International Journal of Sexual Health (Int J Sex Health )

Publisher: World Association for Sexual Health

Description

Devoted to the understanding and promotion of sexual health.

  • Impact factor
    0.36
  • 5-year impact
    0.00
  • Cited half-life
    0.00
  • Immediacy index
    0.17
  • Eigenfactor
    0.00
  • Article influence
    0.00
  • Website
    International Journal of Sexual Health website
  • Other titles
    International journal of sexual health
  • ISSN
    1931-762X
  • OCLC
    68192141
  • Material type
    Periodical, Internet resource
  • Document type
    Journal / Magazine / Newspaper, Internet Resource

Publications in this journal

  • [show abstract] [hide abstract]
    ABSTRACT: Prejudice against transgender people is evident around the world with discrimination in many aspects of life, including access to healthcare. Even in Thailand where male-to-female transgender people are particularly visible and society reputedly accepting, barriers to attaining appropriate healthcare still exist. The vast majority of male-to-female transgender people in Thailand are reported to take hormone therapy, however most do not seek medical advice regarding these regimens; the initiation and tailoring of medication often being guided by sympathetic peers instead. This unsupervised use of hormone therapy represents a considerable health risk behavior undoubtedly contributing to the morbidity and mortality in transgender people. This review summarizes the literature regarding hormone therapy for male-to-female transgender people, including the guidelines for the initiation, prescribing and monitoring of hormone therapy, as well as the risks of serious adverse events. These findings are considered, in the context of the Thai population, with recommendations regarding ways to improve practice and reduce health risks. Whilst there is currently considerable focus on sexually transmitted infections in this population, a more comprehensive approach to healthcare is required, including education for transgender people and the health professionals who attend them regarding appropriate hormone therapy.
    International Journal of Sexual Health 08/2013;
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    ABSTRACT: Labia Minora Elongation is a female genital modification practice categorized among the types included in the fourth group of female genital mutilation. In this paper we display the results of a systematic review of the evidence-based knowledge published on the health risks and benefits of Labia Minora Elongation as informed by African female respondents who are insiders of the practice. No other systematic review on this specific topic has been published before. A methodological bibliographic search was done in scientific databases, by manual referencing and by contacting experts on this area of knowledge. Seventeen papers turned out eligible for this review, which correspond to nine different studies. Eight of these studies were conducted in Eastern and Southern African countries and one was carried out in Italy. This review concludes that pain at the beginning of the practice, nuisances related to the use of caustic herbs, and stigmatization in failing to comply with the practice are the principal health risks associated to labia minora elongation. At the same time, there is evidence that labial elongation may benefit the sexual health and well being of women. More research of a quantitative nature is necessary to determine its prevalence across the practicing cultures and to precise its implications on the sexual and reproductive health for the women who engage in this female genital modification.
    International Journal of Sexual Health 01/2013;
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    ABSTRACT: Collegiate females in the United States are susceptible to sexually transmitted infections (STIs) due to their propensity for sexual exploration, multiple sexual partnerships, and inconsistent safe-sex practices. Despite the potential for safe-sex communication to contribute to safer sex, little is known about the predictors of this form of sexual communication. Research on condom assertiveness—the unambiguous messaging that sex without a condom is unacceptable—is especially rare. This study employed the Expanded Health Belief Model (EHBM) in an attempt to understand why some collegiate females are more condom assertive than others. Compared with less condom-assertive females, more condom-assertive females have more faith in the effectiveness of condoms, believe more in their own condom communication skills, perceive that they are more susceptible to STIs, believe there are more relational benefits to being condom assertive, believe their peers are more condom assertive, and intend to be more condom assertive. Overall, EHBM variables accounted for nearly 70% of the variability in condom assertiveness. Several of these associations, however, were moderated by sexual compulsivity and general assertiveness. Implications of these findings for sexual health practitioners are discussed, and directions for future research are suggested.
    International Journal of Sexual Health 04/2012; 24(2):137-153.
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    ABSTRACT: We examined predictors of sexual functioning in male and female U.S. Marines (n = 589) assessed longitudinally for approximately 11 years. Multiple domains of sexual functioning (dysfunctional sexual behaviors, sexual frequency, sexual problems, and sexual satisfaction) were assessed at the 11-year follow-up assessment (T5). T5 depressive symptoms emerged as the most robust predictor of all domains of sexual functioning. Different patterns of correlates were associated with the different domains of sexual functioning—a finding that highlights the importance of considering the multidimensional nature of human sexuality. In addition, several significant gender × predictor interactions indicated differential relationships between predictors and sexual functioning outcomes for men and women. In particular, concurrent physical health and mental health were more strongly related to sexual functioning for women compared with men. We discuss how findings of the current study can contribute to the development of theories that can better capture the complexity of human sexuality, and we suggest ways that the current findings can inform mental health practitioners working with veterans and military personnel.
    International Journal of Sexual Health 01/2012; 24(1):26-44.
