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Journal articles on the topic 'Sexual practice'

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Author: Grafiati

Published: 4 June 2021

Last updated: 20 February 2023

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1

Ruiz-Robledillo, Nicolás, Rosario Ferrer-Cascales, Irene Portilla-Tamarit, Cristian Alcocer-Bruno, Violeta Clement-Carbonell, and Joaquín Portilla. "Chemsex Practices and Health-Related Quality of Life in Spanish Men with HIV Who Have Sex with Men." Journal of Clinical Medicine 10, no. 8 (April 13, 2021): 1662. http://dx.doi.org/10.3390/jcm10081662.

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Chemsex, a new risky sexual behavior involving participation in sexual relations under the influence of drugs, has shown a significantly increased prevalence in recent years. This fact entails a serious public health issue, especially when Chemsex is practiced by individuals with an HIV (Human Immunodeficiency Virus) diagnosis. Hence, analyzing the characteristics of Chemsex practices, associated sexual practices and the health outcomes of individuals who participate in Chemsex, is extremely important. The main aim of the present study is to analyze the prevalence and characteristics of the practice of Chemsex in a sample of 101 men with HIV who have sex with men who attended the Department of Infectious Diseases of the General University Hospital of Alicante (Spain). Furthermore, the association between Chemsex and Health-Related Quality of Life (HRQoL) was also assessed. Chemsex and sexual practices were evaluated by employing a questionnaire applied on an ad hoc basis. HRQoL was assessed by employing the Medical Outcomes Study HIV Health Survey (MOS-HIV). In total, 40.6% of the participants had practiced Chemsex during the last year. When sexual practices were compared between those individuals who practiced Chemsex and those who did not, the former presented a higher level of risky sexual behaviors, especially with occasional and multiple sexual partners. Regarding HRQoL, those individuals who practiced Chemsex exhibited a poorer HRQoL in the majority of domains, especially those participants who practiced it with a higher intensity. The present study points out the high prevalence of Chemsex practice between men with HIV who have sex with men in Spain. Moreover, this study highlights the negative effects of Chemsex on HRQoL, probably due to the mixed effects of higher levels of risky sexual practices and the consequences of drug consumption.

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Sörensdotter, Renita. "Heteronormativ sexuell dramaturgi med queera sprickor." Tidskrift för genusvetenskap 33, no. 4 (June 13, 2022): 25–49. http://dx.doi.org/10.55870/tgv.v33i4.3466.

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This text focuses on how norms for gender and (hetero)sexuality intersect with vulvar pain, sexual practice and bodily sensations, in relation to a study where 21 women suffering from vulvar pain have been interviewed. Sexual practices or lack of them is part of what constitutes us as subjects. How we perform our sexuality is structured by how sex is constructed in society and culture. In a heteronormative culture vaginal intercourse is part of sexual practice, and women suffering from vulvar pain cannot fully participate in this expected sexual practice. This means that they actively must respond to sexual discourses on what is considered as “normal” sexuality. In order to avoid pain and get pleasure out of the sexual encounter they need to change and redefine their sexual practice, and during this process norms for gender and sexuality are challenged. The difficulty of participating in vaginal penetration is affecting these women differently depending on what kind of partner the woman has sex with, her own age and her experiences of sexual encounters. The results show that heteronormative scripts for sexual practice are strong and enduring even among heterosexual women who renegotiate their sexual practice. Although some of them have good sex without vaginal intercourse they still feel a lack in relation to their male partner. For women having sex with women the sexual script is less culturally choreographed and therefore it becomes easier to choose sexual practices that minimize the vulvar pain. Norms and strategies for sexual practice and gender performance vary among women having sex with women and women having sex with men.

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Shabangu, Zinhle, and Sphiwe Madiba. "The Role of Culture in Maintaining Post-Partum Sexual Abstinence of Swazi Women." International Journal of Environmental Research and Public Health 16, no. 14 (July 20, 2019): 2590. http://dx.doi.org/10.3390/ijerph16142590.

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Eswatini is one of the countries in the African continent where post-partum sexual abstinence is practiced. Beside scarcity of research exploring sexual abstinence in Eswatini, there are only a few studies that explore post-partum abstinence across HIV-positive and negative women in sub-Saharan Africa. The study explored the practice of post-partum sexual abstinence in Swazi women and examined how cultural beliefs influence and promotes the perpetuation of the practice. The study population consisted of post-partum women who were selected, using purposive sampling. Thematic approach was used for data analysis. Despite feeling that the period for post-partum, sexual abstinence was long; the participants adhered to the practice as prescribed by their culture. Nevertheless, they felt that the practice is imposed on women only because while they are observing post-partum abstinence, their partners get to sleep with other sexual partners. They raised concerns that the practice increases the risk of acquiring HIV and sexually transmitted infections. There is an element of coercion to the practice of post-partum abstinence, the myths and misconceptions around the early resumption of sexual intercourse forces the practice on women. At the family and community level, the discussions to change the way sexual abstinence is viewed and practiced are crucial.

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Nicolosi, Joseph, A. Dean Byrd, and Richard W. Potts. "Beliefs and Practices of Therapists who Practice Sexual Reorientation Psychotherapy." Psychological Reports 86, no. 2 (April 2000): 689–702. http://dx.doi.org/10.2466/pr0.2000.86.2.689.

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There is currently controversy regarding whether sexual reorientation or conversion therapies are ethical and effective forms of treatment for dissatisfied homosexually oriented people. We present the results of a survey of 206 psychotherapists who practice sexual conversion therapy. 187 therapists said they believed homosexuality is a developmental disorder and that the 1973 decision by the American Psychiatric Association to “depathologize” homosexuality was politically motivated and unscientific. The therapists believe that the majority of dissatisfied homosexually oriented clients who seek conversion therapy benefit from it, experiencing both changes in their sexual orientation and improved psychological functioning. We conclude that therapists who persist in providing reorientation therapy do so because they believe it is an effective and ethical treatment option for their clients.

