O objetivo desta tese é analisar se há associação entre atividade sexual e satisfação sexual, e as condições demográficas, socioeconômicas e de saúde, e também a importância dada à vida sexual no passado e no presente, para a população idosa residente no município de São Paulo. Foram considerados os dados do Estudo SABE - Saúde, Bem-Estar e Envelhecimento, relativos à amostra de 2006, composta por 1.078 sujeitos, correspondendo após ponderação a uma população de 854.724 idosos do município de São Paulo. Homens e mulheres foram analisados separadamente, e os dados comparados posteriormente. Os resultados mostraram que frente ao aumento da idade e determinadas condições socioeconômicas e de saúde, a satisfação sexual é cada vez menos associada à atividade sexual, sendo isso mais verificado entre as mulheres do que os homens. Em relação às condições de saúde, a ocorrência de doenças entre as mulheres mostrou mais interferência negativa para a satisfação sexual do que entre os homens. Entre os casados verificou-se maior relação entre a atividade sexual e a satisfação sexual. Como conclusão observou-se que, com o avanço da idade, a satisfação sexual está menos associada à realização de atividade sexual, independente do sexo, porém, isso se verifica mais entre as mulheres, o que não justifica dizer que as pessoas idosas são assexuadas. / The purpose of this thesis is to analyze whether there is an association between sexual activity and sexual satisfaction, and demographic, socioeconomic and health conditions, and the importance given to sexual life in the past and nowadays by the elderly population living in São Paulo. Data from the SABE Study - Health, Welfare and Aging were considered, relating to sample of 2006, consisting of 1078 individuals, corresponding to a population of 854.724 elderly, after weighting, in São Paulo. Men and women have been analyzed separately and then information has been compared. The results showed that against the increased age and specific socioeconomic and health conditions, sexual satisfaction is becoming less associated with sexual activity and it is more observed among women than men. Regarding health conditions, occurrences of diseases among women proved more negative interference for sexual satisfaction than men. Among those married there was a highest ratio between sexual activity and sexual satisfaction. As a conclusion, it was observed that, with increasing age, sexual satisfaction is less tied to the sexual activity, regardless of sex, but it occurs more among women, which is not right to say that older people are asexual.

