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1.
Rev. SPAGESP ; 22(2): 19-32, jul.-dez. 2021. tab
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1340810

RESUMO

O presente estudo parte de uma investigação mais ampla sobre a vergonha e o pudor na intimidade da família e tem por objetivo investigar a percepção do pudor em famílias com filhos adolescentes. Realizou-se uma pesquisa qualitativa na qual foram entrevistados oito sujeitos do segmento socioeconômico médio. Os resultados foram analisados de acordo com o método de análise de conteúdo, vertente temático-categorial e discutidos a partir do referencial teórico da psicanálise e das ciências sociais. Considerando o objetivo do presente estudo, apresentamos e discutimos as categorias: estranhamento do pudor; transmissão do pudor: um legado em questão; novos rumos da intimidade no lar e imagem no espaço público: protegendo a vergonha dos filhos. Os resultados apontam que os participantes atribuem ao pudor um significado de intimidade corporal e sexual transmitido pelas gerações anteriores e com pouca expressão na atual interação familiar. Concluímos que a transmissão geracional do pudor vem sofrendo uma descontinuidade, tendo em vista a maior proximidade afetiva com os filhos e seus reflexos na transformação da intimidade familiar.


ABSTRACT The present study is part of a broader investigation of shame and modesty in the intimacy of the family and aims to investigate the perception of modesty in families with adolescent children. Qualitative research was conducted in which eight 8 subjects from the middle socioeconomic segment were interviewed. According to the content analysis method, the results were analyzed, thematic-categorical, and discussed from the theoretical framework of psychoanalysis and social sciences. Considering the objective of the present study, we present and discuss the categories: the strangeness of modesty; transmission of modesty: a legacy in question; new directions of intimacy in the home and image in the public space: protecting the shame of children. The results show that the participants attribute to modesty a meaning of bodily and sexual intimacy transmitted by previous generations and little expression in the current family interaction. We conclude that the generational transmission of modesty has suffered a discontinuity, given the greater affective proximity to the children and their reflexes in the transformation of family intimacy.


RESUMEN El presente estudio, parte de una investigación más amplia sobre la vergüenza y la modestia en la intimidad de la familia y tiene como objetivo investigar la percepción de la modestia en familias con hijos adolescentes. Se realizó una investigación cualitativa en la que se entrevistó a 8 sujetos del segmento socioeconómico medio. Los resultados fueron analizados según el método de análisis de contenido, temático-categórico y discutidos desde el marco teórico del psicoanálisis y las ciencias sociales. Teniendo en cuenta el objetivo del presente estudio, presentamos y discutimos las categorías: extrañeza del pudor; transmisión del pudor: un legado en cuestión; nuevas direcciones de intimidad en el hogar e imagen en el espacio público: protegiendo la vergüenza de los niños. Los resultados muestran que los participantes atribuyen al pudor un significado de intimidad corporal y sexual transmitido por generaciones anteriores, y con escasa expresión en la interacción familiar actual. Concluimos que la transmisión generacional del pudor ha sufrido una discontinuidad, ante la mayor proximidad afectiva con los hijos y sus reflejos en la transformación de la intimidad familiar.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Valores Sociais , Privacidade , Sexualidade , Relações Familiares , Moral
2.
Multimedia | Recursos Multimídia | ID: multimedia-9406

RESUMO

Evento com objetivo de discutir sexualidade da mulher contemporânea, abordagem médica na disfunção sexual em mulheres com câncer ginecológico e contribuições terapêuticas, além de indicadores do Ambulatório de Sexualidade do INCA.


Assuntos
Sexualidade , Neoplasias dos Genitais Femininos
3.
J Am Psychoanal Assoc ; 69(4): 693-714, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34727734

RESUMO

Jouissance is one of Jacques Lacan's most impenetrable concepts. Yet it is essential to Lacan's view of sex. The term is sometimes translated as "enjoyment," but this misses key features of the concept, notably its "traumatic," excessive character. This excess points to a structural negativity within the subject (i.e., the real), an original split that cannot be remedied. In this first of a series of three papers, it is proposed that "surplus prediction error"-as understood within contemporary neuropsychoanalysis-is a neural correlate for jouissance. In part 1, jouissance is explicated within Lacanian metapsychology, primarily in reference to Lacan's real and symbolic registers. Jouissance is an excess enjoyment, outside of the binding, representational capacities of language. The real is the negativity or antagonism within the symbolic, the limit of language and meaning, the point where jouissance emerges. To clarify the relationships among these terms, their positions are traced in some of Freud's major concepts, including drive, infantile sexuality, repetition, and the unconscious. A basic understanding of jouissance is necessary for the rest of this Lacanian neuropsychoanalytic project.


