Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 13.553
Filtrar
1.
J Homosex ; 70(1): 53-70, 2023 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-36154841

RESUMO

In this article, I explore what I term Sasso relationality-a framework for making sense of the untenable space where heteropatriarchal intimate commitments randomly fail to reproduce its normative mandates on the body. By exploring Sasso worldmaking in the postcolonial context of Ghana, I use autoethnographic narratives to closely examine the modes of relating that allows for spontaneous desires and pleasures to occur in particular spaces conditioned by heteronormativity. In doing so, I argue that Sasso relationality blurs the rigid boundaries that tend to separate normativity and nonnormativity in how we theorize queer relationalities. Thus, I conclude that explorations of Sasso relationality allow queer scholars to challenge Western normativities around sexuality by contesting what constitutes queerness in the Ghanaian cultural context.


Assuntos
Comportamento Sexual , Minorias Sexuais e de Gênero , Humanos , Gana , Identidade de Gênero , Sexualidade
2.
Diagn. tratamento ; 27(4): 136-42, out-dez. 2022. Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) ­ Financiamento 2013/ 13934-1, tab, tab, tab
Artigo em Português | LILACS | ID: biblio-1399038

RESUMO

Contexto: A função sexual feminina é influenciada por múltiplos fatores, e as comorbidades são um desses motivos. Objetivo: Avaliar a associação entre incontinência urinária (IU) e baixa função sexual feminina (BFS) em mulheres de meia-idade em um estudo de base populacional. Metodos: Estudo de corte transversal no município de Campinas, São Paulo, com 472 mulheres sexualmente ativas, no período de setembro de 2012 a junho de 2013. O Short Personal Experiences Questionnaire (SPEQ) foi utilizado para avaliar a BFS. Fatores sociodemográficos e clínicos foram avaliados. Utilizou-se Qui-quadrado, Fischer e Mann-Whitney e modelos de regressão múltipla de Poisson para análise estatística. Resultados: Na amostra geral a BFS foi associada à baixa renda razão de prevalência (RP) 1,55, 95% intervalo de confiança, (IC) 1,01­2,38, menor atividade física (RP 2,35, 95% IC 1,34­4,14), secura vaginal na relação sexual (RP 1,94 95% IC 1,25­3,0) e problemas de sono (RP 1,68, 95% IC 1,09­2,6). No grupo com incontinência urinária, os fatores associados à BFS foram problemas de sono (RP 2,63 IC 95% 1,30­5,34 P = 0,007) e baixa atividade física (RP 3,16 IC 95% 1,11­9,05 P = 0,032). Discussão: A BFS tem origem multifatorial e a IU não sobressaiu como fator associado. Conclusoes: A IU não se associou à BFS. Em mulheres incontinentes, a BFS se associou a problemas de sono e sedentarismo. Em mulheres com IU e BFS deve-se abordar adequadamente insônia e sedentarismo.


Assuntos
Incontinência Urinária , Mulheres , Exercício Físico , Sexualidade , Distúrbios do Início e da Manutenção do Sono
3.
rev.cuid. (Bucaramanga.2010) ; 13(1): 1-18, 20221213.
Artigo em Português | LILACS, BDENF - Enfermagem, COLNAL | ID: biblio-1369133

RESUMO

Introdução: a literatura já aponta que a família, muitas vezes, é o principal obstáculo que impede as pessoas idosas vivenciarem sua sexualidade. Porém, até onde sabemos, não existem estudos que identifiquem os efeitos da sexualidade na funcionalidade familiar. Objetivo: analisar os efeitos da sexualidade sobre a funcionalidade familiar e sobre a qualidade de vida de pessoas idosas. Materiais e métodos: estudo seccional realizado com 692 pessoas idosas entre os meses de julho e outubro de 2020 por meio da utilização de instrumentos autoaplicáveis. Os dados foram analisados com o teste de Kruskal-Wallis, correlação de Pearson e modelagem de equações estruturais. Resultados: as pessoas idosas com algum grau de disfuncionalidade familiar apresentaram pior vivência na sexualidade e pior qualidade de vida. O domínio relações afetivas da sexualidade foi o único a exercer efeito de forma positiva, de moderada a forte magnitude com a funcionalidade familiar (CP=0,472 [IC95%=0,301-0,642] p<0,001). A qualidade de vida, por sua vez, sofreu efeito positivo, de fraca a moderada magnitude, de todos os domínios da sexualidade: ato sexual (CP=0,339 [IC95%=0,190-0,488] p<0,001); relações afetivas (CP=0,117 [IC95%= -0,041-0,275] p<0,001) e adversidades física e social (CP=0,150 [IC95%=0,074-0,226] p<0,001). Conclusão: a sexualidade entre as pessoas idosas pode ser explorada com maior frequência nos serviços de saúde, uma vez que, exerceu efeitos positivos na funcionalidade familiar e na qualidade de vida dessa população. Espera-se que com os resultados deste estudo, haja valorização da temática nos serviços assistenciais e que a sexualidade na velhice seja explorada com as pessoas idosas, especialmente na atenção primária à saúde.


