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1.
Urol Clin North Am ; 48(4): 591-602, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34602178

RESUMO

Oncosexology is a multidisciplinary field composed of physicians, nurses, psychologists, and other health care professionals focusing on sexual issues in patients with cancer. Although any cancer diagnosis or treatment can be associated with sexual dysfunction, pelvic malignancies (such as prostate, bladder, or colorectal cancer) have the highest rates of sexual dysfunction in men. This includes erectile dysfunction, testosterone deficiency, ejaculatory dysfunction, orgasmic dysfunction, sexual incontinence, and penile shortening. Testicular cancer and hematologic malignancies also have a significant impact on patients' sexual function. Health care providers should address sexual dysfunction with their patients, including any adverse effects of potential treatment options.


Assuntos
Sobreviventes de Câncer , Disfunções Sexuais Fisiológicas , Saúde Sexual , Humanos , Masculino , Oncologia , Neoplasias/complicações , Sexologia , Disfunções Sexuais Fisiológicas/etiologia
2.
Urologe A ; 60(9): 1192-1198, 2021 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-34432075

RESUMO

The dermatologist and venerologist Samuel Jessner (1895-1929) received a lectureship for sexology at the University of Koenigsberg (today: Russian Калининград, Kaliningrad) in 1921. Since 1928 he was also listed as a urologist in the Reichsmedizinalkalender (German Physician Address Calendar). In this article we trace his life and work and ask how Jessner was able to achieve this academic success in the periphery of German sexology and without close ties to its networks. His weak influence in research, his lack of connection to a "school" of sexual science in German-speaking countries, and his Jewish origin were factors that impaired both the recognition of his work among his contemporaries and his recognition in the discipline-specific historiography until today.


Assuntos
Médicos , Sexologia , Alemanha , Humanos , Judeus , Masculino , Universidades
3.
Support Care Cancer ; 29(8): 4311-4318, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33411047

RESUMO

PURPOSE: Women's sexual health and wellbeing with cervical or vaginal cancer may be largely affected by complications from external beam radiotherapy (EBRT) and utero-vaginal brachytherapy (BT), of which vaginal stenosis is the main complication. The objective of this study was to assess the impact of support by a nurse sexologist on sexuality, vaginal side-effects, and the quality of clinical follow-up in patients treated with brachytherapy for cervical or vaginal cancer. METHODS: We performed a retrospective study of the sexuality of women treated for cervical or vaginal cancer. Data from patients with cervical or vaginal cancer who underwent brachytherapy between 2013 and 2017 were collected at Institut Universitaire de Cancer de Toulouse-Oncopôle (IUCT-Oncopôle). Patients were divided into two groups: group A (intervention group) received support from a nurse sexologist and group B (control group) did not. The chi-square test and a logistic multivariate model were used for data analysis. RESULTS: A total of 156 patients were included in this study, including 57.7% who were followed by a nurse sexologist. We observed low compliance in using vaginal dilators after brachytherapy and/or radiotherapy over time regardless of the group, and patients' sexual activity was inadequately addressed. Information regarding the resumption of sexuality 2 months after treatment was missing in 1.1% of patients in group A and in 36.4% of patients in group B. Multivariate analysis showed that patients in group A had a lower risk of developing vaginal stenosis with OR crude = 0.5 (95% CI = 0.25-0.92) and OR adj. = 0.5 (95% CI = 0.26-1.09) compared with those in group B. CONCLUSION: This retrospective study highlights the lack of information collected by physicians during follow-up concerning the sexuality of patients with cervical or vaginal cancer treated by EBRT and BT. The support offered by nurse sexologists in improving patients' sexual activity and reducing their physical side-effects such as vaginal stenosis is likely to be beneficial. A prospective study is currently being conducted to validate the present findings.


