Dissertations / Theses: 'Healthy sexual development'

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Eagle, Deborah. "Dating anxiety and sexual intimacy anxiety in young people who harm sexually : a comparative study." Thesis, Loughborough University, 2015. https://dspace.lboro.ac.uk/2134/17483.

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The present research aimed to address two questions. First, is dating anxiety associated with sexual intimacy anxiety? Second, do young people who report harmful sexual behaviour, as an offence or harmful dating behaviour, have higher levels of dating and sexual intimacy anxiety than young people who report no harm, non-sexual harm or sexual and non-sexual harm (generalists)? The Dating Anxiety Scale for Adolescents (DAS-A) was used to measure overall dating anxiety. Questions relating DAS-A sub-factors fear of negative evaluation and social distress - dating were amended to measure sexual intimacy anxiety. A scale to measure partnership anxiety and sexual behaviour anxiety were designed. Participants were 77 young people aged 13 to 18 years (M = 15.4, SD = 1.41). Forty-five (58%) of participants were female and 32 (42%) participants were male. Results found a strong, significant association between higher levels of dating anxiety and higher levels of sexual intimacy anxiety r(75) = .80, p < .001. Young people who reported a sexual offence had significantly higher sexual behaviour anxiety than non-sexual offence (M = 15.82, SD = 6.23, p = .005) and generalist offence groups (M = 21.77, SD = 6.53, p = .044). Despite no other significant differences, a pattern emerged that suggests young people who report harmful sexual or generalist dating behaviour may have higher dating and sexual intimacy anxieties. Furthermore, young people who report harmful dating behaviour may have higher anxieties than young people who report an offence. The implications of the findings for future harmful sexual behaviour and harmful dating behaviour research and practice are discussed.

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Horne, Sharon, and n/a. "Female Sexual Health: The Definition and Development of Sexual Subjectivity, and Linkages with Sexual Agency, Sexual Experience and Well-Being in Late Adolescents and Emerging Adults." Griffith University. School of Psychology, 2005. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20060726.165349.

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Sexuality is an integral part of health and well-being. Despite a 30-year history of adolescent sexuality research, there has been little that has focused on more than risky sexual behaviour. For example, there has been little research on conceptions of sexuality and pathways to sexual health. In part, this is because sexual health has been often defined as the lack of risky behaviour and health problems. In the studies reported here, components of female sexual health were identified and tested, including behaviours and cognitions, among groups of girls in their late teens and early 20s. After a review of the literature, four sets of factors appeared central to identifying female sexual health. These factors included sexual subjectivity, sexual agency, psychosocial well-being and sexual exploration. The first factor, sexual subjectivity, had previously been described as important to female sexual well-being, but had been developed within feminist theories and studied with qualitative methodologies. After a thorough review of the literature, no psychometrically sound measure of sexual subjectivity was found. Therefore, an instrument to assess sexual subjectivity was constructed and validated through a series of studies. Partially as expected, five factors were found - sexual body-esteem, entitlement to sexual pleasure from oneself, entitlement to sexual pleasure from a partner, sexual self-efficacy in achieving sexual pleasure, and sexual self-reflection. In additional cross-sectional and longitudinal (6-month, 2 waves) studies, associations between sexual subjectivity, sexual agency, psychosocial well-being, and sexual experience were examined. The results showed that there were concurrent associations between sexual subjectivity and measures of sexual agency and some measures of psychosocial wellbeing. Results also showed that females with more sexual experience (i.e., experience with sexual intercourse, self-masturbation, noncoital orgasmic responsiveness, and same-sex sexual experience) were relatively higher in sexual subjectivity and sexual agency. However, well-being was similar in sexual experience groups when they were compared. In longitudinal analyses, changes in sexual subjectivity, sexual agency and psychosocial well-being were examined for the whole sample and among subgroups defined by levels of sexual experience. Comparisons were also made between those girls who commenced sexual intercourse during the course of the study, those who remained virgins, and those who were nonvirgins at the first assessment. Main effects generally validated cross-sectional findings. Girls who commenced first sexual intercourse relatively earlier increased in self-esteem over time, compared to their virgin counterparts. Girls who reported a history of self-masturbation and noncoital orgasmic responsiveness, and girls who reported no history with either behaviour, increased in sexual body-esteem and self-esteem over time, but the former group of girls were relatively higher in sexual body-esteem and self-esteem than the latter group of girls. Girls who reported a history of one, but not the other of self-masturbation and noncoital orgasm did not change over time. Results also indicated that girls' transition to first sexual intercourse had little association with sexual subjectivity, but some findings were suggestive of a need for further research. Future research, and study strengths and limitations are discussed. There is a need to examine sexual subjectivity as both an antecedent and an outcome using longer time lags with several waves of assessment so that the linkages between sexual subjectivity and other factors can be determined. The implications of sexual subjectivity and sexual exploration for sexuality education are also discussed.

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Andres, Shandi D. "Parental influences on adolescent sexual decision making." Kansas State University, 2010. http://hdl.handle.net/2097/6988.

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Master of Science
Department of Family Studies and Human Services
Rick J. Scheidt
This M.S. report provides an evaluative review of research on parental influences on adolescent sexual decision-making. Data show that a significant proportion of never-married female and male teens (ages 15-19) have had sexual intercourse at least once. Adolescent decisions on sexuality and possible consequences such as pregnancy or sexually-transmitted diseases may have profound personal and social impacts. Theoretical and empirical domains of parental influence are reviewed, including communication, morality, family structure and context, parental control, as well as the role of media. This review shows that adolescent sexuality has changed over time due to socio-historical factors and that parents continue to have an influence on their children’s decision-making abilities. Implications for applied professionals and researchers are discussed.

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Woodhead, David. "Safer sexual citizenship : the effects of community development, sexual health promotion on HIV negative gay men in the AIDS epidemic." Thesis, London South Bank University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.532157.

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Downing, Jennifer. "Understanding adolescent and young people's sexual health and development in a public health context : research studies and interventions." Thesis, Liverpool John Moores University, 2014. http://researchonline.ljmu.ac.uk/4504/.

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Sexual health risk-taking behaviour is typically initiated during adolescence and continues throughout teenage years and early adulthood at higher levels than at other life stages. For some groups (e.g. deprived and vulnerable populations) the risks can be greater still. Risk behaviours in early youth are related to increased rates of risk-taking and the adoption of multiple risk behaviours in early adulthood. Prevention interventions implemented early on are shown to be most effective at preventing or reducing the poor health outcomes associated with risk-behaviours. Policies and prevention interventions are informed by current data showing patterns of risk behaviour, identification of emerging behaviour, factors associated with these behaviours and evidence of intervention prevention effectiveness. This submission presents a linking commentary which summarises and critiques a series of peer reviewed publications, supported by additional publications, all of which were carried out during my employment at Liverpool John Moores University. Studies have identified key factors affecting sexual development and associated behaviour; associations between sexual and other behaviours, such as alcohol behaviours; and the relationship between social and well-being factors and sexual behaviours in adolescents and young people. Studies also evaluate public health initiatives and review public health evidence of intervention effectiveness. These studies have contributed to understanding sexual development and its impact on behaviours during the life course; have highlighted the health service and education needs of young people; and have identified effective interventions and intervention components to inform national guidance, public health policy and intervention development.

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Iwami, Michiyo. "Sexual and reproductive health care development and participation in Peru : the role of CLAS." Thesis, University of Warwick, 2008. http://wrap.warwick.ac.uk/1089/.

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This study aims to analyse policy and political processes at multiple levels, and examine the consequences for Sexual and Reproductive Health (SRH) care development arising from the engagement of a participatory movement in Peru. I used Associations of Local Community of Health Administration (CLAS) as a core organisation for Peru’s major participatory model at local level. With policy makers, NGOs, health workers and (potential) service users, I explored factors that facilitated/prevented women’s participation in decision-making mechanisms and health practices. I employed a case study and multi-disciplinary approach at national, regional and local levels, focused upon women from multiple aspects in Andean Peru. I studied rural, periurban CLAS and non-CLAS models to compare across the case studies. I conducted semi-structured in-depth interviews with 116 respondents, unstructured observation, and documentary analysis in 2004. My analytical frameworks focused upon: ‘policy content’, ‘context’, ‘actors’, ‘process’, ‘patterns of participation’, and ‘outcomes and impacts’. Political, economic, legal and technical were identified which reflected the stagnant state of the development of SRH and CLAS policies. The central policy focuses on a narrow sense of SRH care, and neglects Reproductive Tract Infections (RTIs). Central government’s weak political leadership and stewardship to CLAS policies reflected that personal leadership (e.g. regional health directors) can define the destiny of regional CLAS development. Facilitating factors were led by NGOs and mixed factors were led by donors. CLAS appeared to create favourable conditions/environment for women’s participation in the community. Local respondents in the CLAS system understood the importance of participation to solve local problems compared to their non-CLAS system counterparts. Nevertheless, women in CLAS model had no influence on changes of SRH agenda, despite difficulties in the acquisition of contraceptives and effective RTIs medicines. The following actors must be incorporated into the decision-making and evaluation/feedback mechanisms in CLAS model to achieve more gender, age-gentle, and ethnically-sensitive Local Health Programmes and strengthen a rights- and trust-based approach: women’s Grassroots organisations, Defence Committees of Women’s Rights, Community Health Agents, Committees of Communal Development or Health (CODECOS)/(COSACOS), and traditional health providers. Alternative relationships (e.g. rapprochement) between CLAS and government authorities must be sought.

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Gieck, Donald J. "Development of a brief motivational intervention that targets heterosexual men's preventive sexual health behavior." Laramie, Wyo. : University of Wyoming, 2007. http://proquest.umi.com/pqdweb?did=1481671711&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.

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Joice, Regina Carol. "Characterization of Malaria Sexual Stage Development in the Human Host." Thesis, Harvard University, 2013. http://dissertations.umi.com/gsas.harvard:10921.

