Sexologies最新文献

{"title":"Socio-demographic predictors of dyadic sexual communication among Iranian married women","authors":"Z. Alimoradi ,&nbsp;S. Ghorbani ,&nbsp;N. Bahrami ,&nbsp;M.D. Griffiths ,&nbsp;A.H. Pakpour","doi":"10.1016/j.sexol.2021.09.003","DOIUrl":"10.1016/j.sexol.2021.09.003","url":null,"abstract":"<div><h3>Background and aim</h3><p>Couples’ communication concerning sexual issues is influenced by various individual and social factors. The present study investigated the socio-demographic predictors of dyadic sexual communication among married women of reproductive age.</p></div><div><h3>Methods</h3><p>A cross-sectional survey study was conducted from May to October 2019 in comprehensive health centers of Qazvin City, Iran. The participants comprised 400 married women with mean age of 35.66<!--> <!-->years recruited via a two-stage sampling method. The Dyadic Sexual Communication Scale (DSCS) and a socio-demographic questionnaire were used for data collection. Univariable and multivariable linear regression models with a significance level of 0.05 were used for statistical analysis.</p></div><div><h3>Results</h3><p>The mean score of sexual communication was 59.19 out of 78 (SD<!--> <!-->=<!--> <!-->12.63). Based on multivariable linear regression model, life satisfaction (β<!--> <!-->=<!--> <!-->0.34 high vs. moderate), frequency of sexual intercourse (β<!--> <!-->=<!--> <!-->0.20), moderate vs. poor economic status (β<!--> <!-->=<!--> <!-->0.12), and using contraception (β<!--> <!-->=<!--> <!-->−0.09) were predictors of good dyadic sexual communication. These variables explained 32% of the variance concerning dyadic sexual communication among married women of reproductive age.</p></div><div><h3>Conclusion</h3><p>Life satisfaction, frequency of sexual intercourse, moderate economic status, and using contraception were predictors of good dyadic sexual communication.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1158136021000876/pdfft?md5=90a0b333ccb77671363eda519239ace6&pid=1-s2.0-S1158136021000876-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85170225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spirituality and cultural factors impact on sexuality: A qualitative study","authors":"Z. Keshavarz ,&nbsp;K. Abadian ,&nbsp;H. Shamshiri Milani ,&nbsp;M. Hamdieh ,&nbsp;M. Nasiri","doi":"10.1016/j.sexol.2022.09.003","DOIUrl":"10.1016/j.sexol.2022.09.003","url":null,"abstract":"<div><p>Due to the relationship between the employment of married women and some cultural and religious beliefs in Iranian society, working women were used to examine their experiences to explain the spiritual and cultural factors affecting sexuality. This qualitative research whose information was obtained through face-to-face interviews with semi-structured and open-ended questionnaires and Interviews were conducted with 26 working women to examine their experiences to explain the spiritual and cultural factors affecting sexuality. The method of sampling was purposeful and data analysis was performed using qualitative content analysis by MAXQDA software. Data analysis from interviews resulted in the formation of 223 primary inferential codes, 1 main category and 4 subcategories. The results of data analysis are presented in a main category including “the effectiveness of spirituality and culture on sexuality”. This main category consists of four subcategories “Committed behavior”, “Ideas related to paying attention to the sexual needs of the spouse”, “Excessive expectations from working women” and “Promoting beliefs”. The experiences of working women showed that Spiritual and cultural factors in Iranian society affect sexuality. This effect is in most cases a positive effect on sexuality and in a few cases has a negative effect on sexuality.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87632180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coital positions and clitoral blood flow: A biomechanical and sonographic analysis","authors":"K. Lovie,&nbsp;A. Marashi","doi":"10.1016/j.sexol.2022.04.007","DOIUrl":"10.1016/j.sexol.2022.04.007","url":null,"abstract":"<div><h3>Objective</h3><p>To create biomechanical models of five common coital positions, and evaluate the degree of contact and forces against the clitoris. To evaluate clitoral blood flow before and after engaging in these positions.