جستجوی مقالات مرتبط با کلیدواژه « Sexual health » در نشریات گروه « پزشکی »

 Sexually transmitted infections (STIs) in adolescents are among the major public health challenges that have to be prevented in time. Traditional education falls short of reach; social media offers accessible ways. However, there is no research on such an issue in Nepal. Accordingly, this study was conducted to assess the effectiveness of a social media-based health education intervention in changing the intention of promoting sexual health among adolescents in Nepal.

Study Design: 

A quasi-experimental study.

 A total of 160 adolescent students aged 14–19 years old from four purposively selected schools were evenly divided into intervention and non-intervention groups. Sampling and data collection were performed between May and June 2023. Data were collected through self-administered questionnaires for pretest and posttest evaluation. The intervention was delivered and followed up through a Facebook Messenger group. The obtained data were managed and analyzed using SPSS 21, with a significance level of 5%.

 Social media-based health education interventions played a significant role in promoting the sexual health behavior of adolescents. The adolescents’ knowledge and attitude scores on STIs increased from 2.33 to 4.62 and from 21.87 to 26.30. In addition, their scores on subjective norms, perceived behavioral control, and intentions in promoting sexual behavior increased from 13.93 to 17.59, from 19.96 to 25.40, and from 13.07 to 18.06, respectively, which were statistically significant.

 The utilization of social media platforms such as Facebook Messenger groups is an effective medium for delivering health educational messages. Hence, increasing social media-based health education is a cost-effective intervention for promoting the health and sexual behaviors of adolescents.

It is very important to show health professionals and students that sexuality is importantin women with gynecological cancer, to increase their awareness in this area and to ensure theformation of positive attitudes towards sexuality. This study aimed to determine the effect of sexualcounseling training in gynecological cancers according to the PLISSIT Model on Midwifery students’Awareness and Attitude. This randomized controlled study was conducted between May and November 2022 bymidwifery students studying at Sakarya University in Turkey. 36 students were allocated to the controlgroup and 38 to the intervention group using block randomization. The intervention group was given3 sessions training based on the PLISSIT model, whilethe control group underwent no training.Data were collected before the training and one month after completing the intervention using theGynecological Cancer Awareness Scale (GCAS) and Sexual Attitudes and Beliefs Scale (SABS). Dataanalysis was done using SPSS software version 22 with Chi square test, independent and paired t-test.A significance level of P<0.05 was used. In the intervention group, a significant difference was found within the group in terms ofthe GCAS (P<0.001), and SABS (P<0.001) scores after the study. In the control group, there was nosignificant difference within the group in terms of the GCAS (P=0.16) and SABS (P=0.26) scores.There was a significant difference between the intervention and control groups in terms of GCAS(P=0.004) and SABS (P<0.001) scores one month after training. It was found that sexual counseling training in gynecological cancers according to thePLISSIT Model was effective in creating awareness and positive attitudes in mMidwifery students.Trial Registration Number: NCT05967104.

The purpose of this research is to investigate the relationship between the level of sexual health literacy and sexual function in women in rural areas.

The current cross-sectional analytical study was conducted with the participation of 200 women of reproductive age in the rural areas of Banaroye district in the south of Fars province. The data collection tools included the fertility demographic characteristics questionnaire, the adult sexual health literacy questionnaire(SHELA), and the female sexual function index (FSFI) questionnaire. The data was analyzed using descriptive statistics and analysis of covariance.

The average age of the women was 31.65 ± 5.95. Most of the women (70.5%) had some degree of sexual dysfunction. The results of covariance analysis showed that the average score of sexual function of women who had an insufficient level of sexual health literacy was 44.4 points (p = 0.020) and for women who had a Not quite enough level of sexual health literacy was 2.56 points (p = 0.014). It was less than women who had a high level of sexual health literacy. Also, women with a university education obtained a higher mean score in sexual function (p = 0.047).

According to these researches, it can be concluded that it increases the level of awareness and education in the field of sexual health, can bring about the sexual function of the individual, and then it can improve the relationship of couples and increase the quality of life.

Breast cancer is one of the most common malignancies in women in Iran, and sexual dysfunction is often observed in these patients.  

The present study aimed to systematically review the clinical trials to determine the effect of counseling-educational interventions on sexual issues of women with breast cancer in Iran.