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Due to an increase in malaria control programs in the last decade, the world has witnessed dramatic reductions in the number of infections and deaths caused by the malaria parasite. With malaria eradication on the global health agenda, a shift toward transmission-focused research has led to a renewed focus on a previously neglected stage of malaria: the sexual stage (gametocyte). Malaria's sexual stages are the only stages in the human host that are transmitted to the mosquito vector, and are therefore of critical importance for blocking transmission of this devastating disease. The process through which developing gametocytes sequester outside of the bloodstream during their 8-10 day maturation is not well understood and stands to be exploited as a potential target for therapeutic intervention. In Chapter 1, we discuss the current state of knowledge on the development of these stages in the human host. In Chapter 2, we investigate anatomical enrichment sites for developing gametocytes in the human host using autopsy tissue from cases of fatal malaria. Immunohistochemistry (IHC) and quantitative reverse transcriptase PCR-based assessments identified the bone marrow as a preferential enrichment site of developing gametocytes. Co-localization with host proteins revealed the enrichment of gametocytes inside the extravascular space of the bone marrow, often observed in contact with erythroblastic island structures. In vitro experiments with erythrocyte precursor cells, as well as in vivo co-localization studies demonstrated that gametocytes can develop within the cells of the hematopoietic system of the bone marrow. In Chapter 3, we present an assay and analysis tool for inferring the presence of young and mature asexual and sexual stages in the peripheral blood of infected patients based on gene expression data. We apply this assay to malaria patient cohorts and in vitro drug perturbation time course experiments, and demonstrate its use in identifying young and mature gametocyte carriers, as well as characterizing the effect of a given perturbation on parasite development. This body of work aims to contribute to the overall knowledge base for malaria’s elusive gametocytes as well as to establish tools for performing future assessments on these transmissible stages.

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Carreira, Vinicius S. "The Aryl Hydrocarbon Receptor Contributions to Cardiovascular Development and Health." University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1446547352.

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Kessler, Laura E. "Examing Links of Racial and Sexual Identity Development, Psychological Well-being, and Sexual Risks Among HIV-Positive, Same Sex Attracted African American Men." University of Akron / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=akron1216915387.

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Ragúz, María. "Sexual and reproductive health and women development from a gender perspective: The role of men." Pontificia Universidad Católica del Perú, 2013. http://repositorio.pucp.edu.pe/index/handle/123456789/101096.

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Women's health, particularly, sexual and reproductive health, and development are here approached from a gender and human rights perspective, underlying the need to address these problems from a relational and comprehensive point of view. The issue of how sexual and reproductive health is approached and the "men's as partners" strategy is discussed. Adult women-centered, female-only family planning reproduction and contraception are criticized. Gender violence eradication is stressed as an entry to sexual and reproductive health programs. The case of Peruvian urban and rural women in poverty from Amazonian and Andean communities is taken as an example. Obstacles and achievements in working with men are reviewed but a gender transversal perspective is highlighted. Finally, women's sexual and reproductive health is related to development and seen as a standpoint for addressing health.
Se discute como se tratan los problemas de la salud sexual y reproductiva y el desarrollo de la mujer desde una perspectiva transversal de género y de derechos, subrayando la necesidad de trabajarlos desde una perspectiva integral. Se critican los programas y servicios centrados en la mujer adulta, en la reproducción y en la planificación familiar femenina. Asimismo, se señala la necesidad de trabajar en la erradicación de la violencia de género como una entrada para el trabajo en este ámbito. Como ejemplo, se presenta el caso de la salud sexual y reproductiva en comunidades andinas y amazónicas rurales y en extrema pobreza del Perú. Las dificultades y logros en el trabajo con hombres son analizados, subrayándose la necesidad de una perspectiva transversal de género en el trabajo. Finalmente, se relaciona la salud de la mujer con desarrollo y se concluye en la necesidad de trabajar siempre en este sentido.

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Onyenwe, Sarah Musu. "Sexual History Screening Tools For Individuals With Developmental Disabilities." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5768.

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Individuals with developmental disabilities are at high risk for sexual abuse, exploitation, sexually transmitted diseases and unwanted pregnancies. Thorough screening by clinicians in outpatient settings recommending preventative measures to promote reproductive and sexual health, and developing caregiver trust are essential. The aim of this systematic review was to provide screening tools to assist clinicians in assessing the sexual histories of individuals with developmental or intellectual disabilities. The Iowa model and the cognitive behavioral theory were used as the theoretical frameworks that guided and informed this project. A total of 148 articles were sought and, of the 34 articles reviewed, 19 were pertinent to synthesize the literature. Articles were appraised using the John Hopkins evidence-based practice model. Results from the existing literature showed that no screening tools are available to assess the sexual histories of individuals with developmental and intellectual disabilities. Thorough screening the sexual histories of individuals with developmental and intellectual disabilities could empower safe sexual practices and the attainment of a life with personal fulfillment for members of this population. The results of this project can result in positive social change by protecting the population of individuals with developmental and intellectual disabilities from exploitation, unplanned pregnancy, and sexually-transmitted diseases. Future research is needed to fill the gap in the field and develop sexual history screening tools for this population.

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Jimmy-Gama, Dixon. "An assessment of the capacity of faculty-based youth friendly reproductive health services to promote sexual and reproductive health among unmarried adolescents : evidence from rural Malawi." Thesis, Queen Margaret University, 2009. https://eresearch.qmu.ac.uk/handle/20.500.12289/7456.

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Despite the recognition of the influence of cultural norms on adolescent sexual behaviours in most societies (Kaler 2004; Chege 2005), less attention has been paid to the link between social norms and effectiveness of health facilities to promote adolescent sexual and reproductive health (ASRH). This thesis therefore examines the capacity of facilitybased youth-friendly reproductive health services (YFRHS) to promote ASRH in rural Malawian societies where culture strongly influences adolescent sexual behaviours. The study employs a social constructionist epistemology and a social interactionism theory to understand the capacity of YFRHS in ASRH promotion in rural Malawi. Qualitative and quantitative data were collected using a sequential exploratory design. Semi-structured in-depth interviews, participant observations, client exit interviews, survey, focus group discussions and review of health strategic and service utilisation documents/records were conducted. The results were generated by triangulating both qualitative and quantitative data. The findings of the study illuminate how social norms related to social identities influence adolescent sexual behaviours and ASRH promotion. An exploration of the cultural context reveals a major disjuncture between an ideal norm - no premarital sex - and a modelled norm where unmarried adolescents are expected to engage in unsafe sex. It also shows the conflicts between the cultural and scientific models of ASRH promotion. Structural gender asymmetry that emphasises subservience in females and hegemonic masculinity also reduces adolescents’ rights and agency in SRH promotion. The health providers are cultural agents. They manage diverse roles both as ‘moral guardians’ and as ‘health promoters’ in a way that limits their effectiveness as health promoters. The thesis concludes that the way facility-based YFRHS is implemented has limited impact on SRH promotion among unmarried adolescents of rural Malawi. The study recommends that appropriate health promotion interventions based on conscientisationoriented empowerment theories directed at adolescents, community and health workers should be used in ASRH promotion in societies with strong cultural influence on sexual behaviours.

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Akibar, Alvin. "Sexual Identity and Social Anxiety in Emerging Adulthood." Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc984158/.

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Elevated social anxiety (SA) is linked to issues with emotional distress, substance use, and social anxiety disorder (SAD). Notwithstanding concerns of how sexuality has been defined in the extant literature, emerging evidence suggests that the prevalence of SA and related challenges may be disproportionately present among sexual minorities, including lesbians, gay men, and bisexuals (LGBs). This trend may be especially relevant within the developmental context of emerging adulthood, an important period for development of sexual identity, and a time when individuals are already predisposed to heightened feelings of SA. The present study examined the relationship between sexual orientation (measured using sexual identity, sexual attraction, and past romantic and sexual behavior) and social anxiety (related to social interaction and social performance) among emerging adults. minority sexual identities [Welch's F(5,48.08) = 5.56, p = .002, ηp2 = .02.], same-sex attraction [Welch's F(4,108.06) = 11.27, p < .001, ηp2 = .04], and same-sex romantic [Welch's F(5,85.91) = 6.88, p < .001, ηp2 = .03] and sexual experiences[F(5,61.95) = 8.88, p < .001, ηp2 = .04], particularly among those who indicated attraction to multiple sexes. Findings support research that indicates that sexual minority adults experience higher levels of SA than majority (i.e., heterosexual, opposite-sex oriented) adults, and that assessment of sexuality may reflect number of sexual minorities identified. Future directions including intersections of race/ethnicity and gender are discussed.

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Monahan, Ryan Lorraine. "The role of childhood sexual abuse, social support, and optimism in the development of posttraumatic stress disorder." CSUSB ScholarWorks, 2008. https://scholarworks.lib.csusb.edu/etd-project/3406.

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The purpose of this study was to examine the role childhood sexual abuse (CSA), social support and a person's worldview (i.e., optimistic or pessimistic attitudes) had on Post Traumatic Stress Disorder (PTSD).

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Schmidt, Elizabeth Koss. "Usability and Feasibility of an Enhanced Sexual Health Education Program for Individuals with Intellectual and Developmental Disabilities." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1574716076209766.

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Jones, Kelley Simmons. "Childhood Sexual Behavior: An Integrated Developmental Ecological Assessment Approach." Antioch University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1463340188.

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Dolson, Robyn. "Pocket ACE: Neglect of Child Sexual Abuse Survivors in the ACEs Study Questionnaire." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etd/3573.

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In 1998, a seminal study on adverse childhood experiences (ACEs) and subsequent health risks catapulted ACEs and the study questionnaire into the zeitgeist. However, its childhood sexual abuse (CSA) item is problematic as it requires the perpetrator have been 5-years or older than the victim. To assess whether some survivors’ CSA is not identified by the current item, whether their exclusion prevents access to services requiring a four-threshold ACE score, and how their health outcomes compared to other CSA groups and controls, an international sample of 974 women completed an online survey assessing their current health and CSA history using the original item and an experimental item without the 5-year modifier. Results indicated many CSA survivors are not identified by a 5-year modifier, exclusion has service implications for some, and on most variables, they had increased adverse health outcomes compared to controls. Means of assessing CSA must be thoughtfully revised.

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Oliveira, Mariana GonÃalves de. "Manual saÃde sexual e reprodutiva: mÃtodos anticoncepcionais comportamentais - desenvolvimento e avaliaÃÃo de tecnologia assistiva." Universidade Federal do CearÃ, 2012. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=8731.