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Krouwel, E. M., L. F. Albers, M. P. J. Nicolai, H. Putter, S. Osanto, R. C. M. Pelger, and H. W. Elzevier. "Discussing Sexual Health in the Medical Oncologist’s Practice: Exploring Current Practice and Challenges." Journal of Cancer Education 35, no. 6 (June 17, 2019): 1072–88. http://dx.doi.org/10.1007/s13187-019-01559-6.

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AbstractSexuality is a significant quality-of-life concern for many cancer patients. Patients may be disadvantaged if they are not informed and not offered sexual health care. We sought to reveal oncologists’ current practice and opinions concerning sexual counselling. The aim of this study was to explore the knowledge, attitude and practice patterns of Dutch medical oncologists regarding treatment-related sexual dysfunction. Questionnaires were sent to 433 members of the Dutch Society of Medical Oncology. The majority (81.5%) of the 120 responding medical oncologists (response rate 30.6%) stated they discussed sexual function with fewer than half of their patients. At the same time, 75.8% of the participating oncologists agreed that addressing sexual function is their responsibility. Sexual function was discussed more often with younger patients and patients with a curative treatment intent. Barriers for avoiding discussing sexual function were lack of time (56.1%), training (49.5%) and advanced age of the patient (50.4%). More than half (64.6%) stated they had little knowledge about the subject and the majority (72.9%) wanted to acquire additional training in sexual function counselling. Medical oncologists accept that sexual function counselling falls within their profession, yet they admit to not counselling patients routinely concerning sexual function. Only in a minority of cases do medical oncologists inform their patients about sexual side effects of treatment. Whether they counsel patients is related to how they view patient’s prognosis, patient’s age, and self-reported knowledge. Findings indicate there is a role for developing education and practical training.

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Švarc, Jiří. "Pathologic sexual aggression in practice." Psychiatrie pro praxi 18, no. 2 (July 1, 2017): 81–83. http://dx.doi.org/10.36290/psy.2017.016.

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7

Frenken, J., and P. Van Tol. "Sexual problems in gynaecological practice." Journal of Psychosomatic Obstetrics & Gynecology 6, no. 2 (January 1987): 143–55. http://dx.doi.org/10.3109/01674828709016775.

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8

Dilloway, Mark, and Sarah Hildyard. "Sexual health promotion general practice." British Journal of Community Health Nursing 1, no. 7 (November 1996): 421–25. http://dx.doi.org/10.12968/bjch.1996.1.7.7542.

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9

Barlow, Joanne, and Linda Birch. "Midwifery practice and sexual abuse." British Journal of Midwifery 12, no. 2 (February 2004): 72–75. http://dx.doi.org/10.12968/bjom.2004.12.2.12019.

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10

Shivananda, Manohar J., and T. S. Sathyanaryana Rao. "Sexual dysfunction in medical practice." Current Opinion in Psychiatry 29, no. 6 (November 2016): 331–35. http://dx.doi.org/10.1097/yco.0000000000000281.

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Dean, J. "Ethics and Sexual Medicine practice." Sexologies 17 (April 2008): S14. http://dx.doi.org/10.1016/s1158-1360(08)72536-2.

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12

McCOMMON, BENJAMIN. "Sexual Orientation and Psychoanalysis: Sexual Science and Clinical Practice." American Journal of Psychiatry 160, no. 10 (October 2003): 1899–900. http://dx.doi.org/10.1176/appi.ajp.160.10.1899.

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Kertzner, Robert M. "Sexual Orientation and Psychoanalysis. Sexual Science and Clinical Practice." Journal of Nervous and Mental Disease 191, no. 6 (June 2003): 412–13. http://dx.doi.org/10.1097/00005053-200306000-00012.

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14

Leary, Bridget, and Kathryn Hay. "Specialist sexual violence social work: Ensuring good practice." Aotearoa New Zealand Social Work 31, no. 4 (December 22, 2019): 60–71. http://dx.doi.org/10.11157/anzswj-vol31iss4id670.

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INTRODUCTION: This research sought to understand social workers’ perspectives on good practice in specialist sexual violence social work practice in Aotearoa New Zealand.METHODS: In 2018, five registered social workers engaged in semi-structured interviews focused on good practice social work in the field of sexual violence.FINDINGS: The use of therapeutic social work, along with an extensive skill set and knowledge base were identified as fundamental for sexual violence social work. Boundaries and the development of broad self-care practices were recognised as crucial components of good practice.CONCLUSIONS: The findings from this study offers links between the field of sexual violence and social work practice, while also indicating the need for future research.

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Parekh, V. "66. MENAGE A TRIOS: SEXUAL HEALTH, SEXUAL ASSAULT AND FORENSIC MEDICINE." Sexual Health 4, no. 4 (2007): 310. http://dx.doi.org/10.1071/shv4n4ab66.

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Objectives: Small jurisdictions often require clinicians to work in more than one speciality. The aim of this paper is to explore the commonalities between sexual health, sexual assault and forensic medicine that make this possible. Methods: Exploration of (1) common attributes of clinicians who provide these services, (2) characteristics the client groups, (3) administrative aspects and (4) gains for participating clinicians. Results: Clinicians in all three specialties practice within a public health model of care, have a good understanding of confidentiality, sexual wellbeing, other intimate concerns and social justice issues. They have experience working with non-medical groups and are experienced in teaching students and non-clinicians. Clients attending all three of services are commonly victims, vulnerable, marginalised, poor and less able to access traditional medical services. They commonly exhibit high-risk behaviours pertaining to sex and drug and alcohol use. Administrative systems commonly found in sexual health centres such as independently held and secured files and coded filing systems and protocols and practices concerning confidentiality and appropriate interactions with other services allow clinical forensic medicine to be easily incorporated. Clinicians gain from participating in these services by refreshing and developing specialist skills in the management of simple injuries, acute drug and alcohol withdrawal and in the law (forensic evidence collection, minors and custody issues). Conclusions: The similarities between the practise of sexual health, sexual assault and forensic medicine make the transition between the specialties smooth and relatively easy. Indeed the practice of one enhances the other two for clients and clinicians alike.