Assuntos
Idioma , Teoria Psicanalítica , Humanos , Sexualidade
4.
Am J Occup Ther ; 75(4)2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34780616

RESUMO

IMPORTANCE: Sexuality is an important part of the human experience. However, little is known about the experience of sexuality from the perspective of adults with intellectual and developmental disabilities (IDD). OBJECTIVE: To review evidence about the lived experience of sexuality among adults with IDD to inform future research and practice. DATA SOURCES: We located articles using search terms summarized into three categories: intellectual disability, sexual activity, and feelings/opinions. Articles were indexed in the following electronic databases: CINAHL, Scopus, PubMed, and PsycINFO. Study Selection and Data Collection: Arksey and O'Malley's methodology was used to review scientific literature published between 2008 and 2018. The studies were in English, were located in peer-reviewed journals, and described the experience of sexuality from the perspective of people with IDD or observations of expressed sexuality. FINDINGS: Seventeen articles met inclusion criteria. Four main themes emerged: intimate relationships, oppressed sexual activity, knowledge, and identity. Findings indicate that sexuality is a part of the lives of many adults with IDD, regardless of their engagement in sexual activity. CONCLUSIONS AND RELEVANCE: Barriers to expression of sexuality exist for people with IDD. Some of these barriers are internal, although many are external. The results provide support for addressing sexuality among adults with IDD. What This Article Adds: This review provides evidence to support occupational therapy practitioners in including sexuality as a part of their holistic view of clients and as an area for advocacy.


Assuntos
Deficiência Intelectual , Terapia Ocupacional , Adulto , Criança , Deficiências do Desenvolvimento , Humanos , Comportamento Sexual , Sexualidade
5.
Pan Afr Med J ; 40: 38, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34795819

RESUMO

Breast cancer is the most common neoplastic disease in women. Several treatment strategies are used: chemotherapy, radiotherapy, surgery and hormone therapy. Each of these treatments may affect sexual health of patients in the short or long term. The purpose of our study is to assess the quality of sexual life in women after breast cancer treatment. We made a quantitative descriptive estimate of 100 sexual active patients followed up for non-metastatic breast cancer, met during their consultations with a gynaecologist at the Farhat Hached hospital in Sousse. Data collection was carried out using an information sheet and two validated scales: RSS (relation Ship and sexual) and BESAA (Body EsteemScale for adolescents and Adults) to assess the quality of sexual life and body image. The average age of patients was 53.8 years. About half of patients (48%) had impaired sexuality due to the disease. The frequency of intercourse, sexual desire and the ability to reach orgasm were decreased in 65. 45, and 54 patients, respectively. The overall score for the three body image dimensions was 49.4. Women aged between 35 and 39 years were significantly more afraid of sexual intercourse (p=0.002) and less of sexual frequency (p=0.004). Adequate and enhanced training focused on the management of women with cancer and their sexual problems and multidisciplinary approach can improve women's psychological status.


Assuntos
Neoplasias da Mama/terapia , Qualidade de Vida , Comportamento Sexual/psicologia , Saúde Sexual/estatística & dados numéricos , Adulto , Imagem Corporal/psicologia , Neoplasias da Mama/psicologia , Coito/psicologia , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Orgasmo , Comportamento Sexual/estatística & dados numéricos , Sexualidade/psicologia , Inquéritos e Questionários
6.
Arch Ital Urol Androl ; 93(3): 255-261, 2021 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-34839630