Introduction: the literature already points out that the family is often the main obstacle that prevents elderly people from experiencing their sexuality. However, there are no studies that identify the effects of sexuality on family functioning. Objective: analyzing the effects of sexuality on family functionality and on the quality of life of the elderly. Materials and methods: a cross-sectional study conducted with 692 elderly people between the months of July and October 2020 by self-administered instruments. Data were analyzed using the Kruskal-Wallis test, Pearson correlation and structural equation modeling. Results: the elderly with some degree of family dysfunction had a worse experience in sexuality and a worse quality of life. The affective relationships domain of sexuality was the only one to exert a positive effect, from moderate to strong magnitude on family functionality (PC=0.472 [CI95%=0.301-0.642] p<0.001). Quality of life, in turn, had a positive effect, from weak to moderate magnitude, in all domains of sexuality: sexual act (PC=0.339 [CI95%=0.190-0.488] p<0.001); affective relationships (PC=0.117 [CI95%= -0.041-0.275] p<0.001) and physical and social adversities (PC=0.150 [CI95%=0.074-0.226] p<0.001). Conclusion: sexuality among the elderly can be explored more frequently in health services, as it exerted positive effects on family functionality and quality of life in this population. It is expected that with the results of this study, there is an appreciation of the theme in care services and that sexuality in old age is explored with the elderly, especially in primary health care


Introducción: la literatura ya señala que la familia es muchas veces el principal obstáculo que impide que las personas mayores experimenten su sexualidad. Sin embargo, hasta donde sabemos, no existen estudios que identifiquen los efectos de la sexualidad en el funcionamiento familiar. Objetivo: analizar los efectos de la sexualidad sobre la funcionalidad familiar y la calidad de vida de las personas mayores. Materiales y métodos: un estudio transversal realizado con 692 adultos mayores entre los meses de julio y octubre de 2020 utilizando instrumentos autoadministrados. Los datos se analizaron mediante la prueba de Kruskal-Wallis, la correlación de Pearson y el modelado de ecuaciones estructurales. Resultados: los ancianos con algún grado de disfunción familiar tuvieron peor experiencia en sexualidad y peor calidad de vida. El dominio de las relaciones afectivas de la sexualidad fue el único que ejerció un efecto positivo, de moderada a fuerte magnitud acerca de la funcionalidad familiar (CP = 0,472 [IC95% = 0,301-0,642] p <0,001). La calidad de vida, a su vez, tuvo un efecto positivo, de débil a moderada magnitud, en todos los dominios de la sexualidad: acto sexual (CP = 0,339 [IC95% = 0,190-0,488] p <0,001); relaciones afectivas (CP = 0,117 [IC95% = -0,041-0,275] p <0,001) y adversidades físicas y sociales (CP = 0,150 [IC95% = 0,074-0,226] p <0,001). Conclusión: la sexualidad entre los adultos mayores puede ser explorada con mayor frecuencia en los servicios de salud, ya que ejerció efectos positivos acerca de la funcionalidad familiar y la calidad de vida en esta población. Se espera que, con los resultados de este estudio, se aprecie la temática en los servicios de atención y que se explore la sexualidad en la vejez con los ancianos, especialmente en la atención primaria de salud.


Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Saúde Pública , Saúde do Idoso , Assistência Integral à Saúde , Sexualidade , Relações Familiares
4.
Psychiatry ; 85(4): 435-437, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36344468
5.
BMC Public Health ; 22(1): 2171, 2022 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-36434586

RESUMO

BACKGROUND: Sex education programmes conducted by health professionals and educators are essential for young people to adopt healthy habits and attitudes towards their sexuality. The Forma Joven Program, promoted by the Andalusian Regional Government's Ministry of Health and Families and Education, is a good example of this. The aim of the study is to determine if different "degrees of intervention" in the informative consultancies of the Forma Joven Program imply differences in knowledge and attitudes towards sexuality. METHODS: This descriptive observational study analysed 27 Compulsory Secondary Education high schools in Huelva. These were included in the Program and belonged to a Primary Care Health District. Out of the 17 institutes initially selected because they met the inclusion criteria (4.256 students), finally 14 (3.596 students) participated. During the 2018/2019 school year, students from 3rd, 4th year of Secondary Compulsory Education (ESO), 1st, and 2nd Baccalaureate of the selected centres were asked to fill in a questionnaire of knowledge and attitudes towards sexuality. It collected variables such as age, sex, school year, institute, educational level and employment status of the father or mother and profile of the professional who delivers the counselling. RESULTS: A total of 1.237 students completed the questionnaire, which represents a participation rate of 34.4%. The average age was 15.59 years (SD 1.26) and 39.9% were girls. In some evaluated questions, we found statistically significant differences between the groups with different levels of exposure to counselling and the acquisition of knowledge and attitudes towards students' sexuality, although in most of them no such differences were found. The results of this study suggest the importance of the quality of counselling over quantity. Some classic myths persist in relation to sexuality and in some situations, they can be decisive when adopting preventive measures to avoid risks related to pregnancy and contagion of STIs. CONCLUSIONS: A greater number of counselling sessions does not imply acquiring a higher level of knowledge or better attitudes towards sexuality. Perhaps the quality of the education is more important than the quantity of counselling sessions.


