Barriers to sexual health-seeking behaviors for Chinese women

Luo, Li‐Shi; Huang, Jingjing; Li, Huafang

doi:10.1007/s00737-023-01348-7

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…Several factors could explain this observation. Firstly, Chinese women were shy or shamed to report sexual health [32] or otherwise less concerned about their sexual satisfaction with breast than being cancer free. Secondly, only six were in the obese range, and the sample size might be too small to detect a statistical difference.…”

Section: Body Weight and Satisfaction With Breastmentioning

confidence: 99%

Chinese Women Recover Slower Than Western Women After Cancer-Related Breast Reconstruction: A Prospective Descriptive Study Using Patient-Reported Outcome Measurement for Breast Surgery

CHANG,

WANG,

Lin

2023

Preprint

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Purpose: The patient-reported outcome measurement for breast surgery (BREAST-Q) has been widely used to assess the physical, psychosocial, and breast satisfaction of women undergoing breast reconstruction surgery. However, so far, there is no traditional Chinese version available. The study aims (1) to perform the psychometric evaluation of the traditional Chinese version of the BREAST-Q core and reconstruction modules and (2) to describe Chinese women’s experiences using the BREAST-Q. Methods: We first translated and pilot tested the BREAST-Q, then recruited patients (N = 155) undergoing silicone breast reconstruction surgery. Results: The BREAST-Q had Cronbach's alpha values of 0.87 and 0.92 for the pre- and post-surgical reconstruction versions, with a content validity index of 0.96 and 0.98, respectively. Having a normal BMI was only related to pre-operative psychosocial wellbeing and breast satisfaction. Compared to the BREAST-Q clinical references of the US population, we found that participants experienced consistently lower physical, psychosocial, and sexual quality of life before and after their breast reconstruction surgeries, and at the six-month follow-up, there were significant deteriorations in the physical, psychosocial, and breast satisfaction domains and no improvement in sexual wellbeing. Conclusion: The findings indicate that Chinese women are likely to be more vulnerable to the physical and psychosocial impact of changes in breast, including surgical breast reconstruction, than women in the US and thus experience a slower recovery process. Pre- and post-operative support should be designed to fit their unique survivorship trajectory.

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Section: Body Weight and Satisfaction With Breastmentioning

confidence: 99%

Chinese Women Recover Slower Than Western Women After Cancer-Related Breast Reconstruction: A Prospective Descriptive Study Using Patient-Reported Outcome Measurement for Breast Surgery

CHANG,

WANG,

Lin

2023

Preprint

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Do indicators for DSM-5 sexual dysfunction and somatic symptom disorder overlap? Evidence from the Hamburg City Health Study population-based sample

Koops,

Uhlenbusch,

Löwe

et al. 2024

The Journal of Sexual Medicine

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Background Symptoms of sexual dysfunction and somatic symptom disorder may resemble each other in their presentation as lasting and distressing alterations of expected bodily “functioning”; their co-occurrence has not yet been studied in nonclinical settings or by DSM-5 criteria (Diagnostic and Statistical Manual of Mental Disorders, fifth edition). Aim To investigate (1) the association of indicators consistent with DSM-5 sexual dysfunction and somatic symptom disorder diagnoses, (2) whether individuals with different sexual dysfunction diagnoses differ in somatic symptoms and their perception, and (3) whether distress from sexual difficulties is related to somatic symptoms and symptom perception. Methods We examined links among sexual dysfunctions/distress from sexual difficulties (Brief Questionnaire on Sexuality), somatic symptom severity (Patient Health Questionnaire–15 [PHQ-15]), and symptom perception (Somatic Symptom Disorder–B Criteria Scale) in 9333 participants of the Hamburg City Health Study aged 45 to 74 years. For a sensitivity analysis, we repeated all analyses after excluding an item on sexual difficulties from the PHQ-15 score. Outcomes Outcomes included scores on the Brief Questionnaire on Sexuality indicating sexual difficulties and dysfunction according to DSM-5, PHQ-15 for somatic symptom severity, and Somatic Symptom Disorder–B Criteria Scale for symptom perception. Results Indicators consistent with DSM-5 sexual dysfunction and somatic symptom disorder diagnoses were linked (P = .24) before the sensitivity analysis but not after. Individuals with different sexual dysfunction diagnoses did not differ in their somatic symptom severity or their symptom perception. Distress from sexual difficulties was weakly correlated with somatic symptom severity (after sensitivity analysis: ρ = .19, P = .01) and symptom perception (ρ = .21, P = .01). Both correlations were stronger for men than for women. Clinical Implications Our results convey that it is worth exploring sexual difficulties and somatic symptom disorder in patients presenting with either complaint but also that sexual difficulties should still be regarded as an independent phenomenon. Strengths and Limitations Our sample consisted of participants from one metropolitan region who were >45 years of age and thus does not demographically represent the general population. Assessing via self-report questionnaires may have influenced the reporting of symptoms, as may have prevailing shame around experiencing sexual dysfunction. The final sample size was reduced by missing values from some questionnaires. Despite these limitations, sample sizes for all analyses were large and offer meaningful new observations on the subject. Conclusion Our data suggest that indicators for sexual dysfunction and somatic symptom disorder somewhat overlap but still represent distinct phenomena and should be treated accordingly in research and clinical practice.

