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1

Blythe, Margaret J., and Susan L. Rosenthal. "Female adolescent sexualityPromoting healthy sexual development." Obstetrics and Gynecology Clinics of North America 27, no. 1 (March 2000): 125–41. http://dx.doi.org/10.1016/s0889-8545(00)80010-8.

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Koyama, Atsuko, Heather L. Corliss, and John S. Santelli. "Global lessons on healthy adolescent sexual development." Current Opinion in Pediatrics 21, no. 4 (August 2009): 444–49. http://dx.doi.org/10.1097/mop.0b013e32832db8ee.

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McKee, Alan, Kath Albury, Michael Dunne, Sue Grieshaber, John Hartley, Catharine Lumby, and Ben Mathews. "Healthy Sexual Development: A Multidisciplinary Framework for Research." International Journal of Sexual Health 22, no. 1 (February 25, 2010): 14–19. http://dx.doi.org/10.1080/19317610903393043.

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Scott, Susan M., and Anne Marie Walsh. "Adolescent Sexual Development: An Overview of Recent Research." Canadian Journal of Community Mental Health 33, no. 1 (July 1, 2014): 21–29. http://dx.doi.org/10.7870/cjcmh-2014-003.

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An overview of recent research describing adolescent sexual development is presented, including research examining puberty, sexual attitudes and behaviours, and LGBTQ youth and stigma. This overview is placed within the context of the healthy sexual development framework and the four domains of development (physical, social, cognitive, and emotional) incorporated in the Ontario Ministry of Children and Youth Services’ youth policy framework. Finally, recommendations are made for future community mental health research and policy.
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Pasqualini, Marta, Amanda Sacker, and Anne McMunn. "Birth Order and First Sexual Experience: Do Siblings Influence Sexual Debut in Adolescents?" Archives of Sexual Behavior 50, no. 6 (August 2021): 2395–409. http://dx.doi.org/10.1007/s10508-021-01979-w.

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AbstractBirth order may foster specific roles for individuals within the family and set in train a dynamic that influences the development of specific behaviors. In this paper, we explored the relationship between birth order, sex, timing of sexual initiation, and its consequences for risky sexual behavior and sexual health. We conducted a path analysis to simultaneously estimate direct and indirect effects using data from the National Survey of Sexual Attitudes and Lifestyles (NATSAL-3). Whereas women born as only-children were more likely to sexually debut at later ages, middle-child boys were significantly more prone to initiate sexual intercourse earlier compared with first-borns. As expected, early sexual initiation was associated with riskier behaviors and sexual health outcomes. These associations were partially moderated by siblings role as confidants about sexuality. Our findings have implications for preventive programs aimed at promoting healthy sexual debuts and behaviors over the life span.
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Santosa, Hardi, Syamsu Yusuf, and Ilfiandra Ilfiandra. "KRR sebagai Program Pengembangan Perilaku Seksual Sehat Remaja pada Revolusi Industri 4.0." Indonesian Journal of Educational Counseling 3, no. 3 (August 5, 2019): 233–42. http://dx.doi.org/10.30653/001.201933.104.

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KRR AS A PROGRAM FOR DEVELOPING HEALTHY SEXUAL BEHAVIOR IN INDUSTRIAL REVOLUTION 4.0. Adolescents are in a transition period characterized by drastic physical changes, psychological instability, and adjustment of new social environments. The era of industrial revolution 4.0, which was marked by the acceleration of information and digitalization of life increasingly added to the challenges of adolescents to be able to achieve the task of sexual development. When adolescents fail to carry out their sexual development tasks, they can have negative implications for adolescent sexual behavior. Understanding and awareness of adolescent reproductive health (KRR) can be an alternative in developing healthy and responsible sexual behavior. This study aims to test KRR as a mode of intervention to develop healthy sexual behavior in adolescents. The research method uses a mixed-method by combining quantitative and qualitative data that supports each other. The research population of tenth-grade high school students was 250 students with a sample of 30 people. Purposive sampling technique by considering the pretest score on the average class is taken into consideration in the selection of samples—data collection by providing a scale of sexual behavior, observation, and interviews. The results of the study show: (1) in general the sexual behavior of students is at a level of caution towards the need for development; (2) The KRR consists of nine guidance content with an audio-visual based group guidance strategy; and (3) the KRR program is effective in developing healthy sexual behavior in adolescents.
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Simakhodskiy, Anatoly S., and M. F. Ippolitova. "Reproductive health of adolescents: problems and solutions." Russian Pediatric Journal 19, no. 6 (April 30, 2019): 373–80. http://dx.doi.org/10.18821/1560-9561-2016-19-6-373-380.

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Development and preservation of reproductive potential is the actual practical direction of national health care. There are presented results of the medical examination of the child population of St. Petersburg, there are noted gender-age features of somatic, urological and gynecological pathology in adolescents. The effectiveness of medical and social system of the care of adolescent reproductive health was established to manifest by the increased their interest and demand for special consultative structures, the decrease in the number of abortions and sexually transmitted infections. Primary health care activities of youth consultation specialists in conjunction with the teaching teams on moral and sexual education and shaping of healthy lifestyle provide the reduction in the level of risk sexual behavior of adolescents and the improvement of their medical activity. There was shown the necessity of the further improvement of the system of medical and social care for adolescents for the prevention of unwanted pregnancies, sexually transmitted diseases, bad habits and shaping of healthy lifestyle skills.
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Young, Honor, Catherine Turney, James White, Ruth Lewis, and Christopher Bonell. "Formative mixed-method multicase study research to inform the development of a safer sex and healthy relationships intervention in further education (FE) settings: the SaFE Project." BMJ Open 9, no. 7 (July 2019): e024692. http://dx.doi.org/10.1136/bmjopen-2018-024692.

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ObjectivesSexual health includes pleasurable, safe, sexual experiences free from coercion, discrimination and violence. In the UK, many young people’s experiences fall short of this definition. This study aimed to inform the development of a safer sex and healthy relationships intervention for those aged 16–19 years studying in further education (FE) settings.DesignA formative mixed-method multicase study explored if and how to implement four components within a single intervention.SettingSix FE settings in England and Wales and one sexual health charity participated between October and July 2015.ParticipantsFocus groups with 134 FE students and 44 FE staff, and interviews with 11 FE managers and 12 sexual health charity staff, first explored whether four candidate intervention components were acceptable and could have sustained implementation. An e-survey with 2105 students and 163 staff then examined potential uptake and acceptability of components shortlisted in the first stage. Stakeholder consultation was then used to refine the intervention.InterventionInformed by a review of evidence of effective interventions delivered in other settings, four candidate intervention components were identified which could promote safer sex and healthy relationships among those aged 16–19 years: 1) student-led sexual health action groups; 2) on-site sexual health and relationships services; 3) staff safeguarding training about sexual health and relationships and 4) sex and relationships education.ResultsOn-site sexual health and relationships services and staff safeguarding training about sexual health and relationships were key gaps in current FE provision and welcomed by staff, students and health professionals. Sex and relationships education and student-led sexual health action groups were not considered acceptable.ConclusionsThe SaFE intervention, comprising on-site sexual health and relationships services and staff safeguarding training in FE settings, may have potential promoting sexual health among FE students. Further optimisation and refinement with key stakeholders is required before piloting via cluster randomised controlled trial.
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McKee, Alan, Anthony Walsh, and Anne-Frances Watson. "Using Digitally Distributed Vulgar Comedy to Reach Young Men with Information about Healthy Sexual Development." Media International Australia 153, no. 1 (November 2014): 128–37. http://dx.doi.org/10.1177/1329878x1415300115.