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    ABSTRACT: False claims of having an intersex condition, taking the form of factitious disorder, have occurred historically but are even more frequently observed in the era of the Internet. Three cases are presented that had previously been reported as genuine in print media, television programs, and online postings. Probable motivations include emotional nurturance, self-aggrandizement, denial of being transgendered, and fascination with being intersex. Persons with factitious intersex conditions may interfere with peer-group support and spread misinformation. While acknowledging the reality of intersex conditions in some people, we advise a high index of suspicion and, as needed, verification of claims.
    International Journal of Sexual Health 01/2012;
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    ABSTRACT: Substantial literature currently exists linking medically-related sexual problems and Health Related Quality of Life (HRQoL). This study explores the impact of global/non-medically linked sexual functioning problems and HRQoL in United States (U.S.) Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans. A total of 415 veterans newly registered to the Veterans Health Administration (VA) completed measures of demographic, mental health and physical health-related diagnoses and symptoms, including questions specific to sexual functioning. A multiple linear regression analysis was performed to examine associations between mental and physical component scores and sexual functioning problems. Age, hypertension, pain, depression, anxiety disorder, post-traumatic stress disorder, and substance abuse were included as covariates. Findings indicated that sexual dysfunction had a strong negative effect on the SF-36 Mental Component Summary (MCS) scale after adjusting for multiple physical and mental health characteristics. Although a number of covariates were significantly related to the MCS scale, sexual functioning problems exhibited a unique contribution to mental wellbeing. This study highlights the presence of sexual dysfunction in this rather young veteran cohort and its significant negative overall impact on wellbeing. Consequently, provider screening of sexual health needs within the VA system as part of holistic and veteran-centric healthcare model should be considered.
    International Journal of Sexual Health 01/2012; 24(1):14-25.
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    ABSTRACT: Military women are a unique population with occupational risks that may influence their sexual health, yet relatively little is know about specific correlates associated with servicewomen's sexual functioning. 1004 Midwestern U.S. women veterans ≤ 52 years of age completed a telephone interview assessing sexual assault history, mental health, gynecologic health, and health-related quality of life. Half experienced at least one completed sexual assault during their lifetime. Most (68%) reported sex was important in their lives and three-quarters (74%) indicated that they had engaged in sex with a partner during the past six months. Almost one quarter of sexually active participants reported painful sexual intercourse and approximately one third (35%) acknowledged using lubricants often to make sex comfortable. Mental health disorders (post-traumatic stress disorder, depression, substance use disorder), gynecologic injuries resulting from completed sexual assault, and poor health related quality of life were common in this sample and associated with compromised sexual functioning. Most sexually active women endorsing these correlates were more likely to report not being emotionally satisfied with their main partner. Problems with sexual functioning and pain during intercourse were associated with even a single completed lifetime sexual assault (cLSA). These correlates should alert health care providers to inquire regarding sensitive topics such as LSA exposure and other factors (e.g. painful sex, same-sex partners, and mental health). Sexual health problems are important to address and may also signal other important health concerns.
    International Journal of Sexual Health 01/2012;
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    ABSTRACT: There is very limited research on women who perform in adult films. The current study used a discovery oriented qualitative methodology to examine the responses of 176 female actresses in the adult entertainment industry to questions regarding the reasons for becoming involved in the pornography industry, as well as their likes and dislikes of the work. The most frequent reasons for joining the industry included money, sex, and attention. Only one participant indicated that she was coerced into becoming a porn actress. The most favorable aspects of their work included money, people, sex, and freedom/independence, whereas the most frequently reported dislikes included people, sexually transmitted diseases, and exploitation. The responses from this study provide valuable insight from a large sample of a difficult to access population of pornography actresses on why they chose to become involved in the pornography industry as well as positive and negative facets of their work. The results may be used to question many of the stereotypes that society commonly holds regarding attributes of female pornography actresses.
    International Journal of Sexual Health 01/2012;
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    ABSTRACT: Vaginal practices have been linked with an increase in risk for HIV transmission, as well as other harms. In 2007, a household survey of 919 women was conducted in Tete province, Mozambique, as part of the WHO Multi-country Study on Gender, Sexuality and Vaginal Practices. Women between 18 and 60 years were interviewed to determine prevalence and motivations for vaginal practices. A large range of practices were identified, and are used very frequently. Nearly 80% reported three or more current practices and virtually all had used at least three practices in their lifetime. Elongation of the vaginal labia minora was universal (99% of women), while a quarter stated they had made small vaginal cuts or incisions at least once. Ninety-two percent of women also reported ever use of intravaginal cleansing, and insertion of substances in the vagina was practiced by 72%. Around half (48%) reported ingestion of substances to affect the vagina, mostly to heat, tighten or loosen the vagina. Application of substances on the genitalia (16%) or steaming (15%) were less popular. To prepare for sexual intercourse, women reported products were commonly applied, ingested, inserted or steamed. Pregnancy, delivery and post-partum were also associated with ingestion (26%), steaming (39%) and cutting (32%). Adoption of microbicides and condom use may be influenced by vaginal practices. HIV prevention messages and interventions, including future microbicides, need to take into account the high prevalence of vaginal practices and motivations for their use. Further attention needs to be given to potentially harmful practices in HIV prevention efforts in Mozambique.
