| 1. |
- Areskoug-Josefsson, Kristina, et al.
(författare)
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Health Care Students’ Attitudes Towards Working with Sexual Health in Their Professional Roles : Survey of Students at Nursing, Physiotherapy and Occupational Therapy Programmes
- 2016
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Ingår i: Sexuality and Disability. - : Springer Science and Business Media LLC. - 0146-1044 .- 1573-6717. ; 34:3, s. 289-302
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore differences and similarities in health care students’ attitudes towards working with and communicating with patients about sexual health issues in their future professions. The aim was also to explore whether the students’ gender, age and future professions were influencing factors and whether there was a change in attitude depending on educational levels, gender, age and future professions. The study also aimed to explore the potential development of those differences and similarities in attitudes between health care students having achieved different levels of education and training in their future professions. A cross-sectional quantitative study was performed with an online survey distributed to nursing, occupational therapy and physiotherapy students. The students believed that they needed increased sexual health education and increased communication skills about sexual health. Gender and future profession are factors that significantly affect the attitudes of the students towards working with sexual health. Nursing and occupational therapy students have a more positive attitude towards addressing sexual health in their future professions than do physiotherapy students. Further research is needed in this field to improve competence in sexual health for all student groups, particularly physiotherapy students. Further research is also needed to explore the significance of gender regarding education in sexual health and attitudes towards working with sexual health.
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| 2. |
- Areskoug Josefsson, Kristina, et al.
(författare)
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Sexual Health as a Part of Physiotherapy: The Voices of Physiotherapy Students
- 2015
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Ingår i: Sexuality and Disability. - : Springer Science and Business Media LLC. - 0146-1044 .- 1573-6717. ; 33:4, s. 513-532
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the project was to explore and describe the views of physiotherapy students concerning sexual health as a part of physiotherapy education, and to enable them in their future profession as physiotherapists to be able to discuss sexual health matters with patients in an informed, sensitive and relaxed way. A qualitative interview study with data collection through focus group interviews was performed and analyzed with thematic content analysis. There was a strong consensus among the physiotherapy students in believing that sexual health should be acknowledged by physiotherapists. The theme that emerged from the data was: Sexual health-a professional challenge. The interviews resulted in the following categories: professional challenge, personal life experiences, communication, perceptive patient understanding, environmental factors and need for competence development. Students are positive towards working with sexual health. They believe that sexual health is an important aspect of quality of life, and therefore should be a part of physiotherapy education. Sexual health needs to be more addressed in the physiotherapy education. Students lack knowledge of lesbian, gay, bisexual, transgender and queer, sexual health and communication about sensitive issues. Perceived barriers towards working with sexual health could probably be lessened with increased education, but further research is needed. Personal development, knowledge, experience and environmental factors facilitate communication about sexual health.
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| 3. |
- Areskoug Josefsson, Kristina, 1973-, et al.
(författare)
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Swedish social work students' attitudes toward addressing sexual health issues in their future profession
- 2019
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Ingår i: Sexuality and disability. - : Springer. - 0146-1044 .- 1573-6717. ; 37:2, s. 161-173
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Tidskriftsartikel (refereegranskat)abstract
- Sexual health is an important area for social work. Social workers’ failure to address sexual health issues in social work practice, due to experienced discomfort, may create barriers toward clients, and lead to their decreased health. Investigating social work students’ attitudes toward sexual health, and their perceived competence in this area is crucial for developing social work education on sexual health issues. The aim of the present study was to explore Swedish social work students’ attitudes and perceived competence and educational needs regarding communicating about sexual health in their future profession. A quantitative study using the Students’ Attitudes toward Sexual Health (SA-SH) in a Swedish sample of 242 social work students. The students considered knowledge about sexual health as important for their future profession. The response patterns indicated that students considered themselves uncomfortable and insufficiently prepared to handle issues related to sexual health in their future profession, which may affect how they succeed in addressing the needs of their future clients. The conclusion of this study is that social work students are insufficiently prepared to address issues concerning sexual health in their future profession. Social work programs need to increase sexual health education as well as training in communicating about sexual health issues in order to meet the needs of the clients.
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| 4. |
- Bahner, Julia
(författare)
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Legal Rights or Simply Wishes? The Struggle for Sexual Recognition of People with Physical Disabilities Using Personal Assistance in Sweden
- 2012
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Ingår i: Sexuality and Disability. - : Springer Science and Business Media LLC. - 0146-1044 .- 1573-6717. ; 30:3, s. 337-356
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study is to explore the lived experience of sexuality for people with physical disabilities using formal personal assistance services in Sweden, from their own perspective. This is analyzed in relation to the aims of personal assistance services according to Swedish law, which states that they should be framed in terms of autonomy, integrity and self-determination making it possible to live a good life, on the same terms as non-disabled people. Data were collected through face-to-face interviews with ten assistance users and through observations on an online discussion forum for people with disabilities. The main findings of the study concern participants’ struggle to be recognized as sexual beings in order to be able to live as desired, as well as the different strategies needed to overcome obstacles in sexual expression. Results indicate the need to train personal assistants about handling assistance users’ sexuality and sexual situations.