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Focus groups show that young men do not have available to them the same resources to learn about healthy sexual development as do young women. A collaborative project led by a leading provider of sexuality education aimed to reach young men with information about healthy sexual development by using a genre that focus groups showed they favoured – vulgar comedy. This project raised two important issues. First, comedy is ambivalent – it is by definition not serious or worthy. This challenges health communication, which traditionally favours the clear presentation of correct information. Second, vulgarity can be challenging to the institutions of health communication, which can be concerned that it is inappropriate or offensive. This article addresses these issues and reports on the materials that emerged from the project.
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Wilson, Helen W. "Development of Sexual Risk in Minority Youth: Risk and Protective Factors in Early Adolescence." Journal of Early Adolescence 38, no. 1 (November 15, 2017): 5–11. http://dx.doi.org/10.1177/0272431617738365.

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The current special issue highlights a number of culturally relevant variables that relate to sexual risk in early adolescents from minority race or ethnic backgrounds. Each of the four studies in this issue presents a unique perspective on factors that relate to increased risk or resilience in minority early adolescents. Therefore, findings reported in this special issue shed light on potential intervention strategies to deter the development of sexual risk in minority youth. The articles presented suggest a need for increased attention to early adolescence as a window of opportunity for preventing sexual risk in minority teens. Effective interventions during the transition from middle to high school, when dating and sexual interests emerge for most youth, have the potential to cultivate healthy relationships and prevent the development of health compromising sexual behaviors.
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Nastasi, Bonnie K., Jean J. Schensul, M. W. Amarasiri De Silva, Kristen Varjas, K. Tudor Silva, Priyani Ratnayake, and Stephen L. Schensul. "Community-Based Sexual Risk Prevention Program for SRI Lankan Youth: Influencing Sexual-Risk Decision Making." International Quarterly of Community Health Education 18, no. 1 (April 1998): 139–55. http://dx.doi.org/10.2190/d19d-7nhe-8qg9-cc6b.

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This article describes the design, implementation, and evaluation of a sexual-risk prevention program focused on the development of individual competencies and cultural norms promoting healthy sexual decision making. The community-based peer-facilitated intervention targeted adolescents and young adult men and women in Sri Lanka, who participated in small-group activities targeting sexual knowledge, attitudes, and practices; risk perception; and sexual-risk decision making. The intervention and evaluation tools were based on formative research data collected from members of the target population. Researchers from Sri Lanka and North America collaborated with local community health workers and community members in formative data collection and program development. The pilot intervention project was successful in improving sexual-risk perception and decision making, and (for women) knowledge of condoms and sexual terminology. The use of group process showed promise as a tool for fostering negotiation of perspectives and consensus building regarding sexuality and sexual risks. The lessons learned from this project can inform the development of culture-specific sexual-risk prevention programs worldwide.
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Murray, B. Lee. "Sexual health education for adolescents with developmental disabilities." Health Education Journal 78, no. 8 (July 3, 2019): 1000–1011. http://dx.doi.org/10.1177/0017896919859605.

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Background: While statistics related to the sexual abuse of people with developmental disabilities are alarming, there remains a gap in the services and supports available to promote sexual health and healthy relationships and prevent sexual abuse of this population. Objective: To develop and deliver a sexual health education programme for adolescents with developmental disabilities and to identify the reactions and perceptions of students, teachers and parents involved in the programme. Methods: Using an interprofessional collaborative community development model, we developed and delivered a sexual health programme to young people aged 16–21 years with developmental disabilities in five Saskatchewan, Canada high schools. The project adapted, modified and administered the Canadian Red Cross RespectED questionnaires to all participants following the programme to allow for the identification and implementation of best practices with regard to the project’s future operation. Results: Data collected from the feedback and comments were summarised, and major concepts were identified. The information gathered identified meaningful educational experiences for students, their parents and teachers. Conclusion: Project findings reinforce the importance of sexual health education for people with developmental disabilities to increase opportunities for healthy sexual relationships and intimacy, to promote positive sexual identities and to decrease the risk of sexual victimisation.
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Kaestle, Christine E., and Katherine R. Allen. "The Role of Masturbation in Healthy Sexual Development: Perceptions of Young Adults." Archives of Sexual Behavior 40, no. 5 (February 4, 2011): 983–94. http://dx.doi.org/10.1007/s10508-010-9722-0.

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Sales, Jessica M., Erica L. Smearman, Gene H. Brody, Robin Milhausen, Robert A. Philibert, and Ralph J. DiClemente. "Factors associated with sexual arousal, sexual sensation seeking and sexual satisfaction among female African American adolescents." Sexual Health 10, no. 6 (2013): 512. http://dx.doi.org/10.1071/sh13005.

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BackgroundSexuality-related constructs, such as sexual arousal, sexual sensation seeking (SSS) and sexual satisfaction, have been related to sexual behaviours that place one at risk of adverse consequences, such as sexually transmissible infections, HIV and unintended pregnancy. The biopsychosocial model posits an array of factors, ranging from social environmental factors to biological and psychological predispositions, that may be associated with these sexuality constructs in adolescents. Methods: Female African Americans aged 14–20 years were recruited from reproductive health clinics for an HIV intervention. Baseline survey and follow-up DNA data (n = 304) were used to assess biological, psychological and social environmental associations with the sexuality constructs of arousal, SSS and sexual satisfaction. Results: Multivariate linear regression analysis revealed that a higher depressive symptom rating was associated with higher arousability, whereas short serotonin transporter gene allele(s) status was associated with lower arousability. Impulsivity and perceived peer norms supportive of unsafe sexual behaviours were associated with increased SSS, whereas short serotonin transporter gene allele(s) status was associated with lower SSS. Higher social support was associated with higher levels of sexual satisfaction, whereas short serotonin transporter gene allele(s) status was associated with lower satisfaction. The sexuality constructs were also significantly related to the number of sex partners, the frequency of vaginal sex and the number of unprotected vaginal sex acts in the past 6 months. Conclusions: The findings emphasise the importance of understanding biopsychosocial factors, including the role of serotonin as an indicator of natural variations in sexual inclination and behaviours, that influence sexuality constructs, which, in turn, are associated with sexual behaviours, to allow further refinement of sexual health clinical services and programs and promote the development of healthy sexuality.
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Claussen, Caroline. "The WiseGuyz Program: Sexual Health Education as a Pathway to Supporting Changes in Endorsement of Traditional Masculinity Ideologies." Journal of Men’s Studies 25, no. 2 (August 5, 2016): 150–67. http://dx.doi.org/10.1177/1060826516661319.

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Given the growing interest in the impacts of gender ideology on adolescent boys’ well-being, there is a call for programs to support the development of healthy and positive constructs of masculinity. The WiseGuyz program at the Calgary Sexual Health Centre is a sexual health and healthy relationship program addressing the need for interventions that promote positive and healthy constructs of masculinity identified in the literature. Using the Male Role Norms Inventory Scale–Adolescent–revised (MRNI-A-r) standardized scale and focus groups, data were gathered from 52 adolescent boys enrolled in the WiseGuyz program. Results suggest that participation in the WiseGuyz program lessens boys’ endorsement of traditional masculinity ideologies, as indicated by changes in the MRNI-A-r and focus group data.
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Markevich, B. A., and G. V. Chayka. "Peculiarities of a girl`s sexual development in pubertal age with primary dysmenorrhea of different somatotypes." Reports of Vinnytsia National Medical University 22, no. 1 (August 8, 2018): 33–38. http://dx.doi.org/10.31393/reports-vnmedical-2018-22(1)-07.

