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[Adolescent sexual behavior and sexually transmitted diseases (STD). A preliminary study].

Great changes have occurred in the adolescent behaviour in the last twenty years; this has caused a great increase in the number of the transmitted by sexual intercourse diseases. These, along with the adolescent habits changing, have so widely spread among young people, that one third of the recorded case are actually referred to this group of age. So, a matter of great social interest, which would require a common effort by the adolescents' families, the teachers and by the adolescents themselves, to be faced in the most proper way, has arisen. But the greatest commitment is asked for to the specialized in infectious diseases pediatricians, who are called to state the best strategy to efficaciously fight adolescents' STD. Pediatricians' specific competence and experience can build up the major security to face the prevention and diagnostic matters and their therapy as well.

Adolescent↗

[Psychological stress and sexual behavior in male rats. I. Sexual behavior in rats undergoing psychological or physical stress].

The relationship between sexual behavior and long-term stress in male Wistar rats was investigated. Rats were divided into two groups, one of which exposed to electrical foot shock for 1 hour a day for 10 weeks to create physical stress. The other group was exposed to the rats receiving shock to create psychological stress. Rats in both groups were placed in a compartment with a floor grid from which the foot shock might be derived. Rats in the psychological stress group were prevented from receiving foot shock by a plastic plate placed on the floor, but they were exposed to the response of the rats receiving foot shock. Sexual behavior tests were done 2, 4, 6, 8, and 10 weeks after starting the induction of stress. Rats in the physical stress group increased their sexual activity with exposure to long-term physical stress. On the other hand, rats in the psychological stress group temporarily increased their sexual activity, but then their sexual activity gradually decreased. Our experimental results suggest that long-term psychological stress reduces the sexual activity of male rats.

Animals↗

Parent-adolescent congruency in reports of adolescent sexual behavior and in communications about sexual behavior.

Agreement between mothers' and adolescents' reports of communication about sex, satisfaction with the parent-child relationship, maternal disapproval of adolescent sexual activity, and adolescent sexual behavior was investigated in a sample of 745 African American adolescents (ages 14-17) and their mothers. Congruence between the 2 sets of reports tended to be low. Adolescent perceptions and reports were found to be more predictive of adolescent sexual behavior than maternal reports. Mothers tended to underestimate the sexual activity of their teens and teens tended to underestimate their mother's level of disapproval of their engaging in sexual activity. Reasons for these misperceptions were explored.

Adolescent↗

Inappropriate sexual behavior.

Inappropriate sexual behavior, or sexually aggressive behavior, is a term which encompasses a variety of behaviors, including obscene gesturing, touching or hugging another person, exposing body parts or disrobing, and masturbating in public. Inappropriate sexual behavior often elicits feelings of anxiety, embarrassment, or unease in the caregiver and the result is often disruption in continuity of care for the patient. The cause of inappropriate sexual behavior varies among individuals and careful assessment of the etiology of the behavior is the first essential step in intervening. Nursing interventions focus upon providing opportunities for expression of appropriate sexual behavior while attempting to extinguish inappropriate sexual behavior.

Aged↗

Factors associated with sexual behavior problems in young sexually abused children.

OBJECTIVE: To identify variables associated with the presence of sexual behavior problems in young sexually abused children. METHOD: Data were gathered from the clinical records of 100 sexually abused boys and girls ages 3-7 years enrolled in two treatment programs. Information was coded systematically on approximately 350 areas related to the child and family's history and functioning, the sexual abuse experience, and treatment outcome. The children were grouped and compared according to their presenting sexual behavior into three categories: (1) developmentally "expected"; (2) "sexualized/self-focused"; and (3) problematic "interpersonal" sexual behavior. RESULTS: Bivariate and multivariate analyses highlighted five variables which were predictive of sexual behavior problems among sexually abused children. Sexual arousal of the child during his/her sexual abuse, the perpetrator's use of sadism, and a history of physical and emotional abuse differentiated between those children with and without "interpersonal" sexual behavior problems. Who the child blamed for his/her sexual abuse further contributed to the distinction between children whose sexual behavior was exclusively "self-focused" (sexualized) versus "interpersonal." CONCLUSIONS: The five major predictor variables, as well as other variables identified in this study, have potential utility in assessing child risk for negative outcomes and determining referral priorities for sexual abuse treatment. Given that sexual arousal and who the child blames for the abuse are prominent variables associated with sexual problems and self-blame, clinicians will need to ensure that sexually abused children and their caregivers are given specific opportunities to deal with these areas in the supportive context of treatment. Children with sexual behavior problems differ not only in the type and level of sexual behavior they exhibit but in most other areas as well, suggesting a need for differential assessment and individualized treatment approaches.