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Hareru, Habtamu Endashaw, Abdene Weya Kaso, Zemachu Ashuro, and Moges Mareg. "Risky sexual practice and associated factors among people living with HIV/AIDS receiving antiretroviral therapy in Ethiopia: Systematic review and meta-analysis." PLOS ONE 17, no. 4 (April 14, 2022): e0266884. http://dx.doi.org/10.1371/journal.pone.0266884.

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Background The risky sexual behavior of people living with HIV/AIDS (PLWHA) may impose a risk of transmitting the disease to their partners and increase Human Immunodeficiency Virus (HIV) co-infection. This systematic review and meta-analysis aimed to determine the pooled prevalence of risky sexual behavior and associated factors among PLWHA receiving [Antiretroviral Therapy (ART)] in Ethiopia. Methods To identify both published and unpublished research articles, systematic searches were performed in PubMed, HINARI, Medline, Science Direct, and Google Scholar databases. The review was carried out following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guideline. Cross-sectional studies reporting the prevalence of risky sexual practice and its associated factors among PLWHA receiving ART in Ethiopia were included. Two authors independently extracted all necessary data using a standardized data extraction format prepared in Microsoft Excel and exported to STATA version 14 statistical software for further analyses. The Cochrane Q test statistics and I2 test were used to assess the heterogeneity of the studies. Since the included studies exhibited considerable heterogeneity, the random-effects meta-analysis model was computed to estimate the pooled prevalence of risky sexual practice which was determined by dividing the total number of PLWHA with risky sexual practice practices by the total number of PLWHA on ART in the study and multiplied by 100. Furthermore, pooled odds ratio (OR) with 95% confidence interval (CI) was determined for the association between determinant factors and risky sexual practice. Result In this study, 2351 articles were identified from different databases, and fifteen articles were selected for final systematic review and meta-analysis. In Ethiopia, the pooled prevalence of risky sexual practices was 43.56% (95% confidence interval (CI):35.51, 51.62). Discussion about safe sex with sexual partner/s [AOR = 0.26, 95% CI: 0.08, 0.92] and having multiple sexual partners [AOR = 1.90, 95% CI: 0.53, 6.84] were factors significantly associated with risky sexual practice in Ethiopia. Conclusion A significant proportion of respondents engaged in risky sexual practices. Multiple sexual partners and a lack of discussion about safe sex are linked to a higher prevalence of the risky sexual practice in Ethiopia. It is critical to raise awareness about safe sexual practices during health education and counselling services and to encourage clients to freely discuss safer sex practices with their sexual partner/s at their antiretroviral therapy (ART) appointments as part of their follow-up care. Protocol registration The protocol for this systematic review and meta-analysis was registered at PROSPERO (record ID = CRD42021274600, 25 September 2021).

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Cavalcante, Daniela Raulino, Samila Gomes Ribeiro, Ana Karina Bezerra Pinheiro, Paula Renata Amorim Lessa Soares, Priscila de Souza Aquino, and Anne Fayma Lopes Chaves. "Sexual practices of women who have sex with women and condom use." Rev Rene 23 (January 5, 2022): e71297. http://dx.doi.org/10.15253/2175-6783.20222371297.

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Objective: to analyze the sexual practice of women who have sex with women and its association with condom use. Methods: correlational study involving 231 women who have sex with women, recruited through electronic application (Instagram and WhatsApp). A questionnaire was applied through Google Forms, containing sociodemographic data, sexual history, and the types of sexual practices. Results: most women performed oral sex (86.4%) and manual sex (86.9%) without using condoms. A large proportion (84.8%) reported the use of fomites in sexual practices without condoms. The inexistence of a fixed partnership (p=0.000) and the performance of sex with vaginal contact (p=0.013) were associated with sexual intercourse without condoms. Conclusion: the sexual practice of women who have sex with women points to greater vulnerability to sexually transmitted infections, by practicing oral and vaginal sex with manual practices without the use of barrier methods.

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18

Willig, Carla. "Constructions of Sexual Activity and Their Implications for Sexual Practice." Journal of Health Psychology 3, no. 3 (July 1998): 383–92. http://dx.doi.org/10.1177/135910539800300307.

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Iliffe, Steve, Kalpa Kharicha, Daniel Harari, Cameron Swift, and Andreas Stuck. "Sexual problems in later life." British Journal of General Practice 58, no. 549 (April 1, 2008): 283.2–283. http://dx.doi.org/10.3399/bjgp08x279940.

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Bourne, Sarah J. F., Charlotte M. Lee, Elizabeth Taliaferro, Angela Y. Zhang, Natasha F. Dalomb, Constance Panton, Mary B. Roberts, and Susanna Magee. "Impact of Teaching Sexual Health Education on Medical Students." Family Medicine 52, no. 7 (June 30, 2020): 518–22. http://dx.doi.org/10.22454/fammed.2020.939791.

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Background and Objectives: Physician discomfort, embarrassment, and perceived lack of time and/or training all play a role in preventing physicians from discussing sexual health with patients. Past research shows this discomfort begins in medical school. We aimed to determine whether teaching sexual health education increases medical students’ self-efficacy in discussing sexual health topics with adolescents. Methods: We emailed a retrospective pre/postsurvey to all medical students who taught sexual health education in a local middle school through Sex Ed by Brown Med (N=61). Results: Participation in Sex Ed by Brown Med improves self-efficacy in discussing nine sexual health topics and in performing nine advanced interviewing skills relevant to sexual health in a retrospective analysis using self-reported data. Conclusions: Programs similar to Sex Ed by Brown Med may be useful in improving medical students’ ability to adequately care for their patients’ sexual health by making future clinicians more comfortable when discussing the important topic of sexuality, and concurrently providing evidence-based comprehensive sexual health education to middle school students. Further research is needed to determine the impact of our program (and similar programs) before disseminating this model of sexual education.