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Most of the problems of the female reproductive system in fertile age are a direct consequence of those pathologies that have arisen in puberty age, in the period of the establishment of its functions. Therefore, the formation of the normal physical and sexual development of adolescent girls depends on the formation of reproductive capacity, the improvement of the demographic situation and the health of future generations. The aim of the study — detection of the relationship between the features of sexual development in healthy and girls with primary dysmenorrhea of puberty age. The results of researches of 306 girls of puberty age of different somatotypes are analyzed, defined by the Hit-Carter method. Statistical processing of the results obtained was carried out in a licensed package “Statistica 6.1”. The study group included 76 girls with primary dysmenorrhea, and the control group consisted of 230 healthy girls (data were taken from the database of the SRC National Pirogov Memorial Medical University, Vinnytsya). We investigated the peculiarities of the development of the reproductive system of girls of pubertal age with primary dysmenorrhea of different somatotypes. The results of our research show that there is a connection between the age-depending dynamics of sexual development: the thelarche, axillary hair growth, the formation of menstrual function in girls of pubertal age who suffer from primary dysmenorrhea in comparison with healthy girls. The results of our study should be taken for the diagnosing of primary dysmenorrhea of girls of pubertal age in order to reduce clinical manifestations and further development of complications in reproductive age.
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Leath, Seanna, Jami C. Pittman, Petal Grower, and L. Monique Ward. "Steeped in Shame: An Exploration of Family Sexual Socialization Among Black College Women." Psychology of Women Quarterly 44, no. 4 (August 27, 2020): 450–67. http://dx.doi.org/10.1177/0361684320948539.

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Most research on Black girls’ sexuality emphasizes reducing risk behaviors, with less attention to dimensions of healthy and normative sexual development, such as body positivity. To address this gap, we sought to explore the diversity of sexual messaging young Black women received during their formative years. Using consensual qualitative research methods, we explored how 50 Black college women (ages 18–24 years) described their sexual socialization within family contexts in relation to their current sexual beliefs and behaviors. The following themes emerged from the data: messages of discretion, negative messages about physical appearance, messages of deference, messages of abstinence, absence of sexual messages, messages of body positivity, messages of egalitarianism, messages of sex positivity, and messages of sexual distrust and dismissiveness. Black families’ sexual socialization processes were also influenced by ethnicity, social class, and religious orientation. Our findings situate Black women’s family sexual socialization practices within a sociohistorical framework and highlight the need to support Black girls’ healthy sexual development by eliminating fear, shame, or taboo around sexual exploration. Education and advocacy efforts should focus on communicating openly with youth to help them make more positive decisions about sex and bodily autonomy.
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Halpern, Carolyn T. "Same-Sex Attraction and Health Disparities: Do Sexual Minority Youth Really Need Something Different for Healthy Development?" Journal of Adolescent Health 48, no. 1 (January 2011): 5–6. http://dx.doi.org/10.1016/j.jadohealth.2010.10.010.

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Sravanti, Lakshmi, and Satish Chandra Girimaji. "Sex, Sexuality and Gender-Related Issues in Child Psychiatric Practice: A Review." Journal of Psychosexual Health 1, no. 3-4 (July 2019): 236–40. http://dx.doi.org/10.1177/2631831819890773.

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In child and adolescent psychiatric practice, it is important for a clinician to be aware of contexts in which children are brought with concerns related to sexual behaviors. Johnson described a continuum of natural and healthy behaviors to sexually aggressive behaviors. Sexual development begins in fetal life and continues through infancy, childhood, and adolescence along characteristic pathways. Typically, developing children exhibit a wide range of sexual behaviors. Children and adolescents may display increased or deviant sexual behavior as a result of certain stressors, traumatic experiences, or psychiatric illnesses. This has been emerging as an important clinical issue over the past few years. It is important to distinguish between normal behaviors and disordered behaviors before planning any intervention. This article summarizes the sexuality- and gender-related issues that are encountered in child and adolescent psychiatric practice.
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Halpern, Carolyn Tucker. "Reframing Research on Adolescent Sexuality: Healthy Sexual Development as Part of the Life Course." Perspectives on Sexual and Reproductive Health 42, no. 1 (March 2010): 6–7. http://dx.doi.org/10.1363/4200610.

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Raygorodskaya, N. Y., N. V. Bolotova, V. K. Polyakov, N. B. Zakharova, and A. P. Averyanov. "INDICATORS OF SEXUAL DEVELOPMENT OF HEALTHY BOYS IN DIFFERENT PERIODS OF PITUITARY-GONADAL ACTIVITY." Pediatria. Journal named after G.N. Speransky 98, no. 6 (December 10, 2019): 91–97. http://dx.doi.org/10.24110/0031-403x-2019-98-6-91-97.

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Narzary, Pralip Kumar, Battala Madhusudana, and A. Sathiya Susuman. "Unfolding the Mystery of Reliance on Traditional Methods of Birth Control in Assam, India." Journal of Asian and African Studies 52, no. 6 (November 3, 2015): 780–93. http://dx.doi.org/10.1177/0021909615611926.

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Reliance on traditional methods of birth control causes psychological tension in couples because the fear of unwanted pregnancy bars them from experiencing a healthy sexual life. However, in Assam, half of all contraceptive users depend on traditional methods of birth control. The current study used National Family Health Survey 2005–2006 data. Out of 3840 sample women in the age group 15–49 years, 1286 women are filtered for the present study. Most of the demographic and socioeconomic characteristics of traditional method users fall between those of modern spacing method users and terminal method users. Thus, the burden of unwanted fertility is highest among the traditional method users.
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1, Manjula. "VAJIKARANA (APHRODISIAC) – A REVIEW." International Ayurvedic Medical Journal 8, no. 10 (October 18, 2020): 4881–84. http://dx.doi.org/10.46607/iamj5108102020.

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Ayurveda is the Shastra (science) which places great emphasis on prevention and encourages the mainte-nance of health through close attention to balance one’s life. Dinacharya, Ritucharya, Sadvruta, Ra-sayana, and Vajikarana play an important role to maintain the good health. There are Seven Dhatus pre-sent in the body such as Rasa, Rakta, Mamsa, Meda, Asthi, Majja and Shukra. The seven Dhatus are re-sponsible for the sustaining and development of human body. Shukra is the last Dhatu produced in the body among all the Dhatus. A person who has healthy Shukra has a brightness of confidence, with eyes and skin that seen to radiate light Shukra Dhatus also confirms strength, wisdom and power of the body. Specific Aahara and Vihara has been described in text of Ayurveda. Among Vajikarana treatment many of the formulations are told in the form of medicines and in the form of food preparation which helps for preservation of sexual potency of a healthy man as well as treatment of defective semen, disturbed sexual potency. Vajikarana promotes the sexual capacity and physical activities.
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Marques, Tiago Reis, Shubulade Smith, Stefania Bonaccorso, Fiona Gaughran, Anna Kolliakou, Paola Dazzan, Valeria Mondelli, et al. "Sexual dysfunction in people with prodromal or first-episode psychosis." British Journal of Psychiatry 201, no. 2 (August 2012): 131–36. http://dx.doi.org/10.1192/bjp.bp.111.101220.

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BackgroundSexual dysfunction is common in psychotic disorder but it is not clear whether it is intrinsic to the development of the illness or secondary to other factors.AimsTo compare sexual function in people at ultra-high risk (UHR) of a psychotic disorder, patients with first-episode psychosis predominantly taking antipsychotic drugs and healthy volunteers.MethodSexual function was assessed in a UHR group (n = 31), a group with first-episode psychosis (n = 37) and a matched control group of healthy volunteers (n = 56) using the Sexual Function Questionnaire.ResultsThere was a significant effect of group on sexual function (P<0.001). Sexual dysfunction was evident in 50% of the UHR group, 65% of first-episode patients and 21% of controls. Within the UHR group, sexual dysfunction was more marked in those who subsequently developed psychosis than in those who did not. Across all groups the severity of sexual dysfunction was correlated with the severity of psychotic symptoms (P<0.001). Within the first-episode group there was no significant difference in sexual dysfunction between patients taking prolactin-raising v. prolactin-sparing antipsychotics.ConclusionsSexual dysfunction is present prior to onset of psychosis, suggesting it is intrinsic to the development of illness unlikely to be related to the prolactin-raising properties of antipsychotic medication.
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Bortun, Ana-Maria Cristina, Viviana Ivan, Dan-Bogdan Navolan, Liana Dehelean, Andreea Borlea, and Dana Stoian. "Thyroid Autoimmune Disease—Impact on Sexual Function in Young Women." Journal of Clinical Medicine 10, no. 2 (January 19, 2021): 369. http://dx.doi.org/10.3390/jcm10020369.

