Our objective is to examine psychosocial and sexual concerns of hypogonadal men. Men aged 40 years in the Klang Valley, Malaysia participated in the a community-based Subang Aging Male (SAM) study. The participants completed questionnaires on demography, DASS-21, IIEF-5 and Quality of Life scale (SF-12). Hypogonadism is defined as total testosterone < 11 nmol/L. Erectile dysfunction (ED) is defined as IIEF score < 22. DASS-21 measures depression, anxiety and stress, scores range from 0-42 for each index -high score suggests worse psychological morbidity.
1007 men participated (response rate 53.6%), mean age 56.6±8.3 years. Prevalence of hypogonadism was 15.3% (n=154). No difference in socio-demographic characteristics between men with and without hypogonadism. About 65% of hypogonadal men who had sexual activity in the past 4 weeks, (n=753) had ED; 35.8% mild ED, 21.1% moderate ED, 4.6% moderate-severe ED, and 3.7% severe ED. Using DASS-21, among the hypogonadal men, 10.5% had moderate depression, 3.9% had severe/extreme depression; 14.3% had moderate anxiety and 9.7% had severe/extreme anxiety; 3.9% had moderate stress, 2.6% had severe/extreme stress. No significant differences in the prevalence of ED, depression, anxiety and stress between hypogonal and non-hypogonadal men. Hypogonadal men had significantly lower scores in SF-12 compared to non-hypogonadal men: physical functioning, general health, vitality and bodily pain and their physical composite score were also lower. Mental composite scores were similar in both groups.
Hypogonadal men showed lower quality of life related to physical health but not psychological health or erectile function as compared to non-hypogonadal men.
Sexually traumatized patients often have problems with flashbacks, nightmares and avoidance. This workshop teaches an integrated method for trauma relief, combining knowledge from NLP, psycho dynamic therapy, cognitive therapy and modern trauma research. The method is based on the human memory storing system, which functions in the same way in all human beings. This means that the method easily can be used cross-culturally and for all gender combinations.
To explore how sexual health and sexual ethics are represented in the Bible and how these are relevant to the 21st century. God created humans as physical and relational beings. Sexuality is a good, healthy element of that created physical relatedness, with three functions: relational bonding; mutual pleasure; and procreation. The biblical pattern for sexual expression which best accords with these functions is heterosexual monogamy.
How should the Public Health Model be applied so it really contributes to improved sexual health for all? Public Health recognizes three levels of prevention - Primary, Secondary and Tertiary. Primary prevention involves prevention of the disease or injury itself, Fluoride, Immunization, Education to avoid smoking and substance abuse. Secondary prevention blocks the progression of an injury or disease from an impairment to a disability. An impairment has already occurred, but disability may be prevented through early intervention.
The UK has among the highest teenage pregnancy and STI rates in Western Europe and strategies to reduce these outcomes have a high priority. This paper seeks to draw lessons from the rigorous evaluations of three sexual health initiatives: SHARE (a cluster randomised trial (CRT) of teacher-delivered sex education), RIPPLE (CRT of peer-delivered school sex education) and Healthy Respect Phase 2 (a quasi-experimental study of a multi-component Scottish national sexual health demonstration project encompassing youth friendly sexual health drop-ins, social marketing, branding, a parenting component and SHARE).
This symposium will focus on presentation of the results and discussion of a ground-breaking study into the cost and cost-effectiveness of sexuality education (SE) in six countries, commissioned by UNESCO in 2010. Why an economic analysis? Policy-makers all over the world, involved in decisions on school-based sexuality education (SE) programmes, are facing three important economic questions: what are the costs of developing the programmes, what are the costs of implementing and scaling up the programmes, and do the programmes provide value for money?
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent