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Connection Between Depression, Sexual Frequency, and All-cause Mortality: Findings from a Nationally Representative Study 抑郁症、性生活频率与全因死亡率之间的关系:一项具有全国代表性的研究结果
Pub Date : 2024-06-11 DOI: 10.1177/26318318241256455
Srikanta Banerjee, Peter Anderson, W. S. Davis
We used the 2005–2010 National Health and Nutrition Examination Survey (NHANES), constructed to evaluate health of adults in the United States using consolidated data from interviews and physical exams that were conducted to obtain data for this study. The analysis sample was representative of noninstitutionalized US adults aged 20–59 years. When considering sexual frequency, overall, only female participants with lower sexual frequency were at a higher risk of all-cause death in a dose-response manner with a hazard ratio (HR) of 1.70 (95% CI 1.38–2.10, p trend < .001) during the follow-up period. This relationship was not significant in males. However, when sexual frequency was categorized (<52 times/year vs. ≥52 times/year), the adjusted HR was elevated [2.97 (CI 1.20–7.32, p = .02)] among individuals who had depression and low sexual frequency, but it was close to 1.0 (1.75, CI 0.50–6.07, p = .36) among individuals who had depression and high sexual frequency after adjusting for medical (obesity) and demographic (age, gender, education, and ethnicity) risk factors, indicating a 197% increase in mortality among individuals with low sexual frequency and depression than depression alone. Sexual activity is important for overall cardiovascular health possibly due to reduction of heart rate variability and blood flow increase.
我们使用了 2005-2010 年全国健康与营养检查调查 (NHANES),该调查是为了评估美国成年人的健康状况而构建的,使用的是为获得本研究数据而进行的访谈和体检的综合数据。分析样本代表了 20-59 岁非住院的美国成年人。在考虑性生活频率时,总体而言,只有性生活频率较低的女性参与者在随访期间全因死亡的风险较高,其危险比(HR)为 1.70 (95% CI 1.38-2.10,p 趋势 < .001),呈剂量反应型。这种关系在男性中并不明显。然而,当对性生活频率进行分类(<52 次/年 vs. ≥52 次/年)时,抑郁症患者和性生活频率低者的调整后危险比升高 [2.97 (CI 1.20-7.32, p = .02)],但抑郁症患者和性生活频率高者的调整后危险比接近 1.0 (1.75, CI 0.50-6.07, p = .36)。36),这表明性生活频率低且患有抑郁症的人的死亡率比单纯患有抑郁症的人高出 197%。性活动对整体心血管健康非常重要,这可能是由于降低了心率变异性和增加了血流量。
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引用次数: 0
Uncovering the Knowledge Gap: Sexual and Reproductive Health Education and Knowledge Among Unmarried Sri Lankan Youth 揭示知识差距:斯里兰卡未婚青年的性健康和生殖健康教育及相关知识
Pub Date : 2024-06-09 DOI: 10.1177/26318318241256460
Indralal W. De Silva, M. Suranga, Malith Kumarasinghe, Ranjith De Silva
Sexual and reproductive health (SRH) education is crucial to prevent unwanted pregnancies and sexually transmitted infections (STIs) among young people. However, in Sri Lanka, little is known about the level of access to SRH education and knowledge among unmarried youth. This study aimed to assess perceptions of SRH education at school and the level of knowledge on selected aspects of SRH among unmarried youth aged 15–24 years in Sri Lanka. A cross-sectional study was conducted among 1057 unmarried male and female youth aged 15–24 years in three selected districts of Sri Lanka. A semi-structured, self-administered questionnaire was operationalized after receiving informed consent. Twelve focus group discussions were also conducted with the youth. A sizable proportion of youth demonstrated low access to SRH education and a low level of knowledge on pregnancy, contraception, and STIs. Although it is limited, respondents felt that the SRH education received in school is useful for their life. Friends and the Internet were identified as the primary sources of information among boys, whereas the mother was the primary source for the majority of girls. Boys demonstrated better SRH knowledge compared to girls for most of the aspects. SRH knowledge was increased among both boys and girls significantly with maturity. Results conclude that there is a significant knowledge gap on SRH among unmarried youth. Introduction of age-specific and gender-sensitive SRH education is important to address the current gap in SRH knowledge.