Assuntos
Braquiterapia/efeitos adversos , Sistemas de Apoio Psicossocial , Comportamento Sexual/psicologia , Sexualidade/estatística & dados numéricos , Neoplasias do Colo do Útero/radioterapia , Neoplasias Vaginais/radioterapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Carcinoma in Situ/radioterapia , Constrição Patológica/epidemiologia , Constrição Patológica/etiologia , Dilatação , Feminino , Seguimentos , Humanos , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros , Cooperação do Paciente , Estudos Prospectivos , Estudos Retrospectivos , Sexologia/métodos
5.
Urologe A ; 59(9): 1095-1106, 2020 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-32803406

RESUMO

His contemporaries described Hermann Rohleder, a physician from Leipzig, as a pioneer of sexual medicine. His career led him from treating patients with venereal diseases to urology and sexology. Rohleder worked for the institutionalization of sexology in Germany, but his attempts to establish a professorship at the University of Leipzig remained unsuccessful. Rohleder's life and work illustrate how closely the disciplines of urology and sexology were connected in the early 20th century.


Assuntos
Sexologia/história , Urologia/história , Venereologia/história , Alemanha , História do Século XIX , História do Século XX , Humanos , Masculino , Comportamento Sexual , Urologistas
7.
Hist Psychiatry ; 31(3): 294-310, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32447989

RESUMO

This article explores the antagonism between Sigmund Freud and the German neurologist and sexologist Albert Moll. When Moll, in 1908, published a book about the sexuality of children, Freud, without any grounds, accused him of plagiarism. In fact, Moll had reason to suspect Freud of plagiarism since there are many parallels between Freud's Drei Abhandlungen zur Sexualtheorie and Moll's Untersuchungen über die Libido sexualis. Freud had read this book carefully, but hardly paid tribute to Moll's innovative thinking about sexuality. A comparison between the two works casts doubt on Freud's claim that his work was a revolutionary breakthrough. Freud's course of action raises questions about his integrity. The article also critically addresses earlier evaluations of the clash.


Assuntos
Dissidências e Disputas/história , Relações Interprofissionais , Plágio , Psicanálise/história , Sexologia/história , Áustria , Alemanha , História do Século XIX , História do Século XX , Humanos
8.
Urol Int ; 104(7-8): 501-509, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32172253

RESUMO

This paper reviews the files in the archive of the Nobel Prize Committee for Physiology or Medicine on the Austrian physiologist and pioneering researcher in the emerging fields of urology and sexual medicine: Eugen Steinach (1861-1944). It reconstructs and analyzes why and by whom Steinach was nominated for the Nobel Prize between 1920 and 1938 and discusses the reasons why he never received the award, although the Nobel Committee judged him as prizeworthy. Steinach's Nobel nominee career is extraordinary - not only because of his strong support by renowned international nominators from different scientific and medical disciplines, but also because of the controversial discussions within the Nobel Committee on his achievements, colored by the debates in the international scientific community. The Nobel Prize story adds a new perspective on how contemporary international scholars evaluated Steinach's research on reproduction, "male-making" females, "female-making" males, homosexuality, and the concept of rejuvenation.


Assuntos
Sexologia/história , Arte , Áustria , História do Século XIX , História do Século XX , Medicina , Prêmio Nobel
9.
Sex Med Rev ; 8(3): 367-378, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32089467

RESUMO

INTRODUCTION: Tinder is the most popular and used meeting application for dating. However, its impact on sexual behavior and sexual health has not yet been thoroughly investigated. OBJECTIVES: To review the current empirical knowledge on the sexual health and sexual behavior effects related to Tinder use. METHODS: A literature review was conducted based on empirical studies published in the last 5 years. A computerized search was performed to identify all relevant studies in PubMed and Google Scholar. The following search terms were used: "Tinder" AND "Sexuality" OR "Tinder" AND "Sexual Behavior" OR "Tinder" AND "Sexual Dysfunctions" OR "Tinder" AND "Sexual Health." 34 articles fully satisfied the established criteria. RESULTS: We found sociosexuality, that is, sexual activities outside a committed relationship, to be the main predictor for casual sex in the Tinder users. The sexual aims appeared gender-influenced: men used Tinder mostly for casual sex compared with women. With respect to other dating apps, it has been also found that the Tinder use is less related to the risk of sexually transmitted infections. However, specific personality traits related to dark personality (ie, the association of Machiavellianism, narcissism, and psychopathy) were more frequently reported among male Tinder users. CONCLUSION: Existing literature concerning Tinder use shows the advantages and disadvantages of this dating technology. Casual sex might be a risk for sexual health, but Tinder users have also been committed to romantic relationships. Moreover, some pathological aspects of personality characterize some Tinder users. From an evolutionary perspective, sociosexuality partially explains the reasons of the Tinder user's interest for casual sex. Finally, this review highlights the need of further studies on Tinder as a new, pivotal virtual place to promote sex education and sexual health. Ciocca G, Robilotta A, Fontanesi L, et al. Sexological Aspects Related to Tinder Use: A Comprehensive Review of the Literature. Sex Med Rev 2020;8:367-378.


