title: Sexual health problems and associated help-seeking behavior of people with physical disabilities and chronic diseases.
abstract: The aim of this study was to investigate help-seeking behavior in relation to sexual problems among people with a disease or an impairment, as well as determining factors that promote people to seek professional sexological help. A total of 341 respondents (224 men, 117 women) participated. Approximately 50% wanted professional help with finding a sexual partner and sexual adjustment problems. Further, approximately 40% wanted professional help for problems in their sexual relationship, practical sexual problems, and the inability to enjoy their sexuality. In total, two third considered contacting a health care professional of which 35% had indeed had contact with a health care professional. Only a third of those evaluated these contacts as positive. To identify factors associated with the respondent's participation in psychosexual therapy, we performed a logistic regression analyses with a participation in a psychosexual intervention as the dependent variable. Sexual dissatisfaction was the strongest predictor of participation in psychosexual therapy. Furthermore, people who indicated that they wanted professional help for their sexual problems and people who had already discussed sexuality issues with a health care professional were more likely to participate. Disease and demographic characteristics did not influence one's decision to participate.
authors.affiliation: Rutgers WPF, Utrecht, The Netherlands. h.kedde@rutgerswpf.nl
authors.forename: Harald
authors.initials: H
authors.lastname: Kedde
authors.forename: Harry
authors.initials: H
authors.lastname: van de Wiel
authors.forename: Willibrord Weijmar
authors.initials: WW
authors.lastname: Schultz
authors.forename: Ine
authors.initials: I
authors.lastname: Vanwesenbeeck
authors.forename: Jim
authors.initials: J
authors.lastname: Bender
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000523:psychology*; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007398:Interpersonal Relations; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010549:Personal Satisfaction; D011369:Professional-Patient Relations; D011613:Psychotherapy / Q000379:methods; D012649:Self Concept; D012736:Sex Education / Q000379:methods; D012725:Sexual Behavior / Q000523:psychology*; D012959:Socioeconomic Factors; D055815:Young Adult