RESUMO

OBJECTIVE: To review the literature on the impact on female quality of life and sexual function of orthotopic reconstruction after radical cystectomy for non-malignant bladder conditions. Radical cystectomy is commonly required to treat malignant conditions but may also be considered for the treatment of non-malignant diseases. These heterogeneous group of disorders includes interstitial cystitis, painful bladder syndrome, neurogenic bladder, haemorrhagic/ radiation cystitis, endometriosis and refractory genitourinary fistula. Treatment begins with non-invasive medical therapies but, in non-responder cases, a surgical solution should be considered. Such invasive techniques include urinary diversion and reconstructive procedures that have an impact on healthrelated quality of life, physical, social, and mental status. MATERIALS AND METHODS: This narrative review research was done using the PubMed database up until 2020, July. All papers referring to cystectomy for benign indication were considered. RESULTS: In comparison to other reconstructive options, orthotopic neobladder allows the restoration of a normal self-image and consequently it is the most suitable procedure when a surgical reconstruction is necessary for non-malignant conditions. However, women can face many disorders that impact on everyday life, such as voiding dysfunction or sexual activity problems. CONCLUSIONS: Scant data is available about quality of life, sexual life and self-perception in women treated by cystectomy for benign conditions and most literature is dedicated to those indicators in cancer patients. More research is needed to understand the tolerability and the quality of life results of the female population affected by benign conditions undergoing this kind of surgical approach.


Assuntos
Cistectomia , Neoplasias da Bexiga Urinária , Feminino , Humanos , Qualidade de Vida , Sexualidade , Neoplasias da Bexiga Urinária/cirurgia
7.
Rev Bras Enferm ; 75(1): e20210049, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34614082

RESUMO

OBJECTIVES: to analyze the effects of sexuality on frailty and quality of life in the elderly. METHODS: a sectional study conducted with 662 elderly people between July and October 2020. Four self-administered instruments were used to collect bio-sociodemographic variables, sexuality, frailty and quality of life. Correlation analysis and structural equation modeling were performed. RESULTS: among the dimensions that assess sexuality, sexual intercourse had a weak, positive effect on quality of life (SC: 0.134, 95%CI: 0.153 - 0.254, p = 0.027), while affective relationships had a strong, positive effect (SC: 0.556, 95%CI: 0.442 - 0.670, p < 0.001). Frailty was only significantly related to a weak to moderate negative effect with sexual intercourse (SC: -0.216, 95%CI: -0.385 - -0.047, p = 0.012). CONCLUSIONS: two dimensions of sexuality, Sexual intercourse and Affective relationships, were found to have an effect on the quality of life and frailty of the elderly people investigated.


Assuntos
Fragilidade , Qualidade de Vida , Idoso , Estudos Transversais , Humanos , Sexualidade
8.
Artigo em Alemão | MEDLINE | ID: mdl-34652469

RESUMO

Representative quantitative surveys assess the participants' gender in order to allow for gender specific analyses of the research questions and to draw conclusions about the populations. This is important in order to develop information and interventions tailored to the target groups. However, although gender is no longer considered exclusively as a binary construct, it is still often surveyed through a binary variable with the response options woman/man or female/male. In this article, we discuss why this approach is outdated or incomplete and why a move away from this approach is important and necessary. Using the GeSiD study on "Health and Sexuality in Germany" as an example, in this discussion post we demonstrate how gender can be assessed by means of a two-step model in which the first step assesses gender assigned at birth and the second step the subjective gender affiliation. At the same time, we discuss the challenges that this approach brings along. We place the results of the GeSiD study into a larger context and discuss the implications and possibilities for operationalizing gender in representative surveys.