Assuntos
Aplicativos Móveis , Comportamento Sexual , Mídias Sociais , Humanos , Relações Interpessoais , Sexologia , Saúde Sexual
10.
Hist Sci ; 58(3): 326-349, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-31631715

RESUMO

The sexological research questionnaire, which became a central research tool in twentieth-century sexology, has a methodological-developmental history stretching back into mid-nineteenth century Germany. It was the product of a prolonged, disruptive encounter between sexual scientists constructing sexual case studies along with newly assertive homosexual men supplying self-penned sexual autobiographies. Homosexual autobiographies were intensely interesting to these men of science but lacked the brevity, structure, and discipline of a formal clinical case study. In the closing decades of the century, efforts to harness and regularize this self-penned material resulted in a series of methodological adaptations. By the turn of the century this process had resulted in the first use of a formal sexual research questionnaire.


Assuntos
Homossexualidade/história , Psiquiatria/história , Sexologia/história , Inquéritos e Questionários , Pesquisa Comportamental/história , Feminino , Alemanha , História do Século XIX , História do Século XX , Humanos , Masculino , Terminologia como Assunto
11.
Hist Psychol ; 23(1): 40-61, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31328938

RESUMO

This article challenges the widely held belief that early-20th-century England was one of the most sexually repressed countries in the Western world. Late Victorian physicians discussing sexual diseases and dysfunctions were granted immunity from prosecution if their publications were sold through a recognized medical publisher only to Members of the Medical, Legal and Clerical Professions. It was assumed that those same constraints applied to publications concerning the psychology of the sexual life (sexology). In 1908, Rebman Limited, a well-known medical publisher, advertised Eden Paul's (1908) translation of Iwan Bloch's The Sexual Life of Our Time (hereafter, "Sexual Life") without any restrictions. Although a magistrate ruled the book obscene, the U.K. Home Office allowed republication on condition that its sale was strictly limited. The Rebman case reveals how the U.K. Home Office tried to police the new science of sexology by limiting its circulation, not censoring its content. Despite these restrictions, Sexual Life circulated among lay readers, thereby inviting further research into how even "censored" material shaped debates on sexual, social, and political reform. (PsycINFO Database Record (c) 2020 APA, all rights reserved).


Assuntos
Regulamentação Governamental/história , Publicações/história , Sexologia/história , Livros/história , História do Século XIX , História do Século XX , Humanos , Publicações/legislação & jurisprudência , Disfunções Sexuais Psicogênicas/história , Reino Unido
13.
Psicol. Estud. (Online) ; 25: e46605, 2020.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1135778

RESUMO

RESUMO A retórica da unidade nacional como base para a construção de uma nova sociedade é uma das inspirações na implementação de políticas no contexto cubano atual. A exemplo disso, a Estratégia Nacional de Atenção a pessoas transexuais, em Cuba, almeja a integração social das pessoas trans*, recorrendo a narrativas de unidade e coesão nacionais. Este trabalho reflete criticamente sobre os limites das políticas públicas e o modo como determinadas retóricas colocam em causa a sua universalidade. Para tal baseamo-nos em contribuições dos estudos culturais, estudos feministas e debates acerca da democracia radical e plural. Nas conclusões apontamos alternativas ao discurso da integração das pessoas trans*, em Cuba, pela via da unidade e coesão nacionais. Dentre as alternativas consideramos que um distanciamento face a concepções que pensem as diferenças apenas em termos de relações de subordinação e antagonismo, assim como uma aposta no caráter provisório das políticas, a sua possibilidade de criar alianças, de ser mobilizadas pelas paixões, poderiam contribuir significativamente para incrementar a cidadania de pessoas trans* no contexto cubano.