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The important prevalence of autoimmune thyroid disease (AITD) in the general population was the main motivation for conducting the present study. The present paper aims to estimate the possible comorbidities related to female sexual dysfunction (FSD) and depression related to AITD. The study group consisted of 320 patients: 250 cases known with untreated AITD, divided into subgroups (euthyroid subgroup, subclinical hypothyroidism subgroup and clinical hypothyroidism subgroup); respectively 70 healthy females in the control group. Patients underwent thyroid evaluation, ovarian evaluation and laboratory assays. At the time of the diagnosis of autoimmune thyroid disease, psychometric scales were filled in by the patients: the Female Sexual Function Index 6 (FSFI-6) and the Beck’s Depression Inventory-II (BDI-II). It was observed that healthy patients had significantly higher FSFI scores than patients with AITD (28 vs. 27; p = 0.006). In the AITD group, the risk of FSD increases with the severity of thyroid disease. The most affected areas were: sexual desire (p < 0.001), lubrication (p = 0.001) and orgasm (p = 0.008), followed by excitability and sexual satisfaction. The severity of hypothyroidism influences the degree of decrease in libido, central and peripheral excitability. Sexual satisfaction and orgasm were less influenced. The field related to pain seems uninfluenced by the presence of thyroid disease. The concomitant presence of depression and the value of thyroid-stimulating hormone (TSH) are risk factors in the development of FSD. Higher TSH value and BDI-II score increase the risk of female sexual dysfunction by 1.083 and 1.295 times, respectively. Our findings are significant and promising; they may help professionals dealing with sexual and reproductive health. Despite the importance of female sexual dysfunction and its prevalence, clinicians and patients often ignore it. In fact, only a small percentage of patients consult their doctors about sexual health, and their doctors do not often ask them questions related to this aspect.
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Harper, Gary W., Pedro A. Serrano, Douglas Bruce, and Jose A. Bauermeister. "The Internet’s Multiple Roles in Facilitating the Sexual Orientation Identity Development of Gay and Bisexual Male Adolescents." American Journal of Men's Health 10, no. 5 (June 23, 2016): 359–76. http://dx.doi.org/10.1177/1557988314566227.

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One emerging avenue for the exploration of adolescents’ sexual orientation identity development is the Internet, since it allows for varying degrees of anonymity and exploration. The purpose of this phenomenological study was to examine the role of the Internet in facilitating the sexual orientation identity development process of gay and bisexual male adolescents. Qualitative interviews were conducted with an ethnically diverse sample of 63 gay/bisexual male adolescents (ages 15-23). Participants reported using a range of Internet applications as they explored and came to accept their sexual orientation identity, with the intended purpose and degree of anonymity desired determining which applications were used. Youth reported that the Internet provided a range of functions with regard to the exploration and acceptance of their sexual orientation identity, including (1) increasing self-awareness of sexual orientation identity, (2) learning about gay/bisexual community life, (3) communicating with other gay/bisexual people, (4) meeting other gay/bisexual people, (5) finding comfort and acceptance with sexual orientation, and (6) facilitating the coming out process. Future research and practice may explore the Internet as a platform for promoting the healthy development of gay and bisexual male adolescents by providing a developmentally and culturally appropriate venue for the exploration and subsequent commitment to an integrated sexual orientation identity.
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Markert, Charlotte, Sanja Klein, Jana Strahler, Onno Kruse, and Rudolf Stark. "Sexual incentive delay in the scanner: Sexual cue and reward processing, and links to problematic porn consumption and sexual motivation." Journal of Behavioral Addictions 10, no. 1 (April 16, 2021): 65–76. http://dx.doi.org/10.1556/2006.2021.00018.

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AbstractBackground and aimsThe use of pornography, while unproblematic for the majority, can grow into addiction-like behavior which in its extreme form is labeled as compulsive sexual behavioral disorder in the ICD-11 (WHO, 2018). The aim of this study was to investigate the addiction-specific reactivity to cues in order to better understand underlying mechanisms in the development of this disorder.MethodsWe have used an optimized Sexual Incentive Delay Task to study brain activity in reward associated brain areas during an anticipation phase (with cues predicting pornographic videos, control videos or no videos) and a corresponding delivery phase in healthy men. Correlations to indicators of problematic pornography use, the time spent on pornography use, and trait sexual motivation were analyzed.ResultsThe results of 74 men showed that reward-related brain areas (amygdala, dorsal cingulate cortex, orbitofrontal cortex, nucleus accumbens, thalamus, putamen, caudate nucleus, and insula) were significantly more activated by both the pornographic videos and the pornographic cues than by control videos and control cues, respectively. However, we found no relationship between these activations and indicators of problematic pornography use, time spent on pornography use, or with trait sexual motivation.Discussion and conclusionsThe activity in reward-related brain areas to both visual sexual stimuli as well as cues indicates that optimization of the Sexual Incentive Delay Task was successful. Presumably, associations between reward-related brain activity and indicators for problematic or pathological pornography use might only occur in samples with increased levels and not in a rather healthy sample used in the present study.
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Jamadar, Sharna D., Francesco Sforazzini, Parnesh Raniga, Nicholas J. Ferris, Bryan Paton, Michael J. Bailey, Amy Brodtmann, et al. "Sexual Dimorphism of Resting-State Network Connectivity in Healthy Ageing." Journals of Gerontology: Series B 74, no. 7 (February 17, 2018): 1121–31. http://dx.doi.org/10.1093/geronb/gby004.

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Abstract Objectives The onset of many illnesses is confounded with age and sex. Increasing age is a risk factor for the development of many illnesses, and sexual dimorphism influences brain anatomy, function, and cognition. Here, we examine frequency-specific connectivity in resting-state networks in a large sample (n = 406) of healthy aged adults. Method We quantify frequency-specific connectivity in three resting-state networks known to be implicated in age-related decline: the default mode, dorsal attention, and salience networks, using multiband functional magnetic resonance imaging. Frequency-specific connectivity was quantified in four bands: low (0.015–0.027 Hz), moderately low (0.027–0.073 Hz), moderately high (0.073–0.198 Hz), and high (0.198–0.5 Hz) frequency bands, using mean intensity and spatial extent. Differences in connectivity between the sexes in each of the three networks were examined. Results Each network showed the largest intensity and spatial extent at low frequencies and smallest extent at high frequencies. Males showed greater connectivity than females in the salience network. Females showed greater connectivity than males in the default mode network. Discussion Results in this healthy aged cohort are compatible with those obtained in young samples, suggesting that frequency-specific connectivity, and differences between the sexes, are maintained into older age. Our results indicate that sex should be considered as an influencing factor in studies of resting-state connectivity.
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Hipp, Christopher J., and Ryan G. Carlson. "Comfort in Treating Sexual Problems: Current Training and Counselor Self-Efficacy." Family Journal 27, no. 2 (March 7, 2019): 105–14. http://dx.doi.org/10.1177/1066480719835342.

