title: Addressing the sexual problems of Iranian women in a primary health care setting: A quasi-experimental study.
abstract: BACKGROUND
  The World Health Organization emphasizes on integration of sexual health into primary health care services, educating people and health care workers about sexuality, and promoting optimal sexual health. Despite the high prevalence of sexual problems, these problems are poorly managed in primary health care services. This study was conducted to evaluate the efficacy and feasibility of the first two steps of PLISSIT (Permission, Limited Information, Specific Suggestions, Intensive Treatment) model for handling of women sexual problems in a primary health care setting.
  
  
  METHODS
  This was a quasi-experimental study that was carried out in Zanjan, northwest of Iran. Eighty women who had got married in the past 5 years and had sexual problem were randomly assigned to control and intervention groups. The intervention group received consultation based on PLISSIT model by a trained midwife and the control group received routine services. Female Sexual Function Index (FSFI) questionnaire was used for assessing and tracking any changes in sexual function. Data were collected at three points: Before consultation and 2 and 4 weeks after consultation. Paired t-test and repeated measures analysis of variance (ANOVA) test were used for comparison of scores within groups.
  
  
  RESULTS
  Significant improvement was found in FSFI sub-domain scores, including sexual desire (P < 0.0001), arousal (P < 0.0001), lubrication (P < 0.0001), orgasm (P = 0.005), satisfaction (P = 0.005), pain (P < 0.0001), and FSFI total score (P < 0.0001) in the intervention group compared to the control group.
  
  
  CONCLUSIONS
  This study showed that PLISSIT model can meet the sexual health needs of clients in a primary health care setting and it can be used easily by health workers in this setting for addressing sexual complaints and dysfunctions.
authors.affiliation: Department of Midwifery, Zanjan Branch, Islamic Azad University, Zanjan, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Rostamkhani
authors.affiliation: Department of Public Health, Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Jafari
authors.affiliation: Department of Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Giti
authors.initials: G
authors.lastname: Ozgoli
authors.affiliation: Department of Midwifery, Zanjan Branch, Islamic Azad University, Zanjan, Iran.
authors.forename: Masomeh
authors.initials: M
authors.lastname: Shakeri
keywords: Iran; primary health care; sexual health; sexual problem