性健康和生殖健康(SRH)教育对于预防年轻人意外怀孕和性传播感染(STI)至关重要。然而,在斯里兰卡,人们对未婚青年接受性与生殖健康教育的程度和知识知之甚少。本研究旨在评估斯里兰卡 15-24 岁未婚青年对学校性健康和生殖健康教育的看法以及对性健康和生殖健康某些方面的了解程度。这项横断面研究在斯里兰卡三个选定地区的 1057 名 15-24 岁未婚男女青年中进行。在获得知情同意后,采用了半结构化的自填式问卷。此外,还与青年进行了 12 次焦点小组讨论。相当大比例的青年表现出接受性健康和生殖健康教育的机会少,对怀孕、避孕和性传播疾病的了解程度低。尽管有限,但受访者认为在学校接受的性健康和生殖健康教育对他们的生活是有用的。男孩的主要信息来源是朋友和互联网,而大多数女孩的主要信息来源是母亲。与女孩相比,男孩对大多数方面的性健康和生殖健康知识了解得更多。随着年龄的增长,男孩和女孩的性健康和生殖健康知识水平都有显著提高。调查结果表明,未婚青年在性健康和生殖健康知识方面存在很大差距。要解决目前在性健康和生殖健康知识方面存在的差距,就必须开展针对不同年龄和对性别问题有敏感认识的性健康和生殖健康教育。
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引用次数: 0
Study of Sexual Dysfunctions in Male Patients with Alcohol Dependence Syndrome 酒精依赖综合征男性患者性功能障碍研究
Pub Date : 2024-06-09 DOI: 10.1177/26318318241255801
Parth A. Soni, B. Jadhav, Rishab Verma
Virtually all aspects of the human sexual response are affected by alcohol. Chronic and persistent alcohol use has been seen to impair erectile, orgasmic and ejaculatory capacities, which leads to marked distress and interpersonal difficulty. To study the prevalence and types of sexual dysfunction and to study the impact of the severity of alcohol dependence on sexual dysfunctions in male patients with alcohol dependence syndrome. A cross-sectional study was done at the outpatient Department of Psychiatry of a tertiary teaching hospital. Socio-demographic details of the patient and alcohol-related clinical variables were collected using the study proforma. The severity of alcohol dependence was assessed using the Alcohol Dependence Scale (ADS). To assess the presence of sexual dysfunction, the Arizona Sexual Experience Scale (ASEX) was used and the type of sexual dysfunction was decided by the Sexual Dysfunction Checklist (SDC) based on ICD 10, and the data was analysed. 170 male patients with alcohol dependence, with a mean age of 35.84 years, participated in the study. The prevalence of sexual dysfunction was 67.06%. Loss or lack of sexual desire was the most common sexual dysfunction, followed by failure of genital response (erectile dysfunction), frequency dissatisfaction and premature ejaculation. The majority of the sample studied had one or more sexual dysfunctions. The ADS score positively correlated with the ASEX score, and this correlation was statistically significant. Alcohol use was found to be associated with sexual dysfunctions, and lack of sexual desire was the most common sexual dysfunction.
人类性反应的几乎所有方面都受到酒精的影响。长期持续饮酒会损害勃起、性高潮和射精能力,从而导致明显的痛苦和人际交往困难。研究男性酒精依赖综合征患者性功能障碍的发生率和类型,并研究酒精依赖的严重程度对性功能障碍的影响。我们在一家三级教学医院的精神科门诊部进行了一项横断面研究。研究人员使用研究表格收集了患者的社会人口详情和与酒精有关的临床变量。酒精依赖程度采用酒精依赖量表(ADS)进行评估。为了评估是否存在性功能障碍,使用了亚利桑那性经验量表(ASEX),并根据基于 ICD 10 的性功能障碍检查表(SDC)确定了性功能障碍的类型,然后对数据进行了分析。170 名男性酒精依赖症患者参与了研究,平均年龄为 35.84 岁。性功能障碍发生率为 67.06%。性欲减退或缺乏是最常见的性功能障碍,其次是生殖器反应失败(勃起功能障碍)、频率不满意和早泄。所研究的大多数样本都有一种或多种性功能障碍。ADS得分与ASEX得分呈正相关,且这种相关性在统计学上有显著意义。研究发现,饮酒与性功能障碍有关,而性欲缺乏是最常见的性功能障碍。
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引用次数: 0
Newer Challenges in Sexual Health 性健康领域的新挑战
Pub Date : 2024-06-09 DOI: 10.1177/26318318241251403
G. Sidhu
More and more professionals in the field of Sexual Health are encountering problems that do not find a mention in conventional diagnostic manuals. Sexless marriages are one such problem. Its reported incidence varies from 2% to 45% in the age group 18–60 years, depending on the definition used. The figures are higher for the ages of 60 or more. The reasons for the same range from economic development and its ramifications, the monotony of sexual experience, the emergence of the smartphone, and social networking sites, to a possible role of substance use. Artificial intelligence could offer a solution to this vexed problem, although the benefits of anonymous access and a non-judgmental format could actually contribute to increasing the problem.