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| 5. |
- Bertilsdotter Rosqvist, Hanna, 1976-
(författare)
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Becoming an ‘Autistic Couple’ : Narratives of Sexuality and Couplehood Within the Swedish Autistic Self-advocacy
- 2014
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Ingår i: Sexuality and disability. - : Springer. - 0146-1044 .- 1573-6717. ; 32:3, s. 351-363
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Tidskriftsartikel (refereegranskat)abstract
- Research on sexuality and autism is dominated by a sexually deficit view of autism. According to this view, people with autism are considered different from neurotypicals and in need of sexual education that is specially adapted to the social impairments of people with autism. Perspectives on sexuality, couplehood, and autism are gradually changing, and this is partly because of alternative views on autism expressed and advocated within autistic self-advocacy movements. The present paper explores discourses within the Swedish autistic self-advocacy movement of an ‘autistic’ sexuality and couplehood (sexuality and couplehood on people with autism’s own terms). The analysis is based on articles in a Swedish magazine, Empowerment, published between 2002 and 2009 that was produced by and aimed at adults with autism.
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| 6. |
- Bertilsdotter Rosqvist, Hanna, 1976-, et al.
(författare)
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Not Doing it Properly? : (Re)producing and Resisting Knowledge Through Narratives of Autistic Sexualities
- 2021
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Ingår i: Sexuality and disability. - : Springer. - 0146-1044 .- 1573-6717. ; 39:2, s. 327-344
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Tidskriftsartikel (refereegranskat)abstract
- Autism is conceptualized in much scientific literature as being associated with restricted and repetitive interests, characterized by an ‘empathy deficit’, and negatively impacting social communication. Meanwhile, ‘good and healthy’ sexuality is largely considered to be a social endeavor: asexuality and sexualities defined by acts rather than by partner gender—for example kink or BDSM—are broadly pathologized. Perhaps, therefore, first-hand autistic experiences of sexuality challenge existing assumptions about ‘good and healthy’ sexualities within couplehood. As a theoretical starting point to explore this potential, we revisit Gayle Rubin’s notion of ‘sex within the charmed circle’ to ask whether autistic sexuality can ever truly ‘fit’ within this (neurotypically defined) virtuous sexual arena. We further consider the ways in which the intersection of autism and sexuality is understood and experienced in first-hand autistic accounts of sexuality within a specific context, through analysis of a Swedish online discussion forum in which autistic people discuss sexuality. In doing so we seek both to better understand autistic sexual experience, and to track and deconstruct potentially restrictive assumptions of (non-autistic) couple sexuality more generally. We also consider ways in which assumptions of deficit concerning both non-normative sexualities and autism may have a deleterious effect on autistic people and on research more broadly, limiting theoretical and conceptual understandings of autism and autistic ways of (sexual) being by a default comparison to sexual and neurological norms. © 2020, The Author(s).
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| 7. |
- Brunnberg, Elinor, 1948-, et al.
(författare)
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Sexuality of 15/16-year-old girls and boys with and without modest disabilities
- 2009
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Ingår i: Sexuality and disability. - : Springer. - 0146-1044 .- 1573-6717. ; 27:3, s. 139-153
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Tidskriftsartikel (refereegranskat)abstract
- Girls and boys with disabilities, 15-16 years of age, report a significantly higher rate of sexual debut than adolescents with no disabilities. In a society where a young person with a disability often is considered to have an essentially asexual status, there can be several fronts for adolescents to fight. The survey Life and Health - Young People 2005 was completed by 3,084 adolescents attending mainstream schools in Sweden. In this study the sexual debut in girls and boys with and without disabilities is related to mental health, school exposure and substance use. Our findings might be explained by a mechanism of identity construction from the adolescents' ideas of normality and by a battle for acceptance and confirmation of life. The ideas of normality can be erroneous but still influence the adolescents' sexual activity. Multivariate analyses also showed that the relationship between sex and substance use is strong among all adolescents.
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| 8. |
- Dellenborg, Liselott (Lisen), 1966, et al.
