Sexual and Reproductive Health
Body Image and Acceptance
Author, Year; Country Score Research Design Total Sample Size |
Methods | Outcome |
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Bailey et al. 2015; Canada Observational/Qualitative Level 5 N=9 |
Population: 9 individuals (5 females & 4 males, age range= 21-63 years), type of injury C3-T7 (AIS A-D, complete & incomplete SCI), years post injury 4-36 years Treatment: None Outcome Measures: Interview consisting of open-ended questions to determine participants’ overall body image, how participants themselves defined body image, positive body image, and negative body image. |
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Merghati-Khoei et al. 2017; Iran Qualitative Study Level 5 N=53 |
Population: 53 individuals with SCI; 41 men (mean age 24.4 ± 5.7 years) and 12 women (mean age 29.5 ± 8.3 years); duration of SCI for men (46.0 ±41.6 months) and for women (97.3 ± 99.6 months) Treatment: None Outcome Measures: Semi-structured Interview to understand how people with SCI understand marriage. |
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Smith et al. 2015; USA Cross-sectional Study Level 5 N=218 |
Population: 218 individuals consisting of 120 males and 98 females (mean age=58, 7years); 38% had SCI. Treatment: None Outcome Measures: Patient Reported Outcomes Measurement Information System’s (PROMIS) sexual function item bank measuring sexual function, sexual satisfaction, and use of aids for sexual activity; PROMIS Pain Interference – Short Form; Patient Health Questionnaire-9 (PHQ-9); Mobility was measured with the 6-point Gross Motor Function Classification System |
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Bozan et al. 2015; Turkey Observational Level 5 N=50 |
Population: 50 individuals- 29 male and 21 female patients; 10 had tetraplegia and 40 had paraplegia. Treatment: None Outcome Measures: Participants were asked to rate how significant each dysfunction (walking disorder, urinary incontinence, fecal incontinence, and sexual dysfunction) was in their view. |
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Four studies have recently been published examining body image, acceptance and SCI. Qualitative studies indicate that people with SCI have concerns about their body, its appearance, and its functionality that are particular to sexual behaviour. Studies also indicate that physical dysfunction, in particular loss of bowel and bladder control and inability to walk, pose specific problems for people with SCI, their sexual functioning, and their body image acceptance.
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