We conducted a systematic review of the literature to determine the influence of different hyste- rectomy techniques in the sexualbehavior of women who underwent. We searched CENTRAL (The Cochrane Library), PubMed, SCOPUS, CINAHL and LILACS for studies between the years 1998 and 2010 that prospectively examined the sexuality after hysterectomy. Those that were not rando- mized controlled clinical trials were excluded. It was not available electronically, it was not re- lated with the outcomes determined, it was not research, but publications before 1998 and study which women realized chemotherapy and radiotherapy. From the 455 identified studies, 9 met in- clusion criteria. There was variability in how hysterectomies influence in the sexualbehavior. Most of studies considered women who underwent vaginal hysterectomy had fewer changes in sexualbehavior. Sexual desire, intercourse frequency and orgasm are the sexual aspects reported by women as more changes experimented after surgery. Findings from this study have implica- tions for healthcare providers and policymakers. Each woman needs an individualized care plan that fits within the context of her life, and there are basic interventions that every woman who underwent hysterectomy should receive. This review draws attention to the need for different care plans for women who underwent different hysterectomy techniques.
Objective: To analyze the sexualbehavior of elderly assisted on primary health care. Method: Transversal study, exploratory and quantitative. Results: The sample was comprised of 130 elderly people, these 60,8% were male, showing age between 60 and 92 years, with an average of 69 ± 7,04 years. With respect to the sexual profile, 63,1% elderly had active sex life, being more frequent among men with stable or married. With regard to sexual desire, 30% reported having no more desire for sexual practices, represented mostly by women and 12,3% maintained total desire, with most men. Among the sexually active seniors, 17% use some preventive method for sexually transmitted diseases. Conclusion: Highlights that there is a gradual decrease in the frequency of interest and sexual practices with age, reinforces the necessity of educational action of nurses in primary health care for the elderly. Descriptors: Sexuality, Elderly, Primary health care.
Other studies have found it appropriate to combine several questions to create a composite score to represent risky sexualbehavior (Bachanas et al., 2002; Kogan et al., 2010; Timmermans et al., 2008). For the purposes of this study, these three items were standardized and combined to create an aggregate variable to represent risky sexualbehavior. First, the response options for the risky sexualbehavior questions were re-coded into one of six categories: no risk, least risky, somewhat risky, moderately risky, quite risky and mostly risky. The age of first sex responses were re-coded as follows: 0 = no risk/never had sex; 1 = least risky/16 years old or older; 2 = somewhat risky/14-15 years old; 3 = moderately risky/12-13 years old; 4 = quite risky/10-11 years old; 5 = most risky/9 years or younger. The number of sexual partners responses were re-coded as follows: 0 = no risk/never had sex; 1 = least risky/1 person; 2 = somewhat risky/2 people; 3 = moderately risky/3 people; 4 = quite risky/4 people; 5 = most risky/5 people or more. The condom use responses were re- coded as follows: 0 = no risk/never had sex; 1 = least risky/all of the time; 2 = somewhat risky/most of the time; 3 = moderately risky/about half of the time; 4 = quite risky/less than half of the time; 5 = most risky/none of the time. Once all risky sexualbehavior questions were re-coded they were combined and averaged to create a single item “Risky SexualBehavior.” The reliability for the three items was 0.79.
Abstract: Data from 1155 Czech women (493 using oral contraception, 662 non-users), obtained from the Czech National Survey of SexualBehavior, were used to investigate evolutionary-based hypotheses concerning the predictive value of current oral contraceptive (OC) use on extra-pair and dyadic (in-pair) sexualbehavior of coupled women. Specifically, the aim was to determine whether current OC use was associated with lower extra-pair and higher in-pair sexual interest and behavior, because OC use suppresses cyclical shifts in mating psychology that occur in normally cycling women. Zero-inflated Poisson (ZIP) regression and negative binomial models were used to test associations between OC use and these sexual measures, controlling for other relevant predictors (e.g., age, parity, in-pair sexual satisfaction, relationship length). The overall incidence of having had an extra-pair partner or one-night stand in the previous year was not related to current OC use (the majority of the sample had not). However, among the women who had engaged in extra-pair sexualbehavior, OC users had fewer one-night stands than non-users, and tended to have fewer partners, than non-users. OC users also had more frequent dyadic intercourse than non-users, potentially indicating higher commitment to their current relationship. These results suggest that suppression of fertility through OC use may alter important aspects of female sexualbehavior, with potential implications for relationship functioning and stability.
