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Exploring STI/HIV Knowledge and Effect of Communication Activities Among Rohingya Refugee Women: A Camp-based Cross-sectional Study in Bangladesh 探索罗兴亚难民妇女对性传播疾病/艾滋病毒的了解以及交流活动的效果:孟加拉国难民营横断面研究
Pub Date : 2024-03-28 DOI: 10.1177/26318318231221947
Muhammad Zakaria
HIV is often perceived by many Rohingya individuals as a common ailment, similar to a cough or fever. Given the biological vulnerability of Rohingya women, increasing awareness programs within this population becomes crucial. Therefore, it is important to assess the current knowledge status of STIs/HIV among Rohingya individuals. This study aimed to evaluate the knowledge of STIs/HIV and explore the impact of media usage and communication activities among Rohingya refugee women residing in Cox’s Bazar, Bangladesh camps. A quantitative research approach was employed, utilizing a camp-based cross-sectional sample survey with a structured and facilitator-administered questionnaire. The study involved 415 refugee women as respondents. Hierarchical regression analysis was conducted to identify factors influencing STI/HIV knowledge. The findings revealed that approximately two-thirds of Rohingya refugee women lacked accurate knowledge regarding STI/HIV-related myths and misconceptions. Regression analyses indicated that being a professional ( β = 0.14; p = .003), engaging in discussions about STI/HIV with healthcare workers ( β = 0.25, p < .001), visiting clinics or health facilities ( β = 0.18, p < .001), and observing banners/posters on STI/HIV ( β = 0.20, p < .001) were associated with better STI/HIV knowledge among refugee women. The utilization of communication activities by Rohingya women emerged as a stronger predictor of STI/HIV knowledge compared to socio-demographic factors and media usage-related variables. The study findings can inform the development of appropriate communication programs, campaigns, and effective communication materials aimed at preventing STIs within this vulnerable community.
许多罗兴亚人通常认为艾滋病毒是一种类似咳嗽或发烧的普通疾病。鉴于罗兴亚妇女在生理上的脆弱性,在这一人群中加强宣传计划变得至关重要。因此,评估罗兴亚人目前对性传播疾病/艾滋病毒的认知状况非常重要。本研究旨在评估居住在孟加拉国考克斯巴扎尔难民营的罗兴亚难民妇女对性传播疾病/艾滋病毒的了解程度,并探讨媒体使用和传播活动对她们的影响。本研究采用定量研究方法,以难民营为基础进行横断面抽样调查,并使用结构化、由主持人主持的问卷。共有 415 名难民妇女接受了调查。通过层次回归分析,确定了影响性传播疾病/艾滋病毒知识的因素。研究结果显示,约有三分之二的罗辛亚难民妇女缺乏对性传播疾病/艾滋病毒相关迷信和误解的准确了解。回归分析表明,专业人士(β = 0.14; p = .003)、与医护人员讨论性传播疾病/艾滋病(β = 0.25, p < .001)、访问诊所或医疗机构(β = 0.18, p < .001)以及观看有关性传播疾病/艾滋病的标语/海报(β = 0.20, p < .001)与难民妇女更好地了解性传播疾病/艾滋病有关。与社会人口因素和媒体使用相关变量相比,罗辛亚妇女利用传播活动对性传播感染/艾滋病知识的预测作用更大。研究结果可为制定适当的宣传计划、活动和有效的宣传材料提供信息,从而在这一脆弱群体中预防性传播疾病。
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引用次数: 0
Exploring Factors of Sexual Function and Sexual Satisfaction Among Nonworking Women: A Qualitative Study 探索非在职女性的性功能和性满意度因素:定性研究
Pub Date : 2024-02-06 DOI: 10.1177/26318318231221932
Anu Anns Pious, Anekal C. Amaresha
Sexual function and satisfaction are 2 important components of sexual health. Both sexual function and satisfaction of women are influenced by various internal and external factors over their life cycle. This study aims to explore the factors of sexual function and satisfaction among nonworking married women in Bengaluru using a qualitative exploratory study. This is a qualitative exploratory research study that adopted an inductive thematic data analysis. In-depth qualitative interviews were conducted with 11 nonworking working married women of Bengaluru. The interviews were audio recorded, and the transcribed data were analyzed with ATLAS.ti software. The results were presented thematically. It was found that somatic and personal factors such as health and appearance, pregnancy and postpregnancy issues, compatibility between couples, and spousal qualities; psychological factors such as stressors and stabilizers that related to emotional and mental health; and situational and extrinsic factors such as pressure to conceive, child-rearing, types of family, traditional beliefs and practices, societal stigma and taboo, daily schedules of couples, and ambiance and privacy were influencing the sexual function and satisfaction of women. The study could find positive and negative factors of sexual function and satisfaction. These factors need further exploration with larger studies from other cultures and groups.
