Background: Sexuality remains to be a sensitive issue in the Philippines, but it encompasses real problems that stroke patients and their partners continue to face. Sexual dysfunction, an under-recognized complication post-stroke, is caused by an interplay of physical, emotional, cognitive, and language impairments, in combination with psychosocial factors. Objectives: This study aimed to determine changes in sexual functioning (libido, coital frequency, sexual arousal, and sexual satisfaction) among stroke out-patients at the Philippine General Hospital and their sexual partners. Methods: This cross-sectional study involved patients (≥30 years old with 1 stroke episode), and their partners. Through individual interviews and questionnaires, data were gathered on general attitude toward sex, ability to address sexual issues with partner, fear of recurrence of stroke, unwillingness to participate in coitus, risk of depression, and level of happiness. Results: Twenty-nine patients and 23 partners participated. There was a statistically significant decrease in coital frequency post-stroke among patients (p<0.001) and partners (p<0.05). Majority reported lower level of libido, sexual arousal, and sexual satisfaction post-stroke. Participants unable to discuss sexual issues with partner were more likely to report sexual dissatisfaction (p<0.05). Those with higher scores on Zung’s depression scale were likely to be sexually dissatisfied (p<0.05). Level of happiness was moderately correlated with sexual satisfaction (r=0.51). Conclusion Sexual life of couples affected by stroke is commonly overlooked. There was a decline in libido, coital frequency, arousal, and sexual satisfaction among stroke patients and partners at the Philippine General Hospital.
Stroke Rehabilitation ; Sexuality ; Sexual Partners

No abstract available.
Humans ; Sexual Partners* ; Sexually Transmitted Diseases*

PURPOSE: As there have been few reports on the sexual behavior of Korean women, we investigates female sexual function by self-report measures in both clinical and nonclinical populations. MATERIALS AND METHODS: We distributed 1500 copies of the Brief Index of Sexual Function for Women(BISF-W), a self-report measure of female sexual dysfunction, to both clinical and nonclinical married populations aged 24 to 50 years. The women were asked to answer the 23 questions and return the reports in the self-addressed envelope. Factor analysis was done through three dimensions: sexual interest or desire, sexual activity or frequency, and satisfaction with sexual relationships. Some items measured the ejaculatory latency of the sexual partner and any tendency toward homosexual behavior. RESULTS: Of the BISF-W reports distributed, 623 were returned of which 586 were sufficiently complete for analysis. Subjects were grouped by age at 5-year intervals. Those who had younger partner accounted for 5.2% of the group and those with a partner of the same age for 14.6%. Sexual activity was decreased in women in their 30s and increased in the early 40s. The most active group were those age 25-29, whose average intercourse frequency was 9.2 times during 4 weeks. Orgasmic dysfunction was reported by 7.7% of the series. Factors adversely influencing sexual life were reported by more than 57%, and the most common factor was 'lack of time or intimacy'. Fewer than 30% of the women reported talking actively to their partners about sexual desire. However, satisfaction rate (more than moderate) was as high as 71%. Severe dissatisfaction was highly related to the partner's ejaculatory latency time. The mean ejaculatory time was 11.3 min. A homosexual tendency was revealed by 5.8% of the respondents, and 3.5% reported relationships involving anal sex. CONCLUSIONS: The sexual activities of Korean women are much influenced by lack of time. However, in spite of the low sexual activity, the satisfaction rate was relatively high. A larger study will be needed for investigation of the board range of psychosocial and interpersonal variables.
Surveys and Questionnaires ; Female ; Homosexuality ; Humans ; Orgasm ; Sexual Behavior* ; Sexual Partners

Premature ejaculation (PE) is a most common sexual dysfunction in males, which variably affects men's reproductive and mental health. Recent studies show that PE affects not only the patients themselves, but also the psychological state of their spouses, which, in turn, may alleviate or aggravate the patients'PE symptoms by different reactions. However, the correlation between PE and female's psychological factors is mostly ignored by the patients and even clinicians in the studies, diagnosis and treatment of PE.
Female ; Humans ; Male ; Sexual Dysfunction, Physiological ; psychology ; Sexual Dysfunctions, Psychological ; etiology ; Sexual Partners ; psychology ; Spouses ; psychology

