risky sexual behaviours

Question 1

what is sexual health?

Answer 1

a state of physical, emotional, mental and social well being in relation to sexuality

Question 2

what are the 4 core aspects of sexual health discussed in this lecture?

Answer 2

1. fertility management
2. STIs including HIV and AIDS
3. sexual function / dysfunction
4. sexual violence

Question 3

what are examples of high risk sexual behaviour?

Answer 3

-unprotected intercourse without male or female use, except in a long term relationship
-unprotected mouth to genital contact except in a long term relationship
-early sexual activity esp before age 18
-having multiple sex partners
-having a high risk partner eg one who has multiple sex partners etc

Question 4

what % of pregnancies internationally are unplanned and / or terminated?

Answer 4

unplanned - 38%
terminated - 22%

Question 5

what is a crisis pregnancy?

Answer 5

if pregnancy is unwanted at time of pregnancy or becomes unwanted during pregnancy

Question 6

in Ireland what % of pregnancies are classified as a pregnancy crisis?

Answer 6

12%

Question 7

what are the consequences of pregnancy for adolescents

Answer 7

• leading cause of death for young women aged 15-19 world wide
  -twice as likely to die in childbirth as those in their 20s
  -greater risk of obstructed labor, pregnancy induced hypertension etc
  -more unsafe abortions

Question 8

what is the single most common social obstacle to interpersonal and public health discourse about sexual health?

Answer 8

a reluctance to explicitly discuss sex

Question 9

apply the health belief model to promote sexual health

Answer 9

-susceptibility - promote awareness that the person is susceptible to risks
-severity - seriousness of unwanted pregnancy, HIV or chlamydia
-action - condoms = safer sex
-barriers - make contraception available, overcome stigma, planning the smart choice

Question 10

what is the PLISSIT model of addressing sexual functioning in clinical practice?

Answer 10

-permission - giving patients permission to raise sexual issues
-limited information - giving patients limited info about sexual side effects of treatments
-specific suggestions - making “ “ based on a full evaluation of presenting problems
-intensive therapy - referral to intensive therapy (includes psychological interventions, sex therapy) etc

Question 11

what are the core elements of sexual health from a public health perspective ?

Answer 11

-STIs including HIV and reproductive tract infections
-unintended pregnancy and safe abortions
-sexual dysfunction and infertility
-violence rate to gender
-young peoples sexual health and sexual health education
-sexual orientation

Question 12

briefly describe a few examples of the challenges that healthcare faces in the management of STIs and unplanned pregnancies

Answer 12

-stigma & societal attitudes- STIS and unplanned pregnancies are often associated with a social stigma, shame & judgement
-access to healthcare services -education & awareness - there may be gaps in the knowledge of preventative measures, risk factors etc