越来越多的性健康领域的专业人士遇到了传统诊断手册中没有提及的问题。无性婚姻就是这样一个问题。根据不同的定义,无性婚姻在 18-60 岁年龄组中的发生率从 2%到 45%不等。60 岁或以上年龄组的数字更高。造成这一现象的原因多种多样,包括经济发展及其影响、性经验的单调乏味、智能手机和社交网站的出现,以及药物使用可能起到的作用。人工智能可以为这一棘手问题提供解决方案,尽管匿名访问和非评判形式的好处实际上可能会加剧这一问题。
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引用次数: 0
Sexual Knowledge, Attitude, Behaviours and Sources of Influences in Undergraduate Medical Students in a Peripheral Medical College: A Cross-sectional Study 外围医学院医科本科生的性知识、态度、行为和影响因素:横断面研究
Pub Date : 2024-06-09 DOI: 10.1177/26318318241252707
Humaid Mahadik, Mujahid Shaikh, Mayur Muthe
The word ‘sex’ in India is taboo and is not discussed openly. Sex attitude refers to one’s attitude towards sexuality or different sexual behaviours. Poor sex knowledge causes many problems. A liberal attitude without adequate knowledge is harmful. To explore and study sexual knowledge, attitudes, behaviours and the sources of influence and to examine the relationship between sexual knowledge, attitude and behaviours in undergraduate medical students. A cross-sectional study was carried out to assess sex knowledge and attitude among 506 medical undergraduate students. A Google document in the form of a structured questionnaire containing three important parts was used for the assessment: (a) demographic details of students; (b) sex knowledge and attitude questionnaire II (SKAQ II); and (c) Sexual Behaviour and Sources of Influence (SBSI) scale. Data was interpreted using mean, unpaired ‘t’ test and chi-square test. Overall, participants showed a conservative attitude towards sex. As the academic year of participants progressed, sex knowledge increased. A statistically significant positive correlation was observed between sex knowledge and attitude scores. Sexual behaviours through media and with self or others were found to be low. The Internet was found to be the major source for gathering information and was considered the most reliable source. Participants were deficient in sex knowledge and had a conservative attitude in certain areas. Females, higher education levels and urban area participants had higher sex knowledge and liberal attitudes. There are areas of sex knowledge and attitude that need improvement by proper sex education.
在印度,"性 "这个词是禁忌,不会被公开讨论。性态度是指一个人对性行为或不同性行为的态度。性知识贫乏会导致许多问题。没有足够知识的自由态度是有害的。为了探索和研究医学本科生的性知识、性态度、性行为及其影响来源,并探讨性知识、性态度和性行为之间的关系。我们开展了一项横断面研究,以评估 506 名医学本科生的性知识和态度。评估使用了结构化问卷形式的谷歌文档,其中包含三个重要部分:(a) 学生的人口统计学细节;(b) 性知识和态度问卷 II (SKAQ II);(c) 性行为和影响来源量表 (SBSI)。数据采用平均值、非配对 "t "检验和卡方检验进行解释。总体而言,参与者对性的态度比较保守。随着受试者学年的增加,性知识也有所增加。从统计学角度看,性知识和态度得分之间存在明显的正相关。通过媒体以及与自己或他人发生性行为的比例较低。互联网被认为是收集信息的主要来源,也是最可靠的来源。参与者缺乏性知识,在某些方面持保守态度。女性、教育程度较高和城市地区的参与者具有较高的性知识水平和开明的态度。有些方面的性知识和态度需要通过适当的性教育来改善。
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引用次数: 0
Unprotected Risky Sex Among Men with Opioid Dependence: Is More Needed to Be Done? 阿片类药物依赖男性中无保护的危险性行为:是否需要做更多工作?