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Sumaryani, Sri, Dwi Liyan Sari, Agus Gunadi, Titi Savitri Prihatiningsih, and Fitri Haryanti. "Parenting practices and sexual behavior of early urban adolescent: a cross sectional study." Bali Medical Journal 10, no. 3 (December 30, 2021): 1371–74. http://dx.doi.org/10.15562/bmj.v10i3.3043.

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Background: There is a scientific prejudice related to the impact of parenting practices on early adolescents' sexual behavior in Indonesia. The missing aspects of parental get into mischief or risky sexual behavior among youth while sexual education itself is considered taboo in urban areas. This study intended to investigate the correlative pattern between parenting practices toward sexual behavior of early adolescents.Methods: This quantitative, cross-sectional-analytical study enrolled 290 early adolescents aged 10-14 years in Yogyakarta, Indonesia, from May-June 2021. A validated and reliable questionnaire of 30 questions was used to get the Parenting Practice (Permissive, Authoritarian, Democratic) from the adolescent's perspective. The sexual behavior was collected using 37 questions to categorize the adolescents into Risky, Medium Risk and Non-Risky. The correlative analysis was used to determine the significance (p<0.05), strength and direction of a linear relationship between two variables.Result: It was reported that 184 (63.4%) adolescents had a democratic parenting practice and non-risky sexual behavior. Significant correlation was found (p=<0.001; r=0.978) and strength of correlation (r) was considered strong. A positive correlation was obtained to show that the Democratic Parenting Practice aligns with Non-Risky sexual behavior among early adolescents.Conclusion: Significant findings of this study lead to a general description that democratic parenting practice applied in early adolescents could lead to non-risky sexual behavior. Further study that involves another stage of adolescence (middle adolescence and late adolescence/young adulthood) is required.

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Talia, Jenny. "Sexual health delivery in general practice." Journal of Family Planning and Reproductive Health Care 31, no. 1 (January 1, 2005): 82–83. http://dx.doi.org/10.1783/0000000052972780.

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Lundberg, Lori A., and Henry M. (Trey) Cutler. "Sexual harassment issues in veterinary practice." Journal of the American Veterinary Medical Association 230, no. 7 (April 2007): 1007–10. http://dx.doi.org/10.2460/javma.230.7.1007.

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Poverny, Linda M. "Employee Assistance Practice with Sexual Minorities." Administration in Social Work 23, no. 3-4 (September 1999): 69–91. http://dx.doi.org/10.1300/j147v23n03_05.

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Tate, P. "Sexual Health Promotion in General Practice." Sexually Transmitted Infections 72, no. 1 (February 1, 1996): 76. http://dx.doi.org/10.1136/sti.72.1.76.

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Jones, J. "Sexual Health Promotion in General Practice." Journal of Epidemiology & Community Health 50, no. 5 (October 1, 1996): 604. http://dx.doi.org/10.1136/jech.50.5.604-b.

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Hughes, Ben. "Understanding ‘sexual addiction’ in clinical practice." Procedia - Social and Behavioral Sciences 5 (2010): 915–19. http://dx.doi.org/10.1016/j.sbspro.2010.07.210.

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Curtis, Hilary. "Sexual health promotion in general practice." Primary Health Care 4, no. 3 (March 1986): 22–23. http://dx.doi.org/10.7748/phc.4.3.22.s13.

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Carney, T. A. "Sexual Health Promotion in General Practice." BMJ 311, no. 7020 (December 16, 1995): 1649. http://dx.doi.org/10.1136/bmj.311.7020.1649.

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Ann, Dadich, Hosseinzadeh Hassan, Abbott Penny, Hu Wendy, Usherwood Timothy, Kang Melissa, Bourne Chris, Murray Carolyn, and Reath Jennifer. "Improving sexual healthcare in general practice." British Journal of Healthcare Management 20, no. 7 (July 2, 2014): 344–49. http://dx.doi.org/10.12968/bjhc.2014.20.7.344.

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Wells, David L. "Sexual assault practice: Myths and mistakes." Journal of Clinical Forensic Medicine 13, no. 4 (May 2006): 189–93. http://dx.doi.org/10.1016/j.jcfm.2006.02.012.

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Vélez-Laguado, Patricia, Yessenia Rojas-Dodino, and Andrea Marcela Mogollón-González. "Actitudes y prácticas frente a la sexualidad de los homosexuales." Revista Ciencia y Cuidado 12, no. 1 (June 30, 2015): 40. http://dx.doi.org/10.22463/17949831.321.

