales, psíquicos, anatómicos y sociales, lo que puede alterar el funcionamiento sexual en las mujeres que la padezcan. El objetivo de esta búsqueda es analizar el impacto sobre la función sexual en mujeres histerectomizadas por motivos benignos. Durante el mes de enero de 2018 se llevó a cabo una búsqueda sistemática en las bases de datos Medline, Cinahl, PubMed, LILACS, Scopus y Web of Science. Tras aplicar los criterios de inclusión y exclusión seleccionados, se obtuvieron un total de 15 artículos en los cuales se analizaron entre otros la enfermedad de base, el tipo de intervención y el ítem alterado en la función sexual. Como conclusión, existe cierta controversia sobre los efectos de la histerectomía sobre la sexualidad, aunque la mayoría determina que tras la cirugía se produce una mejora en la función sexual

Hysterectomy is one of the most frequent gynaecological interventions in the world. This surgery can sometimes generate important changes in the emotional, psychic, anatomical and social aspects, including alterations of sexual functioning in women who suffer from it. The aim of this study is to analyse the impact on sexual function in women hysterectomised for benign reasons. During the month of January 2018 a systematic search was carried out in the databases Medline, Cinahl, PubMed, LILACS, Scopus, and Web of Science. After applying the selected inclusion and exclusion criteria, a total of 15 articles were obtained. An analysis was performed on variables such as the basic pathology, type of intervention, and altered items in sexual function. As a conclusion, there is some controversy over the effects of hysterectomy on sexuality, although most determine that an improvement in sexual function occurs after the surgery

Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Sexualidade , Histerectomia/métodos , Histerectomia/psicologia , Qualidade de Vida/psicologia , Leiomioma/complicações , Inquéritos e Questionários , Comportamento Sexual/psicologia
Clín. investig. ginecol. obstet. (Ed. impr.) ; 47(2): 40-50, abr.-jun. 2020. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-193717


OBJETIVO: El posible impacto de la histerectomía sobre la función sexual genera ansiedad a las mujeres. Los estudios han mostrado controversia. Dada la frecuencia de esta intervención, nuestro objetivo es saber si la función sexual cambia tras la misma. MATERIAL Y MÉTODOS: Comparamos la función sexual antes de la histerectomía, a los 3 meses tras la misma y a los 9 meses, de las 299 mujeres a las que se les programa dicha intervención entre el 1 de noviembre de 2012 y el 31 de noviembre de 2014 en el Complejo Hospitalario Universitario de Albacete. Finalmente forman parte de nuestro estudio 166 mujeres. Se estudia la función sexual con el Cuestionario de Función Sexual de la Mujer (FSM ®). RESULTADOS: Encontramos que, tras la histerectomía, la función sexual de la mujer mejora en algunos aspectos y no cambia en otros. Las menores de 55 años presentan mejoría en el Deseo, en la Excitación y en la Frecuencia de la actividad sexual, y disminución de Problemas con la penetración vaginal; todo esto es ya manifiesto a los 3 meses de la intervención, sin cambios posteriores. La Ansiedad anticipatoria también mejora entre el tercer y noveno mes. Observamos tendencia a la mejoría en el dominio de Capacidad para disfrutar de su vida sexual en general. En mayores de 55 años solo encontramos aumento en la Frecuencia de actividad sexual a los 9 meses de la cirugía. CONCLUSIONES: Tras la histerectomía, la función sexual de la mujer mejora o no cambia. La mejoría se encuentra principalmente en menores de 55 años

OBJECTIVE: Women may experience anxiety because of the possible effects of hysterectomy on sexual function, but studies have shown conflicting results on this topic. Given the frequency of this procedure, the aim of this study is to determine whether sexual function changes after hysterectomy. MATERIAL AND METHODS: A comparison was made of sexual function before hysterectomy to sexual function at 3 and 9 months after the procedure in 299 women who underwent hysterectomy between 1 November 2012 and 30 November 2014, at the Hospital and University Complex of Albacete, Spain. A total of 166 women were finally included in the study. Sexual function was studied using the Women's Sexual Function Questionnaire (Cuestionario de Función Sexual de la Mujer, FSM ®). RESULTS: It was found that some aspects of female sexual function improved after hysterectomy, whereas others did not change. Those younger than 55 years old experience improvements in sexual desire, excitement, and frequency of sexual activity, and had a decrease in problems with vaginal penetration. These changes were all evident 3 months post-intervention, and no changes occurred thereafter. Anticipatory anxiety also improved between the third and ninth month. An upward trend was observed in the general enjoyment of sex life. In those older than 55 years, an increase was only found in the frequency of sexual activity at 9 months post-operation. CONCLUSIONS: After hysterectomy, female sexual function either improves or remains unchanged. Improvement is primarily found in women younger than 55 years old

Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Histerectomia/métodos , Histerectomia/psicologia , Sexualidade/psicologia , Comportamento Sexual/psicologia , Comportamento Sexual/fisiologia , Inquéritos e Questionários , Estudos Prospectivos , Estudos Longitudinais
Z Psychosom Med Psychother ; 66(2): 193-207, 2020 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-32552592


Is sexual activity during adolescence good for future romantic relationships? Objectives: The study examines the effects of different forms of sexual activity at the age of 16 on sexuality and the quality of romantic relationships at the age of 23. Methods: In a multimodal longitudinal study (diaries, questionnaires), 144 16-year-old adolescents (59.7 % female) reported on their sexual activities and their relationship status. At the age of 23, they reported on their romantic and sexual experiences in the past two years and the quality of their current romantic relationship. Regressions analyzed the predictive power of adolescent predictors for future sexuality and relationship quality. Results: For men and women, frequent non-committed sexual activities at the age of 16 consistently predicted a higher probability of participating in different patterns of non-committed sexual encounters and short relationship duration at the age of 23 years. Adolescents who were more satisfied in their romantic relationships had more stable, longer-lasting partner relationships at young adulthood. Discussion: The special role that non-committed sexual activities compared to sexual activities within a romantic relationship play in future sexual and romantic activities became clear. Parental influences were negligible.

Comportamento do Adolescente , Características da Família , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Adolescente , Feminino , Humanos , Estudos Longitudinais , Masculino , Poder Familiar , Pais/psicologia , Sexualidade/psicologia , Adulto Jovem
Niger J Clin Pract ; 23(6): 870-878, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32525125


Background: This study aimed to identify the unmet sexual health needs of the patients with diabetes seen in a tertiary healthcare facility in Nigeria. Methods: Case-control study design and random sampling method were utilized to recruit type 2 diabetic cases from the University of Calabar Teaching Hospital (UCTH), Calabar, Nigeria. Female Sexual Function Index (FSFI) and International Index for Erectile Function (IIEF) were used to assess sexual function. Result: There were 330 subjects with the mean age of 54.9 years. Among females, the FSFI score was lower among cases compared with controls (18.8 vs. 23.1, P < 0.05). Except for sexual interest, mean scores for all other domains of sexual function were also lower among cases (P < 0.05). Among males, there was no significant difference in overall mean IIEF score comparing cases and controls (40.0 vs. 41.7, P > 0.05). However, mean scores for desire and satisfaction was lower among cases compared with controls (P < 0.05). Older age, unmarried status, presence and duration of hypertension were associated with sexual dysfunction among females. The use of supplements was associated with sexual dysfunction among males (P < 0.05). Conclusion: Sexual dysfunction is common among diabetics with variation in affected domains in both genders in the study setting. These unmet sexual health needs focus to be addressed.

Complicações do Diabetes/epidemiologia , Diabetes Mellitus/fisiopatologia , Disfunção Erétil/fisiopatologia , Ereção Peniana/fisiologia , Disfunções Sexuais Fisiológicas , Disfunções Sexuais Psicogênicas/epidemiologia , Sexualidade/fisiologia , Adulto , Idoso , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nigéria/epidemiologia , Satisfação Pessoal , Comportamento Sexual , Disfunções Sexuais Psicogênicas/etiologia
ABCS health sci ; 45: [1-6], 02 jun 2020. ilus, tab
Artigo em Inglês | LILACS | ID: biblio-1097551