RESUMEN. La retórica de la unidad nacional como base para la construcción de una nueva sociedad es una de las inspiraciones para la implementación de políticas en el contexto cubano actual. Como ejemplo de eso, la Estrategia Nacional de Atención a personas transexuales en Cuba aspira a la integración social de las personas trans*, recurriendo a narrativas de unidad y cohesión nacionales. Este estudio reflexiona críticamente sobre los límites de las políticas públicas y el modo en que determinadas retóricas cuestionan su universalidad. Para ello nos basamos en contribuciones de los estudios culturales, estudios feministas y debates acerca de la democracia radical y plural. En las conclusiones apuntamos alternativas al discurso de la integración de las personas trans* en Cuba por la vía de la unidad y cohesión nacionales. Entre las alternativas consideramos que un distanciamiento frente a concepciones que piensan las diferencias solo en términos de relaciones de subordinación y antagonismo, así como una apuesta en el carácter provisional de las políticas, su posibilidad de crear alianzas, de ser movilizadas por las pasiones, podrían contribuir significativamente para incrementar la ciudadanía de personas trans * en el contexto cubano.


ABSTRACT. The rhetoric of national unity as the basis for building a new society is one of the inspirations in the implementation of policies in the current Cuban context. As an example, the National Strategy for the Care of Transgender People in Cuba aims at the social integration of trans* people, using narratives of national and unity cohesion. This work reflects critically on the limits of public policies and on how certain rhetoric calls into question their universality. To this end, we take into consideration some contributions from cultural and feminist studies and debates about radical and plural democracy. In the conclusions, we point out alternatives to the discourse on the integration of trans* people in Cuba through national unity and cohesion. Among the alternatives we take a distance from conceptions that think of differences only in terms of subordination and antagonism relations as well as based on the provisional nature of policies, their possibility of creating alliances, to be mobilized by the passions, seem more feasible to contribute significantly to improve the citizenship of trans * people in the Cuban context.


Assuntos
Transexualidade/psicologia , Comportamento Cooperativo/políticas , Universalização da Saúde , Política , Política Pública , Casamento/psicologia , Sexualidade/psicologia , Sexologia , Diversidade de Gênero , Identidade de Gênero , Integração Social
14.
Ann Agric Environ Med ; 26(2): 379-384, 2019 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-31232075

RESUMO

INTRODUCTION AND OBJECTIVES: Surgical treatment due to brest cancer have an impact on women sexuality. There is a need for research about effective indications for sexology consultation in women after such treatment. The aim of this study is to determine the indications for sexology consultation in women after surgical treatment for breast cancer. MATERIAL AND METHODS: We tested 42 women patients diagnosed with breast cancer who had undergone mastectomy 3 months before the study. 3 months after the surgery the women were surveyed using the Polish version of FSFI assessing sexual functioning in women. The result of PL-FSFI were compared with the control group. RESULTS: It was found that the mean score of PL-FSFI in the study group 3 months after the surgery was 13.33 points (score range: 1.2-31.7; median 8.3 points) with a statistically significant difference in terms of areas: desire, arousal, lubrication and orgasm in favour of the control group. The total score of PL-FSFI was significantly lower in women after mastectomy than in women after breast-conserving surgery. It has been shown that sexually active women in whom the surgery concerned the right breast (on the side of the dominant hand) scored lower on the scale "sexual functioning" of QLQ-BR-23 than women with surgery of the left breast, with this difference being statistically significant. There was a statistically significant correlation between the baseline performance status on the Zubrod scale and the scales: desire, lubrication and satisfaction of PL-FSFI. Living in a small town proved to be statistically significant for predicting a lower risk of sexual dysfunction among the surveyed women. CONCLUSIONS: The women who underwent surgery due to breast cancer had a higher risk of sexual dysfunction compared to the general population. Higher risk of sexual dysfunction especially concerns women after mastectomy, those who underwent breast surgery on the side of the dominant hand, and those with a worse preoperative overall level of functioning of > = 1 point on the Zubrod scale. A lower risk of disorders was observed in women living in smaller towns. The above factors indicate the advisability for sexology consultation in women with breast cancer.