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Objetivo: evaluar las actitudes y prácticas frente a la sexualidad de la comunidad de lesbianas, gais, bisexuales, transexuales, intersexuales y como estas influyen en su salud sexual y reproductiva. Materiales y Métodos: estudio cuantitativo, descriptivo de corte transversal. La población estudio fueron 335 homosexuales pertenecientes a una fundación X, la muestra correspondió a 180, a quienes se aplico el instrumento Actitudes y Prácticas frente a la Sexualidad de los Homosexuales. Los criterios de inclusión fueron ser homosexual ser mayor de 18 años, haber tenido experiencias sexuales homosexuales, no presentar enfermedades mentales y participar voluntariamente. Resultados: predominaron los gais en un 50,5%, el estado civil preponderante fue soltero con un 70,6%; la edad predominante fue 24 a 29 años, y el nivel educativo más frecuente fue secundaria completa 27,7%; en cuanto a información de experiencias sexuales la primera experiencia física fue sexo con 52,2%, el 61,1% inició su vida sexual entre los 14 y 19 años; el 43,9% ha tenido de 11 a 20 compañeros sexuales, y en los últimos 6 meses el 65% ha tenido relaciones sexuales ocasionales, en actitudes el 43,9% dio a conocer su orientación sexual a amigos. En prácticas el 58,4% conoce a sus parejas sexuales por amigos; en desarrollo y actividad en salud sexual y reproductiva el 8,9% ha presentado infecciones de transmisión sexual y ha recibido tratamiento completo, el 56,7% no utilizó preservativo en su primera relación sexual, y solo el 54,4% sabe que es el cáncer genital. Conclusión: Según las variables planteadas las actitudes y las prácticas de los homosexuales si afectan su salud sexual y reproductiva.PALABRAS CLAVE: actitud, salud sexual y reproductiva, sexualidad. Attitudes and practices face to homosexual sexualityABSTRACT Objective: To test attitudes and practices face to sexuality of the lesbian, gay, bisexual, transgender, intersex community and how they are influencing their sexual and reproductive health. Materials and Methods: Quantitative, descriptive cross-sectional study. The study populationwere 335 homosexual members belonged to X foundation, the sample consisted of 180 people, to the Attitudes And Practices instrument was applied against gay sexuality. Inclusion criteria were: being homosexual older than 18 years old, having homosexual experiences before, haven´t suffered mental illness and to participate voluntarily. Results: gays predominated in 50.5%, the predominant marital status was single with 70.6%; the predominant age was 24-29 years and the most common education level was secondary with a 27.7%; as regard information about sexual experiences ; the first physical experience was sex with a 52.2%, 61.1% of population sample began their sexual life between 14 and 19 years old; 43.9% of them had 11 to 20 sexual partners, and in the last six months 65% had casual sex. In attitudes 43.9% disclosed their sexual orientation to friends; in practice 58.4% met their sexual partners by friends; in development and activity in sexual and reproductive health 8.9% presented sexually transmitted infections and received full treatment, 56.7% did not use condoms during their first sexual intercourse, and only 54.4% know what is a genital cancer. Conclusion: according to the considered variables the attitudes and practices of homosexual people affect their sexual and reproductive health.KEYWORDS: attitude, sexual and reproductive health, sexuality. Atitudes e práticas contra a sexualidade gay RESUMO Objetivo: avaliar as atitudes e práticas em relação à sexualidade de lésbicas, gays, bissexuais, transgêneros, intersex e como você está influenciando a sua saúde sexual e reprodutiva. Materiais e Métodos: estudo transversal, quantitativo, descritivo. A população do estudo eram 335 os membros homossexuais de uma fundação X, a amostra foi composta de 180 critérios, para a Atitudes E Práticas instrumento foi aplicado contra a sexualidade gay. De inclusão foram ser gay ter mais de 18, tiveram experiências sexuais homossexuais, não presente doença mental e participar voluntariamente. Resultados: gays predominou em 50,5%, o estado civil predominante foi a única com 70,6%; a faixa etária predominante foi de 24-29 anos eo ensino secundário mais comum foi de 27,7% concluída; informações sobre experiências sexuais primeira experiência sexual física foi de 52,2%, 61,1% iniciaram a vida sexual entre 14 e 19 anos; 43,9% tinham de 11 a 20 parceiros sexuais, e nos últimos seis meses 65% fizeram sexo casual. Em atitudes 43,9% divulgados sua orientação sexual aos amigos; na prática, 58,4% sabiam que seus parceiros sexuais por amigos; em desenvolvimento e atividade na área da saúde sexual e reprodutiva de 8,9% apresentada infecções sexualmente transmissíveis e recebeu tratamento completo, 56,7% não usaram preservativos na primeira relação sexual, e somente 54,4% sabem que é cancro genital. Conclusão: de acordo com as variáveis levantadas as atitudes e práticas dos homossexuais, se eles afetam a sua saúde sexual e reprodutiva.PALAVRAS-CHAVE: atitude, saúde sexual e reprodutiva, sexualidade.

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Dourado, Cynthia Angelica Ramos de Oliveira, Maria Sandra Andrade, Mônica Alice Santos da Silva, Clarissa Mourão Pinho, and Morgana Cristina Leôncio de Lima. "Coerção sexual, dependência de álcool, depressão e prática sexual desprotegida." Revista Recien - Revista Científica de Enfermagem 12, no. 39 (September 10, 2022): 39–48. http://dx.doi.org/10.24276/rrecien2022.12.39.39-48.

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Analisar as associações entre coerção sexual, dependência de álcool e sinais de depressão e suas correlações com a prática sexual desprotegida. Pesquisa transversal realizada com 1677 militares brasileiros, em que os desfechos foram analisados através de inferência estatística analítica. Observa-se dependência de álcool em 870 (51,9%) da amostra, sinais de depressão em 6,7% (113) e prática de coerção sexual para 1209 (72,1%). A dependência de álcool apresentou associação com a depressão e a coerção sexual com a dependência de álcool. Foi relatado por 423 (25,2%,) dos militares, relação sexual com trabalhador do sexo e histórico de IST por 379 (22,6%). O consumo de álcool se apresenta como fator percussor para violência sexual e esse, por sua vez, pode se instalar em consequência a desordens de cunho psicoemocional, como a depressão. Esses fatores apresentam associações com a prática sexual desprotegida, acarretando comportamentos de risco para o HIV. Descritores: Alcoolismo, Comportamento Sexual, Depressão, HIV. Sexual coercion, alcohol dependence, depression and unprotected sex Abstract: To analyze the associations between sexual coercion, alcohol dependence and signs of depression and their correlations with unprotected sexual practices. Cross-sectional research carried out with 1677 Brazilian soldiers, in which the outcomes were analyzed using analytical statistical inference. Alcohol dependence is observed in 870 (51.9%) of the sample, signs of depression in 6.7% (113) and the practice of sexual coercion in 1209 (72.1%). Alcohol dependence was associated with depression and sexual coercion with alcohol dependence. It was reported by 423 (25.2%) of the military, sexual intercourse with a sex worker and a history of STIs by 379 (22.6%). Alcohol consumption is a leading factor for sexual violence and this, in turn, can be installed as a consequence of psycho-emotional disorders, such as depression. These factors are associated with unprotected sexual practice, leading to risk behaviors for HIV Descriptors: Alcoholism, Sexual Behavior, Depression, HIV. Coerción sexual, dependencia del alcohol, depresión y relaciones sexuales sin protección Resumen: Analizar las asociaciones entre coerción sexual, dependencia del alcohol y signos de depresión y sus correlaciones con prácticas sexuales desprotegidas. Investigación transversal realizada con 1677 soldados brasileños, en la que se analizaron los resultados mediante inferencia estadística analítica. Se observa dependencia del alcohol en 870 (51,9%) de la muestra, signos de depresión en 6,7% (113) y práctica de coacción sexual en 1209 (72,1%). La dependencia del alcohol se asoció con la depresión y la coacción sexual con la dependencia del alcohol. Fue informado por 423 (25,2%) de los militares, relaciones sexuales con una trabajadora sexual y antecedentes de ITS por 379 (22,6%). El consumo de alcohol es un factor determinante de la violencia sexual y esta, a su vez, puede instalarse como consecuencia de trastornos psicoemocionales, como la depresión. Estos factores están asociados con la práctica sexual sin protección, lo que genera conductas de riesgo para el VIH. Descriptores: Alcoholismo, Conducta Sexual, Depreción, VIH.