Aspectos relacionados com a organização social e seus reflexos no comportamento reprodutivo de garanhões submetidos a coberturas em sistemas de manadas, não têm sido estudados nas populações domesticadas. Este estudo foi conduzido com os seguintes objetivos: identificar as unidades sociais estabelecidas num grupo de garanhões e de éguas; verificar os fatores envolvidos na estabilidade, na repetibilidade e na composição dos haréns; verificar o efeito do garanhão na atividade de cobertura; estabelecer relações entre os níveis plasmáticos de testosterona e a condição sócio-sexual dos reprodutores; verificar a existência de atividade sexual noturna. Foi realizado em duas estações de monta (Ano I – 2001/02; Ano II – 2002/2003). No primeiro ano, os animais foram acompanhados diariamente durante um período de 12 dias, totalizando 117,02 horas de observação. A duração média dos períodos diários de observação diurna foi de 8,1horas. No segundo ano, os animais foram acompanhados em três períodos de observação (1, 2 e 3) com intervalos de 21 dias entre eles. A duração média dos períodos de observação diários foi de 9,6h e o tempo total foi igual a 203,51h. No Ano I, foram utilizados quatro garanhões com idades iguais a 3, 5 e mais de 12 anos e um grupo de 46 éguas solteiras, com idades entre 3 e 20 anos. No segundo, observaram-se quatro garanhões com 3, 6 e com mais de 12 anos e um grupo de 40 éguas solteiras, com idades entre 3 e mais de 12 anos. As unidades sociais identificadas foram do tipo harém e grupo de solteiros. Os reprodutores com três anos de idade não formaram haréns. Estabeleceram-se relações hierárquicas entre os garanhões e dentro dos haréns. A dominância, a capacidade de luta, os níveis de testosterona e a idade dos garanhões parecem ter influenciado no tamanho e na manutenção dos haréns. Foi constatada estabilidade em sua composição e esta dependeu do status reprodutivo das fêmeas, da dominância do garanhão no grupo e do tamanho do potreiro de observação. Não foi verificada repetibilidade na composição dos haréns. Todos os garanhões tiveram os seus níveis plasmáticos médios de testosterona aumentados, em média, 77,6%, quando foram expostos às éguas e quando formaram haréns (85,6%), embora os do grupo de solteiros tivessem os níveis mais baixos. O total de coberturas observadas no Ano I foi 28. As éguas foram cobertas em média, 1,86 vez, e o número médio de coberturas diárias foi 1,17. O número médio de éguas cobertas /dia foi igual a 1,08. O número médio de éguas receptivas, diariamente, foi igual a 8,5. O tempo médio de duração das coberturas foi igual a 38,4 segundos e o intervalo médio diário entre as mesmas foi de 79,75 minutos. No Ano II, os garanhões realizaram um total de 134 coberturas. As éguas foram cobertas, em média, 2,21 vezes. O número médio de coberturas diário foi 2,1. O número médio de éguas receptivas, diariamente, foi 20,7. O número médio de éguas cobertas/ dia foi 1,78. O tempo médio de duração das coberturas foi igual a 37 segundos e o intervalo médio diário entre as mesmas foi de 104,1minutos. Nos dois anos de estudo foi verificada atividade sexual noturna. O índice geral de prenhez no Ano I foi 79,4% e, no segundo, foi 72,25%. / Aspects related of social organization and its effects on the reproductive behavior of domestics stallions breeding under free range management systems, not have been studied. This study was carried out with the following objectives: to identify the social unities established between stallions and mares; to verify the factors involved in the stability, repeatability and in the composition of harems; to verify the effect of the stallion in the mating activity; to establish the relationship between the plasmatic levels of testosterone and the social-sexual condition of the stallion; to verify the existence of night sexual activity. This study was carried out in two mating seasons (Year I – 2001/02; Year II – 2002/03). In the first year, the animals were accompanied daily during a period of 12 days, totalizing 117.02 hours. The average duration of daily periods of day observation was 8.1 hours. In the second year, the animals were accompanied in three periods of observation (1, 2 and 3) with intervals of 21 days between them. The average duration of daily periods of observation was 9.6h and the total observation time was equal to 203.51h. In each interval of periods of observation, the social unities were disrupted and the mares were separated. In Year I four stallions were used, with ages of 3, 5 and more than 12 years and a group of 46 no lactates mares from the same breed, with ages varying from 3 to 20 years. In the second year, four stallions were observed, with 3, 6 and more than 12 years of age, and a group of 40 no lactates mares, with ages varying from 3 to more than 12 years of age. The social unities identified in the two years of observation were of the harem and the bachelor group type. The stallions with three years of age did not form harem. Hierarchic relationships among stallions and within harems were established. The dominance, the fight capacity, the aggressive behavior, the testosterone levels and the age of the stallions seem to influence the size and the maintenance of the harems. The stability in the composition of harems was observed, and the factors identified in this process were the reproductive status of females, the dominance of the stallions over the group and the size of the observation field. Repeatability in the composition of the harems was not verified. All stallions had their mean testosterone plasmatic levels increased, in average 77.6%, when were exposed to the mares, and when they formed harems (average of 85.6%). The mating activity of the stallions varied individually. The total mating observed in the 12 days from Year I was 28. The mares were mated in average 1.86 times, and the mean number of daily mating was 1.17. The mean number of mares mated per day was 1.08. The mean number of receptive mares, daily, was 8.5. The average of time during the matings was of 38.4 seconds and mean daily interval between matings was 79.75 minutes. In the second year of observation, the stallions performed a total of 134 matings. Considering the three periods of observation, the mares were mated, in average, 2.21 times. The mean number of daily matings was 2.1. The average number of receptive mares, daily, was 20.7. The average number of mated mares per day was 1.78. The average duration time of the matings was 37.0 seconds and the mean daily interval between matings was 104.1 minutes. In the two years of the study, the existence of sexual activity at night was verified. In the first year, the general pregnancy index was 79.4%. In the second year, the general index was 72.25%.

