title: Sexual activity and sexual satisfaction in Korean men with spinal cord injury.
abstract: METHODS
  A cross-sectional survey.
  
  
  OBJECTIVE
  The aim of this study was to identify and assess the sexual activity and perceived sexual satisfaction of Korean males with spinal cord injury (SCI) and to identify factors influencing sexuality and satisfaction.
  
  
  METHODS
  Community residents with SCI.
  
  
  METHODS
  A total of 139 male participants with SCI in Korea were eligible for inclusion in this study. All participants completed a face-to-face interview regarding sexuality and satisfaction, as well as structured questionnaires including items on socioeconomic factors, medical conditions and rehabilitation services.
  
  
  RESULTS
  A total of 90 participants (65%) were engaged in sexual activity. A period of 21-25 years since SCI (compared with the initial 5 years since SCI) and an experience of direct sexual rehabilitation education were positively associated with sexual activity. Among 90 sexually active males with SCI, 8 (8.9%) and 56 (62.2%) were sexually satisfied and unsatisfied, respectively. Lower levels of education were strongly correlated with sexual dissatisfaction.
  
  
  CONCLUSIONS
  Korean males with SCI showed low levels of satisfaction regarding sexual activities. Results showed that socioeconomic factors (e.g., state of employment and direct person-to-person sexual counseling services) had a greater impact on sexual activity than the degree of physical impairment. Notably, the educational background was the most influential factor on sexual satisfaction.
authors.affiliation: Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Y-A
authors.initials: YA
authors.lastname: Choi
authors.affiliation: Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: J-H
authors.initials: JH
authors.lastname: Kang
authors.affiliation: Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: H I
authors.initials: HI
authors.lastname: Shin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004651:Employment; D006801:Humans; D007406:Interview, Psychological; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D056910:Republic of Korea; D012720:Severity of Illness Index; D012731:Sex Counseling; D012725:Sexual Behavior; D013119:Spinal Cord Injuries / Q000150:complications / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D011795:Surveys and Questionnaires; D013997:Time Factors; D055815:Young Adult
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