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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior
Tecnologia assistiva Ã um leque de equipamentos, recursos, serviÃos, metodologias, prÃticas, estratÃgias aplicadas para minimizar as dificuldades encontradas pelas pessoas com deficiÃncia. A Enfermagem tem utilizado das tecnologias como forma de assistir a clientela nos diversos ambientes de educaÃÃo e promoÃÃo em saÃde. O objetivo foi desenvolver e avaliar uma tecnologia assistiva com enfoque nos mÃtodos anticoncepcionais comportamentais para mulheres cegas. Trata-se de estudo de desenvolvimento e avaliaÃÃo de Tecnologia Assistiva. O perÃodo da coleta de dados ocorreu entre marÃo 2011 e abril de 2012. A pesquisa foi realizada no LaboratÃrio de ComunicaÃÃo em SaÃde do Departamento de Enfermagem da Universidade Federal do CearÃ. Os sujeitos do estudo foram juÃzes especialistas em aspectos pedagÃgicos e mulheres cegas que preencheram instrumentos de avaliaÃÃo. O estudo constou de trÃs etapas metodolÃgicas: desenvolvimento do manual, avaliaÃÃo pelos juÃzes especialistas e avaliaÃÃo com as cegas. A pesquisa foi submetida ao ComitÃ de Ãtica em Pesquisa e aprovada conforme protocolo nÃmero 283/11. Foram respeitados os aspectos Ãticos segundo a ResoluÃÃo 196/96. O Manual SaÃde Sexual e Reprodutiva â MÃtodos Anticoncepcionais Comportamentais apresenta texto em Braille e em tinta, com figuras em alto relevo acompanhadas de descriÃÃo, utilizou-se linguagem informal. Os juÃzes especialistas sugeriram ajustes na tecnologia, com intuito de melhorar a estrutura, a linguagem e as figuras do Manual. Dentre as trÃs juÃzas desta fase, duas eram cegas, situaÃÃo pertinente porque o Manual serÃ usado por este pÃblico. Dos dezoito itens que constituem o Instrumento de AvaliaÃÃo respondido pelas juÃzas, treze itens foram considerados adequados, em dois itens nÃo houve acordo entre os respondentes, e nos outros trÃs itens houve acordo entre os juÃzes. As alteraÃÃes nos termos tÃcnicos e na apresentaÃÃo do Manual foram realizadas de acordo com as sugestÃes dadas pelos juÃzes. Na terceira etapa do estudo, avaliaÃÃo do Manual pelas mulheres cegas, estas foram convidadas a se reunir em local prÃ-estabelecido para realizar leitura do Manual individualmente e responder ao Instrumento de AvaliaÃÃo. Os resultados foram analisados a partir dos Instrumentos de AvaliaÃÃo respondidos pelas mulheres. Dos quinze itens, oito foram julgados como adequados; sete itens apresentaram discordÃncia entre as avaliaÃÃes das mulheres. As avaliaÃÃes foram pertinentes por tornar o Manual mais acessÃvel e completo. Por outro lado, constituiu suporte para o trabalho dos profissionais da saÃde em consultas e aÃÃes de educaÃÃo em saÃde de planejamento familiar. Ao superar as dificuldades, este estudo apresenta considerÃvel repercussÃo para a populaÃÃo, pois possibilita caminho para o desenvolvimento de outras tecnologias assistivas com outras temÃticas.
Assistive technology is a range of equipment, resources, services, methods, practices and strategies applied to minimize the difficulties disabled people are confronted with. Nursing has used technologies to assist clients in different health education and promotion contexts. The aim was to develop and assess an assistive technology with a focus on behavioral contraceptive methods for blind women. An Assistive Technology development and evaluation study was designed. Data were collected between March 2011 and April 2012. The research was accomplished at the Health Communication Laboratory of the Nursing Department at Universidade Federal do CearÃ, Brazil. The study subjects were experts in pedagogical aspects and blind women, who completed assessment instruments. The study involved three methodological phases: development of the manual, expert evaluation and evaluation by the blind women. The research was submitted to the Research Ethics Committee and approved under number 283/11. Ethical aspects were respected in compliance with Resolution 196/96. The Manual SaÃde Sexual e Reprodutiva â MÃtodos Anticoncepcionais Comportamentais includes text in Braille and in print, with high relief figures accompanied by description, using informal language. The experts suggested technological adjustments with a view to improving the structure, language and figures in the Manual. Two of the three experts in that phase were blind, a pertinent situation as that is the target public of the Manual. Out of 18 items in the Evaluation Instrument the experts responded, 13 were considered adequate, the respondents did not agree on two and agreed on the other three items. Changes were made in the technical terms and presentation of the Manual according to the expertsâ suggestions. In the third phase, evaluation of the Manual by the blind women, these women were invited to meet at a predetermined place to read the Manual individually and answer the Evaluation Instrument. The results were analyzed based on the Evaluation Instruments the women had answered. Out of 15 items, eight were considered adequate; disagreements were found with regard to seven. The evaluations were pertinent to make the Manual more accessible and complete. On the other hand, the Manual served to support health professionalsâ work during health education meetings and actions for family planning purposes. By overcoming difficulties, this study entailed considerable effects for the population, as it makes room for the development of other assistive technologies on other themes.

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Cohen, Amanda. "Sexual Risk Behaviors: Who is Vulnerable? An Extensive Literature Review of Sexual Risk Practices and the Development of a Pamphlet for an At-Risk Community." Antioch University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1265164147.

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Nguyen, Thi Lan Anh. "The Development of a conceptual framework and model of sexual health education in upper secondary schools in Northern Viet nam." Thesis, Birmingham City University, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.581442.

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Nearly half the Vietnamese population is under 25years, and among this group, there is a rapidly rising incidence HIV and STD’s. There is an urgent need to develop strategies to improve young people’s knowledge and understanding of sexual health. Currently, teachers lack the knowledge and confidence to effectively teach sexual health and there was no conceptual framework underpinning the curriculum (Thanh, 2010). This study developed a conceptual framework and model for sexual health education programmes for upper secondary schools in North Viet Nam and made recommendations for education policy and practice. The study methods were based on the first cycle in action research, an approach recognised in Viet Nam for changing professional practice. Key to this study was Jarvis’ (2004) description of lifelong learning, Kolb’s (1984) experiential learning cycle and Problem Based Learning teaching documentation and discussions with Vietnamese government officials and NGO’s working in sexual health. The findings revealed that most pupils did not understand or did not practice safe sex, and all wanted more knowledge and information. Teachers reported limited knowledge and a reluctance to teach this subject. When the new conceptual framework and models were piloted, they were seen as accessible, acceptable and appropriate for the education system in Viet Nam, and demonstrated measurable changes in teaching and learning. The study is unique, in that it was designed with ministerial support for strategic implementation and sustainability. The Vietnamese government has accepted it. At their instigation, the research is already being used by an international working group for sexual health education in schools. It is also being used by a second international group, working to improve nurse education, and as a result is being piloted in undergraduate nursing programmes.

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Dusabe, John. "Development and evaluation of an mHealth intervention to improve the uptake of sexual and reproductive health services in Mwanza Tanzania." Thesis, University of Liverpool, 2014. http://livrepository.liverpool.ac.uk/2014371/.

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This thesis documents the development and evaluation of an mHealth intervention for sexual and reproductive health (SRH) referral from drugstores to health facilities in Mwanza Tanzania. SRH is an important factor for human development. Over the last 2 decades, provision and accessibility to SRH services has benefited from international and national health promotion interventions. In developing countries, use of close to community providers (CTC providers), such as village health workers, has been a key component of health promotion. This has been especially true in Tanzania where up to 70% of formal primary health care facilities lack health staff. CTC providers have been promoted through international initiatives such as the World Health Organization’s (WHO) task-shifting initiative. WHO’s recognition of CTC providers ranges from cadres at the grassroots level such as village health workers and drugstores to formal auxiliary providers based in health facilities, such as medical aides and nurses. In Tanzania, drugstores provide a range of SRH services ranging from simple advice on how to use a condom to complex prescriptions of antibiotics for STI treatment. Evidence has shown that drugstores – though more likely to have health-related training than any other informal CTC providers – lack skills necessary for provision of SRH services. This may contribute to poor SRH outcomes, such as increase in prevalence of sexually transmitted infections (STIs)/human immunodeficiency virus (HIV) and antibiotic resistance. Accessing SRH services at the formal health facility level is key to improving these outcomes. To create SRH service linkages and integration between drugstores and health facilities in Mwanza, Tanzania, an intervention that pioneered an mHealth SRH referral from drugstores to health facilities was designed and implemented for 18 months from September 2012 to February 2014. Referral between these two SRH providers using mHealth tools had not been attempted before. The intervention provided an electronic platform accessible to 52 drugstores and 18 health facilities in two districts of Mwanza region. Through a toll-free number and password, drugstores referred patients with SRH conditions to health facilities using the text-messaging feature on their mobile phones. From the platform’s in-built data collection tool, SRH uptake data demonstrated that 38% of patients referred from drugstores accessed HIV, STIs, family planning and maternal health services at the health facility level. A follow-up randomised household survey found that 72% of the participants would accept such type of referral in future, and among those who had ever visited drugstores for SRH services, 15% had heard about the intervention. At the end of the intervention, drugstores and health facilities confirmed that it was beneficial to their SRH service provision and that they would like to continue implementing it. In conclusion, this text messaging intervention pioneered community referral from drugstores to health facilities for SRH treatment by using mobile phones which appeared to be acceptable and effective in Mwanza Tanzania. With the growing use of mobile phones in Africa and the need to provide SRH services beyond the Millennium Development Goals (MDGs) era, mobile phone-based community referral through CTC providers, such as drugstores, could make an important contribution to achieving Universal Health Coverage targets.

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Eendebak, Robert. "The potential relationships between hormone biomarkers and functional and health outcomes of ageing." Thesis, University of Manchester, 2017. https://www.research.manchester.ac.uk/portal/en/theses/the-potential-relationships-between-hormone-biomarkers-and-functional-and-health-outcomes-of-ageing(e28321cc-703c-44df-99b4-fb0d76f7f429).html.

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Although the female menopause has been extensively characterized as a well-defined symptomatic state of oestrogen deficiency, which responds relatively well to oestrogen replacement therapy, the symptomatic state of androgen deficiency in men is poorly defined and uncertainty exists whether it responds to testosterone replacement. It has been proposed that hypothalamic-pituitary-testicular (HPT)-axis function (responsible for the production of androgens) and regulation could be viewed as a âbarometerâ of health status in older men and that potential alterations in HPT-axis function and regulation reflect subclinical and clinical deficits in function and health, which may result in an aged phenotype of human health and disease in older men. The HPT-axis constitutes a well-defined, tractable, clinically-relevant, biological system, which may permit insight into the mechanisms underlying the expression of ageing-related phenotypes of human health and disease. By using a different lens â such as the genetic background; the compensatory responses within the HPT-axis; the syndromes of androgen deficiency; the ethnic background of an individual or the life course trajectory of function and health from conception into older age â to magnify potential dysregulation in the HPT-axis will it be possible to visualize and understand the phenotypic expression of human male ageing as a gradient of functional and health outcomes. This will allow for a better understanding of the physiological mechanics underlying symptomatic expression of dysregulation in the HPT-axis.

