Abstract:
BACKGROUND:Patients with multiple sclerosis (MS) especially those with younger age experience an alteration in physiological and emotional lifestyle that can affect intimacy and sexuality. The aim of this study was to determine demographic and disease related determinants of intimacy and sexuality in young women with MS. METHODS:This was a cross sectional study carried out in Tehran, Iran. A convenience sample of young women aged ≤35 years old with MS attending to outpatient clinics in a teaching hospital affiliated to Tehran University of Medical Sciences was entered into the study. The Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19) was used to evaluate how the disease influences sexual function and satisfaction in these patients. Multivariable analysis using hierarchical method was performed to identify variables that are associated with intimacy and sexuality. RESULTS:In total 117 young women with confirmed diagnosis of MS were included in the study. Participants mean was 25.7 (SD = 8.07) years. A multivariable hierarchical regression analysis was performed using demographic variables entered in step one, relevant neurological variables in step two, and psychological variables in step three. Furthermore, we loaded antidepressant use in the last step. Overall, the seven variables accounted for 39% of total variance observed for the MSISQ score (P < 0.001). At step one the demographic variables accounted for 13% of the variance in the MSISQ score (P < 0.001). At step two the inclusion of relevant neurological variables increased the R2 significantly and explained 27% of variance for the MSISQ (P < 0.001). However in the third step the inclusion of psychological factors increased R2 significantly (adjusted R2 increased to 0.39, P < 0.001). CONCLUSIONS:The findings indicated that psychological, disease-related and demographic factors (education and employment status) contributed to intimacy and sexuality in young women with multiple sclerosis. Appropriate interventions, especially psychological interventions, appear to be essential immediately following a definite MS diagnosis in young women.
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Mohammadi K,Rahnama P,Rafei Z,Ebrahimi-Aveh SM,Montazeri Adoi
10.1186/s12978-020-00960-5subject
Has Abstractpub_date
2020-07-10 00:00:00pages
110issue
1issn
1742-4755pii
10.1186/s12978-020-00960-5journal_volume
17pub_type
杂志文章abstract:BACKGROUND:Adolescent pregnancy is a worldwide problem because of its health, social, economic and political repercussions on the globe. Even though the rates of adolescent pregnancy have declined over the decade, there is still unacceptably high rates especially in lower and middle-income countries including Ghana. Al...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12978-019-0784-8
更新日期:2019-08-15 00:00:00
abstract:BACKGROUND:To evaluate the feasibility of conducting a prospective study to measure self-managed medication abortion outcomes, and to collect preliminary data on safety and effectiveness of self-managed medication abortion, we recruited callers to accompaniment groups (volunteer networks that provide counselling throug...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-01016-4
更新日期:2020-10-27 00:00:00
abstract:BACKGROUND:Pakistan has high maternal mortality, particularly in the rural areas. The delay in decision making to seek medical care during obstetric emergencies remains a significant factor in maternal mortality. METHODS:We present results from an experimental study in rural Pakistan. Village clusters were randomly as...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-30
更新日期:2010-11-05 00:00:00
abstract:BACKGROUND:Intra-partum mistreatment by healthcare providers remains a global public health and human rights challenge. Adolescents, who are typically younger, poorer and less educated have been found to be disproportionately exposed to intra-partum mistreatment. In Ghana, maternal mortality remains a leading cause of ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00977-w
更新日期:2020-08-24 00:00:00
abstract:BACKGROUND:Utilization of reproductive health services is an important component in preventing adolescents from different sexual and reproductive health problems. As a result, the extent of their service utilization should be determined before implementing any kind of interventions. Therefore, this study was aimed at a...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0659-4
更新日期:2018-12-27 00:00:00
abstract:BACKGROUND:Abortion has been legal in Nepal since 2002 and the country has made striking progress in rolling out induced abortion services. It led to well-known changes in reproductive behavior, however knowledge about legislation and abortion experience by female youth has been least investigated. This paper is an att...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0166-4
更新日期:2016-04-27 00:00:00
abstract:BACKGROUND:As per the World Health Organization, the nutritional status of women of reproductive age is important, as effects of undernutrition are propagated to future generations. More than one-third of Indian women in the reproductive age group are in a state of chronic nutritional deficiency during the preconceptio...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0535-2
更新日期:2018-06-22 00:00:00
abstract:BACKGROUND:We thank Bijlmakers et al. for their interest in our article, "A never-before opportunity to strengthen investment and action on adolescent contraception, and what we must do to make full use of it", and are grateful for the opportunity to respond to their four key assertions. RESPONSE:First, we fully agree...
