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Join us for an interactive event during World AIDS Week to explore the diverse aspects of human sexuality and the clinical significance in medical practice. Discover the value of addressing sexuality as part of holistic patient care and the importance of assessing HIV/AIDS risk factors through behavior-based history. Let's shed light on sexual intimacy in challenging situations and discuss the impact of various sexual practices on health. This event aims to enhance awareness and understanding of sexual health issues for medical professionals and individuals alike.
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afabulouSEXcitingclasSEXercise A World AIDS Week event
Goals • Everyone should leave realizing/appreciating: • The impact of seeing a visual representation of statistics • The value of addressing sexuality as a physician in the clinical setting • For their comfort • For treating the "whole" patient • The diversity and spectrum of sexuality • The value of a behavior rather than identity based sexual history for assessment of HIV/AIDS risk • Having FUN
Clinical Significance of Sexuality • Spinal Cord Disability • how do patients maintain sexual intimacy? • Paxil and other SSRI’s • anxiety disorders worsen delayed orgasms? • MI’s and Angina • when do patients know they can safely have sex after d/c? 2 flights of stairs w/o angina? • Sexually transmitted diseases • frequently discussed when talking about sexuality, but who is actually at risk?
What puts a person at risk for HIV/AIDS? • Exposure to blood, semen, vaginal secretions (including menstrual blood), and breast milk • Possible risk behaviors include: • anal, oral, or vaginal sex (without a condom) • sharing needles (for injectable drugs, for tattoos, piercings, or through accidental needle stick injuries • breastfeeding • It’s not who you are, it’s what you do…
Human Sexuality SurveyOverview • Originally created by Albert Einstein College of Medicine’s Reproductive System Pathology Course • Study: Fall 2002 PennMed MS1, MS2
Human Sexuality SurveyPurpose • Bring statistics to life as a visual representation • Demonstrate the broad variation within human sexuality • Appreciate this spectrum of sexuality as physicians and as peers • Our specific World AIDS Week goal: to think about sexuality, identity, and behavior as risk factors for HIV/AIDS
Discussion – Questions • What trends are worth investing? • What stats are worth evaluating? • What questions should be looked at together or in pairs? • What issues do the questions bring up?
Discussion – Trends • People that have used bondage or sex toys in their sex lives are more likely to be comfortable talking about them with their patients. • People who have sex daily or weekly are more likely to think that sex is a very important part of people’s lives. • Many people who self identify as straight wish there was a place where they could talk about their sexuality.
Discussion – Trends • The number of men who have had unwanted sexual experiences is similar to the number of women. • Women are less likely to tell if they have had an unwanted sexual experience. • People who masturbate less often are more likely to be dissatisfied with their sex lives. • People who have faked orgasms have sex less frequently.
Discussion – Trends • Some people who self identify as straight have either fantasized or had a sexual experience with a member of the same sex. • Men and women fake orgasms with the same frequency.
Summary of Significance Sexuality issues pertinent to physicians that this survey raises: • Physician Comfort Level with Sexuality • Spectrum of Sexual Practice • Variations in Human Sexuality • Sex Values and Myths • Sexual Orientation vs. Behavior • Sexual Orientation vs. Sexual Behavior • sexual behavior varies widely both across and within sexual orientation groups • it’s not safe to assume a level of HIV risk without asking about specific behaviors • it’s not who you are, it’s what you do
Summary of Significance Sexuality issues pertinent to physicians that this survey raises: • Women’s & Men’s Health • Rape/Abuse – Overcoming Silence • Sexual Dysfunction • Need for Sexual Counseling in Medicine • Validity of Survey/Stigma of Sex
Acknowledgements • Special thanks to AMSA’s Committee on Gender and Sexuality • Thanks to Albert Einstein College of Medicine’s Reproductive System Pathology Course for assistance with the original survey • Thanks to Dr. David Chu, for providing background for this presentation and survey
Human Sexuality SurveyQuestions • Identification • Question #1,2 • Comfort Level • Question #3,4 • Physician/Sexual Hx • Question #6 • Personal Practice • Question #7,8,9,10 Q#4:MS1 = 51 MS2 = 75 Q#6:MS1 = 42 MS2 = 58 Q#8:MS1 = 45 MS2 = 87 Q#9:MS1 = 89 MS2 = 90 Q#10:MS1 = 45 MS2 = 26
Human Sexuality SurveyQuestions Q#13:MS1 = 49 MS2 = 71 Q#16:MS1 = 14 MS2 = 38 • Sex Values/Myths • Question #12,13,14 • Sexual Orientation vs. Behavior • Question #16,17,18,19 • Rape/Abuse • Question #21,22,23,24 Q#17:MS1 = 19 MS2 = 72 Q#19:MS1 = 43 MS2 = 72 Q#21:MS1 = 21 MS2 = 47 Q#22:MS1 = 17 MS2 = 22 Q#23:MS1 = 15 MS2 = 13 Q#24:MS1 = 1 MS2 = 5
Human Sexuality SurveyQuestions • Sexual Dysfunction • Question #25,26,27 • Need for Sexual Counseling in Medicine • Question #29 • Validity of Survey/Stigma of Sex • Question #30 Q#25:MS1 = 1 MS2 = 5 Q#26:MS1 = 1 MS2 = 5 Q#27:MS1 = 49 MS2 = 71 Q#29:MS1 = 19 MS2 = 72 Q#30:MS1 = 43 MS2 = 72