Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Sociology, Indiana University Purdue University-Indianapolis, Indianapolis, IN, USA.
Division of Pediatric Urology, Riley Hospital for Children at Indiana University Health, Indianapolis, IN, USA.
J Sex Med. 2022 Dec;19(12):1766-1777. doi: 10.1016/j.jsxm.2022.08.201. Epub 2022 Oct 8.
Spina bifida (SB) may differentially impact adults' participation in solo and partnered sexual behaviors, but little research investigates this topic.
Describe solo and partnered sexual behaviors among an international sample of adult men and women with SB.
Ever participated (no/yes) and recent participation (>1 year ago/within last year) in solo masturbation, cuddled with a partner, held hands with a partner, kissed a partner, touched a partner's genital, had genitals touched by a partner, gave a partner oral sex, received oral sex from a partner, vaginal sex, anal sex, and sex toy use.
Data were drawn from a larger cross-sectional, internet-based survey assessing the sexual behaviors of an international sample of men and women with SB. We used logistic regression to examine the impact of background (gender, age, independent living, and relationship status) and health (shunt status, ambulation, and genital sensation) factors on each outcome.
The sample consisted of 345 respondents aged 18-73 years from 26 nations. Very few (<3%) had no lifetime experience with any solo or partnered behaviors; 25.0% reported participating in all behaviors at some point in their lives. The median number of past year sexual behaviors (of 16 total) was 7. Lifetime and recent participation were associated with demographic and health factors.
Despite impairment, adults with spina bifida do participate in solo and partnered sexual behaviors. Medical personnel who work with this population should include discussions about sexuality as part of routine care.
STRENGTHS & LIMITATIONS: Although this research measured solo and partnered sexual behavior in large international sample of adults with spina bifida, it is limited by its cross-sectional retrospective design and non-clinical convenience sample.
Despite disability, many adults with SB participate in solo and partnered sexual behavior. Medical and psychosocial supports are needed to help adults in this population enjoy sexuality in a healthy and safe manner. Hensel DJ, Misseri R, Wiener JS, et al. Solo and Partnered Sexual Behavior Among an International Sample of Adults With Spina Bifida. J Sex Med 2022;19:1766-1777.
脊柱裂（SB）可能会对成年人的独自和伴侣性行为产生不同的影响，但很少有研究探讨这个问题。
描述国际 SB 成年男女群体的独自和伴侣性行为。
是否有过独自自慰（否/是）和最近参与（>1 年前/去年内）、与伴侣拥抱、牵手、亲吻、触摸伴侣的生殖器、被伴侣触摸生殖器、为伴侣口交、接受伴侣口交、阴道性交、肛交和使用性玩具。
数据来自一项更大的基于互联网的横断面调查，评估了国际 SB 男女样本的性行为。我们使用逻辑回归来检查背景（性别、年龄、独立生活和关系状况）和健康（分流状况、行走能力和生殖器感觉）因素对每种结果的影响。
该样本由来自 26 个国家的 345 名年龄在 18-73 岁的受访者组成。很少有人（<3%）一生中没有任何独自或伴侣行为的经历；25.0%的人报告在一生中的某个时候参与过所有行为。过去一年性行为的中位数（16 种行为中的 7 种）为 7 种。终生和最近的参与与人口统计学和健康因素有关。
尽管存在残疾，患有脊柱裂的成年人确实参与了独自和伴侣的性行为。与该人群合作的医务人员应将有关性的讨论作为常规护理的一部分。
尽管这项研究测量了来自大型国际 SB 成年人群的独自和伴侣性行为，但它受到横断面回顾性设计和非临床便利样本的限制。
尽管存在残疾，但许多患有 SB 的成年人仍参与独自和伴侣的性行为。需要医疗和心理社会支持，以帮助该人群中的成年人以健康和安全的方式享受性。Hensel DJ，Misseri R，Wiener JS，等人。国际 SB 成人样本的独自和伴侣性行为。性医学杂志 2022；19：1766-1777。
