FGM/C refers to a traditional practice involving the partial or total removal of the female external genitalia or other injury to the female genital organs for cultural or other non-therapeutic reasons. Estimates suggest 100-130 million girls/women are currently living with various health consequences from FGM/C. We conducted a systematic review investigating the sexual consequences of FGM/C. We searched 13 electronic databases. Cross-referencing, handsearching organizations’ websites, and contacting experts yielded additional records. Two reviewers independently appraised 5,233 records and 36 full-text papers for inclusion and methodological quality.
15 comparative studies (7 countries, 12,671 participants), of variable methodological quality, met the eligibility criteria. The studies reported in total 65 outcomes for sexual consequences of FGM/C, the majority of which were statistically associated with FGM/C status at study level. Altogether meta-analyses were acceptable for seven outcomes: pain during intercourse, satisfaction, desire, initiation of sex, orgasm, reporting clitoris as the most sensitive area of the body, reporting the breasts as the most sensitive areas of the body. Compared to women without FGM/C, women who had been subjected to FGM/C were more likely to report pain during intercourse (RR= 1.52, 95%CI= 1.15, 2.0), no sexual desire (RR= 2.15, 95%CI= 1.37, 3.36), and less sexual satisfaction (St.mean diff= -0.34, 95%CI= -0.56, -0.13). Statistical tests for heterogeneity precluded additional consideration of outcomes. Although a causal link cannot be established based on the current evidence, results show that women with FGM/C are more likely to experience increased pain during intercourse and reduction in sexual satisfaction and desire.
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