Assuntos
Identidade de Gênero , Sexualidade , Feminino , Alemanha/epidemiologia , Humanos , Recém-Nascido , Masculino , Comportamento Sexual , Inquéritos e Questionários
9.
Artigo em Alemão | MEDLINE | ID: mdl-34661689

RESUMO

BACKGROUND: In the last decade, the negative effects of sexual violence on health have again become a focus of health policies worldwide. So far, representative population data on lifetime prevalence for different age groups and specific links to health-related factors for Germany are lacking. OBJECTIVES: The study aimed to assess 1) the lifetime prevalence of self-reported nonconsensual sexual intercourse and sexual touch in childhood and across the lifespan and 2) associations with health-related factors. MATERIALS AND METHODS: Using a two-step stratified, randomized sample of residents' registration offices, 4955 persons aged 18 to 75 years were interviewed within the scope of the nationwide scientific survey on health and sexuality in Germany (GeSiD). The associations between experiences of sexual violence and socio-demographic and health-related factors were age-adjusted and stratified for gender using logistic regression. RESULTS: For women, the lifetime prevalence of (attempted/completed) nonconsensual intercourse was 14.9% and in the form of (attempted/completed) nonconsensual sexual touching was 40.8%; for men the prevalences were 3.1% and 13.2%, respectively. Regarding forced experiences in childhood, the prevalence of sex was 2.1% and of sexual touching was 7.5%. For both genders, the prevalence of nonconsensual intercourse was significantly higher in the case of low quality of life, poor health condition, a chronic illness or disability, or treatment for depression or for another mental disorder. CONCLUSIONS: The results illustrate the strong links between sexual violence and mental and somatic health. This points to the urgency to routinely explore experiences of sexual aggression.


Assuntos
Qualidade de Vida , Tato , Coito , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Prevalência , Sexualidade
10.
Artigo em Alemão | MEDLINE | ID: mdl-34596702

RESUMO

BACKGROUND: Since 1980, the Federal Centre for Health Education (BZgA) has regularly conducted the "Youth Sexuality" representative surveys. This continuous monitoring generates insights on the sexual and reproductive health of young people in Germany. The survey provides an important basis for the development of sexuality education and family planning measures. AIM: The current sexual and contraceptive behavior of adolescents and young adults will be summarized using initial descriptive results from the ninth iteration of the survey. METHODS: A total of N = 6032 adolescents and young adults participated in the survey. Data collection was conducted by computer-assisted personal interviewing (CAPI) in 2019. RESULTS: A key finding of this iteration is that with regards to the age of the first sexual intercourse, the proportion of adolescents younger than 17 years has been declining for several years. For contraception, adolescents most frequently used condoms, and use of the pill has decreased. DISCUSSION: The data from the current iteration indicate safe and responsible contraceptive behavior among young people in Germany. Nevertheless, it is important to maintain the commitment in the field of sexual health promotion and expand prevention measures for specific target groups. This is the only way to ensure the sexual and reproductive health of the next generation.


Assuntos
Comportamento Contraceptivo , Comportamento Sexual , Adolescente , Alemanha , Humanos , Educação Sexual , Sexualidade , Adulto Jovem
11.
Artigo em Alemão | MEDLINE | ID: mdl-34636943

RESUMO

Until 2020, there was no representative sex survey for Germany with published data. The GeSiD study "Health and Sexuality in Germany" is the first nationwide, representative sex survey. The aim of this paper is to provide a brief introduction to the German health and sexuality (GeSiD) survey.A total of 4955 persons (2336 men, 2619 women) aged 18-75 years were interviewed between 2018 and 2019. The computer-assisted face-to-face interviews had an extensive self-completion section and asked about a wide range of sexual behaviour and sexual health topics. Data on sexual identity, relationships, sexual behaviour, and sexual health were assessed. Data show, among other things, that only a minority of respondents had ever talked to a healthcare provider about HIV/AIDS or other sexually transmitted infections (STIs).Data show a clear need for education, information dissemination, and training in the area of sexual health.


Assuntos
Infecções por HIV , Doenças Sexualmente Transmissíveis , Feminino , Alemanha , Humanos , Masculino , Comportamento Sexual , Sexualidade , Doenças Sexualmente Transmissíveis/epidemiologia , Doenças Sexualmente Transmissíveis/prevenção & controle , Inquéritos e Questionários
12.
aSEPHallus ; 16(32): 38-63, maio.-out.2021.
Artigo em Português | LILACS | ID: biblio-1342476