Analysis of Variance↗

Psychopharmacology of male rat sexual behavior: modeling human sexual dysfunctions?

Most of our current understanding of the neurobiology, neuroanatomy and psychopharmacology of sexual behavior and ejaculatory function has been derived from preclinical studies in the rat. When a large population of male rats is tested on sexual activity during a number of successive tests, over time individual rats display a very stable sexual behavior that is either slow, normal or fast as characterized by the number of ejaculations performed. These sexual endophenotypes are postulated as rat counterparts of premature (fast rats) or retarded ejaculation (slow rats). Psychopharmacology in these endophenotypes helps to delineate the underlying mechanisms and pathology. This is illustrated by the effects of serotonergic antidepressants and serotonergic compounds on sexual and ejaculatory behavior of rats. These preclinical studies and models contribute to a better understanding of the neurobiology of ejaculation and boost the development of novel drug targets to treat ejaculatory disorders such as premature and retarded ejaculation.

Animals↗

[Survey on risky sexual behavior and sexually transmitted diseases among adolescent students from Havana City, 1996].

The observed increase of sexually transmitted diseases (STD) in Cuba aroused the interest of carrying out a study aimed at exploring risky sexual behaviours and attitudes, and histories of STD. A crosswise descriptive study was undertaken using a randomized sample taken from the universe of adolescent students in the City of Havana during 1995-96 school year. The sample was made up by 2,793 teenagers aged 11-19 years (1,370 females and 1,423 males). Previously trained experts linked to this field collected data by means of a structured interview which had been drawn up for this end. It was confirmed that more than half of adolescent students did not use condom in their sexual intercourse 57% had more than one sexual partner along the year, 40% believed it was difficult to keep only one partner whereas 35% had more than one sexual partner at the same time. Risk and protected sexual habits were noticed, with 39% for oral-genital and 21.4% for genital-anal. 22% for the interviewed adolescent said they had histories of STD.

Adolescent↗

Medical students' perceptions of patient-initiated sexual behavior.

BACKGROUND: Sexual behavior in the context of the doctor-patient relationship has potentially devastating effects on health care and the psychological well-being of patients. METHOD: To investigate the exposure of medical students to patient-initiated sexual behaviors (defined as any kind of sexual remarks or behaviors directed toward students by patients), 253 third- and fourth-year students and 1992 graduates of Wright State University School of Medicine were surveyed in the summer of 1992. The instrument used was a 16-item self-administered questionnaire, which solicited data on each respondent's age and gender as well as responses to patient-initiated sexual behavior, various aspects of the clinical settings in which such behavior occurred, and the effects of this behavior on the respondent's education and future practice. RESULTS: Of the 253 students and graduates surveyed, 155 (61%) responded (73 women and 82 men.) Fifty-two (71%) of the women and 24 (29%) of the men reported at least one instance of inappropriate sexual behavior by a patient. Frequently students had encountered inappropriate behavior more than once. CONCLUSION: Even assuming that all the nonrespondents had not experienced inappropriate sexual behavior, the proportion of students and graduates who did report such behavior is considerable. Understanding the extent and nature of patient-initiated sexual behavior experienced by physician trainees is hampered by differing definitions of inappropriate sexual behavior, subjective reporting, and variable perceptions of situations dependent on previous experience. Since patient-initiated sexual behavior can cause physicians to distance themselves from their patients and can put patients at risk for sexual exploitation, training in medical school is necessary to help students effectively manage such complex behavior.

Adult↗

Gender difference in persistent at-risk sexual behavior after a diagnosed sexually transmitted disease. ACSF-Investigators.