Neste trabalho, partindo da leitura de artigos sobre a homossexualidade publicados no Archives of SexualBehavior entre 1971 e 2006, analisamos como determinadas teorias contemporâneas sobre a homossexualidade se articulam ou não à ideia de “terceiro sexo”, chamando atenção para uma correlação entre ideias do senso comum e visões biomédicas, como o exemplo do filme “Se eu fosse você” procurou mostrar. Nosso objetivo é duplo. Em primeiro lugar, temos a intenção de contribuir para uma discussão crítica acerca da neutralidade da pesquisa científica sobre a sexualidade de um modo geral e a homossexualidade em particular. Acreditamos que a atual “voga” biológica, que busca explicar os mais variados comportamentos por um suposto substrato fisiológico, deve ser objeto de cuidadosa análise e discussão no campo da saúde coletiva. Por outro lado, buscamos apontar as articulações entre a pretensa neutralidade das pesquisas científicas e o ativismo político. É comum considerarmos que a visão política da sexualidade é necessariamente antinaturalizante - ou naturalmente construcionista. Embora tal discussão fuja do escopo deste artigo, procuramos problematizar essa visão habitual, apontando a possibilidade, sugerida por diversos autores, de uma convivência, por vezes bastante amigável, entre, de um lado, a politização da orientação sexual, e de outro, sua naturalização.
Objective: to analyze the sexualbehavior among students and their relation to sex. Methods: an analytical study with 154 students accomplished through a form containing socioeconomic and sexuality issues. Results: most of the participants were female, aged between 18 and 30 years old, and initiated sexual life before 18 years old. Participants reported finding necessary information about sexuality especially in conversations with friends and on the internet and found to have satisfactory knowledge. Conclusion: the student’s present vulnerabilities, such as early onset of sexual practices and barrier with the family dialogue.
Buscou-se investigar questões relacionadas à regulação emocional, à satisfação sexual e ao comportamento sexual de risco em mulheres adultas com histórico de abuso sexual na infância. Participaram desta pesquisa oito mulheres, com média de idade 38 anos, que responderam aos instrumentos de autorrelato sobre regulação emocional e satisfação sexual e a uma entrevista em profundidade, que avaliou aspectos do contexto familiar, emocional, relacionamentos amorosos e também sexuais, abordando questões sobre comportamento sexual de risco. O delineamento utilizado foi exploratório, descritivo com abordagem mista. Os resultados demonstraram que todas as participantes avaliadas possuíam difi culdades de regulação emocional, em menores ou maiores níveis. Em relação à satisfação sexual, seis das participantes obtiveram índices positivos de satisfação, e algumas delas relataram desejo e satisfação sexual preservados. No entanto, outras participantes relataram difi culdades, como aversão sexual e comportamento hipersexualizado. Comportamentos sexuais de risco foram identifi cados em duas das participantes e vinculados a comportamentos do passado.