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Counselor discomfort with sex can impede couple growth during the therapeutic process. As couples address multifaceted problems during therapy, counselors should be prepared to professionally discuss a couple’s sexuality during the therapeutic process. As such, the continued taboo surrounding the discussion of sex may illicit embarrassment or nondisclosure of the sexual difficulties by the individual or couple, or worse, be ignored completely by the counselor. Therefore, counselor self-efficacy of sexual topics requires continued analysis within the literature and clinical practice. Thus, the focus of this article is to bridge the gap between counselor sexual discomfort and building self-efficacy of sexual topics through the use of practical strategies (i.e., assessments and interventions) to use in treatment by (a) presenting an overview of literature on sexual perspectives of counselors that inhibit therapeutic discussion of sexuality in the counseling environment, (b) highlighting therapeutic lenses of sexuality that assist in understanding how sexual problems positively and/or negatively impact clients while promoting healthy communication between the counselor and client, (c) providing evidence for the use of sexually based assessments to assist counselors in the development of sexual conversations in treatment, and (d) presenting a brief overview of treatment methods for sexual problems. Implications for practice and research are discussed.
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Kılıç, Meral. "Prevalence and risk factors of sexual dysfunction in healthy women in Turkey." African Health Sciences 19, no. 3 (November 6, 2019): 2623–33. http://dx.doi.org/10.4314/ahs.v19i3.38.

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Objectives: This is a cross sectional study conducted in order to determine sexual dysfunction in healthy women and risk factors.Patients and methods: The population of the study consisted of 282 women. The whole of the population, without sample selection, was included in the study. For data, questionnaire and Female Sexual Function Index-FSFI, whose Turkish validity and reliability study was conducted, were used. Student t and chi-square significant tests and logistic regression analysis were used to carry out statistical analysis.Results: It was found that 35.8% of 282 women who participated in the study were in the age range of 30-39 years, 54.6% had high school educational level or above, and 59.6% worked. Prevalence was determined as 53.2% FSFI score < 26 according to Female Sexual Function Index FSFI; 23% of the women had complaints about urinary incontinence UI. According to logistic regression results, it is determined that CFB risk is increased in patients with age and urination problem. It was determined that there was no significant correlation between income, number of children, prceived economic status, dyspareunia, having problem with the partner, experiencing premenstrual syndrome, and SD. Conclusion: In this study, approximately half of healthy women had SD and development of SD was affected based on some descriptive characteristics. As sexual life was considered as a factor increasing life quality, it was thought that it is fairly important to discuss the questioning of problems related to sexual life for systematic evaluation of patients, as well.Keywords: SD, risk factors, prevalence, Turkey.
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DeLoach, Charlene P. "Attitudes Toward Disability: Impact on Sexual Development and Forging of Intimate Relationships." Journal of Applied Rehabilitation Counseling 25, no. 1 (March 1, 1994): 18–25. http://dx.doi.org/10.1891/0047-2220.25.1.18.

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This article presents an overview of research on attitudes toward persons with disabilities and discusses how these attitudes adversely affect their social status and their perceived sexuaitty. While the existence of a disability tends to evoke negative reactions and feelings of discomfort in others, these feelings and reactions vary in intensity, according to type of disability and the context in which a social interaction occurs, and in the affect they have on adults and children. For adults with disabilities, acceptance comes more readily when they are perceived as fellow employees or casual friends than when they are perceived as potential dating or marriage partners. For children with disabilities, myths concerning the asexuality of persons with disabilities in general often lead to behaviors on the part of others which result in impaired sexual development. Therefore, possible impediments to the development of a healthy sexuality and potential interventions are identified for Erikson's first six stages of psychosocial development, from infancy through young adulthood.
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Khuzwayo, Patience Primrose, Mbuyiselo Douglas, and Gugu Gladness Mchunu. "Developing Adolescent Boys Toward Adaptation of Male Sexual and Reproductive Health in Communities With Embedded Cultural Manhood Values." American Journal of Men's Health 14, no. 5 (September 2020): 155798832094934. http://dx.doi.org/10.1177/1557988320949342.

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Manhood values are highly prioritized among most culturally orientated South African Black communities with an ideology that revolves around the concept of masculinity. The notion of manhood values is deeply rooted in male dominance, sexual drive, and traditional male circumcision. The goals of this study were to (a) explore the experiences of school health nurses in the provision of sexual and reproductive health among adolescent boys; and (b) recommend suggested action to develop adolescent boys to adapt a healthy behavioral lifestyle through a health-promoting school program. This study employed a qualitative approach utilizing a descriptive and exploratory research design. The Ottawa Charter for Health Promotion was used to guide the study. Purposive sampling was used to select participants for individual interviews to collect data. A total of 21 school health nurses were selected to participate in face-to-face interviews. A thematic analysis was conducted using ATLAS ti (version 8) software. Five overarching themes were yielded and categorized as facilitators, barriers, and suggested action to improve sexual and reproductive health services as follows: (a) legislative frameworks and policies; (b) male medical circumcision, and prevention of HIV/AIDS and STIs; (c) lack of support from teachers and school-governing bodies; (d) risky sexual behaviors among the learners; and (e) empowerment and personal skills development. The study concludes with a discussion and recommendations that a comprehensive health-promoting school program should be developed for adolescent boys with guaranteed ownership and sustainability of male sexual and reproductive health.
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Calcaterra, Valeria, Hellas Cena, Corrado Regalbuto, Federica Vinci, Debora Porri, Elvira Verduci, Chiara Mameli, and Gian Vincenzo Zuccotti. "The Role of Fetal, Infant, and Childhood Nutrition in the Timing of Sexual Maturation." Nutrients 13, no. 2 (January 28, 2021): 419. http://dx.doi.org/10.3390/nu13020419.

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Puberty is a crucial developmental stage in the life span, necessary to achieve reproductive and somatic maturity. Timing of puberty is modulated by and responds to central neurotransmitters, hormones, and environmental factors leading to hypothalamic-pituitary-gonadal axis maturation. The connection between hormones and nutrition during critical periods of growth, like fetal life or infancy, is fundamental for metabolic adaptation response and pubertal development control and prediction. Since birth weight is an important indicator of growth estimation during fetal life, restricted prenatal growth, such as intrauterine growth restriction (IUGR) and small for gestational age (SGA), may impact endocrine system, affecting pubertal development. Successively, lactation along with early life optimal nutrition during infancy and childhood may be important in order to set up timing of sexual maturation and provide successful reproduction at a later time. Sexual maturation and healthy growth are also influenced by nutrition requirements and diet composition. Early nutritional surveillance and monitoring of pubertal development is recommended in all children, particularly in those at risk, such as the ones born SGA and/or IUGR, as well as in the case of sudden weight gain during infancy. Adequate macro and micronutrient intake is essential for healthy growth and sexual maturity.
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Ab Rahman, Azrianii, Mohd Ismail Ibrahim, Faridah Mohd Zin, Razlina Abdul Rahman, Nur Suhaila Idris, Rosnani Zakaria, Imran Ahmad, et al. "Adolescent to Adolescent Transformation Program- Nurturing, Enhancing and Promoting Adolescents’ Healthy Habit (ATAP-NEPAH): Curbing Social Problems Among Adolescents in Kelantan Through Peer-To-Peer Health Education." Malaysian Journal of Social Sciences and Humanities (MJSSH) 6, no. 3 (March 8, 2021): 313–18. http://dx.doi.org/10.47405/mjssh.v6i3.719.

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The objectives of ATAP-NEPAH are to enhance and nurture healthy habits among adolescents as well as to empower adolescents in inculcating these healthy habits among them. Health education through peer-to-peer approach is used to instill the knowledge on important areas such as sexual and reproductive health, smoking, substance abuse, illegal street racing (rempit) and mental health. Specific modules were developed by experts (lecturers) in multidisciplinary fields in collaboration with Malaysian Association for Adolescent Health (MAAH), National Population and Family Development Board (NPFDB), Reproductive Health Association of Kelantan (REHAK) and Rhaudatus Sakinah Kelantan. The trained Medical Students Facilitator Team (MSFT) of USM became trainers to secondary one school students. The selected school students were trained by the medical students to become peer educators to their juniors and peers. There was improvement in the readiness level of peer educators, knowledge and attitude towards healthy habits and risky behaviors of other school students after the intervention.
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Lim, Megan S. C., Spring Cooper, Larissa Lewis, Kath Albury, Kon Shing Kenneth Chung, Deborah Bateson, Melissa Kang, and S. Rachel Skinner. "Prospective mixed methods study of online and offline social networks and the development of sexual agency in adolescence: the Social Networks and Agency Project (SNAP) protocol." BMJ Open 9, no. 5 (May 17, 2019): e024329. http://dx.doi.org/10.1136/bmjopen-2018-024329.