性功能和性满足是性健康的两个重要组成部分。妇女的性功能和满意度在其生命周期中受到各种内部和外部因素的影响。本研究旨在通过定性探索性研究,探讨班加罗尔非在职已婚妇女的性功能和性满足因素。这是一项采用归纳式主题数据分析的定性探索性研究。研究人员对班加罗尔的 11 名非在职已婚妇女进行了深入的定性访谈。对访谈进行了录音,并使用 ATLAS.ti 软件对转录数据进行了分析。访谈结果按主题呈现。研究发现,躯体和个人因素,如健康和外表、怀孕和孕后问题、夫妻间的兼容性和配偶素质;心理因素,如与情绪和心理健康有关的压力和稳定因素;以及情境和外在因素,如怀孕压力、子女抚养、家庭类型、传统信仰和习俗、社会耻辱和禁忌、夫妻日常日程安排、环境和隐私等,都会影响妇女的性功能和性满足。研究发现了影响性功能和性满足的积极和消极因素。这些因素需要通过对其他文化和群体进行更大规模的研究来进一步探讨。
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引用次数: 0
Exploring Factors of Sexual Function and Sexual Satisfaction Among Nonworking Women: A Qualitative Study 探索非在职女性的性功能和性满意度因素:定性研究
Pub Date : 2024-02-06 DOI: 10.1177/26318318231221932
Anu Anns Pious, Anekal C. Amaresha
Sexual function and satisfaction are 2 important components of sexual health. Both sexual function and satisfaction of women are influenced by various internal and external factors over their life cycle. This study aims to explore the factors of sexual function and satisfaction among nonworking married women in Bengaluru using a qualitative exploratory study. This is a qualitative exploratory research study that adopted an inductive thematic data analysis. In-depth qualitative interviews were conducted with 11 nonworking working married women of Bengaluru. The interviews were audio recorded, and the transcribed data were analyzed with ATLAS.ti software. The results were presented thematically. It was found that somatic and personal factors such as health and appearance, pregnancy and postpregnancy issues, compatibility between couples, and spousal qualities; psychological factors such as stressors and stabilizers that related to emotional and mental health; and situational and extrinsic factors such as pressure to conceive, child-rearing, types of family, traditional beliefs and practices, societal stigma and taboo, daily schedules of couples, and ambiance and privacy were influencing the sexual function and satisfaction of women. The study could find positive and negative factors of sexual function and satisfaction. These factors need further exploration with larger studies from other cultures and groups.