For decades, sexual expression in older adulthood was a taboo topic in the public discourse and ignored in the empirical literature. As a result of several significant sociocultural changes and medical developments as well as an increasingly older population, however, perspectives are shifting and acceptance and interest in the sexual lives of older adults is growing. The purpose of this dissertation was to investigate sexual well-being in older adulthood and explore its diversity. Study 1 involved a systematic review of the literature on factors associated with the maintenance and cessation of sexual activity in adults 60 years of age and older. Data were extracted from a total of 57 studies and each was assessed for methodological quality. Surprisingly, only four factors (i.e., partner’s interest in sexual activity, past frequency of sexual activity, presence of erectile dysfunction, and partner-related illness) were consistently related, in more than one study, to whether or not older adults were sexually active. Significant variability in study results highlighted methodological caveats of the body of literature, but also the heterogeneity of older adults’ sexuality. Study 2 built upon the findings and recommendations of Study 1 and further examined diversity in sexual well-being. Sexual function and satisfaction, the absence of sexuality-related distress, breadth of sexual experience, and overall frequency of sexual activity were considered as indicators of sexual well-being. The Dual Control Model of Sexual Response (DCM) was used as the theoretical framework in this study of women 50 years of age and older. The DCM posits that sexual response depends on the relative activation of sexual excitatory and sexual inhibitory processes, two separate and independent systems. Study 2 results indicated that, independently, women’s propensities for sexual excitation and sexual inhibition were significantly associated with the majority of the indicators of sexual well-being and the directions of associations were consistent with the tenets of the DCM. The only association that proved not statistically significant was the relationship between sexual excitation and sexual distress. When examined together, sexual excitation and sexual inhibition factors significantly predicted sexual function, satisfaction, and frequency. Sexual distress was predicted more strongly by sexual inhibition factors and sexual breadth by sexual excitation factors. Partner physical and mental health and participant mental health were further identified as moderating variables of these associations. The results of Study 2 expand current knowledge regarding the DCM and its relevance to older women; sexual excitation and sexual inhibition appear to have heuristic value to better understand the variability in sexual activity and well-being in women aged 50 years and older. The results of this dissertation have important implications for the study of sexuality and ageing, perhaps most prominently in terms of highlighting the inter-individual variation in older adulthood and the conclusion that generalizations about “older adults” as a group may not be appropriate.

The purpose of this study is two-fold: (1) to examine the correlation between frequency of sexual activity and general happiness among older Americans and (2) to examine the correlation between frequency of sexual activity and marital happiness among older married Americans. This study employed quantitative data drawn from the 2004-2008 General Social Surveys. Two samples were used. The first sample included all respondents 65 years of age and older with valid responses for the dependent, independent, and control variables. The second sample was a subset of the first and included only the married respondents. Both bivariate cross-tabulations and binary logistic regression analyses were conducted. As expected, the data support a positive association between sexual activity and general happiness in both the total elder sample and the married elder sample (p < 0.05). Also, as expected, the data support a positive association between frequency of sexual activity and marital happiness in the married elder sample (p < 0.05). Even with the introduction of control variables, frequency of sexual activity was found to be a significant predictor of both general and marital happiness (p < 0.05). This study suggests that sexual activity does indeed contribute the happiness and well-being of older Americans.

Title: Sexual satisfaction in people with spinal cord injuries engaged in regular physical activity. Objectives: The main goal of this work is to determine the level of sexual satisfaction in people with spinal cord injuries, who perform regular physical activity. Methods: A battery of questions was used to find out the satisfaction of people with spinal cord injuries, who regularly perform physical activity. The WHOQOL 100, PASID, LATA, SAS SAQ questionnaires were used as basic for creating battery of questions. Data collection was completely anonymous and took place online. The survey involved 21 respondents with spinal cord injuries (18 men and 3 women) aged 18 to 75 years. All were included in the research because they met the criteria for performing regular physical activity. The results of the survey were processed into graphs and tables and supplemented by a written commentary. Results: It was found that for a majority of respondents their sexual life is important and for most of them the sexual life is a source of pleasure. Almost half of the respondents consider their sexual life satisfactory. However , less than half of the respondents state that not all their needs are met. The research suggests that satisfaction with amount of physical activity performed may be related to higher quality...

