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[Effect of a safe-sex campaign on women attending a clinic of venereology. Sex behavior and prevalence of sexually transmitted diseases in women examined at the Venereaklinik in Copenhagen in 1984 and 1988].

Consecutive female patients attending the Copenhagen Venereal Disease Clinic were interviewed about sexual behaviour in 1984 (981 women) and in 1988 (684 women). Details of symptoms, age at coitarche, number of sexual partners, contraceptive methods, and obstetric history were recorded together with the results of the venereological examination. A substantially higher proportion of women used condoms in 1988 (51%) than in 1984 (11%), but otherwise the safe sex campaigns had had a limited effect on the sexual behaviour in this group of women until 1988. The prevalence of gonorrhea decreased significantly (from 22% to 6%, p < 0.01), whereas an increase in the prevalence of genital warts was observed (from 4% to 10%, p < 0.01).

Adolescent↗

[Adolescents and AIDS: sex behavior, knowledge and attitudes. Results of a survey of students in a large West German city].

OBJECTIVES: It was the goal of this study to describe sexual and contraceptive behaviour of adolescents as well as their knowledge about and attitudes towards AIDS and AIDS prevention, in order to assess their risk of HIV infection and to offer improved health education. METHODS: Using a questionnaire a survey was carried out among 740 pupils of several Düsseldorf schools during the summer of 1991. RESULTS: The majority of respondents neither reported frequent change of sex partners nor intercourse with unknown partners. About 50% reported occasional use of condoms. Although adolescents in this study were well informed about AIDS, there was a wish for better information on HIV infection and AIDS. CONCLUSIONS: Adolescents in this sample cannot be considered to be at high risk for HIV infection. More promiscuous subgroups should be urged to increase condom use. It should be explored why adolescents although well informed about AIDS are not satisfied with the AIDS education they received, perhaps there is a desire for more direct instructions.

Acquired Immunodeficiency Syndrome↗

Condoms and coitus: adolescents attitudes to AIDS and safe sex behavior.

This study investigated the relationship between sexual risk taking and attitudes to AIDS precautions among a sample of approximately 1000 non-virgin adolescents attending 15 colleges and universities in Victoria, Australia. Four attitudinal dimensions were isolated: Antiprecautions, Risk Denial, Abrogation of Responsibility and Fatalism. These attitudes showed meaningful relationships with different types of sexual risk: risk with a casual partner, risk with a regular partner, and multiple partnering. Different patterns of association emerged for males and females, with female risk behavior being more strongly related to antiprecautions attitudes. These differences were discussed in the light of gender-stereotypic responses to sexual situations, and their implications for educational interventions were explored.

Acquired Immunodeficiency Syndrome↗

[Sex behavior in the elderly: gerontopsychiatric aspects].

The relationship of sexuality and mental illness is not through investigated. There are few experiences. Psychiatric publications are limited and describe the deviate sexuality of demented disorders, psychosis, and neurosis. In the place of foreground of psychiatric publications are the abnormal sexuality and its criminal procedure. The paper describes the most important articles in German and English. Some references to observations in out-patient and in-patient care are following.

Aged↗

Sex behavior among high school students in Sweden: improvement in contraceptive use over time.

PURPOSE: To investigate sexual behavior and attitudes toward sexuality among first-year high school students in Sweden in 1999 and to compare the sexual behavior with that reported from similar studies in 1979 and 1989. METHODS: In Spring 1999, a questionnaire with 47 questions mainly of multiple-choice nature was administered to a random sample of 20 classes in senior high school in two medium-sized cities in Sweden. The median age of the students was 16 years. Differences in sexual behavior and attitudes were evaluated with the Chi-square and Student's t-test. RESULTS: Almost half of the students (46%) had had intercourse, showing that the age of coitarche had not decreased during the past two decades. The median age at intercourse of those who had had intercourse was 15 years in both genders. More students in practical (vocational-technical) programs (60%) than in theoretical (college preparatory) ones (37%) had had sexual intercourse. More teenagers in theoretical (90%) than in practical programs (64%) had used contraceptives at their first intercourse, an increase from 65% in 1979 to 76% in 1999. One-fourth of the teenagers were under the influence of alcohol at the first intercourse, a decrease, compared with 1979. CONCLUSIONS: Contraceptive use at coitarche has increased and alcohol use decreased over the 20-year-period. The tendency noted 10 years ago that students attending practical programs put themselves at more health risk than students in theoretical programs continues. This fact should be considered when planning for counseling and sex education.

Adolescent↗

[Knowledge about sexuality and sex behavior in university students with visual impairment: need of educational materials].

The objective of this study was to identify the knowledge about sexuality (including STD/HIV/AIDS), the sexual practices more frequents and sexuality education sources in a group of students with visual impairments. A self administered questionnaire was utilized in 50 students with visual impairment. Descriptive statistics were utilized. Seventy six percent (76.0%) of the participants presented a high knowledge about sexuality and 22.0% presented moderated knowledge. The no penetrative sexual practice more frequent was corporal caress (82.0%) and the penetrative was penis-vagina (74.0%). The source of sexuality education most common was the conferences (83.9%). Although, in general, the knowledge about sexuality was high, there are "gaps" in them. There is the need to develop educational materials adapted to the needs of the studied population.