性功能和性满足是性健康的两个重要组成部分。妇女的性功能和满意度在其生命周期中受到各种内部和外部因素的影响。本研究旨在通过定性探索性研究,探讨班加罗尔非在职已婚妇女的性功能和性满足因素。这是一项采用归纳式主题数据分析的定性探索性研究。研究人员对班加罗尔的 11 名非在职已婚妇女进行了深入的定性访谈。对访谈进行了录音,并使用 ATLAS.ti 软件对转录数据进行了分析。访谈结果按主题呈现。研究发现,躯体和个人因素,如健康和外表、怀孕和孕后问题、夫妻间的兼容性和配偶素质;心理因素,如与情绪和心理健康有关的压力和稳定因素;以及情境和外在因素,如怀孕压力、子女抚养、家庭类型、传统信仰和习俗、社会耻辱和禁忌、夫妻日常日程安排、环境和隐私等,都会影响妇女的性功能和性满足。研究发现了影响性功能和性满足的积极和消极因素。这些因素需要通过对其他文化和群体进行更大规模的研究来进一步探讨。
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引用次数: 0
Surviving Childhood Sexual Abuse: A Qualitative Study of the Long-Term Consequences of Childhood Sexual Abuse on Adult Women’s Mental Health 童年性虐待幸存者:童年性虐待对成年女性心理健康长期影响的定性研究
Pub Date : 2024-02-04 DOI: 10.1177/26318318231221948
Manukrishnan, Krishnamani Bhagabati
Childhood sexual harassment is, unfortunately, a common experience for many girls, and the issue’s prevalence is alarming. Studies indicate that a significant percentage of girls are victims of some form of sexual abuse before they reach adulthood. It can have profound and long-lasting effects on a victim’s life, leading to behavioral changes that can continue into adulthood, including anxiety, depression, trust issues, difficulty forming relationships, and more. The issue has significant social and cultural implications, particularly in societies that highly value modesty, virginity, and family honor. The stigma associated with being a victim of sexual abuse can prevent girls from speaking out or seeking help. Research on the long-term consequences of childhood sexual abuse in adult women’s mental health is essential for understanding this issue’s prevalence and long-term effects, and developing effective interventions and prevention strategies. As such, it has chosen to investigate the long-term impact of childhood sexual harassment on adult women’s mental health.
不幸的是,童年时期的性骚扰是许多女孩的共同经历,这一问题的普遍性令人震惊。研究表明,相当大比例的女孩在成年之前都是某种形式性虐待的受害者。性虐待会对受害者的一生产生深远而持久的影响,导致其行为发生变化,这种变化可能会持续到成年,包括焦虑、抑郁、信任问题、难以建立人际关系等等。这一问题具有重大的社会和文化影响,尤其是在高度重视谦逊、贞操和家庭荣誉的社会中。与性虐待受害者相关的耻辱感会阻碍女孩说出自己的遭遇或寻求帮助。研究童年性虐待对成年女性心理健康的长期影响,对于了解这一问题的普遍性和长期影响,以及制定有效的干预和预防策略至关重要。因此,本研究选择调查童年性骚扰对成年妇女心理健康的长期影响。
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引用次数: 0
Surviving Childhood Sexual Abuse: A Qualitative Study of the Long-Term Consequences of Childhood Sexual Abuse on Adult Women’s Mental Health 童年性虐待幸存者:童年性虐待对成年女性心理健康长期影响的定性研究
Pub Date : 2024-02-04 DOI: 10.1177/26318318231221948
Manukrishnan, Krishnamani Bhagabati
Childhood sexual harassment is, unfortunately, a common experience for many girls, and the issue’s prevalence is alarming. Studies indicate that a significant percentage of girls are victims of some form of sexual abuse before they reach adulthood. It can have profound and long-lasting effects on a victim’s life, leading to behavioral changes that can continue into adulthood, including anxiety, depression, trust issues, difficulty forming relationships, and more. The issue has significant social and cultural implications, particularly in societies that highly value modesty, virginity, and family honor. The stigma associated with being a victim of sexual abuse can prevent girls from speaking out or seeking help. Research on the long-term consequences of childhood sexual abuse in adult women’s mental health is essential for understanding this issue’s prevalence and long-term effects, and developing effective interventions and prevention strategies. As such, it has chosen to investigate the long-term impact of childhood sexual harassment on adult women’s mental health.