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Hancock, J. A. "Exploration of five condom-related behaviours in the UK : development and evaluation of theory-based online safer sex intervention." Thesis, Coventry University, 2013. http://curve.coventry.ac.uk/open/items/338dfb68-db17-417a-bb6c-d62fb92e221b/1.

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To prevent unwanted pregnancies and sexually transmitted infections, sexually active individuals should practice safer sex (World Health Organisation 2008). This is important across the lifespan (Nusbaum and Rosenfeld 2004). But older and heterosexual populations are typically overlooked in safer sex interventions (Bodley-Tickell et al. 2008; Bowleg 2011). The Theory of Planned Behaviour (TPB) has been used to predict behaviour, and develop safer sex interventions (Fishbein and Ajzen 2010). But a criticism of the TPB is that it fails to recognise the emotional aspect of safer sex (Norton et al., 2005). Extending the TPB to include affective attitudes has enhanced the effectiveness of safer sex interventions (Ferrer et al. 2011). Furthermore, safer sex typically involves a series of five condom-related behaviours; accessing, carrying, negotiating, using and disposing (Moore et al. 2006). Yet most interventions promote only one condom-related behaviour. In addition, the internet is now being used more as a platform for delivering interventions (Kraft and Yardley 2009). For safer sex interventions, online delivery may help reduce the embarrassment individuals often report when discussing sexual health (Qulliam 2011). Therefore, the aim of this thesis was to develop and evaluate an online safer sex intervention to promote performance of multiple condom-related behaviours in a broad population. A series of studies were conducted in order to develop the intervention. Study 1, an online elicitation study with 26 individuals, used an extended TPB framework to explore attitudinal, normative and control beliefs toward performing five condom-related behaviours. Findings suggested that individuals hold a range of attitudinal, normative and control beliefs toward performing these condom-related behaviours. Study 2, an online questionnaire study with 363 individuals identified beliefs and behaviours for intervention target. Findings suggested that three condom-related behaviours should be promoted; carrying, negotiating and using. In addition, analysis showed that affective and moral norm beliefs were most predictive of intention to perform these three condom-related behaviours, and should be the intervention targets. Study 3 was an online intervention with 439 individuals. Individuals were randomised to one of three conditions; control message, positively- or negatively-framed persuasive message. TPB and self-report behaviour measures were taken pre-, immediately post-intervention and three months later. Findings demonstrated that performance of condom-related behaviours did not significantly increase from participation in the intervention. However, intention to carry and use condoms increased over time regardless of intervention condition in all populations sampled. Overall, findings from this thesis support the development of safer sex interventions that promote multiple condom-related behaviours in a broad population. However, findings suggested that persuasive messages targeting psychological constructs of the TPB do not change intentions better than a control message in a broad population. From a public health perspective, these findings suggest that highlighting the benefits of performing condom-related behaviours may be sufficient to strengthen intentions. These strengthened intentions may be protective in the future if the situation arises for an individual which requires the performance of these behaviours. Recommendations for future safer sex research are considered.

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Sosnowski, David. "Protective Factors in the Association Between Child Sexual Abuse and Telomere Length in Adults." VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4860.

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The purpose of the present study was to examine if childhood sexual abuse (CSA) was associated with decreases in mean telomere length (TL), and if social support and/or optimism moderated this association. The study included 99 Caucasian female monozygotic twins, ranging in age from 19-48 (Mage = 30.5, SD = 7.8) at Time 1. Linear mixed effects models were employed to test study hypotheses. Analyses with all participants did not detect an effect of CSA exposure or severity on mean TL, nor were there effects with optimism. However, in analyses that only included women exposed to abuse, increases in social support were associated with increases in mean TL. Further, for women who experienced non-genital abuse, social support was positively associated with mean TL. Findings from the current study clarify the role of CSA in telomere attrition, and factors that may protect against the negative biological effects of CSA.

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Black, Candace J., Aurelio José Figueredo, and W. Jake Jacobs. "Substance, History, and Politics." SAGE PUBLICATIONS INC, 2017. http://hdl.handle.net/10150/623123.

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The aim of this article is to examine the relations between two approaches to the measurement of life history (LH) strategies: A traditional approach, termed here the biodemographic approach, measures developmental characteristics like birthweight, gestation length, interbirth intervals, pubertal timing, and sexual debut, and a psychological approach measures a suite of cognitive and behavioral traits such as altruism, sociosexual orientation, personality, mutualism, familial relationships, and religiosity. The biodemographic approach also tends not to invoke latent variables, whereas the psychological approach typically relies heavily upon them. Although a large body of literature supports both approaches, they are largely separate. This review examines the history and relations between biodemographic and psychological measures of LH, which remain murky at best. In doing so, we consider basic questions about the nature of LH strategies: What constitutes LH strategy (or perhaps more importantly, what does not constitute LH strategy)? What is gained or lost by including psychological measures in LH research? Must these measures remain independent or should they be used in conjunction as complementary tools to test tenets of LH theory? Although definitive answers will linger, we hope to catalyze an explicit discussion among LH researchers and to provoke novel research avenues that combine the strengths each approach brings to this burgeoning field.

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Goudevenos, Rebecca. ""De är inte riktigt där ännu..." - Sex och samlevnad för barn i ett sexuellt dilemma : En studie om viktiga vuxnas narrativ gällande biologiämnets sex- och samlevnadsundervisning i grundskolans mellanår." Thesis, Södertörns högskola, Lärarutbildningen, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-44494.

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The present study aims to analyze the determining role of biology teachers and guardians in the discursive gap between children's sexuality, sexual curiosity and the sexual depiction of pornography. With an understanding of children's sexuality as holistic and dependent on many perspectives, the study highlights various factors that influence the child's knowledge about Sex and Reproductive Health in the biology subject. The study is an in-depth analysis-of various narratives presented by biology teachers and guardians regarding children’s sexuality and the teaching practice in Sex and Reproductive Health Education in Sweden. The critical discourse analysis is based on critical childhood theory and postconstructivism, which lays the framework for the study’s theoretical underpinnings. This means that an interpretation of respondents' linguistic communication permeates the study.The conclusion is that perceptions of the child's sexuality differ between biology teachers and the guardians, of which different opinions about the teaching content of Sex and Reproductive Health Education can be ascertained. All “important adults” (biology teachers and guardians) agree that pornography depicts a false image of sexual relationships, but when this is to be raised with the pupils, there are split perceptions. Another conclusion is that the determining role and values of teachers and guardians is an aspect that can influence what knowledge middle school pupils are given the opportunity to acquire. This may be significant when considering whether pupils gain sufficient knowledge about sexual relations, in school, in such way that the sexual depiction of pornography is not the only image of sexuality presented to them.

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Black, Candace Jasmine. "The life history narrative| How early events and psychological processes relate to biodemographic measures of life history." Thesis, The University of Arizona, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10102782.

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The aim of this project is to examine the relationships between two approaches to the measurement of life history strategies. The traditional method, termed here the biodemographic approach, measures developmental characteristics like birthweight, gestation length, inter-birth intervals, pubertal timing, and sexual debut. The alternative method under exploration, termed here the psychological approach, measures a suite of cognitive and behavioral traits such as altruism, sociosexual orientation, personality, mutualism, familial relationships, and religiosity. Although both approaches are supported by a large body of literature, they remain relatively segregated. This study draws inspiration from both views, integrating measures that assess developmental milestones, including birthweight, prematurity, pubertal timing, and onset of sexual behavior, as well as psychological life history measures such as the Mini-K and a personality inventory. Drawing on previous theoretical work on the fundamental dimensions of environmental risk, these measures are tested in conjunction with several scales assessing the stability of early environmental conditions, including both “event-based” measures that are defined with an external referent, and measures of internal schemata, or the predicted psychological sequelae of early events. The data are tested in a three-part sequence, beginning with the measurement models under investigation, proceeding to an exploratory analysis of the causal network, and finishing with a cross-validation of the structural model on a new sample. The findings point to exciting new directions for future researchers who seek to integrate the two perspectives.

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Dloski, Anna. "Communicating sexual reproductive health and rights to Zambian youth : A case study of the non-governmental organization Youth Vision Zambia." Thesis, Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-28972.

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HIV/AIDS is widely spread in Zambia. Numerous organizations work to disseminate information about how individuals can prevent themselves and others from infection. Youth Vision Zambia (YVZ) is a non- governmental organization that works from Lusaka, Zambia to increase knowledge about sexual reproductive health and rights among young people aged 10-24. This qualitative case study explores which means of communication strategies YVZ uses to reach and inform their target group about Sexual Reproductive Health and Rights (SRHR) by interviewing staff working for the organization. A qualitative survey was also conducted where 29 respondents belonging to the target group answered questions regarding the information about SRHR they have received from YVZ, how they were reached and if they find the work of YVZ of importance. In order to also get a perception about the interpersonal communication channels YVZ use I attended four meetings arranged for young people where the purpose was to discuss sexual health related issues conducting participant observations. In addition, YVZ put an extensive effort on providing an SMS-short code system which allows people to send questions related to SRHR and in turn get answers from a YVZ councilor. The aim was to seek answers to whether the users had found the SMS service useful or not. The results show a variety of different communication tools that YVZ uses in their daily work and in the light of previous research on communication for development and social change and health communication an analysis was carried out.
HIV/AIDS har stor spridning I Zambia. Ett flertal organisationer jobbar med att sprida information om hur individer kan förhindra sig själva och andra att bli smittade. Youth Vision Zambia (YVZ) är en icke- statlig organisation som verkar i Lusaka, Zambia och jobbar för att öka kunskapen om sexuell reproduktiv hälsa och rättigheter (SRHR) bland unga människor i åldrarna 10-24 år. Denna kvalitativa fallstudie utforskar vilka typer av kommunikationsstrategier YVZ använder sig av för att nå ut till samt informera deras målgrupp om dessa områden. För att göra detta intervjuades personal som jobbar på organisationen. Studien ämnar också undersöka hur ungdomar som tagit del av YVZ’s information uppfattar den, om de anser den värdefull samt hur de fick kännedom om deras arbete, detta gjordes genom att utforma en kvalitativ enkät. 29 enkäter var det som i slutändan användes till sammanställningen av resultat och genomförandet av analys. YVZ jobbar även till stor grad med interaktiv kommunikation i deras arbete i att informera och engagera ungdomar vilket styrde intresset till att även genomföra deltagarobservationer. Vid fyra tillfällen blev således dessa observationer genomförda. Vidare lägger YVZ stor vikt vid att kommunicera via mobiltelefoni vilket visar sig genom deras short message system (SMS) där de erbjuder tjänsten att genom att skicka ett SMS till ett kortnummer innehållande frågor rörande SRHR och genom att göra det få svar och råd från personal från YVZ. Detta resulterade i att en SMS-enkät skickades ut innehållande endast en fråga med syfte att ta reda på om användare av tjänsten har funnit den värdefull eller ej. Resultaten som framkommit genom att tillämpa dessa metoder visar på en variation av kommunikationskanaler som YVZ använder sig av i deras dagliga arbete och i ljuset av litteratur som belyser kommunikation för utveckling och social förändring and hälsokommunikation så lägger denna studie fram en analys angående dessa.