OBJECTIVES: To explore the Impact of community subculture of men who have sex with men (MSM) on the occurrence of high-risk sexual behavior based on the health belief model. METHODS: A qualitative research method was used to conduct in-depth interviews with 17 MSM by one-to-one and half-structured way, and thematic analysis was used to analyze the data. RESULTS: There were several factors for high-risk sexual behavior in MSM subculture, such as trust, subjective assessment for partner or personal health status, the role in inserting, awareness of HIV infection among partners, perception of HIV and homosexual discrimination, difficulty in maintaining a fixed partner, family responsibility,and so on. Self-efficacy also affected MSM's high-risk sexual behavior. CONCLUSIONS High-risk sexual behavior in MSM population is influenced by individual, group, and intra-circle subculture. Cognitive bias for HIV infection in MSMs can be intervened by constructing a preventive intervention model for high-risk sexual behavior.
HIV Infections ; Homosexuality, Male ; Humans ; Male ; Risk-Taking ; Sexual Behavior ; Sexual Partners ; Sexual and Gender Minorities

Woman's sexual response is composite and complex. However, recent understanding of the causes of sexual dysfunction in women highlights not only psychological but also organic aspects. Taking patients' medical and sexual history and careful physical examinations are very important to make diagnosis and uncover conditions that cause problems in their sexual activities. Multimodal treatment with good support from the sexual partner is usually essential.
Combined Modality Therapy ; Diagnosis* ; Female* ; Humans ; Physical Examination ; Sexual Behavior ; Sexual Partners

BACKGROUND: Early age at first sexual intercourse in women is associated with an increased number of sex partners, a greater risk for sexually transmitted diseases(STD), and an increased risk for cervical neoplasia. OBJECTIVE: The purpose of this study was to find risky sexual behavior for STD and to examine the correlation between the behavior and age of first sexual intercourse. Therefore we investigate whether early initiation of sexual intercourse is a risk factor for risky sexual behavior and STD. METHODS: Responses to a self-administered questionniare and interview from 1132 recruit men in a Korean army recruit training center were analysed. RESULTS: The rate of previously affected STD by first coitus were 40.6% in men who were sexually active before 15 years, 25.8% between 16 and 18 years, and 14.2% after 19 years. The men who had more sex partners tend to have higher rate of STD. The rate of STD is higher in men who experienced hallucinogens. In men who had sexual intercourse with risky sexual partners the rate of STD was higher. The experience rate of extravaginal sex had no effect on the rate of STD. Men who became sexually active before 15 years were more likely to report having 5 or more sexual partners, having coitus with risky partners, using hallucinogens, and having more prevalence of STD than other first coital age group. CONCLUSION: Risky sexual behavior is sexual intercourse with risky sexual partner, use of hallucinogens, more sexual partner, and early age of first sexual intercourse. In this study, our data provide evidence that early age of first intercoutse is a useful marker for risky sexual behavior and STD.
Coitus ; Female ; Hallucinogens ; Humans ; Male ; Prevalence ; Risk Factors ; Sexual Behavior ; Sexual Partners ; Sexually Transmitted Diseases*

OBJECTIVETo investigate the status of HIV disclosure to primary partners and to explore the correlates of HIV disclosure among HIV-infected men who have sex with men (MSM) in Guangzhou, Chongqing and Chengdu.

METHODSThis survey was conducted in Chengdu, Chongqing and Guangzhou by using "snowballing" sample from December, 2012 to May, 2013. Participants who were eighteen years old or elder, HIV-infected, had sex with men and lived in three cities when the survey was conducted were eligible for subjects of this survey. Primary partners and disclosure status of participants were investigated. Multiple Unconditioned Logistic Regression analysis was used to analyze the influence factors associated with HIV disclosure.Of 600 participants, 541 were excluded because of logical problem or incomplete items in questionnaire and the effective response rate was 90.2%.