Bakgrund: Sexualitet är mångdimensionellt och omfattar emotionellt, fysiskt, socialt och mentalt välbefinnande. Sexualitet och sexuell hälsa samspelar med varandra och kan äventyras då kvinnan insjuknar i hjärtinfarkt. Det är vanligt förekommande med sexuell problematik samt minskad sexuell aktivitet och funktion vid kardiovaskulär sjukdom, vilket innefattar hjärtinfarkt. Trots att kvinnor upplever sviktande sexuell hälsa efter hjärtinfarkt, söker de sällan vård för det. Syfte: Att beskriva upplevd sexuell hälsa hos kvinnor som genomgått hjärtinfarkt. Metod: En litteraturöversikt med kvalitativ metod och induktiv ansats. Tio resultatartiklar har analyserats med Fribergs analysstruktur. Resultat: Resultatet presenterades i tre teman och sju subteman. Kvinnorna upplevde förändringar i sexuallivet, partnerskapet och i sig själva efter hjärtinfarkt. Kvinnorna beskrev den sexuella hälsan som försämrad, främst relaterat till minskad lust, ointresse och rädsla. Kvinnorna upplevde psykiska och fysiska förändringar samt att det var svårt att samtala med partnern om sexuallivet. En nära relation till partnern, närhet och intimitet framkom som viktigt efter insjuknandet. Information delgiven av vårdpersonal visade sig avgörande relaterat till upplevd sexuell hälsa. Slutsats: Kvinnors sexuella hälsa påverkas av att insjukna i hjärtinfarkt. Förändringar i partnerskapet, sexuallivet och kvinnans psykiska och fysiska mående kan identifieras efter hjärtinfarkt. Vårdpersonal behöver belysa sexualitet och delge kvinnor information som berör ämnet för att främja sexuell hälsa hos kvinnliga hjärtinfarktpatienter. / Background: Sexuality is multidimensional and includes emotional, physical, social and mental well-being. Sexuality and sexual health interact with each other and can be endangered when the woman becomes ill in a myocardial infarction. It is common that sexual problems occur as well as reduced sexual activity and function in cardiovascular disease, which includes myocardial infarction. Despite the fact that women experience declining sexual health after myocardial infarction, they rarely seek care for it. Aim: To describe women’s experienced sexual health after myocardial infarction. Method: A literature overview with qualitative method and inductive approach. Ten scientific articles have been analyzed with Friberg’s analysis structure. Result: The result was presented in three themes and seven subthemes. The women experienced changes in sexual life, partnership and in themselves after a myocardial infarction. The women described sexual health as deteriorated, mainly related to decreased desire, disinterest and fear. The women experienced psychological and physical changes and that it was difficult to talk to their partner about sexual life. A close relationship with the partner, nearness and intimacy emerged as important after the illness. Information provided by healthcare professionals proved crucial in relation to perceived sexual health. Conclusion: Women's sexual health is affected by becoming ill in myocardial infarction. Changes in the partnership, sexual life and the woman's mental and physical state can be identified after a myocardial infarction. Healthcare professionals need to shed light on sexuality and provide women with information touching the subject to promote sexual health of female myocardial infarction patients.