In this systematic review, a query was conducted on databases, including Pubmed, WOS, SCOPUS, EMBASE, ClinicalTrials.gov, ProQuest Dissertations and Theses Global, Cochrane Library, CINAHL, SID, Magiran, and Irandoc up to Jan 2023. The keywords were sex, sexual counseling, sexual function, quality of sexual life, breast cancer, sexuality, education, and all possible combinations of these words with the Boolean operators of "OR" and "AND". The Cochran Group Risk of bias tool was used to evaluate the quality of articles.

Finally, 10 studies (with a total sample size of 614 people) were systematically reviewed. Of these, 4 articles examined sexual counseling, 5 papers assessed sexual education, and 1 study compared sexual counseling and sexual education in patients. PLISSIT (P: Permission, LI: Limited Information, SS: Specific Suggestions, IT: Intensive Therapy) counseling, mindfulness, sexual psychology, commitment acceptance, sports counseling, couples training, and group counseling caused a significant difference in sexual variables between the intervention and control groups. Four-factor psychotherapy alone was not effective in increasing sexual assertiveness.

Based on the results, several types of counseling and educational approaches were effective in improving sexual problems and promoting sexual health in women with breast cancer in Iran; therefore, the widespread use of these methods is recommended.

 A satisfying and proper sexual relationship that meets the needs of both spouses plays a crucial role in the stability and longevity of the family. Sexual self-concept is one of the factors affecting women's sexual behavior and performance and can be changed throughout life.

 This study aimed to determine the status of sexual self-concept and its socio-demographic predictors of women on the verge of marriage.

 This cross-sectional study was conducted on 130 women referring to premarital counseling centers in Tabriz, Iran. The data collection tool was the questionnaire of personal and social characteristics and Snell's Multidimensional Sexual Self-Concept Questionnaire. Pearson's correlation test, one-way analysis of variance, and multivariate linear regression test were used in data analysis with SPSS software version 24.

 The mean (standard deviation) of the positive sexual self-concept score was 117 (0.20) from the obtainable score of 0 - 176, and the mean (standard deviation) of the negative sexual self-concept score was 16 (0.7) from the obtainable score of 4 - 38. Additionally, the mean (standard deviation) of the sexual self-concept score was 44 (0.9) from the range of the obtainable score of 0 - 72. The results of multivariate analysis with multivariate linear regression test and control of confounding variables showed that the husband’s age, education, and mother's education were the predictors of positive sexual self-concept. Moreover, age, father's education, and duration of previous acquaintance were reported as predictors of negative sexual self-concept, and age was observed as a predictor of situational sexual self-concept.

 The study's findings indicated that age, education, parents' education, and the duration of acquaintance with the future spouse could predict sexual self-concept in women approaching marriage without sexual abuse. Given that sexual self-concept evolves well before any sexual activity, policymakers can enhance women's sexual self-concept through interventions, such as psychological counseling with a focus on sexual health. This, in turn, can improve their overall well-being, ultimately supporting stable family foundations and successful childbearing in the future.

Cervical cancer occupies a significant place in the overall structure of morbidity and mortality in developing countries. We focused on the sexual health and use of cervical cancer screening among the female working population of reproductive age in Central Serbia.

The research was conducted as a cross-sectional study, according to the methodology Stepwise approach to noncommunicable disease risk factor surveillance WHO. The study population consisted of 1182 female working population aged 18-49 years, living on the territory of Central Serbia. The method of simple random sampling was utilized in the research itself. An anonymous standardized questionnaire was used as a research tool.

During the first sexual intercourse, 38.9% of the participants reported not having used any of the contraceptives, whereas 74.5% of the participants reported not having used them during their last sexual intercourse and 26.1% of the respondents reported not having had a single Pap smear in their lifetime. The multivariate logistic regression analysis singled out the following factors in women who reported not having done a Pap smear in their lifetime as the most significant ones: age – the youngest age group (OR = 3.30, CI = 1.80- 6.04), unemployment (OR = 2.87, CI = 0.07-3.40), women who had never been married or had never been in a common-law marriage (OR = 2.55, CI = 1.40-4.66) and individuals with a medium education level (OR = 2.63, CI = 1.67-4.14).