RESULTSOf the 541 HIV-positive MSM participants, the mean age was (30.2 ± 7.7) years old, 78.2% (423/541) of the participants had male primary partners.Of the 423 participants who had male primary partner, 10.9% (46/423) had wife, 58.9% (249/423) had one primary partner, and 41.1% (174/423) had two or more. The proportion of HIV disclosure to all male primary sexual partners and wife was 41.8% (177/423) and 4.5% (19/423) respectively, 20.3% (86/423) of them disclosure to some of male primary partners and 37.8% (160/423) not disclosure to any male primary partners. Participants who had HIV-positive male partners in the past 6 months (accounting for 35.2% (149/423)) were more likely to disclose HIV infection to their primary sexual partners (70.5% (105/149)) than those who had non-HIV-positive sexual partners (26.3% (72/274)) (χ(2) = 77.46, P < 0.01). Participants who had male unknown HIV-status sexual partners in the past 6 months(accounting for 52.7% (223/423)) were less likely to disclosure HIV infection to primary sexual partners (22.4% (50/223) ) than those who had already known HIV-status sexual partners (63.5% (127/200)) (χ(2) = 73.11, P < 0.01). The possibility of HIV disclosure to primary sexual partner among participants who had HIV-positive sexual partner increase to 6.36 (3.75-10.80) times of those who had HIV -negative partners, and the possibility among participants who had sexual partners of unknown HIV status decreased to 0.44 (0.25-0.76) times of those who had sexual partners of already known HIV status. Compared with having non-anal sex behaviors with male primary partner, the possibility of HIV disclosure to primary sexual partner decreased to 0.46 (0.22-0.95) times among participants who had anal sex behavior with male primary partners.

CONCLUSIONThere were low proportion of HIV disclosure to primary sexual partners among HIV-infected MSM in Guangzhou, Chongqing and Chengdu.HIV disclosure to primary sexual partners may be associated with characteristics of their sexual partners, and participants who had HIV-positive male partners were more likely to disclose HIV infection to their primary sexual partners.

Adult ; China ; Cities ; Disclosure ; HIV Infections ; Homosexuality, Male ; Humans ; Male ; Sexual Behavior ; Sexual Partners

The increase in life expectancy has caused attention to be focused on quality of life in the elderly. Sexual health is an important part of physical health and quality of life, and poor health is associated with both a decline in sexual activity with age and sexual dysfunction. Herein, we review the topics of sexual function, sexual activity, the prevalence rate of sexual dysfunction and its risk factors, changes in sexuality-related attitudes, the relationship between sexual health and physical health, and the effects of sexual health on quality of life in the elderly. Sexual activity is associated with physical health, and is also an important component of enjoying life. Sexual activities include sexual intercourse and physical intimacy, which are indicators of sexual health in the elderly. Good physical health, stable sexual partners, and regular sexual activity are important for maintaining sexual health in old age Therefore, sexual health needs to be considered as part of the management of geriatric patients.
Aged ; Coitus ; Humans ; Life Expectancy ; Prevalence ; Quality of Life ; Reproductive Health ; Risk Factors ; Sexual Behavior ; Sexual Partners

OBJECTIVE: To analyze the sexual behavior characteristics of the sexually transmitted HIV-positive people and to estimate the secondary transmission rate.
 METHODS: Field investigation and literature review were conducted among sexually transmitted HIV-positive people to collect general information during the last 6 months before notification of HIV infection. A mathematical model was used to estimate the secondary transmission rate.
 RESULTS: A total of 769 HIV-positive people were recruited for the study, 186 of them were women, 286 were men who have sex with women (MSW), 242 were men who have sex with men (MSM) and 55 were men who have sex with men and women (MSMW). During 6 months, the average sex partner among these 4 groups were 2.29, 1.61, 3.32 and 4.10, respectively; the sexual behavior frequency were 26.03, 20.97, 14.77 and 25.51, respectively; the rates of non-use of condom were 74.14%, 73.53%, 59.60% and 72.06%, respectively; the secondary transmission rate were 0.0095, 0.0151, 0.1759 and 0.1985, respectively. Under constant conditions of other factors, the secondary transmission rates decreased by 30.13%-82.00%, 23.00%-49.51%, and 16.10%-19.09%, respectively, if there was a reduction in 1 sex partner, 1 time/month for the sexual frequency and 20% of rate for non-use of condom.
 CONCLUSION The HIV secondary transmission from MSMW HIV-positive people to general population was the highest. Change in sexual behavior of the HIV-positive people can decrease the HIV secondary transmission rate significantly.
Female ; HIV Infections ; Humans ; Male ; Models, Theoretical ; Sexual Behavior ; Sexual Partners