Sexuality and Disability最新文献

This study was conducted with the aim of meeting the sexual health needs specific to the development of positive sexual health attitudes that are ignored in adolescents with physical disabilities. In this study, a randomized experimental design was used to evaluate the effectiveness of the online sexual health psychoeducation program in adolescents with physical disabilities. The population of the study consisted of adolescents aged 12–15 who are members of The Spinal Cord Paralytics Association of Turkey (N:600). The sample size of the research was determined as 52 by power analysis and the analyzes were completed with 55 adolescents. When the effect of the online sexual health psychoeducation program given to adolescents with physical disabilities on sexual attitudes was examined, it was determined that the post-test and 3-month follow-up scores of the intervention group were higher than the pre-test scores. In other words, the adolescents with physical disabilities who participated in the sexual health education program had more positive attitudes toward sexuality, sexual behaviors, and sexually transmitted diseases than those who did not participate in the program, and these effects were sustained over three months. This study can be model for developing sexual health services to be offered to adolescents with physical disabilities.

Trial Registration Number: NCT05732012. Registration Date: 08/02/2023.

Individuals with autism require sex education more than others. In particular, mothers provide timely sexual education and safety orientation. However, since parents and caregivers do not understand their children’s sexual requirements, children with autism and other impairments generally get less comprehensive education. Training and assistance lessen the risk of sexual exploitation or abuse. It aimed to discover how much Jordanian mothers know about the sexual abuse of their children with autism and how a training program has helped them learn more. Also, a training program will be used to see how Jordanian mothers’ education level affects their children’s knowledge and development. The research instrument was administered to a random sample of 91 mothers of children with autism in the Ajloun governorate (Jordan). 56 paragraphs cover five dimensions of mothers’ level of knowledge. 12 mothers were trained to understand sexual assault. The awareness scale examined before and after the impact of the training program. The training boosted mothers’ comprehension of sexual abuse statistically. The research sample’s arithmetic means on each dimension of the mothers’ knowledge scale concerning sexual abuse and together owing to the mother’s educational qualification variable were statistically significant. Mothers with bachelor’s or postgraduate degrees learn more than those with secondary education. This study suggests that children with autism may benefit from sex education to lessen sexual assault risks, as well as opportunity to understand healthy sexuality. Parents and schools should provide sex education programs for specific interventions to assist children with autism in understanding their sexual needs.

Purpose The literature indicates that sexuality education provided in schools/colleges in the United Kingdom (UK) may not be appropriate for people with Autism Spectrum Disorder (ASD). There appears to be a lack of understanding of the subject regarding young people with Attention-Deficit/Hyperactivity Disorder (ADHD) and a dual diagnosis (ASD co-occurring with ADHD). Research also suggests that compared to neurotypical peers, young people with ASD tend to receive less support on sexuality from their parents, who often feel that they lack the appropriate skills to help their children with some sex-related issues. Some young people with ASD and ADHD also report lacking an understanding of the social nuances of dating and intimacy, which is crucial for navigating romantic relationships. Design/methodology/approach This study explored sexuality education and romantic relationships in young people based on a semi-structured interview approach to the topic. Thematic Analysis (TA) was employed to analyze the data. Findings Six themes were developed from the participants’ narratives: Societal ideology about sexuality; Substandard school-based sexuality education; The role of adults in sexuality education; Pornography, as a very powerful alternative means of sexuality education; Young people and romance—a complicated world to navigate; Experience of abuse in the young neurodivergent population is a serious matter. Findings revealed that many neurodivergent and neurotypical young people received basic sex education in their schools/colleges and homes and encountered challenges navigating romantic relationships. Neurodivergent young people reported experiencing greater challenges related to their understanding of and building romantic relationships than their neurotypical peers. Originality/value To the researchers’ knowledge, this is the first exploration of romantic relationships and sexuality education in neurotypical young people as well as three groups of neurodivergent young people (with ASD, ADHD, and ASD co-occurring with ADHD).