Assuntos
Neoplasias da Mama/psicologia , Neoplasias da Mama/cirurgia , Mulheres/psicologia , Adulto , Idoso , Feminino , Humanos , Masculino , Mastectomia , Pessoa de Meia-Idade , Encaminhamento e Consulta , Sexologia , Comportamento Sexual
15.
Med Hist ; 63(3): 330-351, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31208483

RESUMO

The Czech Republic holds one of the highest numbers of men labelled as sexual delinquents worldwide who have undergone the irreversible process of surgical castration - a policy that has elicited strong international criticism. Nevertheless, Czech sexology has not changed its attitude towards 'therapeutic castration', which remains widely accepted and practised. In this paper, we analyse the negotiation of expertise supporting castration and demonstrate how the changes in institutional matrices and networks of experts (Eyal 2013) have impacted the categorisation of patients and the methods of treatment. Our research shows the great importance of historical development that tied Czech sexology with the state. Indeed, Czech sexology has been profoundly institutionalised since the early 1970s. In accordance with the state politics of that era, officially named Normalisation, sexology focused on sexual deviants and began creating a treatment programme that included therapeutic castration. This practice, the aim of which is to protect society from sex offenders, has changed little since. We argue that it is the expert-state alliance that enables Czech sexologists to preserve the status quo in the treatment of sexual delinquents despite international pressure. Our research underscores the continuity in medical practice despite the regime change in 1989. With regard to previous scholarship on state-socialist Czechoslovakia, we argue that it was the medical mainstream that developed and sustained disciplining and punitive features.


Assuntos
Orquiectomia/história , Transtornos Parafílicos/história , Delitos Sexuais/história , Sexologia/história , República Tcheca , Tchecoslováquia , História do Século XX , História do Século XXI , Humanos , Masculino , Orquiectomia/legislação & jurisprudência , Transtornos Parafílicos/cirurgia , Transtornos Parafílicos/terapia , Sistemas Políticos/história , Delitos Sexuais/legislação & jurisprudência
16.
J Sex Med ; 16(6): 901-908, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31103483

RESUMO

INTRODUCTION: Peyronie's disease (PD) is a progressive and devastating penile disorder that often results in severe penile curvature with penile shrinking, making vaginal insertion difficult or even impossible. Until now, in contrast to other penile disorders such as erectile dysfunction, PD is characterized by a paucity of conservative treatment options. AIM: To investigate the current status quo in the management of PD across European experts in sexual medicine. METHODS: Members of the European Society of Sexual Medicine and of various andrology and urology societies across Europe, with the majority (78%) being urologists, were contacted via e-mail and newsletters and asked to fill in an online questionnaire. The survey comprised 56 items developed by an expert consensus of the educational committee of the European Society of Sexual Medicine. In the end, 401 participants responded to the entire survey, with 277 reporting treating PD patients themselves and knowing this penile entity very well. MAIN OUTCOME MEASURES: Main outcome measures include description of current strategies regarding diagnosis and treatment of PD as reported by specialists in this field. RESULTS: Of the physicians treating PD patients, 94% performed penile palpation, and 74% perform ultrasonography. 45% assessed the degree of penile curvature by means of intravenous drug testing, but only 17% measured it accurately with a goniometer. Penile length, flaccid or in erect state, was measured by only 39% or 25%, respectively. Only 45% assessed testosterone. Primary treatment options were oral (65%), counseling (57%), and topical/local therapy (30%). Among oral drug users, tadalafil 5 mg was the most commonly used (57%), followed by vitamin E (40%). Regarding intralesional therapy, collagenase clostridium histolyticum was the leading drug (34%), followed by calcium channel blockers (17%). Considering surgical procedures, the original Nesbit technique was the preferred procedure (33%). 36% of the specialists expressed their dissatisfaction with the currently available treatment options, and 64% reported the impression that their patients were mostly dissatisfied with the treatment outcomes. CLINICAL IMPLICATIONS: Innovative and presumably multi-modal treatment protocols for PD are urgently needed. STRENGTHS & LIMITATIONS: The survey represents 1 of the largest studies on the management of PD. The results are representative for the standard management of PD mostly among European Urologists with specialization in sexual medicine and may therefore not be generalizable to regions outside Europe or to other physicians treating PD. CONCLUSION: Around one-third of experts and, from their perspective, around two-thirds of patients are dissatisfied with the currently available PD treatment options. Porst H, Burri A, the European Society for Sexual Medicine (ESSM) Educational Committee. Current Strategies in the Management of Peyronie's Disease (PD)-Results of a Survey of 401 Sexual Medicine Experts Across Europe. J Sex Med 2019;16:901-908.


