Le malentendu dans les activités sexuelles à l’adolescence : un signe de sexualité préoccupante ?

ObjectivesThe adolescence corresponds to this existential period when the violence in its creative and destructive functions is the mainspring at the same time and challenge. During this time of passage, the young has to negotiate with himself, his family and the others. Stage of transformation and transfer, revival of multiple psychic conflicts, the adolescence sees the sexuality penetrating the reality of the body. In this context in which the rising sexual activity is associated with a concern, the misunderstanding occupies a central place in the sense where most of the time the protagonists involved in acting him hardly took the opportunity to speak to itself and to get on. Behind a misunderstanding, there are on one side facts and the other one a subject which put them in act.Patients and methodsThe article develops a clinical label involving three adolescents, a boy and two girls. Misunderstandings quickly appear about activity of sexual nature. The excitement gets involved in the fears not without generating of the ambivalence. The mutual incomprehension contains a potential trauma. It is then relevant to intervene without wanting inevitably to define the truth in its material translation of the reality. A type of dense and flexible care gives encouraging results as for the reduction of the traumatisation of a particular event. We move forward stage by stage by proposing times of meeting with a rhythm enough steady and by lending us if necessary as media of expression. Yet it is hardly always well-to-do to act not in the haste but with density and speed in the interest of some of the others. It is essential to take into account at the same time relational stakes, their impacts on the individualities, and the psychic dimensions appropriate to every protagonist. A collective and personal historian can develop in these testing moments of crisis on basis of an intervention such as sketched here, by considering repercussions at the level of the socio circle of acquaintances.ResultsThe approaches which establish themselves on the only reality of the behaviour risk to evacuate the subject which puts the qualified act of worrying. For us we suggest dreading the subjective dimension by examining the question of the sexuality from the point of view of the functioning of a personality. In other words, the question is not only of knowledge which is the act which was put, but to know which committed it. We thus watch to construe the subjective impact of the act, by reminding that the human being becomes established as subject of his speech and as agent of his act. The misunderstanding also constitutes an original media of meeting of the teenager in question. We propose a categorization of worrisome sexual activities by underlining that, in number of scenarios, the young person shows elements of several categories: a/the young people in sexual life without restraint; b/the young people confronted with the constraint of the anxiety; c/the young people led by an intense need for love; d/the young people committing sexual abuses; e/the young people showing a perversion. Besides, we shall not evoke rare disturbing sexual activities put aside by the young people in the psychotic functioning. The care leans on two concepts-keys, on one hand, the succession of two different phases, that are the evaluation and the treatment and on the other hand, the complementarity of several epistemology as well as the work in network. We advocate the establishment of a partnership envelope based on the collaboration and the respect of the principles of the shared secret.ConclusionsThe misunderstanding can reveal a worrisome sexual activity in the adolescence. Indeed let us limit the current trends “to tax” any sexual act of aggression, and his author of “abuser”, and the addressee to act him of “victim”! To limit, we determine what belongs to the physical, sexual exploration, including the consensus of the protagonists, what goes out again from the pathology. The distinction is essential at the risk otherwise to stigmatize certain young people in full constructive run-up by gathering in a single troop of the different profiles from each other. The misunderstanding represents a beautiful opportunity of meeting of a young person in the inviting to a correct interpretation of the facts, by taking into account the place they occupy in the psychic and relational functioning.     

绵阳市2017年男男性行为者性行为特征及无保护措施肛交影响因素

目的 了解男男性行为者(men who have sex with men ,MSM)性行为特征,分析无保护措施肛交影响因素。 方法 2017年1—10月,在四川省绵阳市采用滚雪球抽样法,进行MSM行为学及血清学的横断面抽样调查,用χ²检验、Logistic回归模型进行无保护措施肛交影响因素的单因素及多因素分析。 结果 回收有效问卷1 242份,近6个月肛交91.6%,其中71.4%有保护措施。近6个月商业性行为1.7%,其中31.6%有保护措施。近6个月异性性行为9.7%,其中30.8%有保护措施。近6个月高频率肛交24.5%,多性伴50.3%。近6个月肛交无保护措施的艾滋病病毒阳性率10.5%,高于有保护措施的1.8%(χ²=41.837,P＜0.001)。多因素分析结果,年龄＞30岁(OR=1.627,95%CI: 1.192～2.221)、使用Rush(OR=2.122, 95%CI:1.293～3.482)者近6个月无保护措施肛交可能性更大,高中及以上文化(OR=0.401,95%CI:0.269～0.600)、艾滋病防治知识全对(OR=0.639, 95%CI:0.428～0.954)、近1年接受预防服务(OR=0.537,95%CI:0.312～0.923)、近6个月多性伴(OR=0.635, 95%CI:0.480～0.841)者近6个月无保护措施肛交可能性更小。 结论 MSM性行为复杂,无保护、多性伴普遍,大年龄、低文化、艾滋病防治知识不全对、未接受预防服务者发生无保护措施肛交的风险较大,应针对性开展行为干预。     