The aim of this study was to explore the perceptions and attitudes of Canadian undergraduate students in health-related fields of study regarding the sexuality of disabled people. More specifically, we examine what is being taught to undergraduate students regarding the sexuality of disabled people, the sources of information that students rely upon to learn about this topic, and the current attitudes that these students hold. A modified version of the Attitudes to Sexuality Questionnaire was completed by 156 healthcare students from 30 different Canadian post-secondary institutions. Data analysis revealed that participants generally held non-restrictive views about parenting, sexual rights, non-reproductive sexual behavior, and sexual self-control of people with disabilities; however, over half of the participants noted that their post-secondary curriculum did not provide them with enough information regarding disability and sexuality. The results of this study speak to the need for more information about the sexuality of disabled people in healthcare education curricula.

The study aims to describe couples’ changes in sexuality after non-metastatic breast cancer from a longitudinal perspective. Our research question was: how do couples experience the cancer-induced change in sexual frequency and what are the reasons evoked to explain this kind of change over time? Forty heterosexual couples participated in a semi-structured interview three months and two years after surgery. A reflexive thematic analysis was conducted on a specific question about sexuality from a larger interview guide. The results showed that couples follow multiple trajectories regarding sexuality after the onset of oncological treatment. Most couples experienced temporary or more lasting changes, mainly associated with altered body image and pain. Some stopped having sexual activities at the beginning of treatment but resumed sexuality two years later; others were unable to restore sexuality. However, some couples stayed sexually active all along the cancer journey, showing that cessation of any sexual activity is not inevitable. Sexuality represents a significant long-term issue for breast cancer survivors and their partners. Prompt treatment can prevent sexual difficulties from crystallizing, while preserving the individual well-being and the quality of the couple’s relationship. Health professionals should be aware of the need to screen early for sexual changes, while reevaluating the couple’s situation regularly during care.

This study aims to identify the experiences of visually impaired women regarding breast and cervical cancer screening and the barriers they encounter. A mixed-method approach was employed using surveys and semi-structured interviews. The survey questionnaire investigated the participation and knowledge of visually impaired women in breast and cervical cancer screenings, while the interviews supported the survey results and provided insights into women’s experiences and barriers related to breast and cervical cancer screening. The quantitative part of the research was completed with 210 visually impaired women, while the qualitative part was completed with 15 participants. It was determined that 13.3% of the participants undergo breast self-examination (BSE) monthly, 4.7% undergo clinical breast examination (CBE) annually, and 33.3% of women aged 40 and above regularly undergo mammography. Additionally, 18.1% of the participants reported having regular gynecological examinations, and 31.3% reported having regular pap smears. The interview data revealed three main themes: personal factors, environmental factors, and barriers and facilitators. Participants face difficulties such as lack of knowledge about accessing healthcare facilities, screening, and preventive measures, limited mobility, economic challenges, negative attitudes of healthcare personnel, and inadequate environmental adjustments for disabled individuals. The study has revealed that visually impaired women in Turkey may not have sufficient participation in breast and cervical cancer screenings.

Sex education geared towards people with intellectual disability often focuses sexual risks and reproduction. However, research shows that students at special schools often find this inadequate and irrelevant. This conceptual article examines this issue from a crip theoretical perspective, combined with the classical concept of stigma. Furthermore, the term killjoy is added to the analysis; a term located at the intersection between queer and feminist theories. Might those in the environment surrounding individuals with ID, i.e., staff and family members, function as “killjoys” in relation to sexuality and intellectual disability? Or might they develop into “thrilljoys”, i.e., individuals who facilitate the embracement of stigma, with a focus on enjoyment rather than apparent problems in relation to sexuality and people with ID? The aim of this article is to highlight the significance of the social environment for these young people’s needs and life conditions, and to challenge presumptions that have to date been taken för granted. The result shows that assuming the role of thrilljoy means listening in a flexible and relevant way to the wishes that people with ID themselves express. This might in turn also make it easier for people with ID to themselves adopt a crip theoretical perspective and to really embrace that which has up until now been defined as a stigma. Developing new ways of looking at non-normative intellectual functionality and sexuality could contribute to develop sex education geared towards this goal group in a sufficient way.