Assuntos
Induração Peniana/terapia , Padrões de Prática Médica , Atitude do Pessoal de Saúde , Consenso , Disfunção Erétil/terapia , Europa (Continente) , Humanos , Masculino , Colagenase Microbiana/administração & dosagem , Satisfação do Paciente , Pênis/cirurgia , Sexologia , Sociedades Médicas , Inquéritos e Questionários , Resultado do Tratamento
17.
Soins Psychiatr ; 40(321): 22-26, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31006440

RESUMO

Working as a psycho-sexologist on a treatment programme for sexual violence perpetrators leads professionals to reflect on their position and their therapeutic objectives with the patients. The love and sex life of sexual violence perpetrators can be taken into consideration as a resource in the treatment. In addition to consultations with a sexologist, an integrative approach is necessary. Psychotherapy uses sexology to gain a better understanding of patients' issues.


Assuntos
Prisioneiros/psicologia , Psicoterapia , Delitos Sexuais/legislação & jurisprudência , Sexologia , Humanos , Prisões
18.
J Sex Res ; 56(4-5): 475-510, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30793956

RESUMO

Sexual scientists must choose from among myriad methodological and analytical approaches when investigating their research questions. How can scholars learn whether sexualities are discrete or continuous? How is sexuality constructed? And to what extent are sexuality-related groups similar to or different from one another? Though commonplace, quantitative attempts at addressing these research questions require users to possess an increasingly deep repertoire of statistical knowledge and programming skills. Recently developed open-source software offers powerful yet accessible capacity to researchers wishing to perform strong quantitative tests. Taking advantage of these new statistical opportunities will require sexual scientists to become familiar with new analyses, including taxometric analysis, tests of measurement variability and differential item functioning, and equivalence testing. In the current article, I discuss each of these analyses, providing conceptual and historical overviews. I also address common misunderstandings for each analysis that may discourage researchers from implementing them. Finally, I describe current best practices when using each analysis, providing reproducible coding examples and interpretations along the way, in an attempt to reduce barriers to the uptake of these analyses. By aspiring to explore these new statistical frontiers in sexual science, sexuality researchers will be better positioned to test their substantive theories of interest.


Assuntos
Sexologia , Estatística como Assunto , Humanos , Sexologia/métodos
19.
Support Care Cancer ; 27(3): 887-894, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30109489

RESUMO

PURPOSE: To assess, focusing on population of healthcare professionals providing oncosexology care to men with cancer, clinical practice, attitudes, knowledge, communication, and professional interaction. METHODS: We performed a descriptive cross-sectional study with an online self-administered e-questionnaire addressed to all medical, paramedical, or administrative professionals attending the 4th "Cancer, Sexuality and Fertility" Meeting in Toulouse, France. Their participation was voluntary and totally anonymous. RESULTS: The 165 respondents comprised 44% of physicians, 47% of paramedics, and 9% of other health professionals in oncology, from all French regions. Paramedics were significantly younger than physicians (p = .006). One third of respondents were degreed in sexology, but 75.8% were in demand of oncosexology-specific trainings, particularly paramedics (p = .029). Regarding the oncosexology network, respondents declared being linked to organ specialists (56.8%), psychologists (49.5%), oncologists (47.4%), nurses (31.5%), radiation therapists (27.4%), and general practitioners (25.3%). Compared to paramedics, physicians were more likely to be engaged in oncosexology care (p = .039) and couple counseling (p = .005), but the proportions of counseled patients or couple were identical (p = .430 and p = .252, respectively). Overall, 90% of respondents reported discussing sexuality issues with patients. Regarding the time for discussion, physicians reported communicating more at cancer announcement (p = .004) or after treatments (p = .015), while more paramedics reported discussing at another time (p = .005). Regarding the place for discussion, paramedics more frequently reported talking about sexuality in the hospital room (p = .001) or during a specific consult (p = .007). CONCLUSIONS: Results emphasize various levels for improving existing oncosexology care, such as developing oncosexology-specific educational and practical training programs, particularly for paramedics; consolidating information, counseling, and therapeutic education with formal procedures like implementing medical and paramedical "oncosexology moments," or strengthening the community-hospital networks, from diagnosis to survivorship.