Assuntos
Educação Sexual , Estudantes , Feminino , Gravidez , Humanos , Adolescente , Masculino , Comportamento Sexual , Sexualidade , Instituições Acadêmicas
6.
Am J Mens Health ; 16(6): 15579883221134900, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36412243

RESUMO

On March 11, 2020, the World Health Organization recognized the SARS-CoV-2 infection as a pandemic. The pandemic itself in addition to its containment measures affects individuals' lifestyles and welfare including their sexual behaviors. Thus, we hypothesized that sexually transmitted infection (STI) incidence may be changed and so we evaluate urethritis incidence as the most common STI in men and some other related factors. Two cross-sectional surveys during the first 6 months of 2019 and 2020 were undertaken and data were collected from 11 urology offices located in different parts of the capital city. In total, 34,611 male participants were included in our study, and 191 (.55%) patients' clinical diagnoses were urethritis. The urethritis incidence significantly decreased from 149 of 17,950 (.83%) to 42 of 16,661 (.25%) individuals in the same period of the years 2019 and 2020, respectively (p-value < .001). There was a higher percentage of single (p-value = .049) and older (p-value < .001) urethritis patients in the first 6 months of the year 2020 compared with 2019. Our survey provided urethritis incidence, demographics, symptoms, and treatment characterization. As our results show, the proportion of urethritis patients in all populations admitted to urologist offices had dramatically decreased during the COVID-19 pandemic compared with prior. The indirect effects of the pandemic and its containment measures on people's sexual health should be noticed and an appropriate reaction and policy-making are recommended to manage issues properly in different aspects of sexual health.


Assuntos
COVID-19 , Infecções Sexualmente Transmissíveis , Uretrite , Humanos , Masculino , Pandemias , Uretrite/diagnóstico , Uretrite/epidemiologia , Uretrite/etiologia , Estudos Transversais , SARS-CoV-2 , Sexualidade , Infecções Sexualmente Transmissíveis/epidemiologia , Infecções Sexualmente Transmissíveis/diagnóstico
7.
Sex Reprod Health Matters ; 30(1): 2135728, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36399103

RESUMO

A positive experience of sexuality during youth is key to good sexual health later in life. Addressing young people's sexual health needs and sexual and reproductive rights is thus essential. This study aimed to identify unmet sexual health needs among youth in the city of Barcelona (Spain) through mixed methods research. We analysed the narratives of young people (n = 50) aged 14-24 years with different genders, origins, sexualities and socioeconomic backgrounds, collected from January to April 2019. A descriptive statistical analysis was also conducted on the records of visits to sexual health services and reasons for consultation. We found that 21% (n = 32,161) of young people aged 14-24 years had used sexual healthcare services in Barcelona between 2015 and 2017, while the reasons for consultation differed across sex, gender and socioeconomic background. Young people declared that they needed more information to enjoy their sexuality, to know where to go in case of an unexpected situation and to learn how to combat gender-based violence. They stated that the sexuality education they had received was sparse and focused on risks. We found that formal sex education is scarce, with informal sex education thus acquiring a major role. Current services can be improved by expanding coverage, training professionals and reducing acceptability and accessibility barriers. Sexism is ubiquitous in young people's sexual, dating and personal relationships. We recommend planning sexual health care services and formal sexual education, in which a strong gender strategy is embedded, as part of the same strategy.


Assuntos
Comportamento Sexual , Saúde Sexual , Adolescente , Feminino , Humanos , Masculino , Sexualidade , Educação Sexual , Serviços de Saúde
8.
Artigo em Inglês | MEDLINE | ID: mdl-36361042

RESUMO

BACKGROUND: Nurses dealing with a patient's sexuality must start from an awareness of their own experience, specific attitudes, and possible limits. What emerges from the literature is a conservative tendency in nurses, which underlines the difficulty in this awareness, but even a difficulty in improving the necessary knowledge/skills. It is, therefore, essential to create tools that can raise awareness of these limits. OBJECTIVE: the present study aims to explore the psychometric properties of the Attitudes and Beliefs about Sexuality Scale, adapted and validated for the Italian context. METHOD: This is an instrumental, cross-sectional piece of research, whose SABS validation process applies the steps of Beaton and Valmi. The convenience sample collected data from 223 participants in the first approach. This was followed by a retest involving 44 students randomly selected from those who responded in the first phase. Ethical principles were respected. RESULTS: The SABS questionnaire demonstrated good test-retest reliability, good internal consistency, and adequate construct validity. CONCLUSIONS: The Italian version of the SABS is valid and reliable for use with nursing students. This is the fourth language in which the SABS is available for research.


Assuntos
Idioma , Estudantes de Enfermagem , Humanos , Reprodutibilidade dos Testes , Estudos Transversais , Psicometria , Inquéritos e Questionários , Sexualidade , Atitude do Pessoal de Saúde
9.
Artigo em Inglês | MEDLINE | ID: mdl-36231899

RESUMO

(1) Background: Self-determination is one of the central values of many societies. Self-determination concerns many areas of life, including sexuality. Unfortunately, the sexuality of individuals with intellectual disabilities (IID) is often discriminated against, and even in their everyday care, sexuality is often given too little space, not least because of knowledge deficits of parents and staff. A practicable conceptualization of sexual self-determination is a prerequisite for helping IID to achieve self-determined sexuality. The aim of this paper is to formulate such an applicable conceptualization and to discuss related challenges. (2) Method: This paper uses Harry Frankfurt's hierarchical conception of desires and the WHO definition of sexuality to develop a suitable understanding of sexual self-determination. (3) Results: The mentioned concepts offer promising tools to develop a conceptualization of sexual self-determination with high practical applicability. (4) Discussion: Sexual self-determination involves decision-making processes in relation to the different dimensions of sexuality. IID do need support to come to these decisions. Challenges that might be involved with such decision processes will be discussed.