Pub Date : 2024-06-09 DOI: 10.1177/26318318241255777
Ankita Chattopadhyay, Nishtha Chawla, M. Sen, Suraj Verma, Ragul Ganesh, Siddharth Sarkar, A. Ambekar
Risky behaviors are common among patients with substance use disorders. Knowing the determinants of risky sexual behaviors can identify individuals who may benefit from targeted interventions. The primary aim of the study was to assess unprotected risky sexual behavior and its sociodemographic and clinical correlates in treatment-seeking opioid-dependent patients. A cross-sectional exploratory study was done on 112 married treatment-seeking opioid-dependent male patients. A semi-structured proforma consisting of sociodemographic and clinical details was used to assess sexual behavior, other risky behaviors like injecting drug use (IDU), and knowledge of and attitude toward risky sexual behavior. The mean age of the sample was 34.1 years, and that at first sexual intercourse was 18.6 years. History of unprotected risky sex (unprotected sex with a casual partner or female sex worker or person having a sexually transmitted disease or with males or having sex for rewards) was present in 30 patients (26.8% of the sample). Unprotected risky sex was found to be significantly associated with younger age at first sexual encounter ( p = .010), more sexual partners ( p < .001), greater frequency of masturbation ( p = .031), and watching pornography ( p = .028). However, it was not found to be related to other risky behaviors such as IDU ( p = .210) and sex under intoxication ( p = .149) and also did not vary between treatment-naïve and under-treatment populations ( p = .434). No significant relationship was found between knowledge and attitude about risky sexual behavior and unprotected risky sex in the present sample. Risky sexual behavior in opioid-dependent patients is a concern, as this may be an additional mode of transmission of blood-borne viruses apart from IDU. Safe sex practices need to be emphasized in this population, and efforts at behavioral changes are desirable.
危险行为在药物使用障碍患者中很常见。了解危险性行为的决定因素可以确定哪些人可以从有针对性的干预措施中获益。本研究的主要目的是评估寻求治疗的阿片类药物依赖患者的无保护危险性行为及其社会人口学和临床相关性。这项横断面探索性研究的对象是 112 名寻求治疗的已婚阿片类药物依赖男性患者。研究使用了一份包含社会人口学和临床细节的半结构化问卷,以评估性行为、其他危险行为(如注射吸毒)以及对危险性行为的认识和态度。样本的平均年龄为 34.1 岁,初次性交年龄为 18.6 岁。有 30 名患者(占样本的 26.8%)有过无保护的危险性行为史(与临时性伴侣或女性性工作者或患有性传播疾病的人或男性发生无保护的性行为,或为获得报酬而发生性行为)。研究发现,无保护的危险性行为与初次性交年龄较小(p = .010)、性伴侣较多(p < .001)、手淫频率较高(p = .031)和观看色情制品(p = .028)有显著相关性。然而,研究并未发现该知识与其他危险行为(如 IDU ( p = .210) 和醉酒性行为 ( p = .149))有关,而且在未接受治疗人群和接受治疗人群之间也没有差异 ( p = .434)。在本样本中,关于危险性行为的知识和态度与无保护的危险性行为之间没有发现明显的关系。阿片类药物依赖患者的危险性行为令人担忧,因为这可能是除注射吸毒外血液传播病毒的另一种传播方式。需要在这一人群中强调安全性行为,并努力改变行为方式。
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引用次数: 0
Sexual Harassment of Female Students in Afghanistan Universities: A Transverse Study 阿富汗大学女生遭受的性骚扰:横向研究
Pub Date : 2024-06-05 DOI: 10.1177/26318318241256451
Hedayatullah Ehsan, Zainab Hashimi, Sulaiman Jalily, Manizha Noorandish, Tooba Halim, Roya Muhib, Swaida Mayar
Violence against females is a violation of human rights and discrimination, causing physical, sexual, psychological, and economic harm, and involves threats of coercion or arbitrary deprivation of freedom. The goal of this study was to find solutions that speak volumes about the proactive approach toward addressing and mitigating sexual harassment. This study has the potential to drive meaningful change and improve the safety and well-being of women within university settings in Afghanistan. The method used in this study was an online survey containing 19 questions. Overall, 69 students from different universities, most of them from Kabul University of Medical Sciences, participated in the survey. The study shows a high prevalence of harassment among female Afghan university students, with verbal assaults being the most common form and many witnessing only harassments. Participants generally support legal measures against harassment, but fear of identification, blame, or confusion may lead to underreporting or concealment of incidents due to factors like fear of identification or blame. The study underscores the need for a comprehensive strategy, including legal reforms, safe reporting mechanisms, supportive environments, and cultural barriers, to eradicate sexual harassment in academic settings. Sexual harassment is a global issue, particularly prevalent in Afghanistan, but lack of accurate statistics has hindered effective prevention. Surveys and research can provide reliable data, enabling universities to understand the extent of the issue and implement targeted interventions. This proactive approach helps create safer academic environments, highlighting the importance of accurate statistics in addressing sexual assault among female students.
