Non-disabled and disabled women sexual health comparison

Background: Disabled women constitute approximately 16% of all women in Europe. Regardless of disability level women are interested in maintaining sexual activity. The study aim was to compare, understand if there are sexual health disparities between disabled women and non-disabled women.Methods: A cross-sectional study was conducted in non-governmental associations and the general practitioner's office in Latvia from November 2018 to January 2019. Data were collected from self-filled questionnaires of 34 DW and 34 NDW.Results: The mean age of NDW was 32 years and 43 years for DW. 73.5% of DW and 41.2% of NDW were partially satisfied with their sex life, p=0.009. 47.1% of DW and 32.4% of NDW admitted having an irregular sex life, p=0.002. 58.8% of NDW and 29.4% of DW had last sexual intercourse within 6 days period, p=0.011. 67.6% NDW and 20.6% DW thought their sex life will improve in future, p=0.001. 70.6% of DW was interested in maintaining sexual relations as well as 91.2% of NDW. 20.6% of DW was interested in maintaining sexual relationships but less than before disability. 29.4% of respondents from both groups noted that the level of disability or other health disorders had little impact on their sexual health. 8.8% of disabled women and 2.9% of non-disabled women had severe symptoms of depression.Conclusions: The study demonstrated that NDW had regular sex life and were more satisfied with it than DW. Regardless of the state of health women were interested in maintaining sexual activity.

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Factors associated with early resumption of sexual intercourse among women during extended postpartum period in Northwest Ethiopia: a cross sectional study

Contraception and Reproductive Medicine ◽

10.1186/s40834-020-00124-7 ◽

2020 ◽

Vol 5 (1) ◽

Author(s):

Birye Dessalegn Mekonnen

Keyword(s):

Sexual Health ◽

Sexual Activity ◽

Sexual Intercourse ◽

Postnatal Care ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Postpartum Women ◽

Care Providers ◽

Sectional Study ◽

Cross Sectional

Abstract Background Postpartum sexual health and practice need to be integrated in the current maternal healthcare services to address sexual health problems. However, postpartum sexual practice has received little attention, and was not often discussed by healthcare providers during prenatal and postnatal care. Thus, this study was aimed to assess early resumption of sexual intercourse and associated factors among postpartum women in Gondar city, Northwest Ethiopia. Methods A community based cross-sectional study was conducted from January 20 to February 20, 2020. A systematic random sampling technique was used to select 634 postpartum women. A pretested, structured and interviewer-administered questionnaire was used to collect data. Data were entered into Epi Info 7.2.2 and exported to SPSS version 20 for analysis. Bivariable and multivariable logistic regressions analysis were done. Variables with p- value of < 0.05 were considered as statistically significant. Results The magnitude of early resumption of sexual intercourse after childbirth was found to be 26.9% (95% CI: 23.2, 30.8). Urban resident (AOR = 6.12, 95% CI: 2.41, 15.66), parity of one (AOR = 2.26, 95% CI: 1.66, 7.78), husband demand (AOR = 2.66, 95% CI: 1.72, 4.11), postnatal care (AOR = 1.45, 95% CI: 1.06, 2.18) and use of family planning (AOR = 2.72, 95% CI: 1.51, 3.43) were factors significantly associated with early resumption of sexual intercourse. Conclusion The study found that more than one fourth of women had resumed sexual intercourse within six weeks of following childbirth. The finding of this study suggests the need of integrating discussions of postpartum sexual activity into routine prenatal, intrapartum and postnatal care with collaborative effort of policy makers, program planners, health care providers and other stakeholders. Moreover, spousal communication on postpartum sexual activity should be encouraged.