In Serbia, all the activities should be directed towards increasing the levels of awareness and knowledge on sexual health and cervical cancer screening services.

 Evidence, especially in the last two decades, indicates the effect of social factors on health. Social determinants of health (SDH) are the environmental conditions in which people are born, live, grow, educate, work, and age.

 Hence, this study intended to identify the SDH of the reproductive age women's sexual health dimensions.

 To conduct this scoping review, the researchers searched the databases, including PubMed, Medline, ProQuest, Cochrane Library, Web of Sciences, Scientific Information Database (SID), and Magiran, disregarding language limit. They searched the original observational articles (cohort, cross-sectional, case-control) on social determinants of reproductive age women's sexual health, assessing at least one social determinant of health for sexual health between January 2010 and January 2023.

 A total of 4704 articles were extracted in the initial review; however, 30 entered the scoping review. The results revealed that the social determinants of reproductive age women's sexual health in different societies are socioeconomic status (socio-economic constraints, economic gradient, poverty, lack of food at home, homelessness, low prospects, and poor educational and job outlook), personal determinants (age, gender, religious affiliation, marital status, education level, employment/unemployment status, economic status, age at the first sex, age over 40, dissatisfaction with the sexual potency of the spouse, high body mass index, partners' sexual education, sexual intimacy, relationship duration, frequent contact with a given partner, perceived social support, and perceived safe sex norms), social support (social networks of peers, friends, and family, emotional support and strong attachments to families), neighborhood, violence, addiction, migration, stress, early life experiences, and education that can affect different sexual health dimensions. The sexual health dimensions encompass sexual function, sexual satisfaction, risky sexual behaviors, receiving sexual health services, condom use, and forced sexual behavior.

 Considering each person's conditions and needs, health policymakers and health services providers should evaluate the various dimensions of the SDH to promote women's sexual health. Moreover, they should plan and implement the required strategies to eliminate the identified obstacles.

Marital satisfaction can affect both life satisfaction and mental health. Adequate sexual health literacy level can maintain and improve sexual health in individuals. This study aimed to compare the level of marital satisfaction and sexual health literacy in fertile and infertile couples.

This descriptive-cross-sectional study was conducted on 262 couples (including 136 fertile couples and 126 infertile couples) in the north and northwest of Iran during 2020-2021. The data were collected using a demographic characteristics questionnaire, a sexual health literacy for adult questionnaire, and a short-form enrich marital satisfaction scale. The collected data were analyzed using descriptive and inferential statistics in SPSS 26 Software.

The mean±SD of marital satisfaction in fertile and infertile couples was 36.93±6.58 and 36.05±6.25, respectively and this mean difference was not statistically significant (p=0.121). The mean±SD of sexual health literacy score in fertile and infertile women was 75.69±17.29, and 67.76±20.26 respectively, and it was calculated 76.89±16.22, and 67.66±20.46, in fertile and infertile men respectively. This mean difference was statistically significant (p=0.001) in both groups.  Furthermore, the husband’s education level and duration of marriage were regarded as determinants of marital satisfaction among all participants (p<0.05).

The sexual health literacy level in fertile couples is higher than in infertile ones.

There is an increasing need for sexual well-being and health promotion strategies that effectively engage men. Researchers have evaluated the efficacy of sexual and reproductive health-related and marital enhancement interventions in male-dominated societies. However, few have focused on culturally appropriate and gender-specific program effects.

This review aims to evaluate evidence of existing interventions aimed at enriching marital relationships and sexual well-being in adult men.

This scoping review was conducted by searching various databases (CINAHL, PsycINFO, EMBASE, Google Scholar, PubMed, Scopus, SID, and Noormags), and other available resources in both English and Persian languages. We located all publications up to January 2023 with no time restriction. Inclusion criteria were studies targeting men in the enrichment of marital and sexual relationships, which focus on marital/sexual enrichment, sexual and reproductive health (SRH) program, passionate relationship, or sexual satisfaction as the main outcomes. PRISMA guidelines were utilized in this review.

