ARE MALES WILLING TO DISCUSS THEIR SEXUAL HEALTH: A FEASIBILITY STUDY FROM BALOCHISTAN, PAKISTAN

Main Article Content

Noman Sadiq
Jamshed Warsi
Yasmeen Gul
Zafar Abdul Nabi
Fauzia Perveen
Shabeer Ahmed

Keywords

Male Sexual Health, Social Stigma, Sociodemographic Factors, Confidentiality

Abstract

Background: Male sexual health is an essential aspect of overall well-being, encompassing physical, emotional, and psychological dimensions. In conservative and underdeveloped regions, societal stigma and cultural taboos often prevent open discussions, leading many men to suffer in silence.


Objective: To assess the willingness of married males to discuss their sexual health concerns.


Methodology: A cross-sectional study was conducted at Teaching Hospital Turbat from June to August 2022, involving 108 married males aged 18–40 years. Data were collected using a structured questionnaire and analyzed with SPSS Version 23. Binary logistic regression was applied to identify associations between sociodemographic variables and willingness to share sexual history, with significance set at p < 0.05.


Results: Among 108 participants, 79 (73.1%) were willing to share their sexual history. Rural residents (49.4%) were significantly more willing than urban residents (24.1%; p = 0.01). Participants with less education (70.9%) were more likely to provide a sexual history compared to those with higher education (48.3%; p = 0.03). Higher-income individuals were less forthcoming (p = 0.02). No significant associations were observed for smoking or employment status.


Conclusion: Societal stigma rather than intrinsic reluctance deters men from discussing sexual health. Creating supportive, confidential, and culturally sensitive environments can significantly enhance openness. Public health campaigns, male-focused clinics, and telemedicine options are vital in normalizing sexual health discussions and reducing stigma

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References

1. Sakaluk JK, Kim J, Campbell E, Baxter A, Impett EA. Self-esteem and sexual health: a multilevel meta-analytic review. Health Psychol Rev. 2020;14(2):269-93.
2. Lu Y, Fan S, Cui J, Yang Y, Song Y, Kang J, et al. The decline in sexual function, psychological disorders (anxiety and depression) and life satisfaction in older men: A cross‐sectional study in a hospital‐based population. Andrologia. 2020;52(5):e13559.
3. Stephenson KR, Truong L, Shimazu L. Why is impaired sexual function distressing to men? Consequences of impaired male sexual function and their associations with sexual well-being. J Sex Med. 2018;15(9):1336-49.
4. Brotto L, Atallah S, Johnson-Agbakwu C, Rosenbaum T, Abdo C, Byers ES, et al. Psychological and interpersonal dimensions of sexual function and dysfunction. J Sex Med. 2016;13(4):538-71.
5. Strasser R, Kam SM, Regalado SM. Rural health care access and policy in developing countries. Annu Rev Public Health. 2016;37(1):395-412.
6. Kurji Z, Premani ZS, Mithani Y. Analysis of the health care system of Pakistan: lessons learnt and way forward. J Ayub Med Coll Abbottabad. 2016;28(3):601.
7. MirzaiiNajmabadi K, Karimi L, Ebadi A. Exploring the barriers to sexual and reproductive health education for men in Iran: A qualitative study. Iran J Nurs Midwifery Res. 2019;24(3):179-86.
8. Schaller S, Traeen B, Lundin Kvalem I. Barriers and facilitating factors in help-seeking: a qualitative study on how older adults experience talking about sexual issues with healthcare personnel. Int J Sex Health. 2020;32(2):65-80.
9. Askari F, Mirzaiinajmabadi K, Rezvani MS, Asgharinekah SM. Sexual health education issues (challenges) for adolescent boys in Iran: A qualitative study. J Educ Health Promot. 2020 Jan 1;9(1):33-39.
10. Kyilleh JM, Tabong PT, Konlaan BB. Adolescents' reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern region, Ghana. BMC international health and human rights. 2018;18(2):1-2.
11. Marcell AV, Morgan AR, Sanders R, Lunardi N, Pilgrim NA, Jennings JM, et al. The socioecology of sexual and reproductive health care use among young urban minority males. J Adolesc Health. 2017;60(4):402-10.
12. Fuzzell L, Fedesco HN, Alexander SC, Fortenberry JD, Shields CG. "I just think that doctors need to ask more questions": Sexual minority and majority adolescents' experiences talking about sexuality with healthcare providers. Patient Educ Couns. 2016;99(9):1467-72.
13. Donne MD, DeLuca J, Pleskach P, Bromson C, Mosley MP, Perez ET, et al. Barriers to and facilitators of help-seeking behavior among men who experience sexual violence. Am j men's health. 2018;12(2):189-201.
14. Crocker BC, Pit SW, Hansen V, John-Leader F, Wright ML. A positive approach to adolescent sexual health promotion: a qualitative evaluation of key stakeholder perceptions of the Australian Positive Adolescent Sexual Health (PASH) Conference. BMC public health. 2019;19(3):1-6.
15. Motsomi K, Makanjee C, Basera T, Nyasulu P. Factors affecting effective communication about sexual and reproductive health issues between parents and adolescents in zandspruit informal settlement, Johannesburg, South Africa. Pan Afr med j. 2016;25:120-23.

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