journal_title:Reproductive health
pub_type: 社论
doi:10.1186/s12978-018-0457-z
更新日期:2018-01-30 00:00:00
abstract:BACKGROUND:Mother-to-child transmission of HIV (MTCT) accounts for over 95% of all paediatric HIV infections worldwide. Several studies have shown that male participation in the antenatal care of their spouses together with couple counselling and testing for HIV, increases use of the interventions for HIV prevention. T...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-12
更新日期:2010-06-23 00:00:00
abstract:BACKGROUND:Men in northern Nigeria are considered the leaders and ultimate decision makers, including decisions about health-related behaviours of their wives and children. Yet many men in the region consider pregnancy and childbirth to be in the woman's domain (even if she cannot make related decisions), and may not s...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0761-2
更新日期:2019-07-15 00:00:00
abstract:BACKGROUND:Ultrasound during antenatal care (ANC) is proposed as a strategy for increasing hospital deliveries for complicated pregnancies and improving maternal, fetal, and neonatal outcomes. The First Look study was a cluster-randomized trial conducted in the Democratic Republic of Congo, Guatemala, Kenya, Pakistan a...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0647-8
更新日期:2018-12-12 00:00:00
abstract:BACKGROUND:The introduction of home digital ovulation tests (OTs) has provided a simple solution for women wishing to optimise the timing of intercourse when trying to conceive. However, despite this, very little is understood about women's experiences of using these tests. METHODS:We carried out qualitative, semi-str...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12978-015-0103-y
更新日期:2015-12-21 00:00:00
abstract:BACKGROUND:In 2001, the WHO Antenatal Care Trial (WHOACT) concluded that an antenatal care package of evidence-based screening, therapeutic interventions and education across four antenatal visits for low-risk women was not inferior to standard antenatal care and may reduce cost. However, an updated Cochrane review in ...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1742-4755-10-19
更新日期:2013-04-12 00:00:00
abstract:BACKGROUND:In Senegal, unintended pregnancy has become a growing concern in public health circles. It has often been described through the press as a sensational subject with emphasis on the multiple infanticide cases as a main consequence, especially among young unmarried girls. Less scientific evidence is known on th...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-59
更新日期:2013-11-19 00:00:00
abstract:BACKGROUND:Worldwide, about 287 000 women die each year from mostly preventable complications related to pregnancy and childbirth. A disproportionately high number of these deaths occur in sub-Saharan Africa. The Abiye ('Safe Motherhood') project in the Ifedore Local Government Area (LGA) of Ondo-State of Nigeria aimed...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-8
更新日期:2014-01-20 00:00:00
abstract:BACKGROUND:Sierra Leone has one of the highest maternal mortality rates in the world. Encouraging the use of skilled birth attendance in health facilities is an important step in the endeavor to increase the number of safe deliveries. However, public trust in health facilities has been greatly damaged during the Ebola ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0601-9
更新日期:2018-09-15 00:00:00
abstract:BACKGROUND:While the relationship between hemoglobin (Hb) concentrations and pregnancy outcomes has been studied often, most reports have focused on a specific Hb cutoff used to define anemia. Fewer studies have evaluated pregnancy outcomes across the entire range of Hb values. Moreover, to date, most studies of the re...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-01006-6
更新日期:2020-11-30 00:00:00
abstract:BACKGROUND:Adolescents in the Latin American and Caribbean region continue to experience poor reproductive health outcomes, including high rates of first birth before the age of 20 years. Aggregate national level data fails to identify groups where progress is particularly poor. This paper explores how trends in adoles...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0578-4
更新日期:2018-08-29 00:00:00