</p></div><div><h3>Methods</h3><p><span>Biomechanical models were rendered of a male and female pelvis in the following coital positions: face-to-face/female above, sitting/face-to-face, face-to-face/male above (with and without pillow), and kneeling/rear entry. The thrusting force and gravitational force were estimated for the pelvis(es) providing the main forces. The areas of contact between the pelvises were identified and highlighted. Sonography of the clitoris was performed before and after a healthy volunteer couple engaged in each position, using a Philips Lumify™ ultrasound (Koninklijke Philips N.V., Amsterdam, Netherlands) with a L12-4 linear array transducer (4–12</span> <!-->MHz).</p></div><div><h3>Results</h3><p>The biomechanical models for each position, with the exception of kneeling/rear entry, reveal a large amount of contact with the clitoris. Clitoral blood flow increased after engaging in each position except for kneeling/rear entry. Positions in which the gravitational force of the thrusting partner was in the same direction of (and thereby augmenting) the thrusting force resulted in intense clitoral blood flow (face-to-face/female above, and face-to-face/male above). Augmenting the face-to-face/male above position with a pillow generated a component of the male pelvic gravitational force in the direction of the clitoris; this resulted in more blood flow to all components of the cavernous body.</p></div><div><h3>Conclusion</h3><p>From a biomechanical perspective, different coital positions vary in their potential to stimulate the clitoris. These positions lead to variable increases in clitoral blood flow, concordant with our biomechanical models.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82963535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Platelet-rich plasma: An effective modality to improve sexuality in FGM/C","authors":"H.H.M. Dardeer ,&nbsp;M.L. Mohamed ,&nbsp;A.M. Elshahat ,&nbsp;G.F. Mohammed ,&nbsp;A.M. Gadallah","doi":"10.1016/j.sexol.2022.05.002","DOIUrl":"https://doi.org/10.1016/j.sexol.2022.05.002","url":null,"abstract":"<div><p><span><span>Now, accepted treatments for Female Sexual Dysfunction (FSD) are limited to surgical, psychological, behavioral, hormonal and psychopharmacologic interventions. Because of the complex and multifactorial nature of FSD, current therapeutic options may leave a subset of women suffering with sexual dysfunction without clinical improvement and may be with side effects of the procedures. This is a study to evaluate the effect of </span>platelet rich plasma<span> (PRP) in treating FSD FGM/C. PRP was administered to the anterior vaginal wall<span> (1 session), clitoris of 45 females with FGM/C and non-FGM/C with sexual dysfunction and orgasmic disorder [Female Sexual Function Index (FSFI) total score</span></span></span> <!-->≤<!--> <!-->26 orgasmic subdomain score<!--> <!-->≤<!--> <span>3.75]. The correlation between PRP sessions and FSFI domain scores was done with Pearson's correlation and linear regression analysis. Following the application of the PRP, the total FSFI score was converted significantly in both FGM/C and non-FGM/C (</span><em>P</em> <!-->&lt;<!--> <!-->0.05). A significant change was observed in all sub-domains of FSFI score after PRP (<em>P</em> <!-->&lt;<!--> <!-->0.05). The total FSFI score increased in all 45 females [16 non-FGM/C and 29 FGM/C] (<em>P</em> <!-->&lt;<!--> <!-->0.05). That correlations between all sub-domains of FSFI score before and after PRP injection were significantly positive (<em>P</em> <!-->&lt;<!--> <span>0.05). Also, there were statistically significant positive correlations between total FSFI scores before and after PRP injection, and sociodemographic and obstetric<span> characteristics of the study population in both FGM/C and non-FGM/C. As a minimally invasive method, PRP administration to the distal anterior vaginal wall may improve female sexuality with high satisfaction in FGM/C.</span></span></p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136844583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pilot sonographic study of clitoral blood flow and size after use of sexual devices","authors":"K. Lovie,&nbsp;A. Marashi","doi":"10.1016/j.sexol.2022.05.001","DOIUrl":"https://doi.org/10.1016/j.sexol.2022.05.001","url":null,"abstract":"<div><h3>Objectives</h3><p>Over 50% of women in the United States report using sexual devices. These devices, which are often used recreationally to increase the likelihood of arousal and orgasm, can also be used therapeutically in the setting of sexual dysfunction. Despite their widespread use and association with improved sexual wellness, their effect on the clitoris has not been investigated. We aimed to evaluate changes in clitoral blood flow and size in response to stimulation with various sexual devices.