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Factors influencing sexual interest in postmenopausal Asian women

Wong,

Cora,

Andrew

et al. 2024

The Journal of Sexual Medicine

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Background The sexual interest of postmenopausal women is a crucial aspect of their overall well-being. Despite its importance, factors influencing postmenopausal sexual interest, particularly in Asian women, remain understudied and poorly understood. Aims To investigate the various factors influencing sexual interest in postmenopausal women in Malaysia. Methods A cross-sectional study was conducted of postmenopausal women attending a gynecology or primary care clinic in a teaching hospital in Malaysia. Outcomes We investigated how interpersonal dynamics and cultural norms—including the physical and mental health of women and their partners, as well as their sexual values—affect menopausal sexual interest as measured by the Menopausal Sexual Interest Questionnaire. Results Women in the study reported an average sexual interest, with a mean score of 32.8 (SD, 9.4) out of 70 on the Menopausal Sexual Interest Questionnaire. Multivariable analysis results showed that higher personal sexual values (odds ratio [OR], 2.65; 95% CI, 1.26-5.61) and spousal sexual values (OR, 2.68; 95% CI, 1.22-5.86) were significantly associated with higher menopausal sexual interest. There was a positive correlation between the physical fitness of spouses and menopausal sexual interest, with women who rated their spouses as very fit or fit (OR, 3.22; 95% CI, 1.15-9.00) or moderately fit (OR, 2.63; 95% CI, 1.05-6.63) showing higher menopausal sexual interest as compared with those whose spouses were very unfit or unfit. Women with normal stress levels (OR, 5.89; 95% CI, 1.03-33.62) and mild to moderate stress levels (OR, 8.13; 95% CI, 1.53-43.22) reported higher menopausal sexual interest. Clinical Implications This study emphasizes a holistic approach to postmenopausal sexual health, highlighting the significance of promoting positive sexual values, improving physical fitness, and managing stress. Health care providers should educate, counsel, and collaborate interdisciplinarily, ensuring culturally sensitive care tailored to individual needs. Strength and Limitations The study’s strength lies in its provision of valuable insights into factors affecting sexual interest among postmenopausal Asian women, enhancing comprehension of holistic sexual health approaches. However, reliance on self-assessments may introduce response bias influenced by social desirability, and limited generalizability stems from single-site data collection. Conclusion Our study highlights the significance of adopting a holistic approach to addressing sexual health in postmenopausal women, which includes promoting positive sexual values, improving physical fitness, and managing stress.

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Barriers to sexual health-seeking behaviors for Chinese women

Cited by 3 publications

References 24 publications

Chinese Women Recover Slower Than Western Women After Cancer-Related Breast Reconstruction: A Prospective Descriptive Study Using Patient-Reported Outcome Measurement for Breast Surgery

Chinese Women Recover Slower Than Western Women After Cancer-Related Breast Reconstruction: A Prospective Descriptive Study Using Patient-Reported Outcome Measurement for Breast Surgery

Do indicators for DSM-5 sexual dysfunction and somatic symptom disorder overlap? Evidence from the Hamburg City Health Study population-based sample

Factors influencing sexual interest in postmenopausal Asian women

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