BACKGROUND AND OBJECTIVES: There are few data on sexual behavior after an episode of sexually transmitted disease (STD). GOALS: To examine association between a history of STD and subsequent at-risk sexual behavior in the general population. STUDY DESIGN: In the French National Survey of Sexual Behavior, current sexual behavior was compared between heterosexuals who reported an STD in the 4 years prior to the last year and those who reported no STD (n = 2517). RESULTS: Reporting of STD was associated with a high rate of past multiple partnership among both sexes, but was associated with current at-risk behavior in men only. Men with a previous history of STD were 2.8 times (95% confidence interval [CI]: 1.4-5.6) more likely to report high-risk unprotected sex as a current behavior. No such association was observed in women (adjusted odds ratio [OR]: 1.0; 95% CI: 0.5-2.0). Conversely, in women, a previous episode of STD was significantly associated with reporting of behavior changes (adjusted OR: 3.4; 95% CI: 1.6-7.1). CONCLUSION: A self-reported history of STD is a marker of current high-risk sexual behavior among heterosexual men that could be used to target prevention programs. In contrast, it may be associated in women with subsequent adoption of STD and HIV risk reduction strategies.

Adult↗

Genetic basis of male sexual behavior.

Male sexual behavior is increasingly the focus of genetic study in a variety of animals. Genetic analysis in the soil roundworm Caenorhabditis elegans and the fruit fly Drosophila melanogaster has lead to identification of genes and circuits that govern behaviors ranging from motivation and mate-searching to courtship and copulation. Some worm and fly genes have counterparts with related functions in higher animals and many more such correspondences can be expected. Analysis of mutations in mammals can potentially lead to insights into such issues as monogamous versus promiscuous sexual behavior and sexual orientation. Genetic analysis of sexual behavior has implications for understanding how the nervous system generates and controls a complex behavior. It can also help us to gain an appreciation of how behavior is encoded by genes and their regulatory sequences.

Animals↗

Community services, issues, and service gaps for individuals with developmental disabilities who exhibit inappropriate sexual behaviors.

Inappropriate sexual behaviors represent the most challenging behaviors for community service providers. A national survey of 243 community agencies was conducted to describe services provided for individuals with developmental disabilities who exhibit high-risk sexual behaviors and to identify issues and service gaps. The most common types of offenses were sexual behavior (a) in public situations, (b) that inappropriately involved others, and (c) involved minors. Community agencies used multifaceted approaches to serve these individuals. The major issues and problems were systemic, specifically staff issues and service gaps, followed by funding. Implications of this study are that increased knowledge and skills related to sexuality and inappropriate sexual behavior and mental health resources are needed to build community capacity to serve this population.

Adolescent↗

LHRH and mating behavior: sexual receptivity versus sexual preference.

Sexual behavior and sexual preference measurements were obtained from ovariectomized female rats treated with estrogen, estrogen and progesterone, or estrogen followed by third ventricular infusion of luteinizing hormone releasing hormone (LHRH) or saline. The lordosis-to-mount ratio and the occurrence of receptive and proceptive behaviors were scored to assess total sexual receptivity. Sexual preference was determined by placing the test female in the center of a four-winged choice box apparatus in which each of the outer wings contained one of the following incentive animals: a sexually active male (SM), a castrate male (CM), a female in proestrus (PF), and an ovariectomized female (OF). Time spent in close proximity to the incentive animals was measured as an index of sexual preference. Estrogen and progesterone treatment resulted in high sexual receptivity and a marked preference for SM. Estrogen alone or in combination with saline also produced a significant preference for SM. Animals treated with estrogen and LHRH exhibited high levels of sexual receptivity compared to estrogen saline treated controls, but no enhancement of preference for SM was detected. The results indicate that fractionation of sexual receptivity and sexual motivation occurs following estrogen-LHRH treatment.

Animals↗

Assessing sexual behavior in high-risk adolescents with the adolescent clinical sexual behavior inventory (ACSBI).

This study examined the reliability and validity of the Adolescent Clinical Sexual Behavior Inventory (ACSBI), a new 45-item measure, designed to elicit parent-and self-report regarding a range of sexual behaviors in high-risk adolescents. Using this measure, this study also investigated predictors of adolescent sexual behavior. Participants were 174 adolescents and their parents consecutively admitted to one of three clinical settings (i.e., inpatient treatment, partial hospital program, and outpatient clinic). Parent-and self-reports of adolescent sexual behavior were moderately correlated, and there was a strong relationship between high-risk sexual behavior and adolescent emotional and behavioral problems, as well as sexual concerns, distress, and preoccupation. In addition to sexual abuse, physical abuse, life stress, and impaired family relationships also significantly predicted sexual behavior in adolescents.

Adolescent↗