RESUMO

Resumo: A psicanálise não pode ser desatrelada do contexto que lhe deu origem, ela surge como efeito da modernidade. O sujeito moderno se organiza a partir da moral sexual civilizada, que impulsiona os homens para produções no campo da cultura, no entanto produz a doença nervosa moderna. O patrimônio cultural é o bem comum que se conquista pela via da porção de satisfação pulsional perversa que é sacrificada neste processo. Freud sustenta a existência de uma formação de compromisso entre os tais termos ­ renúncia e satisfação ­, uma razão que governa os fatos clínicos e sociais investigados pela psicanálise. Portanto, na modernidade, sintoma, laço social e discurso têm a mesma estrutura. Lévi-Strauss fornece, com a lei da proibição do incesto, a regra de ouro que condiciona as estruturas elementares de parentesco e sua consequência lógica, a regra da exogamia. Juntas são responsáveis por determinar um vasto sistema de reciprocidade e trocas simbólicas, cujo único objetivo é manter coeso o tecido social. A mesma se traduz nas seguintes palavras da Escritura: "Deixarás o teu pai e a tua mãe". Como essa estrutura universal se imprime e se expressa na modernidade e na contemporaneidade? O paradigma desconstrucionista da diversidade sexual atinge a razão moderna entre satisfação e renúncia. Sintonizase ao discurso do capitalista: não há impossível. A política da desconstrução é compatível com a política da psicanálise? Desconstruir conduz à subjetivação do real impossível, à ética do desejo e à responsabilidade pelo gozo?


Raison moderne et postmodernité : alliance, sexualité et diversité sexuelle: La psychanalyse ne peut être détachée du contexte qui l'a suscitée, elle apparaît comme un effet de modernité. Le sujet moderne s'organise à partir de la morale sexuelle civilisée, qui pousse les hommes à des productions dans le domaine de la culture, cependant il produit la maladie nerveuse moderne. Le patrimoine culturel est le bien commun conquis par la part de satisfaction pulsionnelle perverse qui est sacrifiée dans ce processus. Freud soutient l'existence d'une formation de compromis entre de tels termes ­ renoncement et satisfaction ­, raison qui régit les faits cliniques et sociaux investigués par la psychanalyse. Ainsi, dans la modernité, symptôme, lien social et discours ont la même structure. Lévi-Strauss fournit, avec la loi de la prohibition de l'inceste, la règle d'or qui conditionne les structures élémentaires de la parenté et sa conséquence logique, la règle de l'exogamie. Ensemble, ils sont chargés de déterminer un vaste système de réciprocité et d'échanges symboliques, dont le seul but est de maintenir le tissu social ensemble. Il se traduit par les paroles suivantes de l'Écriture : « Tu quitteras ton père et ta mère ¼. Comment cette structure universelle s'imprime et s'exprime dans la modernité et la contemporanéité ? Le paradigme déconstructionniste de la diversité sexuelle heurte le rapport moderne entre satisfaction et renoncement. Il s'accorde au discours du


Modern reason and postmodernity: alliance, sexuality and sexual diversity: Psychoanalysis cannot be detached from the context that gave rise to it, it appears as an effect of modernity. The modern subject is organized from the civilized sexual morality, which drives men to productions in the field of culture, however it produces the modern nervous disease. Cultural heritage is the common good that is conquered through the portion of perverse instinctual satisfaction that is sacrificed in this process. Freud sustains the existence of a compromise formation between such terms ­ renunciation and satisfaction ­, a reason that governs the clinical and social facts investigated by psychoanalysis. Therefore, in modernity, symptom, social bond and discourse have the same structure. LéviStrauss provides, with the law of prohibition of incest, the golden rule that conditions the elementary structures of kinship and its logical consequence, the rule of exogamy. Together they are responsible for determining a vast system of reciprocity and symbolic exchanges, whose sole aim is to hold the social fabric together. It is translated into the following words of Scripture: "You shall leave your father and your mother". How is this universal structure imprinted and expressed in modernity and contemporaneity? The deconstructionist paradigm of sexual diversity hits the modern ratio between satisfaction and renunciation. It tunes in to the discourse of the capitalist: there is no impossible. Is the politics of deconstruction compatible with the politics of psychoanalysis? Does deconstructing lead to the subjectivation of the impossible, the ethics of desire and the responsibility for jouissance?