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Motshedi, Tshepiso Sinah. "The intake procedures of child sexual abuse cases at Mafikeng Service Point of the Department of Health and Social Development / Motshedi T." Thesis, North-West University, 2011. http://hdl.handle.net/10394/7289.

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Due to the legal obligation to report actual or suspected cases of child sexual abuse and neglect, parents, concerned community members and friends, as well as various professionals like teachers, doctors and psychologists, refer children on a daily basis to social workers in order to initiate an investigation of the allegations. The intake interview is therefore a critical step in the process of child protection and care. In the context of this study, intake interview refers to the initial contact between the social worker and the child in the case of child sexual abuse, where a social worker seeks to establish all objective facts relating to the case so as to make informed decisions and to act accordingly. The Mafikeng Service Point of the Department of Health and Social Development has no standard procedures for social workers in cases of child sexual abuse. It is against this background that a North West based study on the child sexual abuse intake procedures was conducted at Mafikeng Service Point. The study was descriptive and quantitative in nature, with the aim of making a theoretical as well as an empirical study of the intake procedures at the time of the investigation. Data was collected by means of a self–administered questionnaire on the current intake procedures of 30 social workers. Data was triangulated by analysing 15 case files of reported child sexual abuse. It was found that the majority of social workers of the Mafikeng Service Point lack sufficient knowledge and skills regarding interviewing child sexual abuse cases and the legal requirements involved. As a result, they follow diverse and largely inefficient intake interview procedures. The 15 case files that were analysed revealed that social workers do not perform follow–up sessions after the intake and that case files are therefore not officially closed. Recommendations are made to the Mafikeng Service Point with regard to the intake procedures of child sexual abuse cases.
Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2012.

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Fidge, Roy. "A study to identify the factors of influence on headteachers when considering whether or not to include sex education in the primary curriculum." Thesis, n.p, 1998. http://ethos.bl.uk/.

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Arthur, Elizabeth K. "Development and Psychometric Performance of the Self-Efficacy to Communicate About Sex and Intimacy (SECSI) Scale in Women Treated for Cancer." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1522681541427596.

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33

Viana, Joe. "The development of a combined simulation approach in a sexual health context : combining discrete event and system dynamics simulation to form a composite model." Thesis, University of Southampton, 2011. https://eprints.soton.ac.uk/191859/.

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Sexually Transmitted Infections (STIs) are a priority of many health services. Chlamydia Trachomatis (Chlamydia) is one of the most common STIs in the world. Chlamydia can have serious consequences for men and women in the form of infertility and particularly in women has been associated with Pelvic Inflammatory Disease (PID). A System Dynamics (SD) model of Chlamydia prevalence has been constructed to evaluate different screening strategies. The SD model incorporates risk groups, ageing, gender, heterosexual and homosexual relationships and migration in and out of the area of interest. A Discrete Event Simulation (DES) model has been constructed of the Genito-urinary Medicine (GUM) department at St Mary’s Hospital, Portsmouth, the department that treats patients presenting with STIs to enable healthcare professionals evaluate different GUM configurations. A composite model has been developed in which the SD model provides the demand (number of patients) to be treated in the GUM DES model each month. The DES model transforms the demand generated by the SD model into patient arrival patterns based on historically recorded data. The DES model processes the demand based on its current configuration and provides the number of treated patients back to the SD model. The DES model and the SD model can be run independently as stand-alone models or in the composite state through a simple Excel user interface. Results from each model are presented and model development discussed. The simulation models were developed in close collaboration with healthcare professionals. The models were informed by other methodologies including: regression analysis of socioeconomic data, geographical referencing of infection data and a behavioural survey to identify behaviours associated with STI infection

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Arrington, Sherri. "Development of an Interactive Game for Education Regarding Sexually Transmitted Infections." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6514.

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Sexually transmitted infection (STI) prevalence rates are increasing in the United States and globally. Education has been found to be an important strategy for increasing STI testing and treatment rates among sexually active young adults. The goal of this project was to develop an interactive educational game suitable for young adults to decrease the social and economic burden of STIs. The health belief model informed the project. A moderated usability evaluation was conducted using the concurrent think-aloud technique. The participants (N = 5) were a purposive sample of professionals who played the interactive game and then completed Schnall, Cho, and Lie’s Health-Information Technology Usability Evaluation Scale instrument. The findings revealed the necessity of (a) an introduction screen, (b) a reward system for correct answers, and (c) avatars, while also highlighting that (d) the effect on indicator value bars is difficult to understand and (e) the timer led to a feeling of being rushed. The Cronbach’s alpha for the participant group was 0.798, the subscale “Perceived Ease of Use” achieved an alpha level of 0.815, and the subscale “Perceived Usefulness,” 0.762. Refinements to the game based on these data might help to ensure that use of the interactive game contributes to social change by increasing knowledge of STIs in the young adult population.

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Galli, Daniela Martins. "Olhar fonoaudiológico sobre as anomalias da diferenciação sexual: um estudo exploratório." Pontifícia Universidade Católica de São Paulo, 2009. https://tede2.pucsp.br/handle/handle/12231.

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Made available in DSpace on 2016-04-27T18:12:40Z (GMT). No. of bitstreams: 1 Daniela Martins Galli.pdf: 866653 bytes, checksum: 03cc358fbf91f1908432a864f05858c3 (MD5) Previous issue date: 2009-02-26
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
This issue encompasses a bibliography exploratory study on the Disorders of Sexual Development (DSD). Its goal is to describe, analyze and systematize information on such disorders, especially in terms of ways of conceiving them and treating them to subsidize and give the speech support approach with this profile, through multi-and interdisciplinary teams. DSD questions, throughout life, organizational issues, sexuality and psychological constitution, including developments affecting the speech work for language sequels and damages often occur (oral and/or writing), in the voice and hearing. This issue was motivated by concerns and questions arising from clinical practice with patients with DSD. In the light of the lack of speech therapy studies on the subject, it was decided to make from clinical inquiries the axis of an initial systematization of the original (specialized) literature, introducing their questions to speech therapists, as well as highlighting the relevance of their work in this field. The literature points out the severe organic problems of DSD (genetic, hormonal, etc.), regarding distress and suffering of parents and patients due to the controversial, complex and multifaceted condition that overcome problems related to human sexuality. Ultimately, the problem surrounding these anomalies sets itself as a generating field of disorders of various sources: affective-related, organizational, communication, among others; which demands from health professionals specific training, standpoint, clinical listening and teamwork
Esta dissertação compreende um estudo bibliográfico exploratório sobre as anomalias da diferenciação sexual (ADS). Seus objetivos são descrever, analisar e sistematizar informações sobre tais anomalias, sobretudo em termos dos modos de concebê-las e tratá-las, para subsidiar e fundamentar a atuação fonoaudiológica com esses quadros, em equipes multi e interdisciplinares. As ADS põem em xeque, ao longo da vida, questões orgânicas, de sexualidade e de constituição psíquica, inclusive com desdobramentos que afetam o trabalho fonoaudiológico, pois, com frequência, ocorrem comprometimentos ou sequelas na linguagem (oral e/ou escrita), na voz e na audição. A pesquisa foi motivada por inquietações e questionamentos advindos da prática clínica com pacientes portadores de ADS. Em função da escassez de estudos fonoaudiológicos sobre o assunto, decidiu-se por fazer das indagações clínicas o eixo de uma sistematização inicial da literatura especializada, introduzindo suas questões aos fonoaudiólogos, bem como apontando a pertinência de seu trabalho nesse campo. A literatura aponta para os severos problemas orgânicos das ADS (genéticos, hormonais, etc.), para a angústia e o sofrimento de pais e pacientes, em função da condição polêmica, complexa e multifacetada que contorna os problemas ligados à sexualidade humana. Em última análise, a problemática em torno dessas anomalias configura-se como campo gerador de transtornos de diversas ordens: afetivo-relacional, orgânica, comunicacional, entre outras; o que demanda, dos profissionais da saúde, formação específica, posicionamento, escuta clínica e trabalho em equipe

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Munalula-Nkandu, Esther. "The development of a training model for peer learning facilitators in adolescent reproductive health in Zambia." Thesis, Stellenbosch : University of Stellenbosch, 2006. http://hdl.handle.net/10019.1/17326.