INTRODUCTION: Climacteric is a period of transition between the reproductive and nonreproductive phases of the woman, due to hypoestrogenism. Some symptoms such as vasomotor and urogenital disorders and sexual dysfunctions are characteristics of this period that can interfere negatively in women´s quality of life. However, specific exercises can positively influence the improvement of these conditions. OBJECTIVE: To verify the impact of a physiotherapist supervised exercise protocol on menopausal symptoms, sexuality and quality of life of climacteric women. METHODS: A descriptive study with physiotherapeutic intervention through a specific exercise protocol. Participated in the study 18 women attended to Instituto da Mulher e Gestante, in the city of Santos (SP). RESULTS: The women underwent initial physiotherapeutic evaluation, answered the Sexuality Questionnaire Female Sexual Function Index, Kupperman Menopausal Index and SF-36 quality of life. They were then submitted to health education about climacteric period and also to a physiotherapist supervised exercise group, once a week, lasting 50 minutes, for 12 weeks. The same questionnaires were reapplied at the end of this period. CONCLUSION: The protocol of specific group exercises supervised by physiotherapist did not influence sexual function, but it was effective for better quality of life and decreased significantly climacteric symptomatology.

INTRODUÇÃO: O climatério é um período de transição entre as fases reprodutiva e não reprodutiva da mulher consequente ao hipoestrogenismo. Sintomas vasomotores, alterações do trato urogenital e disfunções sexuais são algumas condições características deste período que podem interferir negativamente na qualidade de vida. Entretanto, exercícios específicos podem influenciar positivamente na melhora dessas condições. OBJETIVO: Verificar o impacto de um protocolo de exercícios supervisionado por fisioterapeuta nos sintomas menopausais, na sexualidade e na qualidade de vida de mulheres no climatério. MÉTODOS: Estudo quase-experimental com intervenção fisioterapêutica por meio de protocolo de exercícios específicos. Participaram do estudo 18 mulheres usuárias do Instituto da Mulher e da Gestante, do município de Santos (SP). RESULTADOS: As mulheres foram submetidas à avaliação fisioterapêutica inicial, responderam aos questionários de sexualidade Female Sexual Function Index, Índice Menopausal de Kupperman e de qualidade de vida SF-36. Foram então submetidas a grupo de exercício supervisionado por fisioterapeuta, uma vez por semana, com duração de 50 minutos, por 12 semanas. Os mesmos questionários foram reaplicados ao final deste período. CONCLUSÃO: O protocolo de exercícios específicos em grupo e supervisionado por fisioterapeuta não influenciou a função sexual, mas foi eficaz para melhor qualidade de vida e enfrentamento da sintomatologia do climatério.

Humanos , Feminino , Pessoa de Meia-Idade , Qualidade de Vida , Climatério , Sexualidade , Terapia por Exercício
Rev Lat Am Enfermagem ; 28: e3293, 2020.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-32578751


OBJECTIVE: to investigate female sexual function in women six months postpartum and to compare sexual function among women who had and who did not have severe maternal morbidity (SMM). METHOD: a cross-sectional study conducted with 110 women in the postpartum period, with and without SMM. Two instruments were used, one for the characterization of sociodemographic and obstetric variables and the Female Sexual Function Index (FSFI) for sexual function. Univariate, bivariate and regression model analyses were performed. RESULTS: FSFI scores showed 44.5% of female sexual dysfunction, of which 48.7% were among women who had SMM and 42.0% among those who had not. There were significant differences between age (P=0.013) and duration of pregnancy (P<0.001) between women with or without SMM. Among the cases of SMM, hypertensive disorders were the most frequent (83%). An association was obtained between some domains of the FSFI and the following variables: orgasm and self-reported skin color, satisfaction and length of relationship, and pain and SMM. CONCLUSION: white women have greater difficulty in reaching orgasm when compared to non-white women and women with more than 120 months of relationship feel more dissatisfied with sexual health than women with less time in a relationship. Women who have had some type of SMM have more dyspareunia when compared to women who have not had SMM.

Satisfação Pessoal , Período Pós-Parto/fisiologia , Comportamento Sexual/fisiologia , Adulto , Estudos Transversais , Feminino , Humanos , Período Pós-Parto/psicologia , Comportamento Sexual/psicologia , Saúde Sexual , Sexualidade , Fatores Socioeconômicos , Inquéritos e Questionários