PDF(Pubmed)
Abstract：
UNASSIGNED: Sexual development is a complex process of understanding oneself as a sexual being. Youth with spinal cord injury (SCI) navigate the typical phases of sexual development along with the physical and psychological sequelae of an SCI. As youth with SCI progress from adolescence to emerging adulthood, sexual activity-physical intimacy and sexual intercourse-is an important milestone.
UNASSIGNED: The aims of the study were to (1) describe frequency of physical intimacy among adults with pediatric-onset SCI and (2) identify injury, demographic, and lifestyle factors that predict frequency of physical intimacy.
UNASSIGNED: Adults with pediatric-onset SCI who were former patients within a North American pediatric hospital system (N = 277) completed a structured telephone interview that included medical and sociodemographic information and standardized measures of psychological functioning. Participants rated physical intimacy and sexual intercourse frequency on a 5-point Likert scale, with a response of monthly, weekly, or daily classified as regular frequency and never or yearly as irregular frequency. Bivariate and multivariate analyses were conducted with physical intimacy frequency as the primary outcome.
UNASSIGNED: Of the participants, 55% engaged in physical intimacy and 49% engaged in sexual intercourse with regular frequency. In logistic regression analyses, living independently of parents, being married, and higher perceived social integration increased likelihood of regular frequency of physical intimacy. Injury severity and secondary medical complications were not significant independent predictors of frequency of physical intimacy.
UNASSIGNED: Half of adults with pediatric-onset SCI engage in regular physical intimacy; this is below the estimates for the general population. Psychosocial factors are stronger contributors to physical intimacy frequency than SCI-related factors. Health care providers and researchers should focus on barriers to social integration and development of social relationships as factors that influence physical intimacy in this population.
UNASSIGNED: The aims of the study were to (1) describe frequency of physical intimacy among adults with pediatric-onset SCI and (2) identify injury, demographic, and lifestyle factors that predict frequency of physical intimacy.
UNASSIGNED: Adults with pediatric-onset SCI who were former patients within a North American pediatric hospital system (N = 277) completed a structured telephone interview that included medical and sociodemographic information and standardized measures of psychological functioning. Participants rated physical intimacy and sexual intercourse frequency on a 5-point Likert scale, with a response of monthly, weekly, or daily classified as regular frequency and never or yearly as irregular frequency. Bivariate and multivariate analyses were conducted with physical intimacy frequency as the primary outcome.
UNASSIGNED: Of the participants, 55% engaged in physical intimacy and 49% engaged in sexual intercourse with regular frequency. In logistic regression analyses, living independently of parents, being married, and higher perceived social integration increased likelihood of regular frequency of physical intimacy. Injury severity and secondary medical complications were not significant independent predictors of frequency of physical intimacy.
UNASSIGNED: Half of adults with pediatric-onset SCI engage in regular physical intimacy; this is below the estimates for the general population. Psychosocial factors are stronger contributors to physical intimacy frequency than SCI-related factors. Health care providers and researchers should focus on barriers to social integration and development of social relationships as factors that influence physical intimacy in this population.
摘要：
■性发展是一个复杂的过程，将自己理解为性存在。患有脊髓损伤（SCI）的年轻人经历了性发育的典型阶段以及SCI的生理和心理后遗症。随着SCI患者从青春期发展到成年，性活动-身体亲密和性交-是一个重要的里程碑。
■该研究的目的是（1）描述患有小儿发作性SCI的成年人的身体亲密频率，以及（2）确定损伤，人口统计学,和预测身体亲密频率的生活方式因素。
■曾在北美儿科医院系统（N=277）内患有儿科发作性SCI的成年人完成了结构化电话访谈，其中包括医学和社会人口统计信息以及心理功能的标准化测量。参与者以5分的李克特量表对身体亲密和性交频率进行了评分，每月的回复，每周,或每天分类为常规频率，从不或每年分类为不规则频率。以身体亲密频率为主要结果进行双变量和多变量分析。
■在参与者中，55％的人经常进行身体亲密接触，49％的人经常进行性交。在逻辑回归分析中，独立于父母生活，结婚了,和更高的感知社会融合增加了身体亲密的定期频率的可能性。损伤严重程度和继发性医疗并发症不是身体亲密关系频率的重要独立预测因素。
■一半患有小儿脊髓损伤的成年人有规律的身体亲密关系；这低于一般人群的估计。与SCI相关因素相比，心理社会因素对身体亲密频率的影响更大。卫生保健提供者和研究人员应将重点放在社会融合和社会关系发展的障碍上，作为影响该人群身体亲密的因素。
■该研究的目的是（1）描述患有小儿发作性SCI的成年人的身体亲密频率，以及（2）确定损伤，人口统计学,和预测身体亲密频率的生活方式因素。
■曾在北美儿科医院系统（N=277）内患有儿科发作性SCI的成年人完成了结构化电话访谈，其中包括医学和社会人口统计信息以及心理功能的标准化测量。参与者以5分的李克特量表对身体亲密和性交频率进行了评分，每月的回复，每周,或每天分类为常规频率，从不或每年分类为不规则频率。以身体亲密频率为主要结果进行双变量和多变量分析。
■在参与者中，55％的人经常进行身体亲密接触，49％的人经常进行性交。在逻辑回归分析中，独立于父母生活，结婚了,和更高的感知社会融合增加了身体亲密的定期频率的可能性。损伤严重程度和继发性医疗并发症不是身体亲密关系频率的重要独立预测因素。
■一半患有小儿脊髓损伤的成年人有规律的身体亲密关系；这低于一般人群的估计。与SCI相关因素相比，心理社会因素对身体亲密频率的影响更大。卫生保健提供者和研究人员应将重点放在社会融合和社会关系发展的障碍上，作为影响该人群身体亲密的因素。
