Sexual health in the International Classification of Diseases (ICD): implications for measurement and beyond.

This paper examines different dimensions of sexual health as related to the measurement of sexual health indicators and the proposed changes in the International Classification of Diseases to address issues related to sexuality and sexual health with an aim of informing health policy-making and programming. The lack of mechanisms for monitoring and evaluating sexual health outcomes has impeded the development of policies and programmes that support sexual health. The potential impact of changes to the ICD-11 is major and far-reaching given that the ICD is used by countries to define eligibility and access to health services and to formulate relevant policies and laws, and is used by health professionals as a basis for conceptualizing health conditions, treatments and outcomes. Improving the measurement of sexual health-related indicators builds the evidence base on scientific knowledge of sex, sexuality, sexual health and rights. As we stand on the cusp of the post-2015 era and the development agenda transitions to the Sustainable Development Goals, a unique opportunity presents itself to further consider how sexual health is defined, conceptualized, and monitored.

Evidências de validade da versão brasileira da escala de autoeficácia sexual: função erétil / Validity evidences of Brazilian version of sexual self-efficacy: erectile function

Para contribuir com o desenvolvimento de instrumentos que avaliam as disfunções sexuais, o presente estudo buscou por evidências de validade baseadas na estrutura interna e nas relações com outras variáveis para a versão brasileira traduzida e adaptada da Escala de Autoeficácia Sexual - Função Erétil (SSES-E). Trata-se de um estudo retrospectivo em prontuários de arquivo permanente com aplicações realizadas em homens com queixas de disfunção erétil e ejaculação rápida de idades entre 18 e 62 anos. Os resultados indicaram a possibilidade de duas dimensões, denominadas de obtenção da ereção e manutenção da ereção. Tanto o instrumento quanto as dimensões foram capazes de discriminar importantes características da amostra a respeito das queixas primária e secundária, tipo de dificuldade eretiva e satisfação com o relacionamento sexual. Qualificam-se esses resultados como evidências de validade para SSES-E, além de destacar-se sua importância como um instrumento útil na avaliação de questões específicas da sexualidade, como a função sexual.

This current study has searched for evidences of validity based on the internal structure and the relations to other variables for the translated and adapted Brazilian version of the Sexual Self-Efficacy Scale - Erectile Function (SSES-E), which contributes to the development of instruments for the evaluation of sexual dysfunctions. This study is also related to the retrospective study of permanent files of medical reports about application on men complaining of erectile dysfunction and rapid ejaculation with ages between 18 and 62. The results have indicated the possibility of two dimensions, designated as achieving and maintaining erection. Not only the instruments but also the dimensions were able to discriminate important characteristics of the samples about the primary and secondary complaints, types of erectile difficulties and satisfaction with the sexual relationship. These results are qualified as evidences of validity on SSES-E, also important as being a useful instrument when evaluating specific questions about sexuality, like sexual functioning.