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IntroductionSocial media may play a role in adolescent sexual development. The limited research on social media use and sexual development has found both positive and negative influences. The focus of this study is on sexual agency: a positive sexual outcome. This paper describes the protocol for the Social Networks and Agency Project (SNAP) study which aims to examine the relationship between online and offline social networks and the development of healthy relationships and sexual agency in adolescence.Methods and analysisThe SNAP study is a mixed methods interdisciplinary longitudinal study. Over an 18-month period, adolescents aged 15–17 years at recruitment complete three questionnaires (including demographics, sexual behaviour, sexual agency and social networks); three in-depth interviews; and fortnightly online diaries describing their sexual behaviour and snapshots of their social networks that week. Longitudinal analyses will be used to describe changes in sexual behaviour and experiences over time, sexual agency, social media use, and social network patterns. Social network analysis will be used to capture relational data from which we will be able to construct sociograms from the respondent’s perspective. Interview data will be analysed both in relation to emergent themes (deploying a grounded theory approach), and from a cross-disciplinary perspective. This mixed method analysis will allow for comparisons across quantitative and qualitative data, for consistency and differences, and will enhance the robustness of data interpretation and conclusions drawn, as multiple data sources are triangulated.Ethics and disseminationEthical approval was granted by the University of Sydney Human Research Ethics Committee and the Family Planning New South Wales Ethics Committee. The study will provide comprehensive, prospective information on the social and sexual development of adolescents in the age of social media and findings will be disseminated through conference presentations and peer-reviewed publications.
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Todoroska-Gjurchevska, Slobodanka, Lidija Naumovska, and Atanas Kozarev. "PSYCHO-SOCIOLOGICAL PERSONALITY TRAITS OF SEXUAL OFFENDERS." Journal Human Research in Rehabilitation 5, no. 1 (April 2015): 14–20. http://dx.doi.org/10.21554/hrr.041506.

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Criminality is an extremely heterogeneous social phenomenon that includes various kinds of deviant behavior. It also includes sexual criminality (crimes against sexual freedom and moral), which has highly negative impact on society and endangers the most intimate parts of a person’s life. The aim of this survey is to outline a structure of psychological features of sexual offenders, to determine the degree of their development and the way in which they are connected, as well as to describe certain social and sociological phenomena that are typical of sexual offenders. The results that have been achieved during this survey will successfully be implemented into the practical work of penal institutions in the Republic of Macedonia in order to ensure successful resocialisation and reintegration of sexual offenders in the society. Our experience and knowledge are compatible with world-wide trends saying that sexual offenders are mentally healthy people and that they cannot be included in any diagnostic category. The main results of this survey can be summed up into several points: in general, sexual offenders are male, aged between 26 and 33, with minimal education and without profession or employment. Usually, they do not behave in pathological manner and they are mentally healthy people. It is believed that resocialisation as well asa complex treatment will be necessary for people convicted of sexual offences: not only will it represent prevention from committing new crimes, it will also be a breeding ground for their active participation in life out of the penal institutions.
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Knight, Zelda G. "SOME THOUGHTS ON THE PSYCHOLOGICAL ROOTS OF THE BEHAVIOR OF SERIAL KILLERS AS NARCISSISTS: AN OBJECT RELATIONS PERSPECTIVE." Social Behavior and Personality: an international journal 34, no. 10 (January 1, 2006): 1189–206. http://dx.doi.org/10.2224/sbp.2006.34.10.1189.

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This article documents the definition and context of serial murder. The main theoretical framework adopted is object relations theories which have been particularly renowned for drawing close attention to the process and development of the early dyadic mother-infant relationship as a primary departure point for understanding both healthy and pathological psychic development. These theories have been especially comprehensive in depicting the inner world of the infant as magical and terrifying, fractured and kaleidoscopic. Within the context of narcissistic dynamics, one aspect of human behavior may be described as nonpathological and the basis for healthy ambitions and ideals, while another may be identified as pathological and destructive so that individuals behave in grandiose and murderous ways. Some of these individuals are sadistic serial killers who enjoy the sexual thrill of murdering and who are both pathological and destructive narcissists. This study examines the psychological roots of the behavior of sexually motivated male serial killers, and why they do what they do. The context of serial murder is presented, with a refined definition of sexually motivated serial murder. The development of narcissism is described as this forms the basis for understanding such behavior.
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Davis, Angela C., Cassandra JC Wright, Stacey Murphy, Paul Dietze, Meredith J. Temple-Smith, Margaret E. Hellard, and Megan SC Lim. "A Digital Pornography Literacy Resource Co-Designed With Vulnerable Young People: Development of "The Gist"." Journal of Medical Internet Research 22, no. 6 (June 1, 2020): e15964. http://dx.doi.org/10.2196/15964.

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Background The impact of viewing pornography at a young age on the sexual health of subgroups of young people is an important public health issue. However, the topic is complex and extremely sensitive, and best practices for research and harm reduction are yet to be defined. Drawing on cross-disciplinary approaches, such as co-design, is one way to achieve a better understanding of the issue among vulnerable young people and to create needs-based and evidence-informed digital resources to promote pornography literacy. Objective The objective of this study was to co-design a relevant, usable, and acceptable digital prototype to address the pornography literacy needs of vulnerable young people. Methods In total, 17 young people aged between 14 and 23 years who were engaged in youth services programs or alternative education programs were recruited to participate in 4 co-design workshops with a multidisciplinary design team. Results Although the participants could identify problems with pornography and critique its messages, they lacked the information to understand alternative healthy attitudes and behaviors. A digital resource that provides detailed and practical information about sex, sexual ethics, and relationships may help vulnerable young people to identify and contrast with any problematic messages they receive from both pornography and society. Embedding this information with pornography literacy messages may be a more effective way of addressing underlying attitudes. Acknowledging information-seeking patterns and leveraging user interaction patterns from commonly used digital platforms among users may enhance engagement with resources. Importantly, digital platforms are perceived among this group as a source of anonymous secondary information but would not be organically accessed among this group without face-to-face conversations as an access point. Conclusions This paper highlights the potential for pornography literacy to be embedded within real and practical information about having sex, navigating sexuality, and healthy relationships. The study findings include important recommendations for the conceptualization of digital pornography literacy programs and opportunities for cross-disciplinary co-design research to address complex and emerging health issues.
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Baxter-Jones, Adam D. G., and Peter J. Helms. "Effects of Training at a Young Age: A Review of the Training of Young Athletes (TOYA) Study." Pediatric Exercise Science 8, no. 4 (November 1996): 310–27. http://dx.doi.org/10.1123/pes.8.4.310.

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This paper reviews the findings from a longitudinal study following the growth and development of young British athletes. Four sports were studied: gymnastics, soccer, swimming, and tennis. Four main areas of concern were identified and studied: sports injury, growth and development, psychological and psychosocial problems, and physiological functioning. No evidence was found to suggest that training affected growth or sexual development. The incidence and severity of injuries was low. Athletes were shown to have a healthy lifestyle. The negative effects of intensive training at a young age were outweighed by the many social, psychological and health benefits that a serious commitment to sport brought these young people.
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Al-Asali, Fida, Rami Kilani, Firas Rshoud, and Ismaiel A. Mahfouz. "A Rare Case of Rectovaginal Fistula Due to Consensual Sexual Intercourse." Sultan Qaboos University Medical Journal [SQUMJ] 18, no. 1 (April 4, 2018): 107. http://dx.doi.org/10.18295/squmj.2018.18.01.019.