Erectile dysfunction (ED) is a prevalent condition affecting over 150 million men worldwide. While there is a wealth of publications and research in the field of ED, there is a noticeable scarcity of bibliometric analyses of the literature on this topic. This study aims to analyze the scientific activity and research trends related to ED. We conducted a comprehensive search of the Scopus database to identify potentially relevant studies on ED published from 1841 to November 12, 2022. We used the primary keywords “erectile dysfunction” or “impotence” for the search. Several software tools were employed for data calculation and visualization. Analysis of variance (ANOVA) and linear correlation statistical test were used. The main outcomes of interest included the number of publications, year of publication, document type, country of origin, affiliated organizations, and journals of publication. Our search revealed a total of 30,634 publications with a cumulative 657,894 citations in the field of ED literature over the past 18 decades. “Original Article” emerged as the most common document type, accounting for 22,292 records. The United States stood out as the most prolific country, contributing 8809 publications (25% of the total). The University of California in the United States led in research output with 581 publications. Notably, the ‘Journal of Sexual Medicine’ was the leading publication source, with 1715 publications associated with it. Clinicians and experts in sexual medicine should take authorship trends into account when they review ED articles to improve patient care. A primary strength of our study is that it presents a comprehensive bibliometric review of ED reports spanning 18 decades. Results are limited to ED literature published in the sexual medicine journals and the urology analyzed. The publication volume on ED literature witnessed a substantial increase from 1975 to 2022. The findings from this bibliometric analysis provide valuable insights into research hotspots and emerging trends in the field of ED, which can aid researchers in gaining a better understanding of this topic.

This review aimed to investigate the effect of mindfulness-based cognitive therapy (MBCT) on sexual performance and sexual self-efficacy of postpartum women. A comprehensive literature search was conducted using electronic databases, including PubMed, Cochrane Library, PsycINFO, Scopus, Web of Science and Google Scholar to identify relevant studies published between 2016 and 2023. The quality assessment of the selected studies was performed using the Critical Appraisal Skills Program (CASP) tool. Data extraction and synthesis were conducted to summarize the results of the included studies. A total of 12 studies were included in this systematic review. The studies selected for this review were interventional (n = 9) and review studies (n = 3). Quality assessment in most studies showed medium to high quality. The results demonstrated that MBCT interventions have a positive effect on the sexual performance and sexual self-efficacy of postpartum women. Improvements in libido, arousal, psychosis, orgasm and overall sexual satisfaction were reported after MBCT intervention. Moreover, the interventions increased postpartum women’s self-efficacy in sexual relationships and communication. The results also showed that MBCT interventions have a promising effect on improving sexual performance and sexual self-efficacy in postpartum women. Incorporating MBCT into postpartum care may help address the sexual health concerns that this population faces.

Nigeria has been reported as having the highest prevalence of low back pain (LBP) in Africa. Despite this, sexual disability among people with LBP in Nigeria is sparsely reported. To examine the prevalence of sexual disability and its relationship with pain intensity, quality of life and psychological distress among individuals with chronic low back pain (CLBP) in Nigeria. A descriptive cross-sectional study of individuals with CLBP was conducted. The Visual Analogue Scale (VAS) was used to assess pain intensity while sexual disability was assessed using the Oswestry Disability Index domain 8 (ODI-8). Quality of life was assessed using the Short-form Health Survey (SF-36) questionnaire and the 42-item Depression, Anxiety, and Stress Scale (DASS-42) was used to measure psychological distress. A total of 375 participants (mean age = 41.4 years, SD = 5.67) with CLBP participated in the study. The majority of the participants have a sexual disability (357, 95.2%), with 33.1% (124) of them reporting that their sex life was severely restricted by pain and 17.9% (67) reporting that pain prevents any sex life at all. Females have a lower quality of life and higher levels of sexual disability, pain, and psychological distress than males (p < 0.05). Sexual disability was strongly correlated with pain intensity, quality of life, and psychological distress (p < 0.05).The findings of this study indicate that there was a high prevalence of sexual disability among individuals with CLBP in Nigeria and this was strongly correlated with pain, quality of life and psychological distress.