Of records 34,405 retrieved by searching, after removing duplicate articles, 8 articles were included based on the inclusion criteria. SRH program was the main focus of 6 articles. Marital and sexual enhancement were common areas of focus in 2 studies. Research methods included 2 semi-experimental, 3 clinical trials, 1 systematic review, 1 content analysis, and a mixed method. According to the assessment result, 4 articles were moderate and 4 were of high quality.

Our findings reveal that a small number of interventions specifically offering SRH or marital and sexual enhancement programs to men should be conducted. As the majority were heterosexual couples, we recommend male-focused programs recognizing men’s sexuality.

The sexual attitudes and beliefs of midwifery students, who play an important role in improving sexual health, can affect both the students themselves and people with disabilities to whom they provide education and counselling. This study aimed to determine the attitudes and beliefs of midwifery students on sexuality and the evaluation of sexuality.

This research is a mixed-method study that includes two stages: qualitative and quantitative. In the first stage, data was collected from 334 students using a socio-demographic data form and the sexual attitude and belief scale. The second stage involved conducting phenomenological interviews with 21 students.

The students who believed they had adequate knowledge about sexuality and reproductive health, as well as those who had previously engaged in scientific activities related to sexuality, held more positive attitudes and beliefs towards sexual care. The qualitative section of the study identified four main themes, each containing 13 sub-themes, which provided further insights into the students' perspectives on the subject.

The students acknowledged that their society had strict sexual taboos, but their attitudes toward sexuality changed after studying sexual health and women's health at university. The study highlighted the challenges faced by midwifery students in assessing sexual health. By addressing these difficulties, trained midwives can better evaluate the sexual health of patients in clinical settings, leading to early detection of sexual problems.

 The quality of life of a person and her sexual partner is impacted by sexual function. Sexual function disorders have a significant prevalence in society. There are different treatments for sexual disorders, including herbal therapies.

 This study aimed to do a comparison of phytoestrogens and non-phytoestrogens medicinal plant’s effects on sexual health in pre- and postmenopausal women.

 This systematic review and meta-analysis was performed to identify relevant articles in electronic databases such as Web of Science, Scopus, PubMed, Cochrane Library, Google Scholar, and SID for English- and Persian-language articles published up to December 2021. The Cochrane collaboration tool was used to assess the risk of bias. Heterogeneity was assessed using I2 statistics.

 Of 5428 records retrieved by searching the databases, after removing duplicate and irrelevant articles, 39 articles were included based on the inclusion criteria in the study. Finally, 18 articles with 1299 participants were included in the meta-analysis. 18 randomized clinical trial studies of phytoestrogens (n = 13) and non-phytoestrogens (n = 5) plants that used the female sexual function index questionnaire and reported the mean difference (MD) and standard deviation were included in the meta-analysis. The effects of phytoestrogens and non-phytoestrogens plants on the sexual health of postmenopausal women appear to differ significantly from one another, according to the meta-analysis (MD = 7.59; 95% CI = 4.56-10.60 and MD = 3.19; 95% CI = 1.25-5.13, respectively) but this difference was not observed in premenopausal women.

 The effect of phytoestrogens plants is more in menopausal women and they can be advised to use these herbs.

Background and

The psychological wellbeing of adolescents has always been a focal point of research topic. Ignoring this issue could have irreversibly adverse effects on individuals and societies. The present study investigated the mediating role of sexual intimacy in relationships between the attitude and sexual health and self-differentiation of mothers with the psychological wellbeing of adolescents living in Ahvaz City, Iran.

Conducted during the academic year 2021–2022, the descriptive-correlational recruited study students from Ahvaz senior high schools and their mothers. Using the stratified cluster sampling, 300 students and their mothers participated in this study as the study sample. The research instruments included the psychological wellbeing scale, the attitude scale toward sexual health, the differentiation of self-inventory, and the marital intimacy questionnaire. The Pearson correlation coefficient was used to assess the correlation between the study variables. Bootstrap analysis gauged the significance of mediating relationships. Structural equation modeling (SEM) was employed to evaluate the proposed model using SPSS software, version 27 and AMOS software, version 25. 

The results showed that all direct paths to the psychological wellbeing of adolescents were significant, except for the self-differentiation of mothers (P<0.001). Moreover, the indirect paths from mothers’ attitude toward the sexual health to the psychological wellbeing of adolescents and the correlation between mothers’ self-differentiation and the adolescents’ psychological wellbeing were significant when mediated by the sexual intimacy of mothers (P<0.001). 