Efforts to reduce the spread of human immunodeficiency virus (HIV) and find innovative alternatives to condom use are important public health challenges. While the incidence of HIV is leveling off among some populations, it is escalating in other populations such as young African American men who have sex with men (MSM). Guided by the health belief model (HBM) and the AIDS risk reduction model (ARRM), this quantitative, cross-sectional study sought to use multiple linear regression, binary logistic regression, and Fisher's exact test to determine how perceived susceptibility, as measured by the AIDS Health Belief Scale (AHBS), and labeling of unprotected receptive anal intercourse (URAI) risk predicted the preference for prevention products and the number of self-reported sexual activities among MSM who seek sexual partners on the Internet. This study also sought to determine any ethnic differences in the preference for prevention products among these men. Due to the limited sample size (N = 19), there were no significant relationships between the independent variables (i.e., AHBS Score, URAI Risk, or ethnicity) and dependent variables (i.e., product preference or sexual activity). Moreover, covariates of age and alcohol/drug use were not significant in this study. The implications of positive social change include new insights into designing culturally-sensitive, Internet-based, HIV interventions for hard-to-reach and hidden populations that protect their privacy.

This study examined associations between the prevalence of HIV testing and factors or behaviors that influence HIV testing in U.S.A. 9th to 12th graders using the 2017 Youth Risk Behavior Surveillance Survey (YRBSS) data. Selection criteria was based on a positive report of sexual debut (Ever had sex? Yes/No). Outcome of interest was having ever tested for HIV. Independent risk factors included age, sex, grade, race, condom use, age at first sexual intercourse, number of lifetime sexual partners, use of contraceptives, use of drug or alcohol before last sexual activity and several other factors. Chi-square and logistic regression analyses were conducted to evaluate factors associated with HIV screening participation. HIV testing prevalence was 20.34%. Females (53.97%) were more likely to participate in HIV screening test than males (67.37% females versus 32.63% males) and had higher odds of testing (OR: 2.229; p <.0001). Those in 11th and 12th grade, aged greater than 16 and with multiple sexual partners had higher rates of HIV testing. Strongest associations with HIV testing were older age at 1st sexual intercourse, odds ratio (OR): 0.413; (p ≤.0001), having three or more sexual partners (OR: 2.023; p ≤.0001), being female (OR: 2.021; p ≤.0001), use of contraceptives (OR: 1.828; p ≤.0001) and describing grades in school as mostly A’s or B’s (OR: 0.696; p ≤.001).

Sexuality and intimacy occupations are often considered valued life occupations by individuals and communities and can contribute to quality of life and relationship satisfaction (Diamond & Huebner, 2012; McGrath & Lynch, 2014; Sakellariou & Algado, 2006; Smith et al., 2011). Sexuality and intimacy occupations have the potential to play either enriching or detrimental roles in individuals lived experiences, which supports the notion that healthcare providers must be prepared to address these topics in practice (Collins et al., 2017; Deering et al., 2014; Diamond & Huebner, 2012; Espelage, Basile, Rue, & Hamburger, 2015; Papp, Erchull, Liss, Waaland-Kreutzer, & Godfrey, 2017; Smith et al., 2011). Despite the potentially powerful impact of sexuality and intimacy occupations on quality of life, there is a lackluster response to prioritize these occupations among occupational therapy (OT) clinicians and in OT curricula (Dyer & Nair, 2013; Hattjar, Parker, & Lappa, 2008; McGrath & Lynch, 2014; McGrath & Sakellariou, 2015). This doctoral project (1) identifies restrictive factors which enable OT professionals’ hesitancy to include sexuality and intimacy into scholarly, academic, and clinical practices, (2) identifies solutions informed by dissemination and implementation sciences to dismantle institutional and clinician level restrictions and enable clinical adoption, (3) analyzes available literature related to best practices in marketing, dissemination and implementation, and sexuality education for healthcare providers and (4) conducts a program evaluation of the Institute for Sex, Intimacy and Occupational TherapyLLC. Summative and formative results suggest that ISIOTLLC was successful in (1) generating enthusiasm for the brand and learning products, (2) conducting webinars which influenced clinical adoption, (3) building a coalition of advocates to promote institutional change, and (4) building credibility of the author as a subject matter expert on sexuality and intimacy within the OT profession. The project results will contribute to the profession by equipping OT professionals with a guide for including sexuality and intimacy into their academic or clinical practice. Enhancing clinical adoption of sexuality and intimacy into OT practice will improve the quality of life of the individuals, communities, and populations the profession serves. / 2020-06-18T00:00:00Z

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