Adult↗

[Transverse study on sex behavior associated with HIV transmission among homosexual men in Catalonia].

In 1993, a cross sectional study was carried out on the sexual behaviour of a sample of homosexual men recruited in saunas, sex shops and a gay community-beased organisation of Catalonia. A total of 551 men with an average age of 34 years and a high educational level sent in an anonymous questionnaire. In the previous 6 months the mean number of male sexual partners was 6 and for penetrative partners 3. In the previous month, 94% had had oral sex (22% with ejaculation) and 76% anal intercourse (38% without a condom and 21% with ejaculation). During sex, 51% used alcohol, 34% nitrite inhalants, 20% hashish and 10% cocaine, 61% had had the HIV test, with a self-reported HIV prevalence of 21%. 86% stated that they knew of one or more people infected by HIV or with AIDS. The high percentage of men who had unprotected anal intercourse and the high self-reported HIV prevalence highlights the need to increase efforts in AIDS prevention and research in this group. Monitoring HIV associated sexual behaviours provides valuable indicators of the evolution of the epidemic, useful for designing and evaluating preventive interventions.

Adolescent↗

[Knowledge and attitudes about AIDS and sex behavior among school and university students of main urban cities of the country].

A national survey was conducted interviewing 4,522 students and 334 teachers. The result can be extrapolated to young people over 15 years of age and living in the large urban centers of the country. Thus the results can be extrapolated to approximately 330,000 persons. A good theoretical knowledge was detected but invalidated by erroneous beliefs, such as believing that A.I.D.S. is not contagious if relations are held within the same social group, that can be avoided by post-coital genital cleaning or by inquiring about the partner's previous sexual conduct. Forty four two per cent of the surveyed student are sexually active, and of this 32.6% of the men and 10.8% of the women have sexual relations with others outside their regular partners. The 72.9% believe that there is no possibility of A.I.D.S. contagion or that is very low. The erroneous beliefs, the high level of sexual activity the precocious initiation of sexual activity with prostitutes prostitutes and promiscuity among the surveyed, together with the generalized and false perception that there are not possibilities of contagiouness confirm that our youth is in very high risk level of contracting A.I.D.S. virus. Government politic is required to provide a global solution to this problem.

Acquired Immunodeficiency Syndrome↗

[Partnership and sex behavior of consumers of illegal drugs: a survey of 654 persons in the "open" drug scene in Zurich].

In the spring of 1991, a survey was carried out in the "open" drug scene in Zürich's Platzspitz area with the objective of studying drug users' behaviour with regard to relationships and sexuality, a random sample of 654 users (both male and female) of illegal drugs being interviewed and the data drawn from these interviews being compared with corresponding data on average young adults aged 17 to 30. The latter data have been continuously collected since 1986 to evaluate Switzerland's strategy to prevent AIDS. About fifty per cent of drug users are in steady relationships, which is a smaller proportion than among average young adults. On the other hand, occasional sexual contacts (whether or not a steady relationship exists) are three times as frequent among drug users. The use of condoms is slightly more frequent here than among the average population, but is not as yet-and especially among those who are HIV-positive-consistent enough by any means. The influence of drug abuse on sexuality is usually felt to be negative (decline in libidinal energy, impotence), and often brings about a decrease in sexual contacts. This is equally true of both opiates and stimulants (cocaine, amphetamine). Promiscuous behaviour is rare as such and does not occur with any greater frequency than among the average population. However, a large proportion of drug users is at some stage exposed to prostitution. In summary, one can say that the preventive strategy continues to be deficient where the sexual activities of drug users are concerned. A greater effort should be made, in this context, to target the following groups: persons already frequenting advice centers, persons who are HIV-positive, and male prostitutes.

Adolescent↗

[Skin disease and sexuality. An empirical study of sex behavior or patients with psoriasis vulgaris and neurodermatitis in comparison with skin-healthy probands].

Fifty-three patients with psoriasis, 24 patients with atopic eczema and 52 controls with healthy skin were compared with regard to their sexual behavior. For the test, questionnaires developed by Arentewicz as well as our own questionnaire on sexuality and partnership were used. Patients with skin diseases had a significantly impaired sex life, compared to those with healthy skin. There was a highly significant reduction in the exchange of tenderness in patients of both sexes, and in the capacity for orgasm in female patients. On the other hand, no significant difference was found concerning the frequency of intercourse. Patients with psoriasis felt more impaired than those with atopic eczema. Ninety-three percent of psoriatics and 96% of patients with atopic eczema had not been asked about their sexual life by their attending doctor. We discuss to what extent skin diseases are possibly involved in the regulation of nearness and distance among partners. The dermatologist should a be knowledgeable and understanding source for patients which skin diseases who have questions about their disease and its effect on their sex life.

Adult↗