Sexual Health Table 2: Sexual Satisfaction

Issues perceived to affect sexual satisfaction and/or sexual activity

Positive or Negative Impact

Reported in men/women or both

Studies supporting

Age (<18 years or >30 years old)

(-)

Women

Kreuter et al. 1994; Westgren et al. 1997; Ferreiro-Velasco et al. 2005

Time since injury

(+)

Both, Men

Black et al. 1998; Tepper et al. 2001; Anderson et al. 2007; Lombardi et al. 2008

Severity of injury

(-)

Both

Mona et al. 2000; Anderson et al. 2007; Kreuter et al. 2008; Sale et al. 2012

Bladder management problems (incontinence/UTI’s)

(-)

Both, Women

White et al. 1993; Richards et al. 1997; Jackson & Wadley 1999; Benevento & Sipski 2002; Blok & Holstege 1999; Anderson et al. 2007; Kreuter et al. 2008; Biering-Sorensen et al. 2012; Sale et al. 2012; Moreno et al. 1995

Spasticity

(-)

Both, Women

Jackson & Wadley 1999; Anderson et al. 2007; Biering-Sorensen et al. 2012

Fecal incontinence

(-)

Both, Women

Charlifue et al. 1992; White et al. 1993; Richards et al. 1997; Kreuter et al. 2008; Biering-Sorensen et al. 2012

Autonomic dysreflexia

(-)

Women

Charlifue et al. 1992; Jackson & Wadley 1999; Anderson et al. 2007

Pressure ulcers and pain

(-)

Both

Biering-Sorensen et al. 2012

Sexual self esteem

(+)

Both

Mona et al. 2000

Making a female partner pregnant

(+)

Men

Biering-Sorensen et al. 2012

Altered body image

(-)

Both, Women

Richards et al. 1997; Elkland & Lawrie 2004; Reitz et al. 2004; Kreuter et al. 2008

Altered genital sensation

(-)

Women

Richards et al. 1997; Anderson et al. 2007; Kreuter et al. 2008

Sexual desire

(+)

Both, Men

Phelps et al. 2001; Reitz et al. 2004

Lack of a partner

(-)

Women

Jackson & Wadley 1999; Kreuter et al. 2008

Quality of intimate relationship/relationship satisfaction

(+)

Both/Men

Jackson & Wadley 1999; Phelps et al. 2001; Reitz et al. 2004; Lombardi et al. 2008

Repertoire of sexual behaviour

(+)

Men, Women

Richards et al. 1997; Phelps et al. 2001

Partner as caregiver

(-)

Women

Kreuter et al. 1996; Black et al. 1998; Pentland et al. 2002

Perceived partner satisfaction

(+)

Men, Women

Phelps et al. 2001; Ekland & Lawrie 2004

Partner’s understanding of sexual needs

(+)

 

Kreuter et al. 1996

Level of social and vocational activity; outgoing personality; acceptance of the disability**

(+)

 

Kreuter 2000

Inadequate vaginal lubrication

(-)

Women

Charlifue et al. 1992; Jackson & Wadley 1999; Anderson et al. 2007

Ability to move

(+)

Both

Reitz et al. 2004; Anderson et al. 2007; Kreuter et al. 2008

Mental well-being

(+)

Both

Reitz et al. 2004; Kreuter et al. 2008

Sexual education and counselling

(+)

Women

White et al. 1993; Westgren et al. 1997

Peer support

(+)

Women, Both

Richards et al. 1997; Fisher et al. 2002; Pentland et al. 2002; Ekland & Lawrie 2004

Sexual arousal

(–)

Men

Cardoso et al. 2009

Orgasm intensity

(–)

Men

Cardoso et al. 2009

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