    International Journal of Sexual Health 01/2012;
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    ABSTRACT: This study used a cross-sectional survey to examine job satisfaction and its correlates among 247 female sex workers working as private service providers, in licensed brothels and in illegal sectors of the industry (mainly street-based workers). Overall, most sex workers reported positive job satisfaction. Satisfaction was higher in women working legally and was generally comparable with women from the general population. Multivariate analyses revealed that job satisfaction was significantly linked to women's reasons for initially entering the industry. Sex workers’ age, education, marital status, length of time in the industry and current working conditions were apparently less important for satisfaction.
    International Journal of Sexual Health 01/2012;
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    ABSTRACT: This study was designed to examine the association between childhood experiences, current psychological and relationship factors and female sexual dysfunction. In total, 404 adult women (n = 164 functional, n = 240 dysfunctional) who were currently engaged in a heterosexual relationship completed an on-line questionnaire. Women with sexual dysfunction demonstrated more problems in early life experiences, current psychological adjustment and relationships. These factors were also associated with sexual functioning for both functional and dysfunctional women. These findings demonstrate the importance of addressing psychological and relationship factors in the treatment of sexual dysfunction among women.
    International Journal of Sexual Health 01/2012;
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    ABSTRACT: The present study compared the self-reports of 105 porn actors to a sample of men matched on age, ethnicity, and marital status. Comparisons were conducted on sexual behaviors and attitudes, self-esteem, quality of life, and drug use. Porn actors’ first sex was at an earlier age, had more sexual partners, had a higher enjoyment of sex, were more concerned about catching an STD, and were less likely to use a condom during a first time sexual encounter compared to the matched sample, although there were no differences on incidence of childhood sexual abuse. In terms of psychological characteristics, porn actors had higher levels of self-esteem and quality of life indicators. Lastly, male performers were more likely to have used five different types of drugs compared to the comparison group during their lifetime and were more likely to have used marijuana during the past six months. These findings provide mixed support for stereotypes concerning male porn actors.
    International Journal of Sexual Health 01/2012;
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    ABSTRACT: This case study explored the effectiveness of radio spots promoting school-based sex education in meeting their objectives and makes recommendations for future advocacy efforts using the Transtheoretical Model to analyze the populations of Sacatepéquez and Chimaltenango, Guatemala on their attitudes, beliefs and behaviours regarding school-based sex education. An in-person community questionnaire was implemented and a convenience sample of 329 participants was analyzed. Data showed there is support for school-based sex education among these populations and this paper suggests various strategies for further more targeted advocacy efforts within these communities.
    International Journal of Sexual Health 01/2012;
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    ABSTRACT: Objectives. This article presents the results of a representative national study highlighting the risk factors of female sexual dysfunction in the Czech Republic.Study Design. A representative quota survey of 1000 Czech women of 15 years of age and older. The questionnaire is a part of a wider long-term survey of sexual behavior within the Czech population, which started in 1993. Besides the various aspects of sexual behavior the questionnaire included a specific section on sexual dysfunction.Results. The prevalence of sexual dysfunction amongst women in the Czech Republic is 20%. Risk factors that increase the likelihood of sexual dysfunction are: sexual abuse during childhood and having been forced to engage in sex during their lifetime. Having sexually transmitted disease and positive attitudes towards casual sex.Sexual characteristics which strongly associate with SD are: not being satisfied with sex and having faked orgasm “often and almost always”.Conclusion. These results indicate that there are risk factors for developing female sexual dysfunction (FSD) which can be identified, and there are other related characteristics that can have a negative impact on sexual behavior.
    International Journal of Sexual Health 01/2012;
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    ABSTRACT: We describe the extent to which men who have sex with men and women (MSMW) tell their female sex partners that they have male sex partners, and the association between disclosure of male partners and condom use with female partners. Data were from US internet-using MSMW recruited from a social networking website. Of 666 MSMW, 70% told their last female partner that they had male sex partners. MSMW who disclosed having male sex partners were equally likely to have used a condom during their last vaginal intercourse with a female partner (42%) as were men who did not disclose (47%). Because disclosure was not associated with condom use and condom use was low, it is important to continue efforts to promote consistent condom use, especially among females, regardless of the reported sexual orientation of their partners.
    International Journal of Sexual Health 01/2012; 24(3):195-204.

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