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Rectovaginal fistulae after sexual intercourse are rare. We report a healthy recently married 21-year-old woman who presented to the Jordan Healthcare Centre, Amman, Jordan in 2014 with a five-week history of passing flatus and stool from the vagina. Six weeks prior, she had sustained a rectovaginal injury during initial consensual sexual intercourse, leading to the development of a distal rectovaginal fistula. A successful transvaginal repair was performed nine weeks after presentation which resulted in the complete resolution of her symptoms.
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Pavelová, Ľuboslava, Alexandra Archalousová, Zuzana Slezáková, Dana Zrubcová, Andrea Solgajová, Zuzana Spáčilová, Erika Krištofová, and Alica Slamková. "The Need for Nurse Interventions in Sex Education in Adolescents." International Journal of Environmental Research and Public Health 18, no. 2 (January 9, 2021): 492. http://dx.doi.org/10.3390/ijerph18020492.

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Background: Developmentally appropriate evidence-based sexual health education should be included as part of a comprehensive school health education program and be accessible to all students. The registered school nurse is a valuable resource to parents and educators in this area and supports the implementation of evidence-based sexual health education programs that promote healthy sexual development for adolescents. Methods: The research group consisted of 438 adolescents aged 12 to 15 years in a selected region in Slovakia, 186 boys and 252 girls. Average age of the girls was 13.2 and the boys 13.3 years. A nurse—a specialist in community nursing—collected the data using a self-designed questionnaire. The questions evaluated by the five-point Likert scale focused on finding out the knowledge and attitudes of adolescents to the role of school nurses regarding sexuality and reproductive health. Results were analyzed using parametric comparison tests with significance value 0.05: Student t-test for independent samples. Results: The girls and the boys most often drew information on sexuality and reproductive health from their parents and friends. The evaluation of the adolescents’ views on who should be a competent professional in the field of sexual education at schools found statistically significant differences between the boys and girls. For the boys and girls, a sexologist received the most significant assessment of competence. The interest in a school nurse in a school environment would be statistically significantly more appreciated by the girls compared to the boys, not just for solving problems related to healthy lifestyle, but also regarding sexuality, parenting and marriage. The adolescents consider the education for marriage and parenthood as the least discussed issue at present. In evaluating topics the adolescents would discuss, there were statistically significant differences between the boys and girls. Conclusions: A community or school nurse would also be able to successfully perform sexual education at schools. In Slovakia, this applied nursing discipline is lacking.
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Pavelová, Ľuboslava, Alexandra Archalousová, Zuzana Slezáková, Dana Zrubcová, Andrea Solgajová, Zuzana Spáčilová, Erika Krištofová, and Alica Slamková. "The Need for Nurse Interventions in Sex Education in Adolescents." International Journal of Environmental Research and Public Health 18, no. 2 (January 9, 2021): 492. http://dx.doi.org/10.3390/ijerph18020492.

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Background: Developmentally appropriate evidence-based sexual health education should be included as part of a comprehensive school health education program and be accessible to all students. The registered school nurse is a valuable resource to parents and educators in this area and supports the implementation of evidence-based sexual health education programs that promote healthy sexual development for adolescents. Methods: The research group consisted of 438 adolescents aged 12 to 15 years in a selected region in Slovakia, 186 boys and 252 girls. Average age of the girls was 13.2 and the boys 13.3 years. A nurse—a specialist in community nursing—collected the data using a self-designed questionnaire. The questions evaluated by the five-point Likert scale focused on finding out the knowledge and attitudes of adolescents to the role of school nurses regarding sexuality and reproductive health. Results were analyzed using parametric comparison tests with significance value 0.05: Student t-test for independent samples. Results: The girls and the boys most often drew information on sexuality and reproductive health from their parents and friends. The evaluation of the adolescents’ views on who should be a competent professional in the field of sexual education at schools found statistically significant differences between the boys and girls. For the boys and girls, a sexologist received the most significant assessment of competence. The interest in a school nurse in a school environment would be statistically significantly more appreciated by the girls compared to the boys, not just for solving problems related to healthy lifestyle, but also regarding sexuality, parenting and marriage. The adolescents consider the education for marriage and parenthood as the least discussed issue at present. In evaluating topics the adolescents would discuss, there were statistically significant differences between the boys and girls. Conclusions: A community or school nurse would also be able to successfully perform sexual education at schools. In Slovakia, this applied nursing discipline is lacking.
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Pilnik, E. N., A. O. Pyatibrat, A. V. Apchel, and P. D. Shabanov. "Features of regulation of the immune system and sexual development in girls suffering from acne." Bulletin of the Russian Military Medical Academy 20, no. 1 (March 15, 2018): 63–67. http://dx.doi.org/10.17816/brmma12209.

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Comparative analysis of immune status and pubertal development in healthy girls and those suffering from acne disease. It is revealed that the immune status of girls suffering from acne disease, characterized by a decrease in cytotoxic lymphocytes, increase T-lymphocytes helper cells and immunoregulatory index. In the peripheral blood of these girls there was an increase in interleukin-4 and serum tumor necrosis factor, level of circulating immune complexes, mainly due to the low was significantly lower than in g concentration of serum interferon healthy girls. In girls suffering from acne in puberty the concentration of luteinizing and follicle-stimulating hormone in peripheral blood was significantly lower than girls in the control group. While menarche in girls 14-13 years old, with acne, there were significantly less than in the control group. The formation of breast and pubic hair at puberty, they lagged behind in comparison with girls in the control group. The indicators of basal metabolism indicate that girls with acne disease higher rates of creatinine and glucose, and also lower essential fatty acids and enzyme activities of alanine and aspartic transferases than girls in the control group. Thus, ladies suffering from acne, was characterized by delayed and at the same time disharmonious puberty. They are characterized by a later menarche, delayed the establishment of the rhythm of the menstrual cycle, some changes of rhythm humoral regulation and biochemical homeostasis.
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Lee, Yumi, Myong Cheol Lim, Yedong Son, Jungnam Joo, KiByung Park, Jung-Sup Kim, Dong Ock Lee, and Sang-Yoon Park. "Development and Evaluation of Korean Version of Quality of Sexual Function (QSF-K) in Healthy Korean Women." Journal of Korean Medical Science 29, no. 6 (2014): 758. http://dx.doi.org/10.3346/jkms.2014.29.6.758.

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Khalifian, Chandra E., Christopher M. Murphy, Robin A. Barry, and Bruce Herman. "Skills for Healthy Adult Relationships at the University of Maryland, Baltimore County: Program Development and Preliminary Data." Journal of Interpersonal Violence 34, no. 12 (August 9, 2016): 2551–72. http://dx.doi.org/10.1177/0886260516662303.

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The present study examines the development and preliminary pilot findings of Skills for Healthy Adult Relationships at the University of Maryland, Baltimore County (SHARe@UMBC)—an intimate partner violence prevention program for college students. SHARe@UMBC is based on an integrative cognitive-behavioral model of communication and emotion regulation in close interpersonal relationships. There were four aims of the present study: first, to describe program development; second, to examine program acceptability and participant satisfaction; third, to examine the extent to which participants acquired relationship skills and their level of confidence in using those skills; and fourth, to examine perpetration and victimization of physical, sexual, and psychological aggression. These aims utilized data collected before program initiation, immediately after program completion, and at a follow-up 9 to 15 months after program completion. Findings from two pilot groups (15 students in total; eight women and seven men) indicated high ratings of program acceptability and satisfaction, reductions in negative communication, improvements in confidence using conflict management strategies with romantic partners and peers, and confidence initiating new romantic relationships. In addition, large effect sizes were observed for confidence providing emotional support to a romantic partner and self-disclosure with peers. Participants reported no incidents of physical, sexual, or psychological aggression perpetration or victimization at follow-up. Pilot implementation and initial uncontrolled results are encouraging and provide support for initiating a more extensive controlled investigation of program efficacy.
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Nikitina, Irina L., Yuliya N. Yuchlina, Elena Y. Vasileva, and Irena I. Nagornaya. "Kisspeptin regulation of male sex development: possibilities of diagnosis and treatment of delayed puberty and hypogonadotropic hypogonadism." Problems of Endocrinology 64, no. 5 (December 29, 2018): 280–85. http://dx.doi.org/10.14341/probl9360.