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Hawkins, Michele J., Cathleen Gray, and Wesley E. Hawkins. "Gender Differences of Reported Safer Sex Behaviors within a Random Sample of College Students." Psychological Reports 77, no. 3 (December 1995): 963–68. http://dx.doi.org/10.2466/pr0.1995.77.3.963.

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This study investigated the frequency of safer sex behaviors with a random sample of sexually active college students ( N = 315) at a university in the Northwest. The most frequent safer sex behaviors were discussion of contraceptives (58.6%), being more selective (46.5%), and reducing the number of sexual partners (43.6%). The least frequent safer sex behaviors included discussion of partner's sexual health prior to sexual behavior (26.1%), using condoms or dental dams (24.4%), one sexual partner (22.6%), and abstaining from sex as a safer sex practice (12.3%). The only two behaviors which indicated gender differences were (a) if they were being more selective as a safer sex practice and (b) reducing number of sexual partners as a safer sex practice. Women were more likely to state that they were “almost always” more selective than their male peers. Findings from this study indicated that a substantial number of students reported “at risk” sexual practices. These findings indicated a need for HIV-prevention efforts.

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Hodson, Nathan. "Child sexual exploitation in Coronation Street." British Journal of General Practice 68, no. 667 (January 25, 2018): 81. http://dx.doi.org/10.3399/bjgp18x694637.

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Finlayson, A. J. Reid, Kimberly P. Brown, Richard J. Iannelli, Ron Neufeld, Kendall Shull, Danielle P. Marganoff, and Peter R. Martin. "Professional Sexual Misconduct:." Journal of Medical Regulation 101, no. 2 (June 1, 2015): 23–34. http://dx.doi.org/10.30770/2572-1852-101.2.23.

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This study examines the use of Psychophysiologic Detection of Deception (Polygraphy) as part of an independent, comprehensive, fitness-for-practice evaluation. It compares the findings for 18 non-randomized polygraph subjects selected from 60 medical professionals referred for assessment between 2007 and 2014 for violating sexual boundaries. Information derived from polygraph examination of fitness-for-practice evaluation subjects was independently rated for seven variables and retrospectively compared with that from subjects who were not polygraphed. Consensus values were used as final ratings associated with each case. In 56% of the 18 polygraphed cases, important new information was uncovered about sexual boundary problems that had not been elicited beforehand by repeated interviews and other standard clinical methods. This rose to 73% among those cases determined to be unfit for practice. Various recommendations were made in each case to improve patient safety and to enhance professionalism through specific education, treatment, support, supervision, monitoring and practice restrictions. Results suggest that the polygraph appears to be a useful component of an independent, comprehensive evaluation for sexual misconduct, as it may provide additional information to better understand what happened and more accurately determine a strategy for possible rehabilitation of the physician.

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Krøjer, Jo, Sine Lehn-Christiansen, and Mette Lykke Nielsen. "Sexual Harassment of Newcomers in Elder Care. An Institutional Practice?" Nordic Journal of Working Life Studies 4, no. 1 (March 1, 2014): 81. http://dx.doi.org/10.19154/njwls.v4i1.3553.

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Sexual harassment is illegal and may have very damaging effects on the people exposed to it. One would expect organizations, employers, and institutions to take very good care to prevent employees from exposure to sexual harassment from anyone in their workplace. And yet, many people, mostly women, are exposed to sexual harassment at work. In care work, such behaviour is often directed toward their female caregiver by elderly citizens in need of care. Contemporary Nordic studies of working life and work environment have primarily investigated the interpersonal dimensions of sexual harassment, thus focusing on the relation between elderly citizens in need of care and their professional caregivers. In this article, we argue that sexual harassment from the elderly toward newcomers in elder care should also be seen as an effect of institutional practices. Based upon a Foucauldianinspired notion of practice-making, the article carries out a secondary analysis of three different empirical studies in order to explore how sexual harassment is produced and maintained through institutional practices in elder care. The term institution in this perspective includes three dimensions; a political, an educational (educational institutions in health and elder care), and a work organizational dimension. By examining elder care in these different dimensions, we identify how sexual harassment of professional caregivers is produced and maintained through institutional practice-making in elder care. The article thus contributes to our knowledge on working life by expanding and qualifying the understanding of the problematic working environment in care work, and by offering an alternative theoretical and analytical approach to the study of sexual harassment. Together, these insights suggest how elder care institutions might act to prevent sexual harassment toward caregivers.

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Macy, Rebecca J. "Sexual Revictimization: Implications for Social Work Practice." Families in Society: The Journal of Contemporary Social Services 88, no. 4 (October 2007): 627–36. http://dx.doi.org/10.1606/1044-3894.3685.