(författare)
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Perspectives on Sexuality Among Patients with Hypopituitarism: Broadening the Medical Focus on Sexual Function to Include Sexual Wellbeing
- 2020
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Ingår i: Sexuality and Disability. - : Springer Science and Business Media LLC. - 0146-1044 .- 1573-6717. ; 38:3, s. 515-532
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Tidskriftsartikel (refereegranskat)abstract
- Hypopituitarism means a partial or complete inability to produce pituitary hormones, including those regulating gonadal function. The condition therefore leads to hormone deficiencies that may affect sexuality in various ways. This study aimed to explore patients' own experiences of hypopituitarism in relation to sexuality, and it is based on interviews with 19 men and women. A qualitative methodology inspired by Gadamer's philosophical hermeneutics was used. Analysis revealed that current healthcare practices, which focus primarily on sexual functioning, fail to address patients' existential concerns about loneliness, loving relationships and selfhood. Another important finding was that women felt that their sexual functioning and wellbeing tended to go unnoticed, while men said that healthcare professionals focused mainly on erectile function rather than problems with sexual wellbeing. Cultural and gender norms were apparent in these healthcare interactions, and proactive efforts to improve awareness is required in order to improve the quality of care provided to these patients. Healthcare professionals need time, space and support for reflection so that they may enhance their knowledge about the complexity of sexuality and discuss the results of research into hormone replacement in men and women. They also need support to develop critical awareness of how gendered norms about sexuality may negatively affect the care provided to persons with hypopituitarism.
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| 9. |
- Ek, Ann-Sofie, et al.
(författare)
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Unmet Need for Sexual Rehabilitation after Acquired Brain Injury (ABI) : A Cross-Sectional Study Concerning Sexual Activity, Sexual Relationships, and Sexual Rehabilitation after ABI
- 2023
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Ingår i: Sexuality and disability. - : Springer. - 0146-1044 .- 1573-6717. ; 41:2, s. 387-410
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Tidskriftsartikel (refereegranskat)abstract
- In relation to brain injury rehabilitation, research has stressed the importance of including sexuality issues due to increased risk for sexual dysfunctions after Acquired Brain Injury (ABI). This study aims to explore experiences after non-stroke ABI concerning individual and relational aspects of sexuality, received information about sexuality at rehabilitation, and gender differences. A postal nationwide survey was conducted in Sweden, 2018-2019. The sample included individuals who had participated in brain injury rehabilitation 2014-2016, response rate 40% (250/624). Among all participants 78% had resumed sexual activity, and there was a significant difference between males (84%, 118/140) and females (69%, 76/110, p = 0.004). Among all participants, 95% reported physical intimacy as important, 80% considered sex as important on an individual level, and 91% stated sexuality as important for the relationship (no gender differences). Significantly more females (52%) than males (22%) reported that they had tried sexual aids (p = 0.000), and more males (29%) than females (16%) reported that professionals addressed sexuality issues during brain injury rehabilitation (p = 0.024). However, only a few participants were offered specific sexual counseling during brain injury rehabilitation, such as individual counseling (3%), couples counseling (2%), and group counseling (3%). To conclude, the vast majority valued both individual and relational aspects of sex and sexuality highly, and more males than females had resumed sexual activity. Few had received information about sexuality after ABI, and even fewer females compared to males reported that the issue was raised during rehabilitation. Clinical implications are discussed in relation to sexual rehabilitation.
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| 10. |
- Gerbild, Helle, et al.
(författare)
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Does a 2-week sexual health in rehabilitation course lead to sustained change in students’ attitudes? — A pilot study
- 2018
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Ingår i: Sexuality and disability. - : Springer. - 0146-1044 .- 1573-6717. ; 36:4, s. 417-435
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Tidskriftsartikel (refereegranskat)abstract
- This pilot study aimed to explore if healthcare professional students participating in a 2-week elective course, Sexual Health in Rehabilitation (SHR), led to significant and sustained change in experienced competence and attitudes towards addressing sexual health in their future professions, when measured with the Students’ Attitudes towards Sexual Health-Danish version (SA-SH-D). Comparison-group design, using the SA-SH-D at baseline, after the 2 weeks course and 3 months after completing the course. Participation in the SHR course significantly changed the students’ attitudes; decreasing their fears of offending the patients and increasing their feelings of comfort in communicating about sexual health, and the results sustained during the follow-up period of 3 months. The results of the intervention suggest that a 2-week elective SHR course leads to sustained change healthcare students’ attitudes towards addressing sexual health in their future profession. Sexual health education positively changed the students’ attitudes, decreased their fears of offending the patients and increased their feelings of comfort in communicating about sexual health. The SA-SH-D is a useful tool to measure results of educational interventions aiming to change healthcare students’ attitudes towards addressing sexual health in their future profession. Future research is recommended regarding students’ attitudes towards addressing sexual health with persons living with disabilities. There is also a need to further research the effect of elective versus compulsory sexual health education in healthcare programs, to lessen the risk that healthcare students in their future profession will not be able to give equal care due to variation in competence and attitude.
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