Assuntos
Deficiência Intelectual , Formação de Conceito , Humanos , Autonomia Pessoal , Comportamento Sexual , Sexualidade
10.
PLoS One ; 17(10): e0275068, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36206270

RESUMO

Covid-19 has been affecting people's lives on a social, economic, emotional, and sexual level. This study aims to investigate any change in how couples formed during the pandemic got to know the partner and experienced sexuality, including factors that could have influenced those changes in comparison with a pre-pandemic period. Particularly, focus groups (N = 26 women) were conducted and an online questionnaire (N = 120; 41 men and 79 women) was administered. Given the exploratory qualitative nature of the present research, no specific hypothesis was tested. Most of the sample reported an increase in sexual desire, sexual frequency, and quality of intercourse, perceiving an early development of intimacy. The results highlight the lack of stress and fear of contagion. The intense state of euphoria, typical of the initial phase of the relationship, has perhaps allowed the couples to overcome the obstacles due to the restrictions. This study underlines the role of being in love in the survival of the species, as it allows for the creation of steady relationships even in moments of danger.


Assuntos
COVID-19 , Pandemias , COVID-19/epidemiologia , Feminino , Humanos , Masculino , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Sexualidade/psicologia
11.
Arq. ciências saúde UNIPAR ; 26(3)set-dez. 2022.
Artigo em Português | LILACS | ID: biblio-1399508

RESUMO

O processo de envelhecimento, geralmente, desencadeia mudanças físicas e psicológicas na população idosa, porém, isto não deve ser considerado um fator limitador da sua sexualidade. O objetivo desta pesquisa é conhecer a percepção dos idosos sobre sexualidade e saúde sexual no processo de envelhecimento. Trata-se de uma pesquisa exploratória, descritiva, explicativa, de campo, com caráter qualitativo, realizada com idosos residentes em um condomínio social no município de Francisco Beltrão, Paraná. Os dados foram coletados por meio de entrevistas parcialmente estruturada, onde as perguntas e as respostas foram gravadas com o uso de dispositivo eletrônico e transcritas posteriormente. Os resultados demonstraram prevalência de idosos do sexo feminino (80%), com faixa etária entre 64 e 85 anos (70%), brancos (70%), casados (50%), com ensino fundamental incompleto (40%) aposentados e com renda de 1 salário mínimo (90%). Observou-se baixa escolaridade na maioria dos idosos e desconhecimento quanto a distinção entre sexualidade e o ato sexual, além do risco de contaminação por infecções sexualmente transmissíveis, pela não utilização de preservativo nas relações sexuais. O estudo revelou que ainda há carência de conhecimentos quanto a sexualidade da pessoa idosa, com uma visão estereotipada da sexualidade na velhice, como não sendo importante, tornando-se primordial o desenvolvimento de medidas políticas que possam conscientizar esse público.


The aging process usually triggers physical and psychological changes in the elderly population; however, this should not be considered a limiting factor for their sexuality. The objective of this research is to know the perception of the elderly about sexuality and sexual health in the aging process. This is an exploratory, descriptive, explanatory, field research, with qualitative character, carried out with elderly residents in a social condominium in the municipality of Francisco Beltrão, Paraná. Data were collected through partially structured interviews, where questions and answers were recorded using an electronic device and later transcribed. The results showed a prevalence of elderly females (80%), aged between 64 and 85 years (70%), white (70%), married (50%), with incomplete elementary school education (40%) retired and with an income of 1 minimum wage (90%). It was observed low schooling in most of the elderly and lack of knowledge about the distinction between sexuality and sexual intercourse, besides the risk of contamination by sexually transmitted infections, by not using condoms during sexual intercourse. The study revealed that there is still a lack of knowledge regarding the sexuality of the elderly, with a stereotypical view of sexuality in old age, as not being important, making it paramount the development of policy measures that can raise awareness of this public.


El proceso de envejecimiento suele desencadenar cambios físicos y psicológicos en la población de edad avanzada, sin embargo, esto no debe considerarse un factor limitante de su sexualidad. El objetivo de esta investigación es conocer la percepción de los mayores sobre la sexualidad y la salud sexual en el proceso de envejecimiento. Se trata de una investigación exploratoria, descriptiva, explicativa, de campo, con carácter cualitativo, realizada con ancianos residentes en un condominio social en el municipio de Francisco Beltrão, Paraná. Los datos se recopilaron mediante entrevistas parcialmente estructuradas, en las que las preguntas y las respuestas se grabaron con el uso de un dispositivo electrónico y se transcribieron posteriormente. Los resultados muestran una prevalencia de individuos de sexo femenino (80%), con una edad de entre 64 y 85 años (70%), con un nivel de vida bajo (70%), casados (50%), con una educación básica incompleta (40%) y con un salario mínimo (90%). Se observó una baja educación en la mayoría de los ancianos y falta de conocimiento sobre la distinción entre sexualidad y acto sexual, además del riesgo de contaminación por infecciones de transmisión sexual, al no utilizar preservativos en las relaciones sexuales. El estudio reveló que aún existe un desconocimiento sobre la sexualidad de las personas mayores, con una visión estereotipada de la sexualidad en la vejez, como si no fuera importante, por lo que es primordial el desarrollo de medidas políticas que puedan sensibilizar a este público.