对女性的暴力是对人权的侵犯和歧视,会造成身体、性、心理和经济上的伤害,涉及胁迫威胁或任意剥夺自由。本研究的目标是找到能充分说明积极应对和减轻性骚扰的解决方案。这项研究有可能推动有意义的变革,改善阿富汗大学环境中女性的安全和福祉。本研究采用的方法是在线调查,包含 19 个问题。共有 69 名来自不同大学的学生参与了调查,其中大部分来自喀布尔医科大学。研究表明,阿富汗女大学生中骚扰现象非常普遍,口头攻击是最常见的形式,许多人只目睹过骚扰。参与者普遍支持针对骚扰的法律措施,但由于害怕被指认、指责或混淆等因素,可能会导致少报或隐瞒事件。这项研究强调,有必要制定一项综合战略,包括法律改革、安全报告机制、支持性环境和文化障碍,以消除学术环境中的性骚扰。性骚扰是一个全球性问题,在阿富汗尤为普遍,但缺乏准确的统计数据阻碍了有效的预防工作。调查和研究可以提供可靠的数据,使大学能够了解问题的严重程度,并实施有针对性的干预措施。这种积极主动的方法有助于创造更安全的学术环境,突出了准确统计数据在解决女学生性侵犯问题方面的重要性。
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引用次数: 0
The Impact of Radiation Therapy on Sexual Health in Breast, Cervix, and Prostate Cancer Patients: A Systematic Review 放射治疗对乳腺癌、宫颈癌和前列腺癌患者性健康的影响:系统回顾
Pub Date : 2024-03-31 DOI: 10.1177/26318318241233076
Yashi Ballal, Novin Aghaei, Mohammed Shafiulla Shaik, Sanjana Arora, Mahrukh Khan, Tyler Vachon
To examine the effects of radiation therapy on sexual health in cervical, breast, and prostate cancer patients. Four electronic databases (PubMed/PubMed Central, Google Scholar, Embase(Ovid), and SCOPUS) were searched, and articles published in English from January 1, 2011, through 2022 were extracted. Five reviewers independently selected primary studies that reported patient sexual health symptoms caused by cervical, breast, or prostate cancer following radiation therapy treatment. The primary outcome measures sexual health trends during or after radiation therapy through external beam radiotherapy or brachytherapy where applicable. Secondary outcomes measured predictive factors contributing to sexual health scores (age, race, and geographical location). 32 studies with a total of 5033 individuals were included in the systematic review. Overall, 19 studies reported a reduction in sexual health trends, 8 reported mixed trends, and 4 reported no significant trends in sexual health. Of the 10 breast cancer studies, 6 reported decreased sexual well-being, 2 found no trends, and 2 stated mixed trends. Among 12 prostate cancer studies, 5 reported worsening sexual health, 2 found no trends, 1 reported positive sexual functioning, and 4 found mixed trends. Among 10 cervical cancer studies, 8 reported worse sexual health, while 2 reported mixed trends. Younger breast and cervical cancer patients who received radiation therapy experienced greater body image and sexual health concerns. Evidence was insufficient to evaluate trends in geographical location or race between sexual health and radiation therapy. In this study, prostate, breast, and cervical cancer patients who received radiation therapy treatment experienced more troublesome sexual health symptoms compared to non-irradiated cancer patients. Interventions to improve sexual health should be prioritized.