Assuntos
Psicanálise , Sexualidade , Diversidade de Gênero , Incesto
13.
Pediatrics ; 148(5)2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34711677

RESUMO

Adolescents and young adults living with intellectual disability (ID) have made significant advancements integrating into multiple aspects of western society, but there has been less progress with regards to sexual health. While advocating for individuals with ID to live life to the fullest, pediatricians have practical concerns regarding the ability to consent to sex as well as avoid coercion and manipulation in sexual encounters. This has led to tension between supporting the autonomy of a patient with ID while protecting them from harm. We present a case of a young adult with moderate ID who is engaging in a sexual relationship with her boyfriend without parental knowledge. The pediatrician must decide the most appropriate course of action to support the patient's autonomy but also ensure that the patient is a willing participant and understands the risks of engaging in sexual activity. This case highlights 4 main themes: (1) practical concerns when approaching sexual health in the adolescent with ID, (2) advocating for the rights of those with ID to live life to the fullest, (3) the critical inclusion of individuals with ID in decisions directly affecting them and their peer group, and (4) decision-making capacity and respect for autonomy in individuals with ID. This case highlights the delicate balance providers face when providing care to adolescents and young adults with ID: supporting autonomy to make decisions while reducing harm to a vulnerable population.


Assuntos
Deficiência Intelectual , Pediatras , Autonomia Pessoal , Comportamento Sexual , Adolescente , Abuso Sexual na Infância , Anticoncepção , Tomada de Decisões , Feminino , Humanos , Relações Interpessoais , Tutores Legais/legislação & jurisprudência , Participação do Paciente , Direitos do Paciente , Comunicação Persuasiva , Risco , Saúde Sexual , Sexualidade
14.
Arch Sex Behav ; 50(7): 3223-3235, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34642838

RESUMO

Stigma research among people living with HIV (PLWH) has been increasingly interpreted through the framework of intersectionality, which comprehends the interwovenness of vulnerable individuals' identities. However, community-based participatory methods have not been widely employed to better understand these forms of stigma through an intersectional lens, despite such methods offering the opportunity for participants to define issues and solutions from their lived experiences. To advance this research, we employed photovoice to elicit grounded, visceral definitions of stigma for PLWH. Participants took pictures representing their identities and experiences with HIV and other stigmas and discussed them in groups and individual interviews, ultimately creating a virtual exhibit to educate and inspire others. Theme and narrative analysis uncovered patterns in the visual and textual data, revealing participants' experiences of HIV stigma based on their intersections of sexuality, race/ethnicity, illness, and roles and expectations in specific scenarios. Stigma also fostered the development of participants' strengths, such as resiliency, and new identities, such as educators. Participatory methods like photovoice, where participants can define intersectionality on their own terms, can help direct interventions to limit the PLWH's lived stigmas and increase effective coping.


Assuntos
Infecções por HIV , Estigma Social , Adaptação Psicológica , Humanos , Pesquisa Qualitativa , Comportamento Sexual , Sexualidade
15.
Biomaterials ; 278: 121177, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34653933

RESUMO

Although biomaterials are widely utilized in clinics, it still follows the "one-fits-all" strategy. Biological variables such as age and sexuality have an impact on the host immune response and are not fully considered in the practice guidelines of the biomaterial implantation. In this study, we investigated the immuno-material interactions of six commonly used biomaterials (agarose, alginate, chitosan, CMC, GelMA and collagen type I) and constructed a population (with different ages and sexes) based transcriptome atlas. Protein and polysaccharide-based biomaterials elicited distinctive immune responses that protein-based materials preferred the NKT pathway to activate innate and adaptive immune response, whereas polysaccharide-based materials activated the cDCs to present antigen. The atlas further revealed the sex/age-related variabilities on the immune response followed by the polysaccharide treatment. As for sex bias, alginate and agarose stimulation significantly increased the proportion of naive CD4+ T cells in the female group, accompanied by the Th1 differentiation tendency, compared to the male group. Age-biased transcript showed alginate and chitosan would impair the extracellular matrix remodeling and up-regulate the apoptosis process in the elderly groups, compared to the young group. More attentions on the ingredient, age and sexuality effect of biomaterial implants should be paid during the clinical practice, especially for the polysaccharide-based materials. This experimental result is of great significance for the selection of biomaterials, particularly the blood contact materials, such as vessel or cardiac device, drug vehicles and hemostatic materials.