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Thesis (PhD)--University of Stellenbosch, 2006
ENGLISH ABSTRACT: Zambia is reported to have high levels of maternal morbidity and mortality due to low contraceptive prevalence rates, over 50% of births not being attended to by skilled persons, and teenage pregnancies. A number of organisations (stakeholders) have invested in the training of adolescent reproductive health peer educators with the aim of empowering them to be role models to their peers in reproductive health, but Zambia does not have a generic and locally developed training programme for peer educators. The purpose of this study was to develop a training programme that would produce competent and more effective peer educators for Zambia. The objectives were to determine the characteristics of the ideal peer educator. Further objectives were to ascertain the factors that contribute to or impair the development of the ideal peer educator, and to determine whether training programmes that were being used were producing ideal peer educators and enhancing healthy lifestyle behaviours. Key stakeholders participated in group interviews were they presented and critiqued their training programmes. Emerging out of this process was a draft training programme, developed by the stakeholders. Focus Group Discussions (FGDs) were held with adolescent peer educators from Lusaka, Kafue, Livingstone and Maheba refugee camp. Data were analysed by triangulating the outcomes of the group interviews (with the stakeholders) with the outcomes of the FGDs and reviewed literature. The FGDs highlighted the characteristics of an ideal peer educator as well as factors that contribute towards his/her competence development. Numerous factors were reported that had a negative impact on the development of an ideal peer educator. The peer educators reported that their training had had a positive effect on their lifestyle behaviours. While they had gained more knowledge on HIV and AIDS, they recommended more training on other health issues. The study found that at community level, peer educators were not being given adequate respect because the concept of voluntary work was not readily accepted and they were regarded as failures in life. Major demotivating factors were the lack of payment of incentives and the fact that peer educators were not certified. Peer educators did not receive sufficient support from programme managers/coordinators to enable them to become more effective at community level. Weaknesses in the way the training programmes were conducted were also discerned. Based on the findings of this study, it is recommended that more life skills’ development be promoted for peer educators. Training should be contextualised for the communities in which the peer educators work. The developed training programme, which should be used as a guide, should be repackaged to suit the profiles (e.g. values) of the different communities. Adolescents and various social sectors (inclusive of indicated stakeholders) ought to be involved in diagnosing community needs so as to influence both peers and communities in a way that would promote adolescent reproductive health. This study also recommends a more informal way of practising peer education, which would produce trainees who would be peer educators and role models in any given setting.
AFRIKAANSE OPSOMMING: Na berig word is die hoë siekte- en sterftesyfers onder moeders in Zambië daaraan te wyte dat voorbehoedmiddels nie algemeen gebruik word nie, dat meer as 50% van geboortes plaasvind sonder die bystand van bekwame persone, en dat daar ‘n hoë voorkoms van tienerswangerskappe is. ‘n Aantal organisasies (belanghebbers) het in die opleiding van adolessent- portuurgroep-opvoeders in reproduktiewe gesondheid belê ten einde hierdie portuurgroep-opvoeders te bemagtig om as rolmodelle in reproduktiewe gesondheid op te tree. Zambië het egter nie ‘n eie generiese, plaaslik-ontwikkelde opleidingsprogram vir portuurgroep-opvoeders nie. Die doel van hierdie studie was om ‘n opleidingsmodel en opleidingsprogram te ontwikkel wat bekwame en meer effektiewe portuurgroep-opvoeders vir Zambië sou kon oplewer. Die doelstellings was om die kenmerke van ‘n ideale portuurgroep-opvoeder te bepaal en om die faktore te identifiseer wat óf tot die ontwikkeling van ‘n ideale portuurgroep-opvoeder bydra óf sy/haar ontwikkeling strem. Daar moes ook vasgestel word of bestaande opleidingsprogramme ideale portuurgroep-opvoeders oplewer en gevolglik gesonde leefstylgedrag bevorder. Die navorser het groeponderhoude gebruik en betekenisvolle belanghebbers genooi om hulle opleidingsprogramme aan te bied, te beoordeel en krities te bespreek. ‘n Konsepopleidingsprogram wat deur die belanghebbers ontwikkel is, het uit hierdie proses ontstaan. Fokusgroepbesprekings (Engels: Focus Group Discussions of FGDs) is met adolessente portuurgroep-opvoeders van Lusaka, Kafue, Livingstone en die Maheba-vlugtelingekamp gehou. Data is ontleed deur die uitkomste van die groeponderhoude (met die deelhebbers) met die uitkomste van die fokusgroepbesprekings en die bespreekte literatuur te trianguleer. Die fokusgroepbesprekings het die soeklig op die kenmerke van die ideale portuurgroepopvoeder asook op die faktore wat tot sy/haar bekwaamheidsontwikkeling bydra, laat val. Talle faktore wat ‘n negatiewe uitwerking op die ontwikkeling van ‘n ideale portuurgroep-opvoeder het, is ook vasgestel. Die portuurgroep-opvoeders het bevestig dat hul opleiding ‘n positiewe invloed op hul lewenstylgedrag gehad het. Terwyl hulle genoem het dat hulle meer kennis oor MIV en VIGS opgedoen het, het hulle aanbeveel dat daar ook meer klem op ander gesondheidskwessies behoort te wees. In hierdie studie is daar bevind dat portuurgroepopvoeders op gemeenskapsvlak nie met voldoende respek behandel word nie. Die begrip van vrywillige werk word nie geredelik aanvaar nie, en die opvoeders word as mislukkings beskou. Faktore wat besonder ontmoedigend inwerk is die gebrek aan ‘n aansporingsloon en die feit dat portuurgroep-opvoeders nie sertifikate ontvang nie. Portuurgroep-opvoeders het ook nie voldoende ondersteuning van programbestuurders/- koördineerders ontvang om hulle in staat te stel om meer effektief op gemeenskapsvlak op te tree nie. Daar is voorts swakhede opgemerk in die wyse waarop die opleidingsprogramme uitgevoer is. Gegrond op die bevindinge van hierdie studie, word daar aanbeveel dat die ontwikkeling van lewensvaardighede tot ‘n groter mate bevorder word. Opleiding behoort gekontekstualiseer te word vir die gemeenskappe waarbinne die opvoeders werk. Die bestaande opleidingsprogram, wat as ‘n riglyn gebruik behoort te word, behoort herstruktureer te word om by die profiele (bv. die waardes) van die verskillende gemeenskappe in te pas. Adolessente en verskillende sosiale sektore (insluitend die aangeduide belanghebbers) behoort betrokke te wees by die bepaling van die gemeenskap se behoeftes ten einde beide portuurgroepe en gemeenskappe so te beïnvloed dat adolessente- reproduktiewe gesondheid bevoordeel sal word. Hierdie studie beveel ook aan dat portuurgroep-opvoeding op ‘n informeler grondslag beoefen behoort te word sodat die kwekelinge uiteindelik in enige gegewe omgewing suksesvolle portuurgroepopvoeders en rolmodelle sal kan wees.

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Calado, Carla Sofia Esteves. "Saúde comunitária e educação para a sexualidade na escola: Um contributo." Master's thesis, Instituto Superior de Psicologia Aplicada, 2007. http://hdl.handle.net/10400.12/380.

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Dissertação de mestrado em Psicologia Comunitária
O presente trabalho pretende contribuir para uma reflexão consistente sobre a lógica das leis sexuais dominantes na sociedade contemporânea, em particular na sociedade ocidental. Estas leis encontram-se reflectidas na breve resenha histórica apresentada, baseando-se em preconceitos e estereótipos cultural e socialmente determinados sobre o sexo e o papel dos diferentes géneros na Sexualidade. Pretendemos ainda reflectir sobre a influência dessas mesmas leis na Educação Sexual dos mais jovens (seja ela formal ou informal) às quais se tem dado grande importância no contexto actual. Neste relatório apresentamos uma análise sobre o que tem vindo a ser feito em matéria de Educação Sexual e Promoção da Saúde Sexual e Reprodutiva em Portugal nos últimos anos, de forma a enquadrar o estudo exploratório que efectuámos numa comunidade de uma escola profissional de Lisboa. Seguidamente, apresentamos os resultados do referido estudo, cujo objectivo é o de fazer uma análise exploratória no que diz respeito à pertinência e viabilidade da implementação de um projecto de Educação para a Sexualidade no contexto escolar, testando a premissa de que este deve obedecer a uma lógica participativa. Apresentamos a discussão e conclusões deste estudo exploratório, que, embora não pretendam nem possam representar todas a complexidade da comunidade no seu todo, parecem apontar para a pertinência da implementação de um projecto colaborativo nesta área, quer pela sua necessidade (os alunos revelam carências importantes através dos seus conhecimentos, práticas e atitudes), quer pelas atitudes positivas e motivação de todos os stakeholders (pais, professores e alunos), quer pela disponibilidade evidenciada por todas estas partes para colaborar activamente na Educação para a Sexualidade.

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Clements, Alice Faith, and alice clements@rmit edu au. "Let's talk (discreetly) about sex. The content generation and design of an online sexual and reproductive health information resource for young Vietnamese: a communications perspective." RMIT University. Applied Communication, 2007. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20080207.100012.

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Vietnam is a populous nation experiencing rapid social and economic transition. These changes, in combination with the spread of sexually transmitted infections such as HIV/AIDS, are compromising the reproductive health of young Vietnamese. Access to reliable reproductive health information is limited and social taboos prevent young people from talking openly about this topic. A huge number of young people living in Vietnam thus find themselves without access to relevant, accurate, non-threatening and unbiased information about sexuality and sexual health. The research outlined in this thesis approaches the issue of sexual health information provision for young people living in Vietnam from a participatory action research foundation. A key focus is investigation of the ways in which young people living in Vietnam can be included in the development of online sexual health communication tools by, for and about young Vietnamese. As part of this investigation, this thesis describes research conducted with young Vietnamese in Australia and Vietnam to identify and elucidate their reproductive health information needs, as situated within the contemporary Vietnamese socio-cultural context. The research was undertaken in order to determine how an online resource might meet these needs. This exploratory process involved the utilisation of a range of research methods to determine the website's optimal content, style, features and tone in relation to the Vietnamese context and requirements of its target users. It is hoped that the record of discovery resulting from this research journey will contribute to the existing body of knowledge on online health communication and participatory approaches to the development of context-sensitive health and behaviour-change communication.

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Wedde, Åberg Maria, and Patricia Hillrings. "Barnmorskors uppfattningar om hur sexuell och reproduktiv hälsa och rättigheter kan stärkas hos ungdomar : En kvalitativ intervjustudie." Thesis, Högskolan Dalarna, Sexuell, reproduktiv och perinatal hälsa, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:du-29795.