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Sexual Needs and Sexual Health in the Elderly Population in Eastern China: Findings From a Cross-Sectional Study

10.21203/rs.3.rs-196324/v1 ◽

2021 ◽

Author(s):

tiansheng xie ◽

Haibo Yan ◽

Guohua Wang ◽

Guojun Jiang

Keyword(s):

Older Adults ◽

Sexual Behavior ◽

Sexual Health ◽

Sexual Activity ◽

Eastern China ◽

Cross Sectional Study ◽

Influential Factors ◽

Sectional Study ◽

Monthly Income ◽

Cross Sectional

Abstract Objective: To investigate the sexual activity of older adults, to understand their knowledge attitude and practice(KAP) regarding sexually transmitted diseases (STD) and to perform correlation analyses of STD symptoms in this population.Methods: A cross-sectional study was conducted among 585 subjects from counties in eastern China. Data was collected from unified questionnaires; descriptive statistics were used for demographic characteristics and sexual activity, which used student t test, to compare the different groups, and multivariate logistic regression analysis to identify the dependence of influential factors.Results: 24.62% of participants were reported as sexually active. The subjects still work and the main income from personal salary was higher than other individuals . Furthermore, when participants monthly income or expenses was more than 1000 RMB, they seemed to have a higher sexual activity. Gender and monthly income were dependent on influential factors related to sexual activity. 54.7% showed good awareness of STD, but only 7.96% of them consistently and correctly used condoms; moreover, 21.03% report to have previously suffered from any STD symptoms. Sexual behavior, use of condoms and commercial sexual behavior were dependent on influential factors of sexual activity.Conclusions: Sexual needs and sexual health of older adults should not be neglected, effective strategies should be drafted for such population.

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Comparison of Heffner Criteria and Light Criteria in Differentiating Exudative and Transudative Pleural Effusion

Nepal Medical College Journal ◽

10.3126/nmcj.v22i3.32638 ◽

2020 ◽

Vol 22 (3) ◽

pp. 141-145

Author(s):

Krishna Chandra Devkota ◽

S Hamal ◽

PP Panta

Keyword(s):

Pleural Effusion ◽

Cross Sectional Study ◽

Pleural Space ◽

Sectional Study ◽

Inclusion Criteria ◽

Cross Sectional ◽

Medical College ◽

The Common ◽

The Mean ◽

Exudative Pleural Effusion

Pleural effusion is present when there is >15ml of fluid is accumulated in the pleural space. It can be divided into two types; exudative and transudative pleural effusion. Tuberculosis and parapneumonic effusion are the common cause of exudative pleural effusion whereas heart failure accounts for most of the cases of transudative pleural effusion. This study was a hospital based cross sectional study performed at Nepal Medical College during the period of January 2016-December 2016. A total of 50 patients who fulfilled the inclusion criteria were enrolled. Pleural effusion was confirmed by clinical examination and radiology. After confirmation of pleural effusion, pleural fluid was aspirated and was analysed for protein, LDH, cholesterol. The Heffner criteria was compared with Light criteria to classify exudative or transudative pleural effusion. Among 50 patients, 30 were male and 20 were female. The mean age of patient was 45.4±21.85 years. The sensitivity and specificity of using Light criteria to detect the two type of pleural effusion was 100% and 90.9%, whereas using Heffner criteria was 94.87%, 100% respectively(P<0.01). There are variety of causes for development of pleural effusion and no one criteria is definite to differentiate between exudative or transudative effusion. In this study Light criteria was more sensitive whereas Heffner criteria was more specific to classify exudative pleural effusion. Hence a combination of criteria might be useful in case where there is difficulty to identify the cause of pleural effusion.