Assuntos
Materiais Biocompatíveis , Quitosana , Imunidade Adaptativa , Idoso , Matriz Extracelular , Feminino , Humanos , Masculino , Sexualidade
16.
Ther Umsch ; 78(8): 421-425, 2021.
Artigo em Alemão | MEDLINE | ID: mdl-34555967

RESUMO

Sexuality of the elderly couple - what has changed since the 1970s Abstract. The sexuality of elderly couples has a lot of common with the sexuality of younger ages in the sense, that biological, psychological, relational and social factors are the determinants and conditioning factors of their sexual life (biopsychosocial model of understanding) and that the subjective suffering results from the discrepancy between the sexuality they wish to live and their real life experience. Sexual health care has to take into account the different age and morbidity related factors which means that the aim of counselling and care it frequently not to reestablish the sexuality of younger age but to find new ways of living their sexuality.


Assuntos
Comportamento Sexual , Sexualidade , Idoso , Aconselhamento , Humanos
17.
Rev Med Chil ; 149(3): 447-457, 2021 Mar.
Artigo em Espanhol | MEDLINE | ID: mdl-34479324

RESUMO

BACKGROUND: Education on human sexuality was instituted in Eloisa Díaz Campus in 1946. From 2018 an online self-learning general education course on sexuality was started. AIM: To know the degree of knowledge about sexuality and the perception about the course of 586 students (42% women) who approved the course. MATERIAL AND METHODS: The Myths and False beliefs and Self-perception on sexuality tests were applied to students at the onset and the end of the course. They also anonymously evaluated the course. RESULTS: In the first assessment, the proportion of correct answers about sexuality and reproduction were 47 and 40% respectively. In the second assessment, 70% of respondents had open criteria about sexuality and 90% rejected traditional criteria. In the anonymous assessment, 95% estimated that the objectives of the course were accomplished. Its quality was considered good or excellent by 95% of respondents. CONCLUSIONS: This course was well accepted by students and corrects their knowledge gaps in sexuality. Despite the social unrest during 2019 and the pandemic during 2020, the course was successfully completed by most students.


Assuntos
Sexualidade , Universidades , Feminino , Humanos , Masculino , Comportamento Sexual , Estudantes , Inquéritos e Questionários
18.
Res Dev Disabil ; 118: 104082, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34507052

RESUMO

BACKGROUND: Sexuality is a fundamental part of the lives of human beings. However, a significant inequality exists regarding the right of an individual with intellectual disabilities. AIMS: This study aimed to explore the attitudes of undergraduate health science students toward sexuality in individuals with intellectual disability (ID) in Indonesia. METHODS: A cross-sectional study was performed using the Indonesian version of Attitudes toward Sexuality Questionnaires in Intellectual Disability (ASQ-ID). This study involved 617 students in medical, psychology, and public health undergraduate programs. RESULTS: Among all participants (n = 617, male = 137, female = 480), the attitude towards self-control was found a significant difference among all three health science undergraduates (p = .01). The psychology students had the most favorable attitudes toward self-control compared to other students. The difference was found between medical and public health students and between public health and psychology students with p = .009 and p = .011, respectively. Religion was significantly affected for the non-reproductive sexual behavior subscale (p = .038). The religion was found to have significant effect on the attitude towards nonreproductive sexual behavior subscale (p = .038). CONCLUSIONS: Results show that Indonesian undergraduate students majoring in the health sciences have varying attitudes toward sexuality in individuals with ID. Medical and psychology students have more favorable attitudes toward self-control, whereas public health students have less favorable attitudes. Their religion influencing the attitudes toward nonreproductive sexual behavior.


