Mod 3 - Vulnerable Populations

Question 1

How does depression impact STIs? (STATA, Chen et al., 2008)

a. Increase in depression
b. Increases risks to STI
c. Decreases vulnerability to illness
d. Interferes with getting treatment

Answer 1

a, b, d

Rationale:
a. Increase in depression: often occurs after a stressful event, including STI
b. Increases risks to STI : Limits the success of behavioral treatment strategies that reduce risks
c. Decreases vulnerability to illness: does not decrease, increases vulnerability via increased lymphocyte apoptosis, decreasing the number of circulating immune cells
d. Interferes with getting treatment: by decreasing patients support

Question 2

What is meant by cognitive dissonance? (Chen et al., 2008)

Answer 2

The uncomfortable tension that comes from holding two conflicting thoughts at the same time, or from engaging in behavior that conflicts with one’s beliefs.

Question 3

What were the three key messages from Chen et al., 2008, - Depression associated with STI in Canada?

Answer 3

1. There is an increased risk of depression associated with STI history
2. Association between STI history and depression tended to be stronger in men with younger age and higher income, women the associated was similar in subpopulations
3. Intervention programmes should be designed accordingly to tackle the depression problem among STI patients

Question 4

What reasoning was given for the difference in associated of depression in young boys and girls with STI history? (Chen et al., 2008)

Answer 4

-Could be due to the different ways of expressing psychological stress
-Girls exhibit social withdrawal and diminished interest in sexual activites
-Boys are more prone to engage in acting out behaviors, including behaviors that increase risk of acquiring an STI

Question 5

What were the important modifiers impacting the association between STI and depression in men? (SATA, Chen et al., 2008)
a. Income
b. Number of sexual partners
c. Ego
d. Education
e. Fear of losing their job

Answer 5

a, d, e

Rationale:
High education and income tend to be associated with higher job positions, the stigma of having an STI may jeopardize what they have worked so hard for because of the stigma. Also, embarrassement for being foolish having unprotected sex when they know the risks, may lead to more depression.

Question 6

Why is there a lack of understanding regarding the sexuality of people living with a disability? (SATA) (Brennand & Martino, 2022)
a. Inability to communicate
b. De-sexualization
c. Infantilization
d. Perception of “different” being undesriable

Answer 6

b, c, d

Rationale:
-Inability to communicate: not true, disability does not mean mute
-Disabled people can be de-sexualized and infantilized in ways that deny their sexual desires and rights
-In our social world, bodies or minds that read as “different” tend to be undesriable and unattractive

Question 7

What are the fundamental gaps related to people with disabilities and sexual health? (SATA) (Brennand & Martino, 2022)
a. lack of sexual education that meets the unique physical, emotional, and psychological needs
b. inaccessible programming
c. appropriate resources
d. funding

Answer 7

a, b

Rationale:

-The lack of adequate sexual eduction means that many disabled people need to navigate their sexual identities and experiences with little to no support.
-The lack of accessible and appropriate sexual education contributes to the populations
-appropriate resources and funding were not identified as gaps in the article

Question 8

What were the key findings related to the investigation of whether the presence of disability was a risk factor for STI? (SATA) (Brennand & Martino, 2022)
a. Disability is not a risk factor for STI
b. Disability is a risk factor a STI
c. Males are more at risk than females
d. Mobility and dexterity acted as protective factors

Answer 8

b, d

-Presence of disability appears to be a risk factor for STI among Canadians, particularly for females.
-Increasing disability within the domains of the HUI3 (health index 0-1) appeared to confer elevated risk, particularly for females (not males).
-Females are more at risk than males.
-Mobility and dexterity did act as protective factors to the risks of STI

Question 9

What are the main factors that impact sexuality and sexual freedoms of Indigenous males in Canada? (SATA) (Hacket et al., 2021)
a. disconnection from land
b. colonial disruption of familial bonds
c. a harmful culture of hegemonic masculinity
d. indadequat sexual health resources

Answer 9

b,c,d

Rationale:

b. colonial disruption of familial bonds: traditional roles of grandparents, parents, and cultural ceremonies were used to transmit knowledge about relationships and sexual well-being, fractured bonds inhibited traditional aveneus for disseminating sexual health and relationship information
c. a harmful culture of hegemonic masculinity
d. indadequat sexual health resources