Comparing physical activity and sedentary behavior levels between deaf and hearing adolescents

BackgroundDeaf adolescents may engage in less physical activity (PA) and longer sedentary time than their hearing peers. Yet, literature comparing PA levels and sedentary time between deaf and hearing control groups, as well as studies examining predictors of PA among deaf adolescents, are lacking.ObjectiveThis cross-sectional survey aimed to compare PA levels and sedentary time between the two groups and examine predictors (i.e., gender and social inclusion) of PA participation among deaf adolescents.MethodsParticipants were 98 deaf and 99 hearing adolescents, who completed the survey measuring the variables of interest.ResultsDeaf adolescents had a higher level of sedentary behavior as well as lower levels of light PA, moderate-to-vigorous PA, and total metabolic equivalent task (MET) than the hearing group. Only a small proportion of participants (deaf: 4%; hearing: 24%) met the World Health Organization's PA recommendation. Gender was found to negatively predict total MET among deaf, while social inclusion was a positive predictor.ConclusionsDeaf adolescents may have restricted PA participation. Measures should be used to promote social inclusion for increasing PA levels of this population.     

Do disability,parenthood, and gender matter for health disparities?: A US population-based study

BackgroundExisting research has documented adverse health outcomes among parents with disabilities relative to parents without disabilities, but little is known about whether parenthood adds unique stress and health consequences for people with disabilities. Less is known about whether the effects of parenthood differ between mothers and fathers with disabilities.ObjectivesThis paper examined health-related quality of life, obesity, and health behaviors between US parents and nonparents with and without disabilities. We also explored differences in health outcomes separately for men and women by one's parental and disability status.MethodsAn analytic sample of parents and nonparents aged 18–64, with and without disabilities, were derived from the 2016 Behavioral Risk Factor Surveillance System (9,117 parents and 33,961 nonparents with disabilities). Multivariate logistic regression analyses were applied, controlling for individuals’ socio-demographic characteristics and their history of chronic conditions.ResultsParents with disabilities, compared to parents without disabilities and nonparents with and without disabilities, were at higher risk of reporting frequent physical distress, obesity, smoking, and insufficient sleep. Among those with disabilities, fathers were more likely than nonfathers to report poor or fair health, frequent physical and mental distress, and obesity; these differences were not evident between mothers and nonmothers with disabilities.ConclusionsThe findings suggest the urgent need for policies and programs to address the health-related needs of parents with disabilities, as well as the need for targeted programs to support fathers with disabilities.     

Increased risk of eating disorders in women with polycystic ovary syndrome: a case-control study

Abstract

Data on eating disorders in women with PCOS is insufficient. The objective of this case study was to examine the hypothesis that women with PCOS exhibit more impaired eating than healthy women. Women diagnosed with PCOS under the 2003 Rotterdam Diagnostic Criteria (n?=?40) were compared with a healthy control group (n?=?40). The groups also were divided into two as normal body weight and overweight/obese. The Eating Disorders Assessment Questionnaire (EDE-Q) and the Three Factor Eating Questionnaire (TFEQ-R21), were completed by all participants in order to evaluate eating behaviors in addition to eating disorders. Among the overweight/obese group, the average total and subscale scores of the EDE-Q as well as the total and sub-factor scores of the TFEQ-R21 were higher in women with PCOS compared to controls (p?<?.05). However, this statistically significant result was not shown among the women with normal weight (p?>?.05). In comparison to the controls, the PCOS women displayed higher values of the tool scores indicating abnormal restraint eating, body shape concern and weight concern subscale scores (p?<?.05). This result suggests that the evaluation of eating disorders should be added to routine screening and the monitoring of women with PCOS.     

工娱疗法对阿尔茨海默病患者认知功能、激越行为及社会功能的影响

目的 探讨工娱疗法对阿尔茨海默病患者认知功能、激越行为及社会功能的影响。方法 选取从2016年10月-2018年10月我院收治的130例阿尔茨海默病患者为研究对象,采用随机抽签法将其分成对照组和观察组,各65例。对照组予以常规护理干预,观察组在对照组基础上增加工娱疗法干预。比较2组干预前后认知功能、激越行为以及社会功能的差异。结果 干预后,观察组简易智能状态检查量表评分高于对照组(t=9.517,P＜0.001);激越行为量表总评分均低于对照组(t=3.307,P=0.001);社会功能评定量表总分高于对照组(t=23.091,P＜0.001)。结论 工娱疗法在阿尔茨海默病患者中的应用效果明显,有利于改善患者的认知功能、激越行为以及社会行为,值得临床推广应用。