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Biomedical subjects

Alain Giami

Publications and source records attributed to Alain Giami.

4 recordsLinked to original sources

Sexology as a profession in France.

A national survey of sexologists was carried out in France in 1998-1999, among the individuals listed in the professional directories and the telephone book as "sexologists." It described the sociodemographic characteristics of sexologists, their initial profession and training in sexology, sex therapy and psychotherapeutic techniques, and how they practice sexology. A total of 959 individuals were identified and surveyed. The response rate was 63%. Two thirds of the sexologists were physicians and 60% were men. French sexologists appeared to be segmented into three subgroups: (1) one-third were general practitioners, trained in sexology and psychotherapeutic approaches, recognized themselves as sexologists, and devoted 40% of their professional activity to sexology. Men were about two thirds of this group; (2) one-third were nonphysicians (including psychologists and other health professionals, such as social workers and nurses), recognized themselves as sex therapists and devoted one third of their time to sexology. Men and women were equally represented in this group; (3) one-third were specialists, with less training in sexology and psychotherapeutic techniques, and did not generally recognize themselves as sexologists. They devoted a lesser part of their time to sexology and had academic and hospital practice. Men comprised more than 75% of this group. This study raised the issue of the diversity of primary professions involved in the field of sexology and showed that sexology is a secondary professional choice for the majority of sexologists.

Female↗

Sexual health: the emergence, development, and diversity of a concept.

The concept of sexual health, which was developed at a 1975 conference of the World Health Organization (WHO), is currently being used to set up nationally based public health programs in various countries. I outline the history of sexuality as a public health issue since the 19th century, analyze the history of the concept of sexual health since its emergence in 1975, and make a comparative analysis of the contemporary documents dealing with sexual health generated in the U.S. and England, and by organizations such as the WHO and the Pan American Health Organization (PAHO). The analysis of these documents gives evidence that there is no international consensus on the concept of sexual health and its implementation in public health policies. The conceptions of sexual health remain embedded in national and political contexts. Conceptions for sexual health appear to be the result of political compromises and take place in the public health culture and practice of each country. Depending on the context, these different initiatives focus either on individual responsibility or on an appropriate sexual health services organization, and sexual health may be conceived as an ideal state of well-being or as the reduction of negative consequences of sexual activity.

Attitude to Health↗

Environmental agents and erectile dysfunction: a study in a consulting population.

We evaluated chemical and physical environmental agents as risk factors for erectile dysfunction among a consulting population. We studied 199 men who sought medical help for erectile disorders between 1996 and 1998 in 3 andrology units in the Litoral Sur region of Argentina. Patients were evaluated by monitoring nocturnal penile tumescence and rigidity, and were classified as having normal (n = 26), irregular (dissociation, short episode or low amplitude, n = 146), or flat erectile pattern (n = 26). Exposure to environmental agents was assessed by a detailed interview, and 4 groups were constituted: nonexposed, pesticide-exposed, solvent-exposed, and heat-exposed. A multivariate polytomous logistic regression model was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for association between quality of nocturnal erections and exposure groups adjusted for confounding factors. Exposure to environmental agents was a risk factor for a flat erectile pattern (OR 7.1, 95% CI 1.5-33.0 for pesticides; OR 12.2, 95% CI 1.2-124.8 for solvents; and OR 1.7, 95% CI 0.3-9.4 for heat). Associations were much weaker for an irregular erectile pattern (OR 1.8, 95% CI 0.5-6.7 for pesticides; OR 2.1, 95% CI 0.3-17.9 for solvents; and OR 1.2, 95% CI 0.4-4.0 for heat). Our results suggest that environmental agents constitute a risk factor for erectile dysfunction by interfering with erectile ability.

Age Factors↗