One limitation is that the data only refers to State Capitals and the Federal District, so we cannot apply these results to adolescents who live in small towns and in rural regions of the country. It is also possible that the students’ situation at the time of the study, such as parental living arrangement, had changed since they had had their last sexual intercourse. Nonetheless, the age of sexual initiation is close to the age of most of the adolescents at the time of the study, as the median age of participants is 14 years, and the median age of the ﬁrst intercourse is 13 years. Thus, for most, the last sexual intercourse was likely to have been close to the actual time of the interview. Moreover, possible changes between the living situation at the time of the last sexual intercourse and the one at the time of the inquiry are likely to affect only a small part of the adolescents, because these changes are not so frequent. In these cases, misclassiﬁcation would be nondifferential, hence biasing the results toward the null. Unfortunately, we have no information to discriminate whether the ﬁrst sexual intercourse was consensual or not (abuse). Finally, because of the transversal cut, we were not able to infer the temporal nature of most part of the observed associations.
The sexual and reproductive health care of adolescents comprises a set of actions that have a privileged locus in the primary health care. Its proximity to families and the better knowledge of the culture and vulnerabilities of the territory make it possible to develop more effective actions for the population. In the rural area, where there is greater difficulty in accessing services, the health sector needs to act more actively in partnership with the education sector, to enhance the spaces already available and to develop strategies for creating new care spaces, aimed at reaching adolescents who do not attend school.
else, from the taboo the topic is involved in. Additionally, informa- tion made available by the literature on post-infarction sexual dys- function predictors are sketchy, especially in regard to patients not reporting disorders prior to the coronary event. The authors are not aware, either, of any publication addressing the topic. With that in mind, the objectives of this paper were: study the incidence of sexualbehavior changes after AMI, and identify pos- sible variables associated to sexual dysfunction in patients not reporting dysfunction prior do the coronary event.
with traps baited with synthetic attractant Z7Z11-16Ald, failed in field tests in China, Italy, Spain, USA, Turkey, and Brazil (reviewed in Tongyuan et al. 1989, Jacas & Pena 2002, Sant’Ana 2003). Intriguingly, Du and collaborators captured a related species, P. wampella, with the same attractant (Du et al. 1989). These findings suggest that there could be geographic variations in the pheromone system and/or there might be missing constituents of the natural sex pheromone. Largely, moth sex pheromones comprise of a bouquet of multiple constituents. For example, a single constituent of the sex pheromone of the navel orangeworm, Ameyolis transitella Walker (Lepidoptera: Pyralidae), (Z,Z)- 11,13-hexadecadienal, was known for over two decades (Coffelt et al. 1979) but failed to trap males. Recently, the full pheromone system was identified as a mixture of as many as nine constituents (Leal et al. 2005). We launched a collaborative project, which aimed at the isolation, identification, and synthesis of the complete pheromone system of the Brazilian population of the citrus leafminer (Leal et al. 2006). This work aimed at characterizing the sexualbehavior of the citrus leafminer as the foundation for the full characterization of sex pheromone system.
Notwithstanding the existence of Brazilian studies focusing on specifi c aspects of HIV/AIDS prevention and its interfaces with sexuality, no studies of national coverage documenting changes in sexualbehavior among the Brazilian popula- tion, including factors associated with HIV prevention, are yet available. The survey “SexualBehavior and Perceptions of the Brazilian Population regarding HIV/AIDS”, conducted both in 1998 and in 2005, was carried out on the initiative of the National STD/AIDS Program in partnership with the Brazilian Center for Analysis and Planning (Centro Brasileiro de Análise e Planejamento, Cebrap) and enabled temporal and geographic cross-sectional comparisons. A preliminary report on the fi rst results from the 2005 survey was presented to the Ministry of Health in 2005.
Data regarding sexualbehavior revealed the following: the age of first intercourse was 9-34 years, with a mean of 18.8 years; 80.7% of study participants had fewer than 3 sexual partners; 68% never use condoms, 47% practiced oral sex, 38% practiced anal sex, and 24.5% practiced both anal and oral sex; and among the 27 women who practiced oral sex, 15% always used condoms, 63% never did, and 22% occa- sionally used condoms. We did not determine whether con- doms were used for vaginal, oral or anal sex. Two (3.5%) women had genital warts, and 10% reported genital warts in their sexual partners.