Assuntos
Humanos , Masculino , Feminino , Idoso , Percepção/fisiologia , Idoso/fisiologia , Sexualidade , Envelhecimento/fisiologia , Infecções Sexualmente Transmissíveis/prevenção & controle , Saúde do Idoso , Preservativos , Saúde Sexual/educação , Atividades de Lazer/psicologia
12.
Arq. ciências saúde UNIPAR ; 26(3): 736-747, set-dez. 2022.
Artigo em Português | LILACS | ID: biblio-1399333

RESUMO

Contexto: A doença renal crônica representa um sério problema de saúde pública, devido aos crescentes índices de morbimortalidade, e que associado à rotina de sessões de hemodiálise, promove alterações na qualidade de vida dos indivíduos com esta condição. Objetivo: Avaliar os fatores relacionados à qualidade de vida de pacientes renais crônicos em tratamento hemodialítico. Desenho e local: Estudo transversal, quantitativo, composto por 52 pacientes em hemodiálise no hospital Santa Casa de Caridade de Diamantina, Diamantina (MG), em 2017. Métodos: Foram utilizados dois questionários: socioeconômico-demográfico e o instrumento Kidney Disease and Quality of life Short Form. Os dados referentes à qualidade de vida foram analisados pelo programa elaborado e disponibilizado pelo Working Group. Resultados: Como fatores relacionados à baixa qualidade de vida foram encontrados: situação ocupacional (33,65 ± 26,71), peso da doença renal (49,28 ± 21,58), funcionamento físico (53,37 ± 22,39), saúde geral (54,71 ± 27,19) e função emocional (58,97 ± 26,23); em relação à boa qualidade de vida foram encontrados: função sexual (80,17 ± 22,46), função cognitiva (80,26 ± 35,32), satisfação do paciente (83,33 ± 20,51) e estímulo por parte da equipe de diálise (91,59 ± 29,17). Discussão: Por comparação aos trabalhos realizados em Goiânia (2006), Indaiatuba (2009), Mogi das Cruzes (2014) e ao presente estudo (2017) verificaram escores semelhantes na maioria das dimensões avaliadas, a exemplo das funções social e satisfação do paciente. Conclusão: A qualidade de vida apresentou-se como boa na maioria das dimensões avaliadas, entretanto, os fatores determinantes da baixa qualidade de vida reforçam a ideia da implementação de estratégias da equipe de saúde para melhorar a expectativa de vida desses pacientes.


Chronic kidney disease represents a serious public health problem, due to the increasing rates of morbidity and mortality, which, associated with the routine of hemodialysis sessions, promotes changes in the quality of life of individuals with this condition. Objective: To evaluate factors related to the quality of life of chronic renal patients undergoing hemodialysis. Design and location: Cross-sectional, quantitative study, composed of 52 hemodialysis patients at the Santa Casa de Caridade hospital in Diamantina, Diamantina (MG), in 2017. Methods: Two questionnaires were used: socioeconomic-demographic and the Kidney Disease and Quality of instrument life Short Form. Data on quality of life were analyzed using the program developed and made available by the Working Group. Results: As factors related to low quality of life were found: occupational situation (33.65 ± 26.71), weight of kidney disease (49.28 ± 21.58), physical functioning (53.37 ± 22.39), general health (54.71 ± 27.19) and emotional function (58.97 ± 26.23); in relation to good quality of life, sexual function (80.17 ± 22.46), cognitive function (80.26 ± 35.32), patient satisfaction (83.33 ± 20.51) and stimulation on the part were found of the dialysis team (91.59 ± 29.17). Discussion: Comparing the studies carried out in Goiânia (2006), Indaiatuba (2009), Mogi das Cruzes (2014) and the present study (2017) found similar scores in most of the dimensions evaluated, such as social functions and patient satisfaction. Conclusion: Quality of life was shown to be good in most of the dimensions evaluated, however, the determinants of low quality of life reinforce the idea of implementing health team strategies to improve the life expectancy of these patients.


Antecedentes: La enfermedad renal crónica representa un grave problema de salud pública, debido a las crecientes tasas de morbilidad y mortalidad, y la asociada a la rutina de sesiones de hemodiálisis, promueve cambios en la calidad de vida de los individuos con esta condición. Objetivo: Evaluar los factores relacionados con la calidad de vida de los pacientes renales crónicos en tratamiento hemodialítico. Diseño y entorno: Estudio transversal, cuantitativo, compuesto por 52 pacientes en hemodiálisis en el hospital Santa Casa de Caridade de Diamantina, Diamantina (MG), en 2017. Métodos: Se utilizaron dos cuestionarios: socioeconómico-demográfico y el instrumento Kidney Disease and Quality of life Short Form. Los datos relativos a la calidad de vida fueron analizados por el programa preparado y puesto a disposición por el Grupo de Trabajo. Resultados: Como factores relacionados con la baja calidad de vida se encontraron: la situación laboral (33,65 ± 26,71), la carga de la enfermedad renal (49,28 ± 21,58), el funcionamiento físico (53,37 ± 22,39), la salud general (54,71 ± 27,19) y la función emocional (58,97 ± 26,23); en relación con la buena calidad de vida se encontraron: la función sexual (80,17 ± 22,46), la función cognitiva (80,26 ± 35,32), la satisfacción del paciente (83,33 ± 20,51) y el estímulo del equipo de diálisis (91,59 ± 29,17). Discusión: En comparación con los estudios realizados en Goiânia (2006), Indaiatuba (2009), Mogi das Cruzes (2014) y el presente estudio (2017) se encontraron puntuaciones similares en la mayoría de las dimensiones evaluadas, como las funciones sociales y la satisfacción del paciente. Conclusión: La calidad de vida se presentó como buena en la mayoría de las dimensiones evaluadas, mientras que los factores determinantes de la baja calidad de vida refuerzan la idea de la implementación de estrategias del equipo de salud para mejorar las expectativas de vida de los pacientes.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Qualidade de Vida , Diálise Renal , Insuficiência Renal Crônica , Aptidão Física , Saúde Pública , Cognição , Sexualidade , Nefrologia
13.
Enferm. glob ; 21(68): 286-297, Oct. 2022. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-210008