研究放射治疗对宫颈癌、乳腺癌和前列腺癌患者性健康的影响。检索了四个电子数据库(PubMed/PubMed Central、谷歌学术、Embase(Ovid)和SCOPUS),并提取了从2011年1月1日到2022年发表的英文文章。五位审稿人分别独立选择了报告宫颈癌、乳腺癌或前列腺癌患者在放疗后出现性健康症状的主要研究。主要研究结果衡量了通过外照射或近距离放疗(如适用)进行放疗期间或之后的性健康趋势。次要结果测量了导致性健康评分的预测因素(年龄、种族和地理位置)。系统综述共纳入了 32 项研究,共计 5033 人。总体而言,19 项研究报告了性健康下降趋势,8 项研究报告了混合趋势,4 项研究报告了性健康无显著趋势。在 10 项乳腺癌研究中,6 项报告了性健康下降,2 项未发现趋势,2 项报告了混合趋势。在 12 项前列腺癌研究中,5 项报告性健康恶化,2 项未发现趋势,1 项报告性功能良好,4 项发现混合趋势。在 10 项宫颈癌研究中,8 项报告了性健康恶化,2 项报告了混合趋势。接受放射治疗的年轻乳腺癌和宫颈癌患者对身体形象和性健康的关注度更高。没有足够证据评估性健康与放射治疗之间的地理位置或种族趋势。在这项研究中,与未接受放射治疗的癌症患者相比,接受放射治疗的前列腺癌、乳腺癌和宫颈癌患者的性健康症状更多。应优先考虑改善性健康的干预措施。
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引用次数: 0
Comparative Assessment of Online Written Health Information on Treatment of Erectile Dysfunction in English and Hindi Language Webpages 英语和印地语网页中有关治疗勃起功能障碍的在线书面健康信息的比较评估
Pub Date : 2024-03-31 DOI: 10.1177/26318318241233063
Rahul Mathur, Swarndeep Singh, Saurabh Kumar, Sarthak Kukreja, Pawan Sharma
To assess and compare the overall quality of online written information on the treatment of erectile dysfunction (ED) in English and Hindi language webpages. Also, correlates of the quality of online health information were explored. First 50 links obtained on Google search in both English and Hindi language were screened, and a total of 86 (45 English, 41 Hindi) webpages providing patient-oriented information on the treatment of ED were analysed. Content quality and reliability were assessed using the DISCERN scale and the JAMA benchmark criteria respectively. Additionally, aesthetics, interactivity, and readability were evaluated. The DISCERN score indicative of content quality was significantly higher for English webpages compared to Hindi webpages. English webpages were more likely to meet disclosure and attribution JAMA criteria for the reliability of medical information. English webpages with HONcode certification were more likely to have better content quality than those without it. However, none of the Hindi web pages analyzed were HONcode certified. English language webpages provided better overall quality of information on treatment of ED as compared to Hindi language. HONcode label might be used as a proxy indicator of better content quality for online resources informing on ED treatment by laypersons. There is a need to develop and popularize the usage of HONcode or other similar online health information quality accreditation systems for webpages in non-English languages like Hindi.
评估并比较英语和印地语网页中有关治疗勃起功能障碍(ED)的在线书面信息的整体质量。同时,探讨在线健康信息质量的相关因素。对谷歌搜索中获得的前 50 个英语和印地语链接进行了筛选,共分析了 86 个(45 个英语,41 个印地语)以患者为导向提供 ED 治疗信息的网页。内容质量和可靠性分别采用 DISCERN 量表和 JAMA 基准标准进行评估。此外,还对美学、交互性和可读性进行了评估。与印地语网页相比,英语网页的 DISCERN 分数明显高于印地语网页。英文网页更有可能符合 JAMA 关于医学信息可靠性的披露和归属标准。获得 HONcode 认证的英文网页比没有 HONcode 认证的网页内容质量更高。然而,所分析的印地语网页中没有一个获得 HONcode 认证。与印地语网页相比,英语网页提供的有关治疗 ED 的信息总体质量更高。HONcode 标签可作为一个替代指标,用于衡量非专业人士了解 ED 治疗的在线资源的内容质量。有必要为印地语等非英语网页开发和推广使用 HONcode 或其他类似的在线健康信息质量认证系统。
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引用次数: 0
Predisposition, Vulnerability and Web in Sex Addiction 性瘾的倾向性、脆弱性和网络
Pub Date : 2024-03-29 DOI: 10.1177/26318318241233069
Luca Rossi, Marco Chiapparino, Silvia Miceli
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引用次数: 0
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Journal of Psychosexual Health
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