Widespread discrimination across much of sub-Saharan Africa against persons with same- sex sexuality, including recent attempts in Uganda to extend criminal sanctions against same-sex behavior, are likely to have profound effects on this group’s health, health care access, and well-being. Yet knowledge of the prevalence of same-sex sexuality in this region is scarce. This study aimed to systematically examine prevalence of same-sex sexu- ality and related health risks in young Ugandan adults. We conducted two cross-sectional survey studies in south-western Uganda targeting student samples (n = 980, n = 1954) rep- resenting 80% and 72% of the entire undergraduate classes attending a university in 2005 and 2010, respectively. A questionnaire assessed items concerning same-sex sexuality (same-sex attraction/fantasies, same-sex sexual relations), mental health, substance use, experience of violence, risky sexualbehavior, and sexual health counseling needs. Our findings showed that same-sex sexual attraction/fantasies and behavior were common among male and female students, with 10–25% reporting having sexual attraction/fantasies regarding persons of the same-sex, and 6–16% reporting same-sex sexual relations. Expe- riences of same-sex sexuality were associated with health risks, e.g. poor mental health (2010, AOR = 1.5; 95% CI: 1.0–2.3), sexual coercion (2010, AOR 2.9; CI: 1.9–4.6), and unmet sexual health counseling needs (2010, AOR 2.2; CI: 1.4–3.3). This first study of young adults in Uganda with same-sex sexuality found high levels of health needs but poor access to health care. Effective response is likely to require major shifts in current policy, efforts to reduce stigmatization, and reorientation of health services to better meet the needs of this vulnerable group of young people.
Sexuality must be understood as a set of factors that go beyond the reproductive purpose, also involving social, cultural and psychological aspects. Knowledge is allied with sexual health because it contributes to safe practices. The objective of this work was to search the literature for articles that correlate sexualbehavior with its main consequences, as well as those that brought information related to this behavior in the university environment. It was an integrative literature review based on 21 publications in English and Portuguese, found in the databases of Pubmed, Scielo and Google Scholar. The descriptors used were “sexuality”, “sexualbehavior”, “University students and sexualbehavior” and “sexual knowledge”. Among the activities considered risky for sexualbehavior, and present in the university environment, the following stand out: use of alcohol and other drugs, multiple sexual partners and unprotected sex. The recognition of these factors, as well as of the most vulnerable population, is an initial step for planning intervention policies and health promotion.
evident when occurring simultaneously with higher SC. 39 Moreover, several studies have reported increased activa- tion of sexualbehavior in individuals with ESB, 40 which is highly correlated with SC. Those presenting greater sexual activation of sexualbehavior usually take more risks with HIV transmission. 26,28 Therefore, SC seems to have a particular effect on sexual risk behavior, since it predicted condomless anal intercourse with casual partners in our study. Depression and anxiety did not maintain an associa- tion with risk behavior in the logistic regression. This could be because they are correlated with SC and may play an indirect role in sexual risk behavior, for example, increasing SC severity. Our data agree with previous population studies on men who have sex with men (MSM) 17 and with clinical studies on HIV, 21 where SC predicted risky sexual behaviors.
Sexualbehavior during semen collection was observed while considering the following variables: reaction time (period between the introduction of the goat in the collection room with its observation of the female in estrus and ejaculation in the artiﬁcial vagina); act of smelling and licking the non-genital region of the female; Flehmen reﬂex; act of knocking and scraping the hull on the ﬂoor; kicking and knocking of the female; emission of characteristic sounds; externalization and retraction of the tongue; penis erection and exhibition; breeding reﬂex (followed by contraction of the posterior region of the male with or without penis exposure); number of false breeding; and sexual interest after breeding (service). Service was deﬁned as a breeding followed by introduction of the penis in the artiﬁcial vagina and ejaculation characterized by a pelvic impulse with head thrown back, followed or not by a short period during which time the goat did not show an interest in the female (refractory period).