不幸的是,童年时期的性骚扰是许多女孩的共同经历,这一问题的普遍性令人震惊。研究表明,相当大比例的女孩在成年之前都是某种形式性虐待的受害者。性虐待会对受害者的一生产生深远而持久的影响,导致其行为发生变化,这种变化可能会持续到成年,包括焦虑、抑郁、信任问题、难以建立人际关系等等。这一问题具有重大的社会和文化影响,尤其是在高度重视谦逊、贞操和家庭荣誉的社会中。与性虐待受害者相关的耻辱感会阻碍女孩说出自己的遭遇或寻求帮助。研究童年性虐待对成年女性心理健康的长期影响,对于了解这一问题的普遍性和长期影响,以及制定有效的干预和预防策略至关重要。因此,本研究选择调查童年性骚扰对成年妇女心理健康的长期影响。
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引用次数: 0
Gratification Disorder: A Case Report from the Himalayan Country–Nepal 满足感障碍:喜马拉雅山国家尼泊尔的病例报告
Pub Date : 2024-01-31 DOI: 10.1177/26318318231221937
Pawan Sharma, Omkar Dhungel, L. Saini
The gratification disorder is common in children between the ages of 3 months and 3 years. The condition is called a “disorder,” but it is a normal behavioral variant in early childhood. The common differentials for this condition are childhood epileptic seizures. The failure to recognize this case may lead to unnecessary investigations and inappropriate treatment. It improves with age, generally by reassuring the anxious parents. In this case report, we present a case of a 2-year-old female child with a history of episodic rocking of the hip and scissoring of lower limbs, and she was treated with anti-epileptics but showed no improvement. After detailed assessment and normal investigations, a diagnosis of gratification disorder was made. The parents were psycho-educated and assured. Though reluctant to accept the diagnosis, they complied with the advice of ignoring the events and distracting the child. This was a challenging case for both the clinicians to diagnose and the parents to accept the diagnosis.
满足障碍常见于 3 个月至 3 岁的儿童。这种情况被称为 "障碍",但其实是幼儿期的一种正常行为变异。这种情况的常见鉴别标准是儿童癫痫发作。如果不能识别这种病例,可能会导致不必要的检查和不恰当的治疗。随着年龄的增长,这种情况会有所改善,通常是通过安抚焦虑的父母。在本病例报告中,我们介绍了一例两岁的女性患儿,她有发作性臀部摇晃和下肢剪刀状的病史,曾接受抗癫痫药物治疗,但没有好转。经过详细评估和正常检查后,诊断为满足障碍。家长接受了心理教育,并得到了保证。虽然他们不愿意接受诊断,但还是听从了医生的建议,对事件不予理睬,并分散孩子的注意力。对于临床医生的诊断和家长接受诊断来说,这都是一个具有挑战性的病例。
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引用次数: 0
An Exploratory Study Investigating the Correlates of Sexual Health Anxiety and Preferences for Digital Services Amongst Internet Users 一项探索性研究,调查互联网用户的性健康焦虑与数字服务偏好的相关性
Pub Date : 2024-01-31 DOI: 10.1177/26318318231221923
Gervan J Arneaud, Tom Buchanan, Chantal Gautier, T. Nadarzynski
Sexual health clinics are under increasing pressure because of the demand for sexually transmitted infection (STI) screening services. Sexual health anxiety has been associated with increased clinic attendance and repeat screening. This study aimed to investigate the level of sexual health anxiety and its correlates in adults in England and their opinions on digital sexual health services. An online cross-sectional study was conducted between May 2019 and January 2020 among internet users living in England aged 18 years and older. Participants were recruited from advertisements on social media (eg, Facebook, Twitter, Tumblr, and Reddit), and data were collected via an online Qualtrics survey. Multiple regression analyses were used to identify correlates of sexual health anxiety. One-hundred and thirty-eight participants completed the survey (mean age = 29.25, SD = 11.29; 51% male, 81% White, and 56% educated to the degree level). Average sexual health anxiety was mild ( M = 2.19, SD = .79), and the average subscale values ranged from 1.88 (SD = .92) to 2.67 (SD = 1.25). Higher sexual health anxiety was predicted by a higher frequency of obsessive-compulsive behavior and a greater risk perception of STIs. There were some overlaps between the predictors of subtypes, but further research is needed. Despite the levels of sexual health anxiety in the sample, the acceptability of digital sexual health services was high, but preferences leaned heavily toward face-to-face and in-person interaction.