RESUMO

Introducción. El sexting se define como el envío de contenido erótico o pornográfico a través de dispositivos digitales; es un término de uso cotidiano, cuya práctica puede traer efectos positivos, y por otro lado riesgos para la salud sexual y mental en quienes lo practican. En lo que respecta a la dependencia al móvil, esta práctica se ha incrementado en estudiantes universitarios, quienes tienen la necesidad de crear, compartir y descargar contenidos. Ambos fenómenos tienen factores en común que pueden significar una relación no explorada.Objetivo. Determinar la correlación entre las conductas sobre el sexting y la dependencia al móvil en estudiantes de enfermería.Metodología. Estudio observacional, transversal y correlacional, con muestreo no probabilístico a conveniencia que incluyó estudiantes del grado en enfermería en una universidad pública de México, se utilizó la correlación de Pearson y Spearman sobre los resultados de los totales y componentes de los instrumentos: conductas sobre sexting y Test de Dependencia al móvil.Resultados. Con 300 participantes, se reporta que el 64.7% declara haber participado en el sexting a través de mensajes de texto, compartir imágenes, entre otras formas de participación; por otro lado, en cuanto a la dependencia al móvil el 96.3% se encontraba en una dependencia media y alta. Al comparar las sumatorias finales de cada instrumento se obtiene una correlación positiva con r.=0.166, p<0.050.Conclusión. Una correlación positiva entre el sexting y la dependencia al móvil es un primer indicador para explorar a profundidad los factores en común que predisponen y que pueden derivar de ambos fenómenos en la población joven. (AU)


Introduction. Sexting is defined as the sending of erotic or pornographic content through digital devices; It’s a term of daily use whose practice may bring positive effects, and on the other hand risks for sexual and mental health as shown in different studies. Regarding mobile dependency, this practice has increased in university students, who need to create, share, and download content. Both phenomena have factors in common that may signify an unexplored relationship. Objective. To determine the correlation between sexting behaviors mobile phone dependency in nursing college students. Methodology. This is an observational, cross-sectional, and correlational study, with a non-probabilistic convenience sampling method that included undergraduate nursing students at a public university in Mexico, the Pearson and Spearman correlation was used on the results of the totals and components of the instruments: behaviors on sexting and Mobile Dependency Test. Results. With 300 participants, it is reported that 64.7% declare having participated in sexting through text messages, sharing images, among other forms of participation; On the other hand, in terms of mobile phone dependency, 96.3% were in a medium and high dependency. When comparing the final summations of each instrument, a positive correlation is obtained with r.=0.166, p<0.050. Conclusion. A positive correlation between sexting and mobile phone dependency is the first indicator to explore in-depth the common factors that predispose and that can derive from both phenomena in the young population. (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Smartphone , Estudantes de Enfermagem , Sexualidade , Inquéritos e Questionários , México , Estudos Transversais
14.
Sex Med Rev ; 10(4): 554-566, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-36210094

RESUMO

INTRODUCTION: Young people constitute a critical mass in Africa south of the Sahara (SSA) yet lack adequate information on sexuality education essential for their health and development. OBJECTIVES: Guided by two sociological perspectives on socialization, that is, structural functionalism and conflict perspective, our study had 2 aims: 1) to identify and analyze studies investigating parent-adolescent sexuality communication (ie, triggers/contents) and 2) to identify and discuss barriers to sexuality-related communication between parents and adolescents. METHODS: The scoping review was conducted according to the Arksey and O'Malley framework and used PRISMA reporting guidelines for scoping reviews. We searched three databases (Scopus, PubMed, and Google Scholar) for relevant articles published in English in the last decade -2011 to 2021 and analyzed the data using a qualitative content analysis approach. RESULTS: A total of 1045 studies were identified. After abstract review, we identified 58 papers, and after full-text review, 16 studies were included in the final review. Aim 1a) Discussions of sexuality-related conversations were triggered by parents/caretakers due to pubertal/physical changes and adolescents' "inapt" behaviors (eg, engaging in sex). Aim 1b) Our results showed that contents of sexuality education de-emphasized/avoided sensitive sexuality-related topics (such as condom use/contraception) that did not fit within the sociocultural norms/expectations, characterized by threats, cautions, and wrought with moralistic and religious views that evaded practical information regarding sex, contraception, and other critical sexual information. Aim 2: Two themes emerged as barriers that impede sexuality-related discussions, including whose responsibility it is to discuss sexuality-issues with adolescents and the gender differences/discordance of parent-adolescent dyads. CONCLUSION: Sexuality education for adolescents in SSA is not comprehensive due to structured power relations. Thus, parent-adolescent sexuality communication falls short of the value of sexuality education for young people for whom accurate and complete sexual health information is critical for making informed decisions as they emerge into adulthood. Agbeve AS, Fiaveh DY, Anto-Ocrah M. Parent-Adolescent Sexuality Communication in the African Context: A Scoping Review of the Literature. Sex Med Rev 2022;10:554-566.


