scholarly journals SEXUAL DYSFUNCTION AMONG WOMEN AT FOUR TO SIX MONTHS POSTPARTUM: A STUDY IN A PRIMARY CARE SETTING

2020 ◽  
Vol 20 (1) ◽  
pp. 235-243
Author(s):  
Norafini Salamon ◽  
Syahnaz Mohd Hashim ◽  
Norfazilah Ahmad ◽  
Suzaily Wahab
Keyword(s):  
Primary Care ◽  
Sexual Dysfunction ◽  
Care Setting ◽  
Primary Care Setting ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Cross Sectional ◽  
Maternal Characteristics ◽  
Local Setting ◽  
Arousal Disorder

Sexual dysfunction in women is a significant health problem that harms marriage stability. Women in the Western countries were reportedly being affected by this condition after childbirth but the magnitude of the problem in our local setting is still unknown. The aim of this cross-sectional study was to determine the prevalence of women with sexual dysfunction at four to six months postpartum and its possible risk factors in an urban primary care setting. The participants were given a set of questionnaire, consisting of three parts; i) sociodemographic and maternal characteristics ii) Malay version of Female Sexual Function Index and iii) Malay DASS-21 questionnaire. Responses from 249 women were analyzed. More than half (57.0%,n=142) were found to have sexual dysfunction. The most prevalent types of sexual dysfunction reported by the affected women were sexual satisfaction disorder (98.6%), followed by arousal disorder (58.5%) and lubrication disorder (28.9%). Three factors were found to be significantly associated with sexual dysfunction; household income of less than RM2000 (adj OR = 0.31, 95% CI 0.14, 0.70), Malay ethnic group (adj OR = 1.93,95% CI 1.02, 3.66) and breastfeeding (adj OR = 2.24,95% CI 1.03, 4.85). In conclusion, the prevalence of sexual dysfunction in the postpartum period was considerably high. Efforts should be made to incorporate sexual health as part of the routine postnatal assessment in primary care practice.

The Importance of Family History in Breast Cancer Patients in Primary Care Setting: a Cross-sectional Study

2017 ◽  
Vol 33 (3) ◽  
pp. 602-609
Author(s):  
Mehtap Kartal ◽  
Nilgun Ozcakar ◽  
Sehnaz Hatipoglu ◽  
Makbule Neslisah Tan ◽  
Azize Dilek Guldal
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Family History ◽  
Cancer Patients ◽  
Care Setting ◽  
Primary Care Setting ◽  
Cross Sectional Study ◽  
Breast Cancer Patients ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Prevalence and Risk Factors of Antenatal Depression among Omani Women in a Primary Care Setting: Cross-sectional study

2016 ◽  
Vol 16 (1) ◽  
pp. e35-41 ◽  
Author(s):  
Mohammed Al-Azri ◽  
Iman Al-Lawati ◽  
Raya Al-Kamyani ◽  
Maisa Al-Kiyumi ◽  
Aisha Al-Rawahi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Depression, anxiety and stress symptoms among diabetics in Malaysia: a cross sectional study in an urban primary care setting

2013 ◽  
Vol 14 (1) ◽  
Author(s):  
Gurpreet Kaur ◽  
Guat Hiong Tee ◽  
Suthahar Ariaratnam ◽  
Ambigga S Krishnapillai ◽  
Karuthan China
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Stress Symptoms

scholarly journals The Prevalence of Chronic Kidney Disease in a Primary Care Setting: A Swiss Cross-Sectional Study

PLoS ONE ◽  
2013 ◽  
Vol 8 (7) ◽  
pp. e67848 ◽  
Author(s):  
Yuki Tomonaga ◽  
Lorenz Risch ◽  
Thomas D. Szucs ◽  
Patrice M. Ambuehl
Keyword(s):  
Primary Care ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Comparison of self-report and objective measures of male sexual dysfunction in a Japanese primary care setting: a cross-sectional, self-administered mixed methods survey

2021 ◽  
Vol 9 (1) ◽  
pp. e000403
Author(s):  
Yuki Takeuchi ◽  
Ryohei Otsuka ◽  
Hajime Kojima ◽  
Michael D Fetters
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Sexual Dysfunction ◽  
Family Medicine ◽  
Care Setting ◽  
Primary Care Setting ◽  
Cross Sectional ◽  
Medicine Clinic ◽  
Barriers To Access ◽  
Male Patients

ObjectivesErectile dysfunction (ED) is a common problem among middle-aged males and men often do not talk about sexual problems with their primary care physicians (PCPs). We hypothesised that many Japanese men who meet the criteria for ED would not recognise their condition based on responses to an internationally validated scale. Our secondary aims were to examine potential barriers to seeking treatment for ED by their PCPs. We sought to elucidate their perspectives about male sexual dysfunction qualitatively. Through merging of the quantitative and qualitative findings, we sought an enhanced understanding of the factors affecting sexual dysfunction treatment.DesignA cross-sectional, self-administered mixed methods survey was distributed at a suburban family medicine clinic in Sapporo, Japan. Eligible participants were 40 to 69-year-old men who came for routine scheduled visits from 5 November to 21 December 2018. During the office visit, participants completed a confidential 11-item survey addressing sexual dysfunction including the 5-item version of the International Index of Erectile Function scale and open-ended questioning.SettingTeine Family Medicine Clinic, a suburban family medicine clinic in Sapporo, Japan.ParticipantsWe enroled 66 male patients aged 40–69 years who presented for routine outpatient care in the Teine Family Medicine Clinic.ResultsOf surveyed participants, 39% (26/66) reported having sexual dysfunction, but 92% (61/66) met ED criteria. Of respondents, 48% (16/33) had desire for treatment, but only one man had discussed sexual dysfunction with his PCP. Among the 12 desiring treatment from PCPs, the main barriers to discussing were shame (n=7) and lack of awareness that PCPs can treat ED (n=5). These men’s perspectives about sexual dysfunction included viewing sexual dysfunction as normal ageing, attributing sexual dysfunction to decreased libido, considering sexual activity for a healthy life, having good rapport with PCPs, having incomplete knowledge about treatment and lacking an intimate relationship. Through a resulting model, the merged mixed methods findings illustrate how patient perceptions can reinforce or attenuate issues of awareness, desire for treatment and barriers to access.ConclusionsIn a Japanese primary care setting, the majority of participating male patients met ED criteria on an internationally validated measure, namely, the five-item version of the International Index of Erectile Function, but many were not aware of their ED. Misperceptions, lack of knowledge and personal factors are barriers to treatment. The mixed methods findings suggest misperceptions and personal attributes reinforce or attenuate awareness, preference for treatment and barriers to access. We conclude PCPs should routinely inquire about sexual dysfunction of men at risk and offer treatment to men who would benefit.

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