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Background. Kisspeptin system plays an important role in the neuroendocrine control of gonadotropin secretion, sexual differentiation of the brain, puberty, and fertility. Objective — the study was aimed at assessing blood level of Kisspeptin in healthy boys, depending on puberty stage, as well as in boys with pathological delay of puberty onset. Material and methods. The study included 43 somatically healthy boys. Group 1 consisted of 12 boys 14—17 years old with delayed puberty, group 2 included 16 boys 14—18 years old with normal puberty, Tanner stage IV — V, group 3 — 15 boys 6—10 years old, Tanner stage I. In group 1, median testosterone level (T) was 0.09 nmol/l, LH — 0.3 IU/l; the peak LH level in the triptorelin test was below 5 IU/l in 50% of this group. Serum level of kisspeptin was assessed by ELISA using a specific kit. Results. Median serum level of kisspeptin (34.8 pg/ml) was significantly (p>0.05) higher in in the group with delayed puberty than in the groups with age-appropriate sexual development. There were no differences between groups 2 and 3 in this value. Conclusion. Serum level of kisspeptin, which is low in the case of physiological sexual development (regardless of stage), significantly increases in boys with delayed puberty onset, which can be used as a diagnostic marker of this pathology. The results suggest attenuated effect of kisspeptin due to decrease in its biological activity or decrease in sensitivity of the kisspeptin receptors in the case of delayed puberty and hypogonadism. The possibility of treatment of male hypogonadism with exogenous kisspeptin cannot be ruled out.
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Nik Farid, Nik Daliana, Mohd Faris bin Mohd Arshad, Nur Asyikin Yakub, Rafdzah Ahmad Zaki, Haslina Muhamad, Norlaili Abdul Aziz, and Maznah Dahlui. "Improving Malaysian adolescent sexual and reproductive health: An Internet-based health promotion programme as a potential intervention." Health Education Journal 77, no. 7 (May 31, 2018): 837–48. http://dx.doi.org/10.1177/0017896918778071.

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Objective: Internet-based health promotion offers a promising approach to fostering healthy sexual behaviour among adolescents. The objective of this study was to identify the potential of an Internet-based programme to improve sexual and reproductive health (SRH) knowledge among Malaysian young people. Design: A pre-test/post-test design was used to study the potential of the Malaysian Care for Adolescent Project (MyCAP) website for online SRH education. Created by health professionals, the SRH module provides detailed and accurate information about the male and female reproductive systems, the stages of adolescent development, puberty (bodily development, menstruation and wet dreams), teenage pregnancy, sexually transmitted infections (STIs) and social situations such as avoiding premarital sex. Setting: A total of 209 young adolescents aged 12 years were recruited from a school in Lembah Pantai, Kuala Lumpur. Method: Students were randomly assigned to either an Internet-based or a conventional method group. The Internet-based intervention group consisted of 101 young people (50 boys and 51 girls), while the conventional method group consisted of 108 participants (62 boys and 46 girls). Results: Using the Internet-based method, there was an increase of 3.88 in the mean knowledge score of participants from pre- to post-intervention. The Internet-based method had a greater eta-squared score of 0.59 compared to the conventional method, which had an eta-squared score of 0.41 ( p < .001). Conclusion: The results revealed that the Internet-based method significantly improved adolescents’ knowledge of SRH. Since the majority of students have access to the Internet, using online learning could provide an alternative educational method for teaching SRH.
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Sieving, Renee E., Michele L. Allen, Adriana Galvan, Rosemarie Rodriguez-Hager, Kara Beckman, Marina Castillo, Abigail Gadea, Fanny Jimbo-Llapa, Carolyn Porta, and Maria Veronica Svetaz. "Encuentro: Feasibility, Acceptability, and Outcomes of a Culturally Tailored Teen–Parent Health Promotion Program." Health Promotion Practice 18, no. 5 (July 9, 2016): 751–62. http://dx.doi.org/10.1177/1524839916654462.

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The growth of the Latino youth population, combined with the reality that many Latino adolescents live in environments characterized by social disparities, reveals a compelling need to address health inequalities affecting Latinos through effective health promotion programs designed by and for this population. This article presents findings from a pilot study of Encuentro, a health promotion program for young Latino teens and their parents. Developed by a community–university partnership, Encuentro aims to bolster internal assets, familial and cultural supports for young teens’ positive development, and healthy sexual decision making and behaviors. Encuentro was pilot tested with 49 Latino families at 3 community sites in Minneapolis/St. Paul. Families were assigned to a program group or a control group. Pilot study findings confirm program feasibility and acceptability. Compared to the control group, program group youth reported substantially more involvement in activities celebrating Latino culture, and greater communication with their parents about sexual health topics. Parents in the program group reported greater ethnic pride, engaging in more activities to share Latino values and traditions with their teens, greater communication with their teens about sexual health topics, and increased parental monitoring than did parents in the control group. Findings demonstrate the potential of the Encuentro program.
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49

Argaman, R. "Autism, Sexuality & Anxiety – Multi Directional Connections." Klinička psihologija 9, no. 1 (June 13, 2016): 13. http://dx.doi.org/10.21465/2016-kp-op-0006.

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Objective: People diagnosed with autism spectrum disorder (ASD) have diverse sexual needs and interests, like others without autism. However, people with autism report on sexual confusion, difficulties and ambivalence. Difficulties in interpersonal communication, restricted interests, social deprivation, anxiety and sensory sensitivity that characterize autism harm the ability to exercise sexual and social needs in a positive, safe, and healthy way. The presentation will include: Design and Method: Overview of the multi-directional connections between sexuality and anxiety in children, adolescents and adults with autism, based mainly on case studies and clinical experience as well as the existing literature. Results: Through case studies, we can see that many of the anxieties around sexuality begin at childhood and connect to the development of personal identity. Conclusions: There is great importance of socio-sexual education and designated therapy, in order to enable social and sexual well-being.
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50

Hasanli, G. G. "Features of sexual development in girls with general and genital infantilism in the early reproductive period." Ukrainian journal of Perinatology and Pediatrics, no. 1(85) (March 29, 2021): 17–21. http://dx.doi.org/10.15574/pp.2021.85.17.

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Purpose — study of the severity of secondary sexual characteristics in girls with general and genital infantilism in the early reproductive period. Materials and methods. 150 girls with general and genital infantilism were examined. All examined girls underwent clinical, functional, hormonal, biochemical, radiological, genetic and laboratory tests. The average age of girls was 19.56±0.13 (17–22) years. The average weight of the examined was within 55.37±1.56 (32–98) kg, height 1.57±0.13 (1.36–1.71) m. The body-mass index was 22.5±0.48 (15–48). The severity of secondary sexual characteristics was assessed according the J. Tanner scale. Results and conclusions. It was found that adolescents with general infantilism (hypogonadotropic hypogonadism) have a significant delay in the development of secondary sexual characteristics against the background of mild hirsutism (р<0.05). In Patients with genital infantilism (hypergonadotropic hypogonadism), significant axillary and suprapubic hair growth at the background of poor development of the mammary glands was noted. Also the moderate degree of hirsutism was confirmed. With normogonadotropic hypogonadism, the development of secondary sexual characteristics corresponds to similar indicators of practically healthy girls. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of these Institutes. The informed consent of the patient was obtained for conducting the studies. The authors declare no conflicts of interests. Key words: general infantilism, genital infantilism, hypogonadotropic hypogonadism, normogonadotropic hypogonadism, hypergonadotropic hypogonadism, hirsutism.
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