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Effect of Medialization of the Trochlear Groove and Lateralization of the Tibial Tubercle on TT-TG Distance: A Cross-sectional Study of Dysplastic and Nondysplastic Knees

The American Journal of Sports Medicine ◽

10.1177/0363546520987819 ◽

2021 ◽

pp. 036354652098781

Author(s):

Mathias Paiva ◽

Lars Blønd ◽

Per Hölmich ◽

Kristoffer Weisskirchner Barfod

Keyword(s):

Trochlear Dysplasia ◽

Cross Sectional Study ◽

Magnetic Resonance Images ◽

Tibial Tubercle ◽

Control Group ◽

Trochlear Groove ◽

Sectional Study ◽

Cross Sectional ◽

Mean Values ◽

The Mean

Background: Tibial tubercle–trochlear groove (TT-TG) distance is often used as a measure of lateralization of the TT and is important for surgical planning. Purpose: To investigate if increased TT-TG distance measured on axial magnetic resonance images is due to lateralization of the TT or medialization of the TG. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 84 knees (28 normal [NK], 28 with trochlear dysplasia [TD], and 28 with patellar dislocation without TD [PD]) were examined. The medial border of the posterior cruciate ligament (PCL) was chosen as the central anatomic landmark. The distance from the TT to PCL (TT-PCL) was measured to examine the lateralization of the TT. The distance from the TG to the PCL (TG-PCL) was measured to examine the medialization of the TG. Between-group differences were investigated by use of 1-way analysis of variance. Results: The mean values for TT-TG distance were 8.7 ± 3.6 mm for NK, 12.1 ± 6.0 mm for PD, and 16.7 ± 4.3 mm in the TD group ( P < .01). The mean values for TT-PCL distance were 18.5 ± 3.6 mm for NK, 18.5 ± 4.5 mm for PD, and 21.2 ± 4.2 mm in the TD group ( P = .03). The mean values for TG-PCL distance were 9.6 ± 3.0 mm for NK, 7.1 ± 3.4 mm for PD, and 5.1 ± 3.3 mm in the dysplastic group ( P < .01). Conclusion: The present results indicate that increased TT-TG distance is due to medialization of the TG and not lateralization of the TT. Knees with TD had increased TT-TG distance compared with the knees of the control group and the knees with PD. The TT-PCL distance did not differ significantly between groups, whereas the TG-PCL distance declined with increased TT-TG.

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Sexual health norms and communication patterns within the close social networks of men who have sex with men and transgender women in Lima, Peru: a 2017 cross-sectional study

BMC Public Health ◽

10.1186/s12889-021-11091-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Amrita Ayer ◽

Eddy R. Segura ◽

Amaya Perez-Brumer ◽

Susan Chavez-Gomez ◽

Rosario Fernandez ◽

...

Keyword(s):

Social Networks ◽

Social Network ◽

Sexual Health ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Sti Prevention ◽

Sti Testing ◽

Trans Women ◽

Sex With Men

Abstract Background Social networks, norms, and discussions about sexual health may inform sexual practices, influencing risk of human immunodeficiency virus (HIV) or sexually transmitted infection (STI) acquisition. To better understand social networks of Peruvian men who have sex with men (MSM) and transgender women (trans women), we examined key social network members (SNMs), participant perceptions of these network members’ opinions toward sexual health behaviors, and associations between network member characteristics and condomless anal intercourse (CAI). Methods In a 2017 cross-sectional study, a convenience sample of 565 MSM and trans women with HIV-negative or unknown serostatus was asked to identify three close SNMs; describe discussions about HIV and STI prevention with each; and report perceived opinions of condom use, HIV/STI testing, and partner notification of STIs. Generalized estimating equations evaluated relationships between SNM characteristics, opinions, and discussions and participant-reported CAI. Results Among participants who identified as MSM, 42.3% of key SNMs were perceived to identify as gay. MSM “never” discussed HIV and STI prevention concerns with 42.4% of heterosexual SNMs, but discussed them “at least once weekly” with 16.9 and 16.6% of gay- and bisexual- identifying SNMs, respectively. Among participants who identified as trans women, 28.2% of key SNMs were perceived as heterosexual; 25.9%, as bisexual; 24.7%, as transgender; and 21.2%, as gay. Trans women discussed HIV/STI prevention least with cis-gender heterosexual network members (40.2% “never”) and most with transgender network members (27.1% “at least once weekly”). Participants perceived most of their close social network to be completely in favor of condom use (71.2% MSM SNMs, 61.5% trans women SNMs) and HIV/STI testing (73.1% MSM SNMs, 75.6% trans women SNMs), but described less support for partner STI notification (33.4% MSM SNMs, 37.4% trans women SNMs). Most participants reported CAI with at least one of their past three sexual partners (77.5% MSM, 62.8% trans women). SNM characteristics were not significantly associated with participant-reported frequency of CAI. Conclusions Findings compare social support, perceived social norms, and discussion patterns of Peruvian MSM and trans women, offering insight into social contexts and sexual behaviors. Trial registration The parent study from which this analysis was derived was registered at ClinicalTrials.gov (Identifier: NCT03010020) on January 4, 2017.

