Measurement of sexual health outcomes among people who inject drugs: pilot study in Catalonia, Spain and Barnaul, Russia
Abstract Background The main objective of this study was to test some of the draft sexual health indicators developed by the World Health Organization as part of a comprehensive indicator framework to monitor progress in universal access to reproductive health. Methods Cross-sectional studies among...
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| Format: | Article |
| Language: | English |
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BMC
2018-01-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-018-5065-x |
| _version_ | 1811239551921815552 |
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| author | Cinta Folch Lev Zohrabyan Natalia Vagaitseva Jordi Casabona Igor Toskin the local REDAN Group |
| author_facet | Cinta Folch Lev Zohrabyan Natalia Vagaitseva Jordi Casabona Igor Toskin the local REDAN Group |
| author_sort | Cinta Folch |
| collection | DOAJ |
| description | Abstract Background The main objective of this study was to test some of the draft sexual health indicators developed by the World Health Organization as part of a comprehensive indicator framework to monitor progress in universal access to reproductive health. Methods Cross-sectional studies among people who inject drugs were conducted in Catalonia (n = 734) and Barnaul (n = 500). ‘Sexual competency’ was measured using three indicators: sexual satisfaction, sexual safety, and sexual autonomy. Individual social norms on sexuality were also collected. The construct validity of the sexual safety and sexual autonomy items were assessed. Multivariate logistic regression models explored factors associated with sexual dissatisfaction. Results In Catalonia, sexual competency was higher among males than females who inject drugs (60.4% versus 33.3%). In both Catalonia and Barnaul, differences by sex in social norms on sexuality were seen. Mean scores on sexual safety (4.15 in Catalonia and 3.54 in Barnaul) were lower among participants who reported not using condoms. Mean scores on sexual autonomy (4.42 in Catalonia and 3.97 in Barnaul) were lower among those who had experienced some form of sexual assault. Perceived sexual safety, sexual autonomy, and social norms on sexuality were associated with sexual dissatisfaction. Conclusions The sexual health indicators tested are valid, feasible, and reliable tools to monitor and evaluate sexual health programs and activities. The results confirm that sexual satisfaction depends on safe sexual experiences, free from coercion and violence. Social norms and individual perceptions about sexual health need to be considered when developing national disease prevention programs. |
| first_indexed | 2024-04-12T13:03:03Z |
| format | Article |
| id | doaj.art-d4f596c78a0b4e1989f1f4cca2744ddd |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-12T13:03:03Z |
| publishDate | 2018-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-d4f596c78a0b4e1989f1f4cca2744ddd2022-12-22T03:32:07ZengBMCBMC Public Health1471-24582018-01-0118111010.1186/s12889-018-5065-xMeasurement of sexual health outcomes among people who inject drugs: pilot study in Catalonia, Spain and Barnaul, RussiaCinta Folch0Lev Zohrabyan1Natalia Vagaitseva2Jordi Casabona3Igor Toskin4the local REDAN GroupCentre d’Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Departament de Salut, Generalitat de CatalunyaJoint United Nations Programme on HIV and AIDS (UNAIDS)Altai Regional AIDS centerCentre d’Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Departament de Salut, Generalitat de CatalunyaWorld Health Organization, Department of Reproductive Health and ResearchAbstract Background The main objective of this study was to test some of the draft sexual health indicators developed by the World Health Organization as part of a comprehensive indicator framework to monitor progress in universal access to reproductive health. Methods Cross-sectional studies among people who inject drugs were conducted in Catalonia (n = 734) and Barnaul (n = 500). ‘Sexual competency’ was measured using three indicators: sexual satisfaction, sexual safety, and sexual autonomy. Individual social norms on sexuality were also collected. The construct validity of the sexual safety and sexual autonomy items were assessed. Multivariate logistic regression models explored factors associated with sexual dissatisfaction. Results In Catalonia, sexual competency was higher among males than females who inject drugs (60.4% versus 33.3%). In both Catalonia and Barnaul, differences by sex in social norms on sexuality were seen. Mean scores on sexual safety (4.15 in Catalonia and 3.54 in Barnaul) were lower among participants who reported not using condoms. Mean scores on sexual autonomy (4.42 in Catalonia and 3.97 in Barnaul) were lower among those who had experienced some form of sexual assault. Perceived sexual safety, sexual autonomy, and social norms on sexuality were associated with sexual dissatisfaction. Conclusions The sexual health indicators tested are valid, feasible, and reliable tools to monitor and evaluate sexual health programs and activities. The results confirm that sexual satisfaction depends on safe sexual experiences, free from coercion and violence. Social norms and individual perceptions about sexual health need to be considered when developing national disease prevention programs.http://link.springer.com/article/10.1186/s12889-018-5065-xSexual healthPeople who inject drugsSurveysSocial normSexual satisfaction |
| spellingShingle | Cinta Folch Lev Zohrabyan Natalia Vagaitseva Jordi Casabona Igor Toskin the local REDAN Group Measurement of sexual health outcomes among people who inject drugs: pilot study in Catalonia, Spain and Barnaul, Russia BMC Public Health Sexual health People who inject drugs Surveys Social norm Sexual satisfaction |
| title | Measurement of sexual health outcomes among people who inject drugs: pilot study in Catalonia, Spain and Barnaul, Russia |
| title_full | Measurement of sexual health outcomes among people who inject drugs: pilot study in Catalonia, Spain and Barnaul, Russia |
| title_fullStr | Measurement of sexual health outcomes among people who inject drugs: pilot study in Catalonia, Spain and Barnaul, Russia |
| title_full_unstemmed | Measurement of sexual health outcomes among people who inject drugs: pilot study in Catalonia, Spain and Barnaul, Russia |
| title_short | Measurement of sexual health outcomes among people who inject drugs: pilot study in Catalonia, Spain and Barnaul, Russia |
| title_sort | measurement of sexual health outcomes among people who inject drugs pilot study in catalonia spain and barnaul russia |
| topic | Sexual health People who inject drugs Surveys Social norm Sexual satisfaction |
| url | http://link.springer.com/article/10.1186/s12889-018-5065-x |
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