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Substantial research demonstrates the existence of the sexual revictimization phenomenon; however, the problem of sexual revictimization is largely unattended and unexamined in the social work literature. Because of the pervasiveness of sexually violent victimization, social workers are frequently working with victim-survivors among their clients in child welfare, domestic violence, and sexual assault as well as physical health, mental health, and substance abuse settings. Social workers lacking a thorough knowledge about sexual revictimization and the strategies to prevent its occurrence may be missing important intervention opportunities. This paper helps to increase social workers’ awareness of the revictimization phenomenon and builds on the literature and research to provide recommendations for social work practice and research for revictimization prevention.

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Russell, Holly Ann, Colleen T. Fogarty, Susan H. McDaniel, Elizabeth H. Naumburg, Anne Nofziger, Tziporah Rosenberg, Mechele Sanders, and Kevin Fiscella. "“Am I Making More of It Than I Should?": Reporting and Responding to Sexual Harassment." Family Medicine 53, no. 6 (June 2, 2021): 408–15. http://dx.doi.org/10.22454/fammed.2021.808187.

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Background and Objectives: Health professionals may face sexual harassment from patients, faculty, and colleagues. Medicine’s hierarchy deters response to sexual harassment. Current evidence consists largely of quantitative data regarding the frequency and types of sexual harassment. More information is needed about the nature of the experience and how or why professionals choose to report or respond. Methods: We developed and administered a semistructured interview guide to elicit family medicine faculty and residents’ experiences with sexual harassment and gender bias. Facilitators led a series of focus groups divided by faculty (N=28) and residents (N=24). We ensured voluntary consent and groups were audiotaped, transcribed and deidentified. We coded the transcripts using immersion-crystallization theory to identify emergent themes. Results: Sexual harassment from patients and colleagues was described as witnessed or personally experienced by faculty and resident participants in 100% of the focus groups. Respondents identified the presence of mentors, clear reporting process and follow-up, history of good organizational response to reporting, and education and training as facilitators to reporting sexual harassment. Barriers to reporting included fear of retaliation, lack of trust of the system to respond, lack of clarity about “what counts,” and confusion with the reporting process. Conclusions: It is important to capitalize on facilitators to reporting sexual harassment, starting with acknowledging the frequency of sexual harassment and gender discrimination. Addressing barriers to responding through education and training for our learners and faculty is critical. Clarifying the reporting process, having clear expectations for behavior, and a continuum of responses may help increase the frequency of reporting.

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Mullineux, Judith, Vickie Firmstone, Philippa Matthews, and Rita Ireson. "Innovative Sexual Health Education for General Practice: An Evaluation of the Sexual Health in Practice (SHIP) Scheme." Education for Primary Care 19, no. 4 (January 2008): 397–407. http://dx.doi.org/10.1080/14739879.2008.11493704.

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Gómez Almodóvar, C. "La educación sexual tipo «parche»: ¿previene las enfermedades de transmisión sexual?" Atención Primaria 36, no. 2 (June 2005): 115. http://dx.doi.org/10.1157/13076607.

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Gregory, Angela. "Female sexual dysfunction: what the practice nurse needs to know." Practice Nursing 33, no. 8 (August 2, 2022): 318–23. http://dx.doi.org/10.12968/pnur.2022.33.8.318.

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For many women, practice nurses are the first point of contact for sexual or reproductive health concerns. Angela Gregory provides are overview of the basics of female sexual dysfunction The World Health Organization regards ‘sexual and reproductive health and wellbeing as essential if people are to have responsible, safe and satisfying sexual lives and that sexual health requires a positive approach to human sexuality’. General practice nurses are ideally placed to educate and address sexual concerns. Practice nurses are not expected to be experts in this field or to carry out specialist assessment, examination and treatment, but there are opportunities to initiate discussion, identify potential sexual issues, provide simple advice and treatment, signpost to online resources and refer to medical colleagues or specialist services. Two common sexual complaints – sexual desire/interest concerns and sexual/genital pain – are discussed with an emphasis on the importance of recognising and treating the silent symptoms of the menopause and pelvic floor dysfunction due to their significant impact on female sexual function.

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Friedlander, Rachel, Sophie Mou, and Lee Shearer. "Diversity in Reproductive Health and Human Sexuality: Assessing Attitudes Comfort and Knowledge in Learners Before and After Pilot Curriculum." Family Medicine 53, no. 5 (May 5, 2021): 362–65. http://dx.doi.org/10.22454/fammed.2021.456130.

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Background and Objectives: A majority of medical students believe that treating sexual concerns is important for their careers. However, a minority feel that they have received adequate instruction in medical school. This novel supplemental reproductive and sexual health curriculum at a large academic medical center aimed to address this gap and to improve attitudes, comfort, and knowledge about sexual and reproductive health topics among learners.Methods: Students participated in a series of sexual and reproductive health workshops taught by interdisciplinary health care workers, with the first cohort in a classroom setting and the second cohort using a virtual format due to the COVID-19 pandemic. We administered a novel pre- and postcourse survey to assess attitudes, comfort, and knowledge about the topics. We performed unpaired 1-tailed t tests and χ2 tests to compare the scores on the pre- and postcourse surveys. Results: Sample size was 12 students for the first cohort and 23 students for the second cohort. Reported levels of comfort with taking sexual histories in different age groups and discussing reproductive and sexual health topics increased significantly: 0.92 for the classroom setting, and 0.50 for the virtual setting, with an average increase of 0.65 points on a 4-point Likert scale. There were no significant changes in student attitudes toward or knowledge of reproductive and sexual health.Conclusion: This course elaborated on topics to which medical students traditionally lack adequate exposure, with significant improvement in comfort counseling patients. A disparity between the classroom and virtual setting suggests limitations of online learning for these topics.

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Bhavsar, Vishal, and Dinesh Bhugra. "Cultural factors and sexual dysfunction in clinical practice." Advances in Psychiatric Treatment 19, no. 2 (March 2013): 144–52. http://dx.doi.org/10.1192/apt.bp.111.009852.