Assuntos
Atitude do Pessoal de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Neoplasias/psicologia , Saúde Sexual , Adulto , Comunicação , Estudos Transversais , Escolaridade , Feminino , França , Humanos , Relações Interprofissionais , Masculino , Oncologia/estatística & dados numéricos , Pessoa de Meia-Idade , Médicos/psicologia , Médicos/estatística & dados numéricos , Sexologia/estatística & dados numéricos , Comportamento Sexual/psicologia , Sexualidade/psicologia , Inquéritos e Questionários
20.
BMC Health Serv Res ; 18(1): 964, 2018 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-30545370

RESUMO

BACKGROUND: Men who have sex with men (MSM) are at high risk of human immunodeficiency virus (HIV) infection and sexually transmitted infection (STI) in China. Inadequate clinical services and poor clinical competency among physicians are major barriers to improving the sexual health of MSM. This study aims to understand physician clinical competency in providing MSM health services in China. METHODS: We conducted an online cross-sectional survey among Chinese physicians who have seen male patients for STI complaints in the past year. We obtained information on individual demographics, clinical practice, attitudes toward MSM, and interest in contributing to MSM clinical services. We defined an MSM-competent physician as one who asked male patients about sexual orientation, sexual practices, and recommended HIV/ STI testing during a clinic visit. We conducted multivariable logistic regression to identify factors associated with MSM competency. RESULTS: In total, 501 physicians completed the survey. The most common subspecialties were dermatovenereology (33.1%), urology (30.1%), and general medicine (14.4%). Roughly half (n = 267, 53.3%) reported seeing MSM in the past 12 months. Among physicians who saw MSM in the past 12 months, 60.3% (n = 161) met criteria as MSM-competent physicians, and most (n = 234, 87.6%) MSM-competent physicians reported positive or neutral attitudes towards MSM. Over 60% of all physicians were willing to participate in activities for improving MSM services, such as training and being on a list of physicians willing to serve MSM. MSM-competent physicians showed no sociodemographic differences compared with non MSM-competent physicians. MSM-competent physicians were more willing to have their medical institution named on a public clinic list capable of serving MSM (aOR: 1.70, 95%CI: 1.01-2.86) and being on a public physician list capable of serving MSM (aOR: 1.77, 95%CI: 1.03-3.03). CONCLUSIONS: MSM-competent physicians included a broad range of individuals that practiced in diverse clinical settings. Most physicians were interested in improving and expanding MSM clinical services, despite having neutral attitudes toward same-sex behavior. Future interventions should focus on developing MSM clinical competency and expanding services that meet the needs of MSM.


Assuntos
Competência Clínica/normas , Médicos/normas , Doenças Sexualmente Transmissíveis/terapia , Adulto , Idoso , Atitude do Pessoal de Saúde , China , Medicina Clínica/normas , Medicina Clínica/estatística & dados numéricos , Estudos Transversais , Atenção à Saúde/normas , Feminino , Infecções por HIV/psicologia , Infecções por HIV/terapia , Homossexualidade Masculina/psicologia , Homossexualidade Masculina/estatística & dados numéricos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Médicos/psicologia , Sexologia/normas , Sexologia/estatística & dados numéricos , Comportamento Sexual , Saúde Sexual/normas , Minorias Sexuais e de Gênero/psicologia , Minorias Sexuais e de Gênero/estatística & dados numéricos , Doenças Sexualmente Transmissíveis/psicologia , Inquéritos e Questionários , Urologia/normas , Urologia/estatística & dados numéricos , Venereologia/normas , Venereologia/estatística & dados numéricos , Adulto Jovem
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