Assuntos
Relações Pais-Filho , Comportamento Sexual , Adolescente , Adulto , Comunicação , Humanos , Pais , Sexualidade
15.
J Adolesc Health ; 71(6): 744-750, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36220687

RESUMO

PURPOSE: Comprehensive sexuality education (CSE) has been shown to reduce sexual risk-taking behaviors and promote healthy sexual development, and studies have shown high support for this approach. However, the past decade has seen many changes in the political landscape and social controversies. The present study reports on an updated survey and analysis of changes in support from 2006 to 2021. METHODS: Survey data were collected by telephone in 2006 (N = 1,605) and online and in-person in 2021 (N = 719) from separate samples of Minnesota parents of school-age children. Parents responded to items regarding preferences for CSE, support for teaching numerous specific sexuality education topics, and the grade level at which topics should be introduced. Chi-square tests and logistic regression (with weighted 2021 data) were used to detect differences in support between survey years and across demographic and personal characteristics. RESULTS: At both time points, approximately 90% of parents thought that CSE should be taught in schools, with significant increases in support within several demographic categories. Support for including all specific topics was high, including for topics typically considered highly controversial (e.g., gender identity, 68.7%; abortion, 77.7% in 2021). Parents endorsed introducing most topics in elementary or middle school years. DISCUSSION: Findings suggest that policy makers and educators in Minnesota can be confident of strong parental support for CSE covering a wide range of content to meet students' needs. Advocacy and action to advance the use of national sexuality education standards are in keeping with the views of the overwhelming majority of parents of school-age children.


Assuntos
Identidade de Gênero , Educação Sexual , Criança , Gravidez , Feminino , Humanos , Masculino , Comportamento Sexual , Pais , Inquéritos e Questionários , Sexualidade
16.
Artigo em Inglês | PAHO-IRIS | ID: phr-56536

RESUMO

[ABSTRACT]. Objectives. This systematic review aimed at assessing the associations between sexual health and subjective well-being in older age groups (i.e. people aged between 40 and ≥90 years). Methods. A systematic search was conducted of the Web of Science, MEDLINE, EBSCO, Scopus, SciELO and LILACS (Latin American and Caribbean Health Sciences Literature) databases for studies published until September 2021. Search strings included a combination of terms such as “sexual health” or “sexuality” and “well-being” and terms related to the measures that assess the constructs of interest. This systematic review followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Results were grouped into four categories that assess the interplay between sexual health and subjective well-being: cognitive and attitudinal factors, sexual behavior, sexual function and sexual satisfaction. The subjective well-being domains that were analyzed were life satisfaction, positive and negative affect, and psychological well-being. Results. A total of 15 quantitative studies were reviewed, of which 14 were articles and 1 was a doctoral dis- sertation. Findings suggest that living a fulfilling sexual life is an essential part of subjective well-being. Conclusions. This review suggests that programs aiming to promote well-being in older age groups should also encourage a fulfilling sexual life.


[RESUMEN]. Objetivos. El objetivo de esta revisión sistemática es evaluar las asociaciones entre salud sexual y bienestar subjetivo en grupos de mayor edad (es decir, personas entre 40 y 90 años o más). Métodos. Se realizó una búsqueda sistemática en las bases de datos Web of Science, MEDLINE, EBSCO, Scopus, SciELO y LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud) de estudios publicados hasta septiembre del 2021. Las cadenas de búsqueda incluyeron una combinación de términos como “salud sexual” o “sexualidad” y “bienestar” y términos relacionados con las medidas que evalúan los constructos de interés. Esta revisión sistemática siguió las directrices PRISMA (sigla en inglés de elementos de referencia para publicar revisiones sistemáticas y metaanálisis). Los resultados se agruparon en cuatro categorías que evalúan la interacción entre la salud sexual y el bienestar subjetivo: factores cognitivos y acti- tudinales, comportamiento sexual, función sexual y satisfacción sexual. Los dominios de bienestar subjetivo analizados fueron la satisfacción vital, el afecto positivo y negativo y el bienestar psicológico. Resultados. Se revisaron 15 estudios cuantitativos en total: 14 artículos y 1 tesis doctoral. Los resultados indican que experimentar una vida sexual satisfactoria es una parte esencial del bienestar subjetivo. Conclusiones. Esta revisión sugiere que los programas destinados a promover el bienestar en los grupos de mayor edad también deben fomentar una vida sexual satisfactoria.


[RESUMO]. Objetivos. Esta revisão sistemática teve como objetivo avaliar as associações entre saúde sexual e bem-estar subjetivo em faixas etárias mais velhas (ou seja, pessoas com idade entre 40 e 90 anos ou mais). Métodos. Foi realizada uma pesquisa sistemática nas bases de dados Web of Science, MEDLINE, EBSCO, Scopus, SciELO e LILACS (Latin American and Caribbean Health Sciences Literature) para estudos publica- dos até setembro de 2021. Os termos de busca incluíram uma combinação de termos como “saúde sexual” ou sexualidade” e ”bem-estar”, e termos relacionados às medidas que avaliam os construtos de interesse. A revisão sistemática seguiu as diretrizes PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Os resultados foram agrupados em quatro categorias de avaliação da interação entre saúde sexual e bem-estar subjetivo: fatores cognitivos e atitudinais, comportamento sexual, função sexual e satis- fação sexual. Os domínios de bem-estar subjetivo analisados foram satisfação com a vida, afeto positivo e negativo, e bem-estar psicológico. Resultados. Foram revisados 15 estudos quantitativos, sendo 14 artigos e uma tese de doutorado. Os resul- tados sugerem que viver uma vida sexual plena é uma parte essencial do bem-estar subjetivo. Conclusões. Esta revisão sugere que os programas destinados a promover bem-estar nas faixas etárias mais velhas também devem incentivar uma vida sexual plena.