</p></div><div><h3>Methods</h3><p>Clitoral sonography was performed on a healthy volunteer before and after stimulation with each of the following sexual devices: wand applied externally, internal vibrator inserted vaginally, and air pulse stimulation of the glans clitoris. The scans were obtained with a Philips Lumify™ ultrasound (Koninklijke Philips N.V., Amsterdam, Netherlands) using a L12-4 linear array transducer (4–12<!--> <!-->MHz) and a C5-2 broadband curved array transducer (2–5<!--> <!-->MHz).</p></div><div><h3>Results</h3><p>We observed that stimulation with sexual devices increased blood flow to different areas of the clitoris, and led to changes in clitoral area and clitoral erectile length (CEL).</p></div><div><h3>Conclusion</h3><p>Our findings suggest that female orgasms are of more than one or two types (clitoral versus vaginal), and likely occupy a spectrum. This may provide insight into using sexual devices as treatment options for female sexual dysfunction.</p></div><div><h3>Objectif</h3><p>Plus de 50 % des femmes aux États-Unis déclarent utiliser des dispositif sexuels, souvent utilisés à des fins récréatives pour augmenter la probabilité d’excitation et d’orgasme. Ils peuvent être également utilisés à des fins thérapeutiques dans le cadre d’un dysfonctionnement sexuel. Malgré leur utilisation répandue et leur association à l’amélioration du bien-être sexuel, leur effet sur le clitoris n’a pas été étudié. Nous avons cherché à évaluer les modifications du débit sanguin et de la taille du clitoris en réponse à la stimulation par divers sex toys.</p></div><div><h3>Méthodes</h3><p>L’échographie clitoridienne a été réalisée sur une volontaire en bonne santé avant et après la stimulation avec chacun des dispositifs sexuels suivant : <em>wand</em> (masseur à baguette), vibromasseur interne inséré par voie vaginal, et stimulation par impulsion d’air du gland du clitoris. Les scans ont été obtenus avec un système à ultrasons Philips Lumify™ (Koninklijke Philips NV, Amsterdam, Pays-Bas) utilisant un transducteur à réseau linéaire L12-4 (4–12<!--> <!-->MHz) et un transducteur à réseau incurvé à large bande C5-2 (2–5<!--> <!-->MHz).</p></div><div><h3>Résultats</h3><p>Nous avons observé que la stimulation avec des jouets sexuels augmentait le flux sanguin vers différentes zones du clitoris et entraînait des modifications de la zone clitoridienne et de la longueur érectile.</p></div><div><h3>Conclusions</h3><p>Nos résultats suggèrent q","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136844765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of evening primrose oil capsules on the sexual function of reproductive-aged women: A randomized clinical trial study","authors":"S. Torkan ,&nbsp;S. Shahali ,&nbsp;H. Rastad","doi":"10.1016/j.sexol.2022.07.002","DOIUrl":"10.1016/j.sexol.2022.07.002","url":null,"abstract":"<div><h3>Background</h3><p>The current study aimed to examine the effects of oral consumption of evening primrose oil capsules on the sexual function of reproductive-aged women.</p></div><div><h3>Methods</h3><p>This trial was performed on 110 women. The study units were randomly divided into intervention and control groups. The intervention group received a 1000<!--> <!-->mg evening primrose oil capsule daily for eight weeks, and the control group received a 1000<!--> <!-->mg placebo capsule daily for the same time. Before the intervention, 4 and 8 weeks after the intervention, their sexual function was evaluated by the female sexual function index.</p></div><div><h3>Results</h3><p>The mean total score of sexual function in the intervention group was significantly improved compared to pre-intervention (<em>P</em> <!-->&lt;<!--> <!-->0.001) and the control group (<em>P</em> <!-->&lt;<!--> <!-->0.001). There was a statistically significant difference in all dimensions of sexual function except pain compared to pre-intervention in the intervention group; however, between the two groups of intervention and control, only in the dimensions of orgasm (<em>P</em> <!-->=<!--> <!-->0.04) and sexual satisfaction (<em>P</em> <!-->=<!--> <!-->0.001) statistically significant differences were observed.</p></div><div><h3>Conclusion</h3><p>The results indicated that the consumption of evening primrose oil capsules can improve sexual function in women of reproductive age, particularly in orgasm and sexual satisfaction dimensions.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85899691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing sexual attitudes among adult men: A descriptive survey in Kenya","authors":"D.M. Ndasi ,&nbsp;K. Adusei-Asante ,&nbsp;M. Grobbelaar ,&nbsp;A.V.V. Ha ,&nbsp;V. Fannam Nunfam","doi":"10.1016/j.sexol.2022.04.003","DOIUrl":"https://doi.org/10.1016/j.sexol.2022.04.003","url":null,"abstract":"<div><p>Men's attitudes towards sex remain under researched across sub-Saharan Africa. To understand sexual attitudes and their associations with demographic characteristics among Kenyan men, a SAQ with Brief Sexual Attitudes Scale (BSAS) was deployed among 501 men aged 18–54<!--> <span>years old in Nairobi. Sample selection utilised multistage cluster random disproportionate sampling. Linear regression<span> analyses present demographic associations with permissiveness, birth control and instrumentality (</span></span><em>P</em> <!-->&lt;<!--> <!-->0.05). Mean scores of sexual attitudes components included permissiveness (3.2), birth control (1.6), communion (1.8), and instrumentality (3.1). Overall, men's attitudes towards sexual permissiveness and instrumentality appear to be neutral, despite the chronically high prevalence of HIV/AIDS epidemic in sub-Saharan Africa evidenced by persistent risky sexual behaviours that conflict the study outcomes. These results indicate shifting and converging sexual attitudes among Kenyan men. Considering the multidimensionality of sexual attitudes and trends, adaptation of BSAS to African populations and integrating sexual behaviour scales is essential.</p></div><div><p>Les attitudes des hommes à l’égard de la sexualité restent peu étudiées en Afrique subsaharienne. Nous avons cherché à examiner les attitudes sexuelles et leurs associations avec les caractéristiques démographiques chez les hommes kenyans. Un SAQ avec une brève échelle des attitudes sexuelles (BSAS) a été déployé parmi 501 hommes âgés de 18 à 54 ans à Nairobi. La sélection de l’échantillon a utilisé un échantillonnage aléatoire disproportionné en grappes à plusieurs degrés. Les analyses de régression linéaire présentent des associations démographiques avec la permissivité, le contrôle des naissances et l’instrumentalité (valeurs <em>p</em> <!-->&lt;<!--> <!-->0,05). Les scores moyens des composantes des attitudes sexuelles comprennent la permissivité (3,2), le contrôle des naissances (1,6), la communion (1,8) et l’instrumentalité (3,1). Dans l’ensemble, les attitudes des hommes à l’égard de la permissivité et de l’instrumentalité sexuelles semblent être neutres, malgré la prévalence chroniquement élevée de l’épidémie de VIH/sida en Afrique subsaharienne, mise en évidence par la persistance de comportements sexuels à risque qui vont à l’encontre des résultats de l’étude. Ces résultats indiquent des attitudes sexuelles changeantes et convergentes chez les hommes kenyans. Compte tenu de la multidimensionnalité des attitudes et tendances sexuelles, il est essentiel d’adapter la BSAS aux populations africaines et d’intégrer les échelles de comportement sexuel.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137387865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Linguistic validation of the Sex Fantasy Questionnaire into the Italian language","authors":"C. Tortora ,&nbsp;M. Panzeri","doi":"10.1016/j.sexol.2022.05.006","DOIUrl":"10.1016/j.sexol.2022.05.006","url":null,"abstract":"<div><h3>Objectives</h3><p>The purpose of the present linguistic validation is to provide a culturally and semantically appropriate Italian version of the Sex Fantasy Questionnaire (SFQ), as well as some preliminary results about its construct validity and internal consistency.</p></div><div><h3>Material and methods</h3><p><span><span>A linguistic validation based on a standardized procedure was performed. Then, a confirmatory factor analysis (CFA) was conducted to assess the fit of the proposed model and the internal consistency of each factor was provided. Overall, 498 cisgender heterosexual participants took part in the preliminary </span>psychometric testing of the SFQ: 322 men (M age</span> <!-->=<!--> <!-->32.67; S.D.<!--> <!-->=<!--> <!-->8.93) and 166 women. (M age<!--> <!-->=<!--> <!-->26.85; S.D. age<!--> <!-->=<!--> <!-->8.87).</p></div><div><h3>Results</h3><p>Results from the CFA on the updated version of the SFQ revealed an acceptable but not ideal goodness of fit.