Kendurkar Arvind, Kaur Brinder, Agarwal Anil Kumar, Singh Harjeet, Agarwal Vivek
Ballarat Health Services Psychiatric Service, Ballarat, Australia.
Int J Soc Psychiatry. 2008 Nov;54(6):486-93. doi: 10.1177/0020764008090795.
Sexual disorders, which are usually influenced by multiple factors, are very prevalent across the globe but there are few studies which provide the pattern of help-seeking behavior in the Indian population.
The study aims to present the pattern of sexual dysfunction in the patients attending a marriage and sex clinic from 1979 to 2005.
Details are obtained from the records of the patients who attended the clinic. In accordance with the change in diagnostic classification, the data are presented: ICD-IX (for period 1979-1992) and ICD-X (for period 1993-2005).
Out of a total of 1,242 patients, 566 patients attended the clinic during 1979 to 1992, and 676 patients during 1993 to 2005. More than half of the clinic population during the period was aged 20-29 years. Premature ejaculation is the most common complaint and the most commonly diagnosed clinical entity, followed by male erectile problems and culturally induced sexual behaviors such as dhat syndrome.
Being more educated, married and from an urban background promotes help-seeking in tertiary care clinics but these findings may be due to selection bias. Sexual activity continues to be strongly influenced by culturally held beliefs. This influence is more troublesome for young and unmarried persons who have not changed over the period.
性功能障碍通常受多种因素影响,在全球范围内非常普遍,但很少有研究提供印度人群寻求帮助行为的模式。
本研究旨在呈现1979年至2005年期间在婚姻与性诊所就诊患者的性功能障碍模式。
从诊所就诊患者的记录中获取详细信息。根据诊断分类的变化,呈现数据:国际疾病分类第九版(1979 - 1992年期间)和国际疾病分类第十版(1993 - 2005年期间)。
在总共1242名患者中,1979年至1992年期间有566名患者就诊,1993年至2005年期间有676名患者就诊。在此期间,超过一半的诊所患者年龄在20 - 29岁之间。早泄是最常见的主诉和最常被诊断的临床病症,其次是男性勃起问题以及如遗精综合征等文化诱导的性行为。
受教育程度更高、已婚且来自城市背景会促使患者在三级医疗诊所寻求帮助,但这些发现可能是由于选择偏倚。性活动仍然受到文化观念的强烈影响。对于在此期间未发生变化的年轻未婚者而言,这种影响更为棘手。