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P049 Predicting sexual risk and sexual health screening in a sample of university students in Lebanon: a cross-sectional study

10.1136/sextrans-2021-sti.193 ◽

2021 ◽

Author(s):

I Maatouk ◽

M Assi ◽

R Jaspal

Keyword(s):

Sexual Health ◽

University Students ◽

Sexual Risk ◽

Cross Sectional Study ◽

Health Screening ◽

Sectional Study ◽

Cross Sectional

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A cross-sectional study to identify the determinants of non-communicable diseases among fishermen in Southern India

BMC Public Health ◽

10.1186/s12889-021-10376-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Akhila Doddamani ◽

A. B. Kirthinath Ballala ◽

Sharath P. Madhyastha ◽

Asha Kamath ◽

Muralidhar M. Kulkarni

Keyword(s):

Risk Factors ◽

Substance Use ◽

Waist Circumference ◽

Cross Sectional Study ◽

Modifiable Risk Factors ◽

Sectional Study ◽

Cross Sectional ◽

Non Communicable Diseases ◽

Dietary Practice ◽

The Mean

Abstract Background India is currently facing a rising epidemic of Non-Communicable Diseases (NCDs). Identification of modifiable risk factors is of paramount importance to curb this menace. Fishermen are one of the most vulnerable occupational groups with unique characteristics that make them prone to acquire NCDs, as a significant share of their life is spent at sea. Hence, this study was planned to ascertain the burden of NCDs, determine various risk factors of NCDs, and measure the association between risk factors and NCDs among fishermen of Coastal Karnataka in South India. Methods A cross-sectional study was conducted among 681 fishermen aged 18 years and above as per the semi-structured interview schedule for two years (2017–2019). A convenience sampling strategy was adopted. The data was entered and analyzed using SPSS v.15.0. The results were described in terms of proportions and their 95% confidence intervals. Continuous data were summarized using the mean and standard deviation or median and interquartile range depending on the skewness of data. Chi-square test was used to study the association between NCDs and modifiable risk factors. Multiple logistic regression was used to identify risk factors of NCDs. Results The mean (SD) age of the population was 42.5 (SD 12.5) years. The mean years involved in fishing was 19.8 years (SD 10.9). More than half (59.5%) of the study participants had severe stress and most (80.3%) were ever substance users. Advancing age, not being able to contact family while at sea, poor dietary practice, ever substance use, increasing waist circumference were significant correlates of NCDs. Conclusions The commonly prevalent risk factors of NCDs among fishermen included poor dietary practice, higher stress levels, substance use, increasing waist circumference, and inability to contact with family while at sea. Hypertension and Diabetes were the two common NCDs in the study population. There is a need for immediate attention in managing NCDs’ risk factors by promoting a healthy lifestyle by primary health care providers through a sustainable community awareness program targeting fishermen at a convenient time and location, either at the sea-port or meeting places. Harmful effects of substance use, healthy dietary practices, and the importance of physical activity outside their job need emphasis. In addition, screening programs should be organized with the help of boat owners and fishing associations at-least once a year to pick up NCDs at an early stage.