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Bakgrund: Ungdomars sexuella och reproduktiva hälsa och rättigheter (SRHR) är ett viktigt folkhälsoarbete och barnmorskan har en central roll när det kommer till att nå ungdomarna med kunskap och information. Det förefaller finnas få studier om barnmorskors uppfattningar om vad ungdomar behöver veta mer om när det kommer till deras sexuella och reproduktiva hälsa och rättigheter. Syfte: Syftet med denna studie var att beskriva barnmorskors uppfattningar om vad ungdomar behöver veta mer om inom området sexuell och reproduktiv hälsa och rättigheter. Metod: Kvalitativ intervjustudie med åtta semistrukturerade intervjuer med barnmorskor. Datamaterial analyserades med en kvalitativ innehållsanalys med induktiv ansats. Resultat: Barnmorskorna uppfattade att ungdomarna hade behov av att veta mer om kroppsutveckling. Även mer om sexuellt överförbara infektioner (STI) och preventivmedel samt att killarna behövde veta mer om deras reproduktiva ansvar. Ungdomarna behövde också veta mer om sexuella relationer och rättigheter, innefattande bland annat lagar och homosexualitet. Barnmorskorna ser idag en ökning av sexuella problem bland ungdomarna och barnmorskorna hade en gemensam uppfattning om att det beror på pornografikonsumtion. Slutsats: Barnmorskor har insikt i vad ungdomar behöver veta mer om inom SRHR. Det finns fortfarande brister i undervisning och utbildning till ungdomar inom SRHR och det är angeläget att fokusera och investera i arbeten för att stärka och främja ungdomars SRHR. Klinisk tillämpbarhet: Denna studie lyfter barnmorskors uppfattningar om vad ungdomar behöver veta mer om inom ämnet SRHR. Studien kan användas i klinisk verksamhet till förbättringsarbeten för olika yrkeskategorier som arbetar med ungdomar gällande SRHR.
Background: The sexual and reproductive health and rights (SRHR) of young people is an important public health work and the midwife has a central role in reaching the young people with knowledge and information. There seem to be few studies on midwives' perceptions about what young people need to know more about when it comes to their sexual and reproductive health and rights. Purpose: The purpose of this study was to describe the views of midwives about what young people need to know more about in the area of sexual and reproductive health and rights. Method: Qualitative interview study with eight semi-structured interviews with midwives. The data material was analyzed with a qualitative content analysis with inductive approach. Result: The midwives perceived that the young people needed to know more about body development. In addition, more about sexually transmitted infections (STIs) and contraceptives and that the young men needed to know more about their reproductive responsibilities. The youth also needed to know more about sexual relations and rights, including, among other things, laws and homosexuality. The midwives today see an increase in sexual problems among young people and the midwives had a common view that this is due to pornography consumption. Conclusion: Midwives have insight into what young people need to know more about in SRHR. There are still shortcomings in education for young people within SRHR, and it is important to focus and invest in work to strengthen and promote young people's SRHR. Clinical application: This study highlights the views of midwives on what young people need to know more about in the subject of SRHR. The study can be used in clinical activities for improvement work for various occupational categories that work with young people regarding SRHR.

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Schweikardt, Christoph. "General Practice Research Networks in Belgium: Development, Context and their Contribution to the Monitoring of Sexually Transmitted Infections." Doctoral thesis, Universite Libre de Bruxelles, 2019. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/287427.

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This thesis is devoted to general practice (GP) networks in Belgium, their development and their activities within the Belgian health system context. These networks are specific research tools for the repeated or continuous collection and analysis of data related to diseases and other health events observed in general practice, including interventions of general practitioners. The thesis focuses on three not-for-profit general practice research networks which are operational today: (1) the national Network of Sentinel General Practices (SGP), coordinated by the Federal research institute Sciensano; (2) the Flemish Intego network, coordinated by the Academic Center for General Practice of Catholic University Leuven; (3) the network of the Fédération des maisons médicales et des collectifs de santé francophones (FMM) with its Monitoring Chart (Tableau de bord), which collects data from Wallonia and the Brussels-Capital Region. The thesis is divided into a general introduction, three main parts and a final discussion with concluding remarks. The general introduction outlines the importance of data from general practice and the contribution of GP networks to research. Furthermore, it points out the importance of general practice for the control of sexually transmitted infections (STIs), a specific field of action. The first main part of the thesis investigates the research question of how the three GP research networks developed within the specific context of the Belgian health system. It is based on the interpretation of written sources such as project reports, annual network reports, research publications, parliamentary documents, relevant websites and the existing research literature. The context analysis included a comparison with the Netherlands since the latter have strong traditions with regard to the position of the general practitioner in the health system (gatekeeper to secondary care, whereas in Belgium the patient generally chooses his/her health provider, and a Global Medical File administered by the general practitioner is not mandatory in Belgium), to general practice research networks and computerisation. It could be shown (1) that Belgium has held a middle position in the European Union regarding GP computerisation; (2) that, contrary to the Netherlands, an operational national GP network based on data from electronic health records (EHRs) could not be established; and (3) that Belgian health system computerisation, which advanced substantially in the last decade, put the issue of health data collection and storage by a new digital service on the agenda. Subsequently, three sub-chapters focus on the development of the three GP networks from their foundation until today. They demonstrate that the SGP and Intego were founded as innovative tools originating from Flemish general practice research, whereas the Monitoring Chart originated from the dynamism of Integrated Primary Health Care Centres (IPHCCs, Maisons médicales) in French-speaking Belgium. Acting as health observatories was both part of the mission of the IPHCCs and the demand of the Regional governments. With time, the research designs of the three GP networks became more sophisticated. Furthermore, European cooperation of the SGP with other GP networks since the late 1980s stands out, since the vision to establish a European sentinel general practice network led to joint influenza surveillance as one of its lasting achievements. In continuation of the developments described above, the second main part of the thesis addresses the missions and the organisation of the three GP networks today as well as their respective strengths and limitations in comparative perspective. It is based on network publications and reports, relevant websites and informal information from the networks themselves. The comparison shows that there is little overlap between the activities of the three GP networks, given the different areas of investigation and the complementarity of supplementary information collected by the SGP versus routine data extraction from EHRs in the other two networks. Furthermore, Intego and the Monitoring Chart essentially cover different parts of the country. The prospective research design of the SGP allows formulating hypotheses and designing research questionnaires with precise definitions of diagnoses before the start of a new research topic in order to minimise inter-observer variability, whereas the diagnosis in the other two networks is the result of the general practitioner's clinical judgement. The Intego network disposes of a substantial number of routine parameters collected over more than two decades by now. With these data, the researchers can design retrospective cohort studies without recording or recall bias by the GP who does not know during his/her daily routine for which research questions his/her data may be used later. The Monitoring Chart stands out by its comparatively strong presence in the Brussels-Capital Region and its data from the less well-to-do part of the population. The third main part of the thesis focuses on STIs which provided a research opportunity, given that Belgian public health efforts to control them have increased in recent years and that the three GP networks engaged in research activities in this regard. The first sub-chapter addresses challenges for the surveillance and monitoring of STIs due to the nature of the pathogens, followed by a sub-chapter about characteristics of STI surveillance and monitoring in Belgium. Afterwards, a sub-chapter describes health policy efforts in order to establish the Belgian HIV Plan 2014-2019. The development of the HIV Plan was analysed by applying the policy streams model of John Kingdon. The analysis was based on published government statements, parliamentary documents, and websites of stakeholders, and showed that the Federal Ministry of Health initiative to achieve the HIV Plan was characterised by a coordinating role with a participatory approach towards the other Belgian governments and stakeholders. The 2013 protocol agreement of the Belgian governments committed them to principles, actions, and cooperation regarding HIV prevention, testing, treatment of persons living with HIV and care for their quality of life, but not to budgets, priorities or target figures. The implementation of the plan, highlighting aspects relating to general practice, is addressed in the subsequent sub-chapter. Two further sub-chapters are based on the analysis of retrospective cohort studies with Intego data from 2009 to 2013, based on EHR routine registration by over 90 general practitioners in Flanders. In the first sub-chapter, the frequencies of gonorrhoea and syphilis diagnoses were investigated. Case definitions were applied. Due to small case numbers obtained, cases were pooled and averaged over the observation period. Frequencies were compared with those calculated from mandatory notification. A total of 91 gonorrhoea and 23 syphilis cases were registered. The average Intego annual frequency of gonorrhoea cases obtained was 11.9 (95% Poisson confidence interval (CI) 9.6; 14.7) per 100,000 population, and for syphilis 3.0 (CI 1.9; 4.5), respectively, while mandatory notification was calculated at 14.0 (CI: 13.6, 14.4) and 7.0 (CI: 6.7, 7.3), respectively. In spite of limitations such as small numbers and different case definitions, the data suggests that the general practitioner was involved in the large majority of gonorrhoea cases, while the majority of new syphilis cases did not come to the knowledge of the general practitioner. The second sub-chapter deals with the prescription of antibiotics to treat gonorrhoea in general practice in Flanders 2009-2013. Belgian guidelines recommended ceftriaxone or alternatively spectinomycin from 2008 onwards and azithromycin combination therapy since 2012. The study investigated to which extent contemporary gonorrhoea treatment guidelines were followed. Ninety-one gonorrhoea cases with ten chlamydia and one genital trichomonas coinfections in 90 patients were registered between 2009 and 2013. The proportion of cases with ceftriaxone and/or spectinomycin prescriptions rose from 13% (two of 15 cases) in 2009 to 56% (nine of 16 cases) in 2013. Combination therapy of ceftriaxone and/or spectinomycin together with azithromycin rose from 0 of 15 cases (0%) in 2009 to 7 of 16 cases (44%) in 2013. Although numbers are small, the results suggest that gonorrhoea therapy guideline adherence improved between 2009 and 2013. Future opportunities, recommended in the final discussion, include (1) extending provider-led STI testing in Belgium, with a prominent role for general practitioners; (2) investigating barriers and facilitators for the achievement of the Global Medical File, notably if sensitive and potentially stigmatising issues such as STIs or mental health are involved; (3) making task delegation by the general practitioner towards other primary health care providers more attractive; (4) facilitating general practitioners' tasks by the introduction of support features into the EHR in order to improve registration and quality of care in general; (5) eliciting Regional government support in order to investigate the diagnostic profiles of the patient population of IPHCCs; and (6) establishing an extended network for the collection and analysis of "production data" (such as the number of contacts, interventions, referrals, prescriptions and diagnostic requests) from general practitioners and other primary health care providers, proceeding from the know-how and the experience of the three investigated GP networks.
Doctorat en Sciences de la santé Publique
info:eu-repo/semantics/nonPublished

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Edguer, Marjorie Nigar. "The Association of Risk, Protective Factors, and Gender to Substance Use and Sexual Activity Among Prenatally Substance Exposed Adolescents." Case Western Reserve University School of Graduate Studies / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=case1491660086819411.

