Measurement of sexual health outcomes among people who inject drugs : pilot study in Catalonia, Spain and Barnaul, Russia
Folch, Cinta (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i de Medicina Preventiva i Salut Pública)
Zohrabyan, Lev (Joint United Nations Programme on HIV and AIDS (UNAIDS))
Vagaitseva, Natalia (Altai Regional AIDS center)
Casabona-Barbarà, Jordi (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i de Medicina Preventiva i Salut Pública)
Toskin, Igor (World Health Organization. Department of Reproductive Health and Research)

Data:	2018
Resum:	The main objective of this study was to test some of the draft sexual health indicators developed by the World Health Organization as part of a comprehensive indicator framework to monitor progress in universal access to reproductive health. Cross-sectional studies among people who inject drugs were conducted in Catalonia (n = 734) and Barnaul (n = 500). 'Sexual competency' was measured using three indicators: sexual satisfaction, sexual safety, and sexual autonomy. Individual social norms on sexuality were also collected. The construct validity of the sexual safety and sexual autonomy items were assessed. Multivariate logistic regression models explored factors associated with sexual dissatisfaction. In Catalonia, sexual competency was higher among males than females who inject drugs (60. 4% versus 33. 3%). In both Catalonia and Barnaul, differences by sex in social norms on sexuality were seen. Mean scores on sexual safety (4. 15 in Catalonia and 3. 54 in Barnaul) were lower among participants who reported not using condoms. Mean scores on sexual autonomy (4. 42 in Catalonia and 3. 97 in Barnaul) were lower among those who had experienced some form of sexual assault. Perceived sexual safety, sexual autonomy, and social norms on sexuality were associated with sexual dissatisfaction. The sexual health indicators tested are valid, feasible, and reliable tools to monitor and evaluate sexual health programs and activities. The results confirm that sexual satisfaction depends on safe sexual experiences, free from coercion and violence. Social norms and individual perceptions about sexual health need to be considered when developing national disease prevention programs.
Ajuts:	Agència de Gestió d'Ajuts Universitaris i de Recerca 2005/SGR-00505
Nota:	Altres ajuts: The study was supported by the following: Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya; Subdirecció General de Drogodependències, Departament de Salut, Generalitat de Catalunya. This work was also funded by the UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a cosponsored programme executed by the World Health Organization (WHO).
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Sexual health ; People who inject drugs ; Surveys ; Social norm ; Sexual satisfaction
Publicat a:	BMC public health, Vol. 18 (january 2018) , ISSN 1471-2458

DOI: 10.1186/s12889-018-5065-x
PMID: 29378541

10 p, 487.8 KB

El registre apareix a les col·leccions:
Articles > Articles de recerca
Articles > Articles publicats