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A cross sectional study: The association between sleeping quality and stress among second and third medical students at the University of Jordan

The International Journal of Psychiatry in Medicine ◽

10.1177/00912174211011287 ◽

2021 ◽

pp. 009121742110112

Author(s):

AA Toubasi ◽

BR Khraisat ◽

RB AbuAnzeh ◽

HM Kalbouneh

Keyword(s):

Logistic Regression ◽

Medical Students ◽

Cross Sectional Study ◽

Regular Exercise ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

The Mean ◽

University Of Jordan ◽

The University

Objective Medicine is considered one if not the most stressful educational field. Thus, the aim of this study is to investigate the prevalence of stress and poor sleeping quality among medical students and the association between them. Method This cross-sectional study was conducted at the University of Jordan on second- and third-year medical students. The questionnaire consisted of: 1) Demographics; 2) The assessment tools which were Pittsburgh Quality of Sleep Index (PSQI) and Kessler Psychological Distress Status (K10). Binary logistic regression, chi-square and linear regression were used to investigate the association between PSQI, K10, and their determinants. Results The mean for PSQI score was 6.76 ± 3.32. PSQI scores interpretation revealed that 61.7% of the 282 participants of this study were poor sleepers. Logistic regression results showed that only the category of not napping at all from the napping hours variable was significantly associated with sleeping quality. Furthermore, the mean of K10 scores was 24.5 ± 8.5. K10 scores revealed that 66.3% of the participants were stressed. Logistic regression results showed that gender and regular exercise were significantly associated with psychological distress. Additionally, chi-square test, logistic regression and linear regression showed that PSQI was significantly associated with K10 (P <0.01). Conclusions Stress and poor sleeping quality in medical students at the University of Jordan were highly prevalent and strongly associated. What determined PSQI was daytime napping, and for K10 were regular exercise and gender. Further investigations into stress and sleep quality in the Arabian region are needed.

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Ultra-processed food consumption in Barbados: evidence from a nationally representative, cross-sectional study

Journal of Nutritional Science ◽

10.1017/jns.2021.21 ◽

2021 ◽

Vol 10 ◽

Author(s):

Rachel M. Harris ◽

Angela M. C. Rose ◽

Suzanne Soares-Wynter ◽

Nigel Unwin

Keyword(s):

Communicable Disease ◽

Population Based ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Targeted Interventions ◽

Sweetened Beverages ◽

Group 4 ◽

The Mean ◽

Nationally Representative

Abstract Our objective was to describe, for the first time in an English-speaking Caribbean country, the contribution of ultra-processed foods (UPFs) to nutrients linked to non-communicable disease. Using a cross-sectional study design, dietary data were collected from two non-consecutive 24-h dietary recalls. Recorded food items were then classified according to their degree of processing by the NOVA system. The present study took place in Barbados (2012–13). A representative population-based sample of 364 adult Barbadians (161 males and 203 females) aged 25–64 years participated in the study. UPFs represented 40⋅5 % (838 kcal/d; 95 % CI 791, 885) of mean energy intake. Sugar-sweetened beverages made the largest contribution to energy within the UPF category. Younger persons (25–44 years) consumed a significantly higher proportion of calories from UPF (NOVA group 4) compared with older persons (45–64 years). The mean energy shares of UPF ranged from 22⋅0 to 58⋅9 % for those in the lowest tertile to highest tertile. Within each tertile, the energy contribution was significantly higher in the younger age group (25–44 years) compared with the older (45–64 years). One-quarter of persons consume ≥50 % of their daily calories from UPF, this being significantly higher in younger persons. The ultra-processed diet fraction contained about six times the mean of free sugars and about 0⋅8 times the dietary fibre of the non-ultra-processed fraction (NOVA groups 1–3). Targeted interventions to decrease the consumption of UPF especially in younger persons is thus of high priority to improve the diet quality of Barbadians.

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