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SummaryAttitudes to sex and the perceived role of sexual activity are very strongly influenced by cultural values. Culturally determined gender roles influence relationships between different-sex partners, and cultural values affect attitudes towards sexual variation. Cultures define what is deviant and from where help is sought. Through differing patterns of child-rearing, cultures also affect individuals' cognitive development, world views and explanatory models of emotional distress. It is critical that clinicians are aware of the role of culture in defining sexual dysfunction and how cultural factors can be used in initiating treatment as well as in therapeutic engagement and alliance. Although epidemiological data on prevalence of sexual dysfunction across cultures are scanty, it is likely that prevalences vary, as will pathways into care and patterns of help-seeking. In this article we discuss the potential impact of culture on sexual dysfunction, and issues that clinicians, whether in specialist or in general services, need to be aware of in assessing and treating patients who present with sexual dysfunction.

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Savall, R. "Enfermedades de transmisión sexual." Atención Primaria 36, no. 5 (September 2005): 278–79. http://dx.doi.org/10.1157/13079150.

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Mao, L., J. Imrie, G. Prestage, A. Grulich, B. Donovan, J. Kaldor, and S. Kippax. "64. DOES CIRCUMCISION MAKE A DIFFERENCE TO THE SEXUAL EXPERIENCE OF GAY MEN? FINDINGS FROM THE HEALTH IN MEN (HIM) COHORT." Sexual Health 4, no. 4 (2007): 309. http://dx.doi.org/10.1071/shv4n4ab64.

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The relevance of circumcision in preventing HIV male-to-male sex transmission is poorly understood, in particular because any potential effect could be obscured by sexual practice as a mediating or confounding factor. Using data from the Health in Men (HIM) cohort of 1426 HIV-negative homosexually active men in Sydney, we compared the sexual practices and sexual experiences of circumcised and uncircumcised men. Overall 66% of men (n�=�939) in the cohort were circumcised. After adjusting for age and ethnicity, we found no difference between circumcised and uncircumcised men in anal sexual practices, difficulty using condoms, or sexual difficulties (e.g. loss of libido). Among the circumcised men, we compared those circumcised at infancy (n�=�854) with those circumcised after infancy (n�=�81). The majority cited phimosis (i.e., an inability to fully retract the foreskin) and parents' decision as the main reasons for circumcision after infancy. After adjusting for age and ethnicity, men circumcised after infancy were more likely to practise receptive anal sex (88% vs 75%, p�<�0.05) and to experience erection difficulties (52% vs 47%, p�<�0.05); but less likely to practise insertive anal sex (79% vs 87%, p�<�0.05) and to experience premature ejaculation (15% vs 23%, p�<�0.05) than those circumcised at infancy. Our data suggest that overall circumcision status does not affect HIV-negative gay men's anal sexual practices, experience of condom use or likelihood of sexual difficulties. However, there is some suggestion of differences between circumcised men depending on the age at circumcision.

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Lawson, Jamie, and Darren Langdridge. "History, culture and practice of puppy play." Sexualities 23, no. 4 (March 22, 2019): 574–91. http://dx.doi.org/10.1177/1363460719839914.

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In this article we explore the history, culture and practice of the phenomenon known as ‘puppy play’. Puppy play is a practice in which people take on the persona of a dog (or handler), with participants often wearing specialist gear to further enhance the experience of being a puppy. We argue that puppy play is best understood sociologically as a ‘postmodern-subculture’ (Greener and Hollands, 2006). Additionally, we use Irwin's (1973) model of scene evolution to explore the socio-history of the community. Whilst this practice appears to have its historical roots within the highly sexual gay leatherman subculture, there is a division within this community between sexual and social play, with some participants eschewing the sexual entirely. We explore possible reasons for this split through an analysis using recent political theory concerning technologies of the self, sexual citizenship and BDSM. Through this analysis we contribute valuable empirical evidence to debates and discussion about the development of sexual subcultures and tensions therein concerning claims for rights and the ‘politics of respectability’ (Cruz, 2016a, 2016b).

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Patrício, Anna Cláudia Freire de Araújo, Valéria Peixoto Bezerra, Jordana Almeida Nogueira, Maria Adelaide Silva Paredes Moreira, Brígido Vizeu Camargo, and Jiovana de Souza Santos. "Knowledge of sex workers about HIV/AIDS and its influence on sexual practices." Revista Brasileira de Enfermagem 72, no. 5 (October 2019): 1311–17. http://dx.doi.org/10.1590/0034-7167-2018-0590.

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ABSTRACT Objective: assess the knowledge of sex workers about HIV/AIDS and its influence on sexual practices. Method: Ninety women participated in the study. The Scientific Knowledge Test about HIV/AIDS and sexual practices was used. The Wald test was applied to verify the relationship between knowledge and sexual practices with statistical significance of p<0.05. Results: the score of 61.7% of correct answers in all three dimensions stands out; 72.2% have sexual intercourse without a condom in exchange for a large amount of money; 53.3% have sex during the menstrual period; 62.2% have sexual intercourse with drug users; 75.6% have sex with clients showing lesions on the penis or anus. The B coefficient (-0.19) showed that the higher the knowledge about HIV/AIDS, the lower the practice of risky sexual behaviors. Conclusion: the influence of knowledge about HIV/AIDS on sexual practices was not statistically significant, but the sexual practices and insufficient knowledge about prevention, physiological and behavioral attributes were observed.

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Kole, Jonathan. "Circling Back to a Better Sexual History." Annals of Family Medicine 16, no. 5 (September 2018): 465. http://dx.doi.org/10.1370/afm.2299.

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Knight, Vickie M., Nikki Corkill, Debbie Pittam, Annette Dillon, and Caron Marks. "Australian sexual health nurses: Variations in practice." Contemporary Nurse 15, no. 1-2 (August 2003): 140–47. http://dx.doi.org/10.5172/conu.15.1-2.140.

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