The proposed method demonstrated a good fit. Improving the sexual intimacy of mothers is expected to boost the psychological wellbeing of adolescents. It is recommended to hold workshops to promote effective communication skills and self-differentiation for couples to enhance the sexual intimacy of mothers, thus boosting the psychological wellbeing of adolescents.

 Separating women with the coronavirus 2019 from family can affect marital life. Considering psychological more vulnerability of women for anxiety and depression disorders, these women may experience more stress due to the loss of work at this time or special reproductive health conditions such as pregnancy, having a baby, or other medical conditions.

 Considering limited number of qualitative studies on the need for marital intimacy, this study was conducted to meet marital intimacy needs in women with coronavirus 2019.

 Framework qualitative content analysis was conducted through participation of 13 key informants (sex therapist, couple therapist, psychologist, and midwifery counselor) and 18 infected women from Yazd, Iran in July 2020 who were selected purposefully and interviewed through the semi-structured in-depth interviews.

 3 main categories were: 1) mutual resilience (subcategories: 1. coping strategies; 2. value of marital life; 3. compassionate conflict resolving). 2) skillful relationship (subcategories: 1. assertiveness in sexual expression; 2. self-efficacy in the distance physical connectivity). 3) synergy (subcategories: 1. reframing spirituality closeness; 2. empowering aesthetic creativity; 3. management of family function, and 4. prioritizing).

 Findings revealed sex and couple therapists, health providers, and policymakers should emphasize on using new forms of digital communication in these couples. Teaching skills which increase partners’ creativity and empathy, enable women to fulfill their mental, sexual and reproductive health needs, and lead to more partners responsibility and loyalty, and maintenance of family function. In times of crisis, counseling should be considered in women treatment programs and care guidelines.

 Although sexual function (SF) and sexual satisfaction (SS) are the essential factors influenced negatively by infertility and may be associated with delaying or disrupting infertility treatment, no systematic review has assessed the results of these studies so far.

 The present study aimed to systematically review published interventional research regarding SF and SS among infertile individuals.

 In this systematic review, the databases of PubMed, MEDLINE, Web of Science, Scopus, ScienceDirect, Cochrane Library, PsycInfo, Google Scholar, and SID were searched to retrieve the relevant studies in Persian and English languages up to August 2021.  

 23 interventional studies were included in this systematic review, of which only 2 were low quality based on the critical appraisal skills programme checklist. The interventions of the included studies were classified into 2 main categories: educational and psychological interventions for increasing the SF and SS among infertile women or couples. 

 There was no clear evidence to understand the most effective method for increasing SF and satisfaction among couples with infertility. Based on the results of the included studies, all of them showed the effectiveness of the various interventions performed on sexual health dimensions among couples with infertility. This systematic review showed that most SF studies were educational, whereas the SS were more psychologically interventional. Conducting standardized and high-quality randomized controlled trials focusing on SF and SS is recommended.

Abstract
  Backgrounds and

Sexual-reproductive health (SRH) is considered as a major part of general health, and education in this domain can have significant effects on it. Moreover, physically disabled individuals need special healthcare and education in this respect; however, there is insufficient information about SRH in women with this disability. The purpose of the present study was to explore educational needs in SRH among women with spinal cord injury (SCI).
 Methods and Materials: In this qualitative research, content analysis method was applied. Participants included women between 18 and 55 suffering from SCI. They were clients of Social Welfare Organization and Association of Spinal Cord Disabilities and selected with purposive sampling method. In-depth semi-structured interviews were individually performed with 15 women and 8 key informants. Graneheim and Lundman’s method was used for data analysis. Furthermore, Lincoln and Guba’s evaluative criteria were applied for trustworthiness.  
 

Educational needs in SRH among women with SCI were divided into 4 categories and 10 subcategories. They included “providing education by the Ministry of Health and Medical Education”, “improving education”, “enhancing performance of healthcare staff”, and “reforming educational structure of SRH for physically disabled individuals.”    
 

Women with SCI could improve their quality of life if they get information about SRH via educational books, CDs, and Internet resources. Moreover, modifying viewpoints of medical students and healthcare providers is assumed as an important factor for this aim.