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Hall, Tracy Lynn Pfeifer. "Nurse Focused Cultural Competency Education for Patients with Differences of Sex Development." Mount St. Joseph University Dept. of Nursing / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn161944517472267.

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Vila, Victor Christian. "Social Networks, Health & Hispanic Gay Men Living in South Florida." FIU Digital Commons, 2017. http://digitalcommons.fiu.edu/etd/3194.

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Aging Hispanic populations are expected to increase in the United States (U.S.) to 21.5 million by 2060 according to the National Council on Aging (NCA) (2014). Although actual estimates vary, Gates (2013) asserts that over one million Hispanics identify as gay or bisexual and their unique needs must be explored (Clover, 2006; Cohn & Taylor, 2010; Fenkl, 2014). Unfortunately, few studies examine aging Hispanic men who identify as gay or bisexual according to the National Hispanic Council on Aging (NHCOA) (2013). The objective of the current study was to extend the limited research on aging gay/bisexual men in the southeastern U.S. (e.g., Fenkl, 2014) by focusing on Hispanic gay/bisexual men in South Florida. The current study identifies social networks that serve to help this population’s health and well-being concerns related to aging. Findings from the 20 male participants in the current study provided evidence that there are unique health concerns associated with aging within this population. The current project has the potential to help health care providers, social service providers and policy makers, with an increased understanding of the special needs and challenges experienced by aging gay ethnic minorities in communities throughout the U.S.

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Rabier, Serge. "Une ambition pour le développement : l'approche genre, la santé et les droits sexuels et reproductifs dans l'aide publique au développement de la Suède : stratégies, politiques et programmes (1994-2014)." Thesis, Sorbonne Paris Cité, 2015. http://www.theses.fr/2015USPCB170.

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Les questions de genre, de santé et droits sexuels et reproductifs et de développement ont depuis plus de deux décennies pris une place grandissante à la fois chez les théoriciens et les praticiens du développement, chercheurs, institutions nationales et internationales, organisations non gouvernementales et experts des agences de développement. La Suède a joué un rôle déterminant dans l'évolution de cet agenda global. Parmi les plus grands contributeurs d'Aide Publique au Développement, la Suède est le pays qui a le plus intégré les perspectives de genre et de droits au coeur de son dispositif d'aide internationale. Le cycle des grandes conférences onusiennes des années 1990, qui font de l'égalité femmes- hommes à la fois une condition et un moyen pour atteindre un développement humain durable a été l'occasion pour la Suède de s'affirmer comme une puissance d'influence de premier ordre. L'examen des facteurs déterminants dans l'histoire suédoise (références culturelles, politiques, sociales) ainsi qu'une lecture critique des textes fondateurs depuis 1994 (déclarations politiques, lois, documents stratégiques et de communication, évaluations programmatiques) mettent en valeur l'apport original de l'aide publique suédoise qui, au-delà de la dimension massive de son volume, révèle le caractère fondamentalement anthropologique et politique du développement et rappelle que la mondialisation ne saurait ignorer le questionnement croissant autour des inégalités, en particulier genrées
For the last twenty years, Gender, Sexual and Reproductive Health and Rights and Development issues have been at the heart of a growing trend of interest from both development thinkers and practitioners, researchers, international and national institutions, non governmental organisations, and experts from development agencies. Sweden has played a key role in the evolution of this global agenda. Among the major Overseas Development Assistance contributors, Sweden has proven to be one of the "like-minded" countries, which has integrated the gender perspective and the rights perspective at the very heart of its ODA mechanisms. The cycle of 1990's UN conferences, which has promoted gender equality as both a condition and a mean to achieve a sustainable human development was the occasion for Sweden to take a clear leadership as an influential "soft power". The analysis of decisive factors in the Swedish history (cultural, political and social references) as well as a critical reading of founding documents since 1994 (political statements, bills and laws, strategic/planning and communication papers, program evaluations) shows the original contribution of Swedish ODA, which beyond its remarkable amount, reveals the anthropological and political fundamentals of development and recalls that globalisation should not ignore the growing demands around inequalities, in particular gender inequalities

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Foukou, Emanuel Bissila. "Leave no one behind, C4D and the Humanitarian Sector’s Involvement with the Deaf Community in Sub Saharan Africa. Focus on the Republic of Congo and Senegal." Thesis, Malmö universitet, Fakulteten för kultur och samhälle (KS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-21750.

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This paper deals with the Deaf community in sub-Saharan Africa, with particular focus on the Republic of Congo, and Senegal. It explores how the humanitarian sector is reaching out to this community, especially regarding Sexual and Reproductive Health. Projects set up by UNFPA Congo and Senegal’s ONG Jeunesse Et Dévelopment, are examined within the framework of communication for development. By researching the nexus between the international organizational world and the deaf community, the plan is to gain understanding through methodological approaches such as semi structured interviews, a focus groups and document analysis including videos, that eventually will provide input that can lead to a more comprehensive and informative communication strategy for this group. As a large part of the Deaf community in the developing world isn’t able to read and write, their fundamental human rights are undermined, this is especially true when it comes to Sexual and Reproductive Health. Research from Kenya and Senegal have shown that people living with disabilities got slightly higher HIV seroprevalence compared to the rest of the population, while a study from Cameroun demonstrates that deaf individuals are three times more likely to contract an STI. Communication for development, behavior change communication, communication for social change as well as media development, got a significant role to play to lead the deaf community towards integration, inclusion and better access to information on Sexual and Reproductive Health. By including the deaf community and let them define their own needs through genuine participation, it is possible to strengthen their rights. Researching the deaf community in the developing world is like studying a micro-cosmos of the entire development debate, as many of the main challenges are present. By empowering the deaf community in Africa, the whole continent is empowered.

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Holm, Elin. "The NGO-State Relationship and SRHR in Myanmar." Thesis, Uppsala universitet, Statsvetenskapliga institutionen, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-380339.

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Spence, Heather M. "Experiencing the Death of a Formerly Abusive Parent." Antioch University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1468248207.

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Chambas, Kristan M. "Sexually-related physical, emotional, and behavioral concerns of adolescents with cancer how do they compare with concerns of healthy adolescents? /." 1990. http://catalog.hathitrust.org/api/volumes/oclc/23669105.html.

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Thesis (M.S.)--University of Wisconsin--Madison, 1990.
Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 42-48).

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Brandon-Friedman, Richard A. "The Impact of Sexual Identity Development on the Sexual Health of Youth Formerly in the Foster Care System." Diss., 2019. http://hdl.handle.net/1805/18599.

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Indiana University-Purdue University Indianapolis (IUPUI)
Youth in the foster care system receive less sexual and reproductive health education, experience higher levels of negative sexual health outcomes, and engage in more risky sexual behaviors than peers not in the foster care system. Counteracting these concerns requires understanding the processes that contribute to these outcomes. A conceptual model interfacing traditional identity development theories and social constructionist theories of social sexualization was developed that posited sociosexual input factors of sexual education and socialization, sexual abuse history, and adverse childhood experiences affect youths’ sexual identity development, which then impacts youths’ level of sexual health. Hierarchical linear regression determined the level of impact of sexual socialization on sexual health within a sample of youth formerly in the foster care system (n = 219). Whether sexual identity development level mediated the relationship between sexuality-related discussions and sexual health was tested as well as how relationship quality moderates the effects of sexuality-related topic discussions on sexual identity development. Further analysis explored differences between the experiences of youth who identified as sexual minorities and their peers who identified as heterosexual. Results indicated that gender identity, sexual orientation, adverse childhood experiences, sexual abuse history, and sexuality-related discussions with foster parents and with peers all impact sexual health. All four dimensions of sexual identity development significantly contributed to sexual health outcomes. Mediation occurred with two of the four sexual identity development dimensions, whereas no moderation effects were indicated. Youth who identified as sexual minorities and youth who identified as heterosexual had significantly different scores on three of four sexual identity development dimensions and youth who identified as sexual minorities had worse sexual health outcomes. Results indicate the importance of the sexual identity development process on sexual health and that youths’ sexual orientation identity must be considered when designing interventions to improve sexual health outcomes.

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ou, su-ling, and 歐淑玲. "The Development of Postpartum Women Sexual Health Self-Efficacy Scale(SHSES-P)." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/09465799088464764621.

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碩士
長庚大學
護理學研究所
95
The purpose of this cross-sectional and descriptive study was to establish a reliable and valid instrument to evaluate women's confidence in sexual health during after childbirth. To test the reliability and validity of the scale, 302 participants from postpartum ward of a medical center and local medical department in northern Taiwan were recruited through purposive sampling. Item pool of sexual health self-efficacy scale (SHSES-P) was developed through literature review, examination of related instruments, self-efficacy theory, and expert' suggestions. Content validity index and item analysis were used to determine item eligibility. The three dimensions of sexual health self-efficacy scale for postpartum women are: Sexual physical health self-efficacy, Sexual psychological health self-efficacy, and Sexual Social health self-efficacy, which are divided into 10 subscales that together comprise a total of 72 items. The results showed that the scale has a high internal consistency with a Cronbach's alpha value at .98. The Test-retest reliability ( r value) over 14 days was .89 (p＜.001), showing acceptable stability of the scale (SHSES-P). Exploratory factor analysis was used to test the initial construct validity. Under sexual physical health self-efficacy, the four factors Sexual physical self care, Promote Sexual physical comfort, Sexual physical recover evaluate, and Promote vaginal elastic explained 70.53％ (19.42%、19.28%、16.94%、14.88% respectively) of the total variance. The two factors under sexual psychological health and self-efficacy, Sexual anxiety, and Body image explained the total variance of 68.86％ (35.42% and 33.44% respectively).The four factors Sexual adjustment, Sexual expression, Contraceptive control, and Lying-in coping strategy under Sexual Social health self-efficacy explained 71.66％of the total variance (28.07%、15.58%、14.89%、13.01% respectively). In terms of criterion-related validity, it is also evident that the SHSES-P satisfies predictive validity when compared with well-developed and tested instruments such as Postpartum Sexual Satisfaction Scale (PSSS) and Postpartum Intimate Relationship Scale (PIRS). The results suggest that SHSES-P has solid psychometric properties, and is a useful tool for giving appropriate intervention, fostering positive SHSES-P and promoting sexual health in postpartum women with sexual problems. Key Words: postpartum women、 sexual health、self-efficacy、pool development. Key Words: postpartum women、 sexual health、self-efficacy、pool development.

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Dissertations / Theses on the topic 'Healthy sexual development'

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