由于对性传播感染(STI)筛查服务的需求,性健康诊所面临着越来越大的压力。性健康焦虑与就诊率和重复筛查率的增加有关。本研究旨在调查英格兰成年人的性健康焦虑程度及其相关因素,以及他们对数字化性健康服务的看法。这项在线横断面研究于 2019 年 5 月至 2020 年 1 月期间在居住在英格兰的 18 岁及以上互联网用户中进行。研究人员通过社交媒体(如 Facebook、Twitter、Tumblr 和 Reddit)上的广告招募参与者,并通过在线 Qualtrics 调查收集数据。我们使用多元回归分析来确定性健康焦虑的相关因素。138 名参与者完成了调查(平均年龄 = 29.25,SD = 11.29;51% 为男性,81% 为白人,56% 受过学位教育)。平均性健康焦虑程度为轻度(M = 2.19,SD = .79),平均分量表值从 1.88(SD = .92)到 2.67(SD = 1.25)不等。较高的性健康焦虑可通过较高的强迫行为频率和较高的性传播感染风险认知来预测。各亚型的预测因素之间存在一些重叠,但仍需进一步研究。尽管样本中存在性健康焦虑,但对数字性健康服务的接受度很高,但更倾向于面对面和亲自互动。
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引用次数: 0
Exploring the Psycho-social Experiences of Asexuals in India 探索印度无性恋者的社会心理经历
Pub Date : 2024-01-31 DOI: 10.1177/26318318231221927
Nayonika Chatterjee, Kritika Rastogi
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引用次数: 0
Compulsive Sexual Behavior Disorder Among Dating Apps Users: A Case Report 约会应用程序用户的强迫性行为障碍:病例报告
Pub Date : 2024-01-31 DOI: 10.1177/26318318231213479
J. Rema
The report illustrates the difficult management of a clinical case of a patient with compulsive sexual behavior disorder (CSBD) that presented an excessive use of geosocial networking apps (GNAs) and sex workers for sexual encounters and discusses how this interplay might manifest differently in gay men. The author presents the clinical case of a 24-year-old male with daily severe and repetitive sexual impulses that lead to a recurring pattern of sexual behavior, accompanied by high dysfunctionality. CSBD was diagnosed and treatment relied on a combination of psychopharmacology and cognitive-behavioral psychotherapy while targeting excessive use of dating apps, minority stress risk factors, and sexual dysfunction. A progressive improvement in impulse control and remission of symptoms was observed. At 1-year follow-up, the patient presented recovery of functioning in social, occupational, and relational areas. This article exemplifies the need for further characterization and development of treatment guidelines for CSBD, especially in non-heterosexual persons with GNAs use and distinct sets of sociocultural stressors.