Assuntos
Deficiência Intelectual , Atitude , Estudos Transversais , Feminino , Humanos , Indonésia , Masculino , Comportamento Sexual , Sexualidade , Estudantes
19.
J Sex Med ; 18(11): 1843-1850, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34535368

RESUMO

BACKGROUND: Since January 23, 2020, the Chinese government has imposed restrictive measures including self-isolation, travel restrictions and lockdown of Wuhan city in order to prevent the incoming waves of COVID-19 outbreak in the country. However, the impact of mental health and stress concerns on relationship and sexuality amidst the COVID-19 lockdown was currently unclear. AIM: The cross-sectional study was designed to determine the changes in health, relationship and sexuality among the Chinese couples who lived together amid the early stages of COVID-19 pandemic in China. METHODS: Participants of Chinese nationality aged ≥18 years were asked to complete a self-administered online questionnaire regarding sexuality behaviour and impact of event scale (IES) in March 2020. Nonrandom sampling was used for participant recruitment. Also assessed were sociodemographic data including sex, age, employment, region, sexual dysfunction, and whether participants tested positive for COVID-19. OUTCOMES: IES score, frequency of sexual intercourse per week, quality of usual sex life, emotional bonding and duration of relationship were measured. RESULTS: A total of 1,139 participants (ie, 735 males and 404 females) were included in the study. Mean age and IES of participants was 33.6 ± 9.5 years and 27.4 ± 8.6, respectively. Being male was significantly associated with increased frequency of sexual intercourse amid the COVID-19 pandemic (P = .012). Also, participants with an IES score <26 were more likely to report that they had increased frequency of sexual intercourse per week (P < .001) and the COVID-19 pandemic had positively affected the quality of their usual sex lives (P < .001). On the other hand, participants with IES score ≥26 were more likely to report that the COVID-19 pandemic had positively affected their emotional bonding (P < .001). CLINICAL IMPLICATIONS: Frequency of sexual intercourse and quality of sex life in participants who experienced high stressful impact were more likely to be affected by the COVID-19 pandemic. STRENGTHS AND LIMITATIONS: This was one of the first studies to assess sexual behavior during the COVID-19 pandemic in Chinese adults. Since participants were asked to self-report their sexual behavior, this potentially introduced self-reporting and recall bias into our findings. CONCLUSIONS: Our study reported that despite the moderate-to-severe stressful impact due to the COVID-19 pandemic, the majority reported no significant changes in the frequency of their sexual intercourse per week, quality of their usual sexual lives and emotional bonding. Zhang Y, Wen C, Zhang Y, et al. The Impact of Mental Health and Stress Concerns on Relationship and Sexuality Amidst the COVID-19 Lockdown. J Sex Med 2021;18:1843-1850.


Assuntos
COVID-19 , Saúde Mental , Adolescente , Adulto , Controle de Doenças Transmissíveis , Estudos Transversais , Feminino , Humanos , Masculino , Pandemias , SARS-CoV-2 , Comportamento Sexual , Sexualidade
20.
Nurse Educ Today ; 107: 105114, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34507261

RESUMO

BACKGROUND: Previous educational programs about sexuality and contraceptive methods are delivered through vertical teaching methodology and use an increase in knowledge level as an indicator of effectiveness; however, attitudes towards contraceptive use are not addressed. OBJECTIVES: This study aimed to evaluate the effect of a peer-educational intervention to improve knowledge level and attitudes regarding contraceptive methods in university students. DESIGN: A pre-post quasi-experimental study. SETTINGS: Young university students from a Spanish university. PARTICIPANTS: 131 students in their second year of the Nursing degree program. METHODS: An intervention consisting of two 3-hour sessions was conducted. The first session introduced the main aspects of contraceptive methods and was conducted by the teacher. The second session began with student presentations about contraceptive methods, followed by clinical simulations of a family planning service that the students had to implement and solve. RESULTS: There was a 71.43% improvement in the knowledge level scale score and a 2.17% improvement in the attitudes towards the use of contraceptive methods; both were statistically significant (p < 0.001). For 11 of the 15 items in the knowledge scale, a significantly higher proportion of success was found after the intervention. CONCLUSION: Peer-educational intervention was effective in improving knowledge level and attitudes about contraceptive methods.


Assuntos
Anticoncepção , Estudantes de Enfermagem , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Comportamento Sexual , Sexualidade , Universidades
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