abstract:BACKGROUND:Most complications during labour and childbirth could be averted with timely interventions by skilled healthcare providers. Yet, the quality and outcomes of childbirth care remains suboptimal in many health facilities in low-resource settings. To accelerate the reduction of childbirth-related maternal, fetal...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-015-0028-5
更新日期:2015-05-26 00:00:00
abstract:BACKGROUND:Preterm birth is the main cause of morbidity and mortality during the perinatal period. Classical risk factors are held responsible for only 1/3 of preterm births and no current intervention has produced an appreciable reduction of this event. It is necessary to explore new hypotheses and mechanisms of causa...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-79
更新日期:2014-11-19 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0241-x
更新日期:2016-10-06 00:00:00
abstract:BACKGROUND:Hypertension affects about 10% of pregnancies and is responsible for both maternal and neonatal devastating complications such as eclampsia, HELLP syndrome, prematurity and maternal and neonatal death. The resolution of the disease occurs in the first twelve weeks postpartum. The behavior of blood pressure a...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12978-015-0057-0
更新日期:2015-08-05 00:00:00
abstract:BACKGROUND:A cultural preference for sons has been well documented in India, resulting in skewed sex ratios, especially exhibited in northwest India. Previous research has shown that family sex composition is associated with family planning (FP) use and couples' desire for more children. This study examines family sex ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-48
更新日期:2013-09-11 00:00:00
abstract:BACKGROUND:Male reproductive health is a relatively new concept, and most men are neglected in reproductive health discussions. Therefore, it appears that there is insufficient information about the male reproductive health. This study aims to design a psychometric instrument for assessing the male reproductive health-...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00966-z
更新日期:2020-08-03 00:00:00
abstract:BACKGROUND:Greater paternal engagement is positively associated with improved access to and utilization of maternal services. Despite evidence that male involvement increased uptake of maternal and child services, studies show that few men are participating in MNCH programs. Community leaders have long been engaged in ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0752-3
更新日期:2019-06-21 00:00:00
abstract:BACKGROUND:In Bangladesh, abortion is restricted except to save the life of a woman, but menstrual regulation is allowed to induce menstruation and return to non-pregnancy after a missed period. MR services are typically provided through the Directorate General of Family Planning, while postabortion care services for i...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0298-1
更新日期:2017-03-11 00:00:00
abstract:BACKGROUND:Historically, transitioning gender was seen as precluding transgender people from having children in the future. However, there are now increased reproductive options available to transgender people, with such options also available to non-binary people (i.e., people whose gender is not exclusively male or f...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0627-z
更新日期:2018-10-25 00:00:00
abstract:BACKGROUND:The study aims to assess the discordance between self-reported and observed measures of mistreatment of women during childbirth in public health facilities in Uttar Pradesh, India, as well as correlates of these measures and their discordance. METHODS:Cross sectional data were collected through direct obser...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0409-z
更新日期:2017-11-15 00:00:00
abstract:BACKGROUND:In Ethiopia besides the very low health seeking behavior of young people, they do not have access to sexual and reproductive health information and even the existing health services are adult-centered. Furthermore, health providers are not well equipped in addressing young people sexual and reproductive heal...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0143-y
更新日期:2016-03-08 00:00:00
abstract:BACKGROUND:Preterm birth is the leading cause of child mortality under 5 years of age. Temporal trends in preterm birth rates are highly heterogeneous among countries and little information exists for China. To address this data gap, we investigated annual changes in preterm birth incidence rate and explored potential ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0477-8
更新日期:2018-03-13 00:00:00