Assuntos
Envelhecimento , Sexualidade , Saúde Sexual , Satisfação Pessoal , Envelhecimento , Sexualidade , Saúde Sexual , Satisfação Pessoal , Envelhecimento , Sexualidade , Saúde Sexual , Satisfação Pessoal
17.
Artigo em Inglês | MEDLINE | ID: mdl-36293660

RESUMO

Commonly, frail older adults move to residential care, a liminal space that is their home, sometimes a place of death, and a workplace. Residential facilities typically espouse person-centred values, which are variably interpreted. A critical approach to person-centred care that focuses on social citizenship begins to address issues endemic in diminishing opportunities for intimacy in the end-of-life residential context: risk-averse policies; limited education; ageism; and environments designed for staff convenience. A person-centred approach to residents' expressions of intimacy and sexuality can be supported throughout end-of-life care. The present study utilised a constructionist methodology to investigate meanings associated with intimacy in the palliative and end-of-life care context. There were 77 participants, including residents, family members and staff, from 35 residential facilities. Analysis identified four key themes: care home ethos and intimacy; everyday touch as intimacy; ephemeral intimacy; and intimacy mediated by the built environment. Residents' expressions of intimacy and sexuality are supported in facilities where clinical leaders provide a role-model for a commitment to social citizenship. Ageism, restrictive policies, care-rationing, functional care, and environmental hindrances contribute to limited intimacy and social death. Clinical leaders have a pivotal role in ensuring person-centred care through policies and practice that support residents' intimate reciprocity.


Assuntos
Instituição de Longa Permanência para Idosos , Cuidados Paliativos , Humanos , Idoso , Comportamento Sexual , Parceiros Sexuais , Sexualidade
18.
Artigo em Inglês | MEDLINE | ID: mdl-36293809

RESUMO

BACKGROUND: The main aim of this study was to design and validate a questionnaire in Spanish to acknowledge the perception of the sexuality of women with intellectual disabilities. We sought to cover specific spheres of sexuality, such as sexual capacity, decision-making capacity, sexual disinhibition, and sexual education and quality of life. METHODS: A questionnaire was developed based on a literature review. Validation was performed using content validation through a panel of experts; construct validation was performed using exploratory and confirmatory factorial analyses; reliability tests were also performed, using Cronbach's Alpha and the two-halves test. RESULTS: Two-hundred forty-four participants pilot tested the initial 34-item questionnaire. After content validation and exploratory factorial analysis, the resulting 10-item questionnaire showed four domains, with Cronbach's Alpha values between 0.69 and 0.82. Confirmatory factorial analysis confirmed the domains, and the model's goodness-of-fit tests were adequate. CONCLUSIONS: The final ten-item scale developed in this research proved to be a valid and reliable instrument, as it has good psychometric properties of both validity and reliability. Thus, researchers interested in investigating the social perception of the sexuality of women with intellectual disabilities can use this tool. Future research can extend the validity of this scale to other languages and settings.


Assuntos
Deficiência Intelectual , Qualidade de Vida , Humanos , Feminino , Reprodutibilidade dos Testes , Inquéritos e Questionários , Psicometria/métodos , Sexualidade , Conhecimentos, Atitudes e Prática em Saúde
20.
Age Ageing ; 51(10)2022 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-36309975

RESUMO

BACKGROUND: sexuality, intimacy and relationship needs are often a neglected aspect of the care of older adults in residential care facilities. Improving awareness, knowledge and improving attitudes about these needs among care staff could enhance quality of care and lead to better outcomes for residents. OBJECTIVE: to evaluate the feasibility and acceptability of a co-designed education and training e-resource to help care staff support their residents' sexuality, intimacy and relationship needs. METHODS: we delivered the education and training e-resource to five UK care homes over a 6-month period in a pre-post mixed methods study using surveys, focus groups and individual interviews. RESULTS: fifty-nine members of staff from participating care homes undertook the education and training e-resource. 18/59 (31%) of participants completed all six modules and the pre-post surveys. Eleven participants participated in focus groups/interviews to explore experiences of using the e-resource. The e-resource was successfully implemented in the study homes and found to be acceptable. We found preliminary evidence of positive changes in staff attitudes. Factors that facilitated implementation included support from the care home manager. Barriers identified included IT infrastructure and technology. CONCLUSIONS: the findings provide initial evidence that a co-designed education and training e-resource raised awareness of, and improved attitudes towards, older adults' sexuality and intimacy needs. This work provides the foundation for a next phase to establish the effectiveness of the e-resource on staff practice and resident outcomes.


Assuntos
Instituição de Longa Permanência para Idosos , Sexualidade , Humanos , Idoso , Estudos de Viabilidade , Comportamento Sexual , Atitude do Pessoal de Saúde
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...