</p></div><div><h3>Conclusion</h3><p>The Italian version of the SFQ should be used carefully. Indeed, given the short time needed for its administration, is its utilization could be helpful to develop and assess new and more valid questionnaires.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88659668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The multiple roles of sexological organisations","authors":"E. Almås ,&nbsp;E.E.P. Benestad ,&nbsp;W.L. Gianotten ,&nbsp;L. Perelman ,&nbsp;K. Wylie","doi":"10.1016/j.sexol.2022.04.001","DOIUrl":"https://doi.org/10.1016/j.sexol.2022.04.001","url":null,"abstract":"<div><p>The research question behind this article is to analyse how missions and goals for sexological organisations on various levels are described and how they can complement each other. The missions and goals of global (WAS), regional (EFS), and national organisations in Europe are described and analysed by their statutes and bylaws. The results show that organisations on all levels are occupied with sexual health and rights, sexuality education, professional education, and standards of ethics. In addition, there seems to be a division of work between the various levels of organisations: Global organisations: Network of regional federations, sexual health promotion within international organisations such as the WHO and the UN, organising congresses for presenting new research and activist work (within non-governmental organisations-NGOs) and influencing national governments. Regional organisations: Network of national organisations, harmonisation of educational programmes, organisation of regional congresses for presenting new research and new treatment methods, development of projects between different countries. National organisations: Recruitment of members, education, supervision, professional support and development, organising national conferences and meetings, influencing politicians and health &amp; education planners.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S115813602200041X/pdfft?md5=c340a9f008026da2e1d42763ddc5cae2&pid=1-s2.0-S115813602200041X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91662945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Considerations on critical issues of categorizations of gender incongruence in epidemiologic research","authors":"M. Di Grazia ,&nbsp;C. Taverna","doi":"10.1016/j.sexol.2021.12.002","DOIUrl":"https://doi.org/10.1016/j.sexol.2021.12.002","url":null,"abstract":"<div><p><span>The turning point in the classification history of gender incongruence, occurred with ICD-11 (WHO, 2018) and DSM-5 (APA, 2013) classifications, that respectively introduced diagnostic categories of “Gender Incongruence” and “Gender Dysphoria”. Anyway, adopting a new and universal standard category for gender dysphoria diagnosis, does not resolve the issue of an appropriate epidemiological estimate of the prevalence of the condition. The first task for researchers in the field is to decide whom to count as “trans”, and by what means. Indeed, trans people are a very diverse group (Winter et al., 2016). According to Thompson and King (2015), conceptual basis of epidemiological studies is intrinsically wrong: so, while the aim of research in the field is to promote health and welfare, the means by which trans people are identified actually perpetuate the problem of stigma and inequity in access to healthcare services (Thompson and King, 2015). Trans people face many structural barriers to access gender-affirming care, including lack of insurance, coverage exclusions, coverage denials. Moreover, they usually avoid seeking care out of fear of discrimination. Reisner et al. (2015) propose eight recommendations following the model of the GenIUSS Group, to guide inclusive sex and gender<span> adult population-based research (Table 3; GenIUSS Group, 2014). Indeed, if epidemiologic research allowed us to precisely identify trans people, it would be possible to also detect those conditions that are more frequently associated to gender incongruence, thereby activating more specific interventions aimed at improving these people's </span></span>quality of life. Having a uniformity of terminology in recognizing these people perhaps can increasingly lead to less discriminatory stigmatization and labelling.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137387863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}