报告阐述了对一名强迫性性行为障碍(CSBD)患者过度使用地理社交网络应用程序(GNAs)和性工作者进行性接触的临床病例的困难处理,并讨论了这种相互作用在男同性恋者身上的不同表现。作者介绍了一个 24 岁男性的临床病例,他每天都有严重的重复性冲动,导致性行为模式反复出现,并伴有高度功能障碍。该病例被诊断为 CSBD,治疗依赖于精神药理学和认知行为心理疗法的结合,同时针对过度使用约会应用程序、少数群体压力风险因素和性功能障碍进行治疗。患者的冲动控制能力逐渐改善,症状也有所缓解。随访一年后,患者在社交、职业和人际关系方面的功能得到恢复。这篇文章表明,有必要进一步确定 CSBD 的特征并制定治疗指南,尤其是针对使用 GNAs 和面临不同社会文化压力的非异性恋者。
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引用次数: 0
Prevalence and Patterns of Sexual Dysfunction in Male Patients Suffering from Major Depressive Disorder Attending Psychiatry Outpatient Department 精神科门诊重度抑郁症男性患者性功能障碍的发生率和模式
Pub Date : 2024-01-31 DOI: 10.1177/26318318231221946
Arpit Jani, Kalpesh V. Chandrani, Nisha Prajapati
Major depressive disorder (MDD) can cause sexual dysfunction (SD), and it is more frequent with antidepressant treatment. Different antidepressant agents have different effects on SD according to their group and dose, which is studied in the present research. (a) To study the prevalence and patterns of SD in male patients with MDD, both drug naïve and on antidepressant treatment. (b) To correlate the severity of depression and SD. Cross-sectional study carried out among 200 patients who attended to the psychiatry outpatient department of a tertiary care hospital. Every fifth patient with MDD attending to an investigator had been enrolled for the study. Sociodemographic details and clinical variables were obtained. The diagnosis of MDD established by the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, criteria and the Hamilton Depression Rating Scale was used to assess the severity of depression. The Arizona Sexual Experience Scale and Change in Sexual Functioning Questionnaire-14 was applied to measure SD. Statistical analysis was done using the χ2 test, unpaired t test, Pearson correlation coefficient, and analysis of variance test. Total 82 (41%) patients had SD. Amongst them, 37 (45.12%) patients had the onset of SD before and 45 (54.88%) patients had the onset of SD after treatment. There was a statistically significant correlation between the severity of depression and SD ( P = .001), SD responses of patients on the selective serotonin reuptake inhibitor and tricyclic antidepressant ( P = .005). Sexual pleasure shows statistical significance with severity ( P = .004) and duration of depressive illness ( P = .03). The age factor was statistically significant with SD. Sexual dysfunction had significance with the severity of depression. Sexual pleasure had significance with severity and duration of depression, and some SD domains had significance with age groups.
重度抑郁障碍(MDD)可导致性功能障碍(SD),而且在抗抑郁治疗中更为常见。不同的抗抑郁药物根据其组别和剂量对 SD 有不同的影响,本研究对此进行了研究。(a) 研究 MDD 男性患者中 SD 的发生率和模式,包括未接受药物治疗和接受抗抑郁治疗的患者。(b) 将抑郁症的严重程度与 SD 联系起来。在一家三甲医院精神科门诊部就诊的 200 名患者中开展横断面研究。每五名向研究人员就诊的 MDD 患者中就有一人被纳入研究范围。研究人员了解了患者的社会人口详情和临床变量。根据《精神疾病诊断与统计手册》第五版的标准确定了多发性抑郁症的诊断,并使用汉密尔顿抑郁评分量表来评估抑郁症的严重程度。亚利桑那州性经验量表和性功能变化问卷-14 用于测量 SD。统计分析采用χ2检验、非配对t检验、皮尔逊相关系数和方差分析检验。共有 82 名(41%)患者患有自闭症。其中,37 例(45.12%)患者在治疗前发病,45 例(54.88%)患者在治疗后发病。抑郁症的严重程度与 SD(P = .001)、选择性血清素再摄取抑制剂和三环类抗抑郁药患者的 SD 反应(P = .005)之间有统计学意义。性快感与抑郁症的严重程度(P = .004)和持续时间(P = .03)有统计学意义。年龄因素与自毁率具有统计学意义。性功能障碍与抑郁症的严重程度有显著关系。性快感与抑郁症的严重程度和持续时间有显著关系,某些 SD 领域与年龄组有显著关系。
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引用次数: 0
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Journal of Psychosexual Health
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