Sex Education, Relationships, and Sexuality in Young Adults With Spina Bifida

Verhoef M, Barf HA, Vroege JA, Post MW, van Asbeck FW, Gooskens RH, Prevo AJ. Sex education, relationships, and sexuality in young adults with spina bifida. To assess the adequacy of sex education and to determine the incidence of various difficulties encountered in relationships and sexual contact...

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Veröffentlicht in:Archives of physical medicine and rehabilitation 2005-05, Vol.86 (5), p.979-987
Hauptverfasser: Verhoef, Marjolein, Barf, Hans A., Vroege, Jos A., Post, Marcel W., van Asbeck, Floris W., Gooskens, Rob H., Prevo, Arie J.
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container_end_page 987
container_issue 5
container_start_page 979
container_title Archives of physical medicine and rehabilitation
container_volume 86
creator Verhoef, Marjolein
Barf, Hans A.
Vroege, Jos A.
Post, Marcel W.
van Asbeck, Floris W.
Gooskens, Rob H.
Prevo, Arie J.
description Verhoef M, Barf HA, Vroege JA, Post MW, van Asbeck FW, Gooskens RH, Prevo AJ. Sex education, relationships, and sexuality in young adults with spina bifida. To assess the adequacy of sex education and to determine the incidence of various difficulties encountered in relationships and sexual contact by young adults who have spina bifida (SB) with and without hydrocephalus (HC) in the Netherlands. Cross-sectional. Community. Patients with SB occulta or aperta (N=157; 41% male; mean age, 20.8y; age range, 16–25y). Not applicable. Structured interview on sex education, relationships, sexual activities, and sexual functioning. Although sex education had been provided to almost all patients, fewer than a quarter received information specific to people with SB. Of all patients, 25% had a partner, 70% desired sexual contact, 47% had had sexual contact, and 22% had had sexual intercourse during the last year. Only 52% were satisfied with their present sex life. Incontinence and lack of self-confidence were important obstacles. Compared with patients without HC (HC–), patients with HC (HC+) less often had a partner, were sexually less active, and more often had problems with sexual functioning. Predictors of not having sexual contact were having HC and being male. Relationships and sexuality are important for young adults with SB. HC+ patients are less active and perceive more problems than HC– patients. Counseling in relationships and sexuality should be part of the regular care for this group.
doi_str_mv 10.1016/j.apmr.2004.10.042
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Sex education, relationships, and sexuality in young adults with spina bifida. To assess the adequacy of sex education and to determine the incidence of various difficulties encountered in relationships and sexual contact by young adults who have spina bifida (SB) with and without hydrocephalus (HC) in the Netherlands. Cross-sectional. Community. Patients with SB occulta or aperta (N=157; 41% male; mean age, 20.8y; age range, 16–25y). Not applicable. Structured interview on sex education, relationships, sexual activities, and sexual functioning. Although sex education had been provided to almost all patients, fewer than a quarter received information specific to people with SB. Of all patients, 25% had a partner, 70% desired sexual contact, 47% had had sexual contact, and 22% had had sexual intercourse during the last year. Only 52% were satisfied with their present sex life. Incontinence and lack of self-confidence were important obstacles. Compared with patients without HC (HC–), patients with HC (HC+) less often had a partner, were sexually less active, and more often had problems with sexual functioning. Predictors of not having sexual contact were having HC and being male. Relationships and sexuality are important for young adults with SB. HC+ patients are less active and perceive more problems than HC– patients. Counseling in relationships and sexuality should be part of the regular care for this group.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2004.10.042</identifier><identifier>PMID: 15895345</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Cerebrospinal fluid. Meninges. 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Sex education, relationships, and sexuality in young adults with spina bifida. To assess the adequacy of sex education and to determine the incidence of various difficulties encountered in relationships and sexual contact by young adults who have spina bifida (SB) with and without hydrocephalus (HC) in the Netherlands. Cross-sectional. Community. Patients with SB occulta or aperta (N=157; 41% male; mean age, 20.8y; age range, 16–25y). Not applicable. Structured interview on sex education, relationships, sexual activities, and sexual functioning. Although sex education had been provided to almost all patients, fewer than a quarter received information specific to people with SB. Of all patients, 25% had a partner, 70% desired sexual contact, 47% had had sexual contact, and 22% had had sexual intercourse during the last year. Only 52% were satisfied with their present sex life. Incontinence and lack of self-confidence were important obstacles. Compared with patients without HC (HC–), patients with HC (HC+) less often had a partner, were sexually less active, and more often had problems with sexual functioning. Predictors of not having sexual contact were having HC and being male. Relationships and sexuality are important for young adults with SB. HC+ patients are less active and perceive more problems than HC– patients. Counseling in relationships and sexuality should be part of the regular care for this group.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Cross-Sectional Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Sex education, relationships, and sexuality in young adults with spina bifida. To assess the adequacy of sex education and to determine the incidence of various difficulties encountered in relationships and sexual contact by young adults who have spina bifida (SB) with and without hydrocephalus (HC) in the Netherlands. Cross-sectional. Community. Patients with SB occulta or aperta (N=157; 41% male; mean age, 20.8y; age range, 16–25y). Not applicable. Structured interview on sex education, relationships, sexual activities, and sexual functioning. Although sex education had been provided to almost all patients, fewer than a quarter received information specific to people with SB. Of all patients, 25% had a partner, 70% desired sexual contact, 47% had had sexual contact, and 22% had had sexual intercourse during the last year. Only 52% were satisfied with their present sex life. Incontinence and lack of self-confidence were important obstacles. Compared with patients without HC (HC–), patients with HC (HC+) less often had a partner, were sexually less active, and more often had problems with sexual functioning. Predictors of not having sexual contact were having HC and being male. Relationships and sexuality are important for young adults with SB. HC+ patients are less active and perceive more problems than HC– patients. Counseling in relationships and sexuality should be part of the regular care for this group.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15895345</pmid><doi>10.1016/j.apmr.2004.10.042</doi><tpages>9</tpages></addata></record>
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subjects Adolescent
Adult
Biological and medical sciences
Cerebrospinal fluid. Meninges. Spinal cord
Cross-Sectional Studies
Diseases of the osteoarticular system
Female
Humans
Interviews as Topic
Male
Malformations and congenital and or hereditary diseases involving bones. Joint deformations
Medical sciences
Miscellaneous
Nervous system (semeiology, syndromes)
Neurology
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Rehabilitation
Sex Education
Sexual Behavior
Sexuality
Spina bifida cystica
Spina bifida occulta
Spinal dysraphism
Spinal Dysraphism - physiopathology
Spinal Dysraphism - psychology
title Sex Education, Relationships, and Sexuality in Young Adults With Spina Bifida
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