Lo S.S.-T.,The Family Planning Association of Hong Kong |
Kok W.-M.,The Family Planning Association of Hong Kong
Human Fertility | Year: 2016
Infertility is estimated to affect 10–15% of couples in industrialized countries and many of them are under tremendous stress. Stress can lead to poor quality of life and sexual dysfunction in general, but little is known about their prevalence in infertile women. We, therefore, conducted this cross-sectional survey in two primary care subfertility clinics between August 2012 and April 2013. A total of 159 women completed two validated Chinese questionnaires: Female Sexual Function Index and core Fertility Quality of Life. The overall Female Sexual Function Index score (mean ± SD) of the whole group was 24.99 ± 4.22. Using the urban Chinese cut-off, the prevalence of female sexual dysfunction, low desire, arousal disorder, lubrication disorder, orgasmic disorder and sexual pain were 32.5%, 15.7%, 19.3%, 22.3%, 33.1% and 15.1%. The core Fertility Quality of Life score of the whole group was 59.76 ± 13.59 and the subgroup of infertile women with sexual dysfunction (n = 50) had significantly lower mean core Fertility Quality of Life score than those without sexual dysfunction (n = 109) (55.03 versus 61.88) (p = 0.005). Among the subscales, the relational score had the strongest correlation with sexual dysfunction. Infertile women with sexual dysfunction had significantly worse quality of life especially in the relational aspect. © 2016 The British Fertility Society
Kwan A.C.M.,University of Hong Kong |
Hong A.W.L.,University of Hong Kong |
Tam F.,FifthWisdom Technology Ltd |
Ying G.M.,The Family Planning Association of Hong Kong |
And 5 more authors.
Proceedings of the European Conference on Games-based Learning | Year: 2014
Adolescents in Hong Kong have become more liberal and receptive towards sex in recent decades. Research findings indicated an increase in the rate of premarital sex among Hong Kong adolescents. They also held a more permissive attitude towards premarital sex than in the past. Sex education, however, is not always well organised and delivered in schools. A recent survey indicated that Hong Kong teachers found themselves not well equipped to teach the sex education and lacked relevant learning and teaching resources. Current educational resources for sex education are mainly designed to be used in classroom. They are typically composed of presentation slides and lesson plans of group based activities. As discussion on sex is still taboo in Chinese society, self-learning resources can supplement classroom teaching. Unfortunately they are rarely offered online or tailored for mobile access. Available online resources are mostly text-based and are unattractive to the most vulnerable adolescent group. This project aims to address this gap by developing an interactive game playable on Facebook, iPad and the web to educate and equip young adolescents with reliable knowledge and positive attitudes towards sex and relationship and life skills necessary for making wise decisions regarding love and sex in a fun way. The game, titled Making Smart Choices, consists of five mini-games, adopting a Chinese user interface, offering different scenarios where players exact their decisions in their chosen virtual characters and learn in the process. The mini-games aim to help young adolescents: to gain better self-understanding for establishing a healthy love relationship; to learn to set and maintain intimate boundaries; to understand about sexual impulse and considerations in deciding whether to have sex or not; to acquire safer sex knowledge including awareness of selfprotection, contraceptives, prevention of sexually transmissible diseases, and emergency contraception; and to be aware of available options and support services in case of unplanned pregnancies. To evaluate the effectiveness and acceptance of the game among young adolescents, a series of workshops and game sessions were conducted for more than 1,100 junior students (in Secondary 1 to Secondary 3) in six co-ed secondary schools. Students' knowledge about safer sex was collected before and after playing the game. Participants were also asked to complete a questionnaire regarding their perception of the value of the game and whether they found the game interesting and user-friendly. Focus group interviews were arranged with selected students in order to gather their detailed feedback. The collected data were analysed using SPSS and the results showed that after playing the game, students' sex knowledge improved with a high medium effect size. The improvement was found in every junior secondary level. The survey respondents perceived that the game had helped them enhance their critical thinking, decision-making and ability to seek help regarding matters related to love and sexuality in addition to knowledge and proper attitudes towards relationship and sex. They were mostly receptive to the game, finding it fun to play with and describing the content as "interesting", "interactive", "informative", "close to reality" and "applicable". © The Authors, 2014.
Lo S.S.-T.,The Family Planning Association of Hong Kong |
Kok W.-M.,The Family Planning Association of Hong Kong
Journal of Sexual Medicine | Year: 2014
Introduction: As sexual medicine evolves, much advancement has been achieved in understanding male sexuality and treating male sexual dysfunction. Less is known about female sexual pattern, the prevalence of sexual problems, and their correlation with confounding factors. Aim: To enhance our understanding of female sexuality and the risk factors that contributed to sexual problems in reproductive age women. Method: A cross-sectional survey was conducted in family planning and prepregnancy checkup clinics from December 2007 to December 2009, with 2,146 sexually active Chinese women aged 21 to 40 years completed the entire questionnaire. Main Outcome Measures: Prevalence of sexual symptoms, coital frequency, and other sexual behavior-related activities were measured. Results: Overall, 59.0% of respondents had at least one sexual problem. In this sample, 31.8% of respondents reported no desire; 31.7% had arousal problems; 40% had anorgasmia, and 33.8% experienced coital pain for at least 3 months within the past 1 year. Chi-square test showed significant correlation among the four types of sexual problems(P<0.001). Univariate regression model showed that all sexual symptoms were significantly correlated with unidirectional coitus initiation, low coital frequency, and low foreplay enjoyment. Loglinear model revealed that desire, arousal, and orgasmic problems were correlated with low foreplay enjoyment. Arousal problem was correlated with high acceptance toward pornography and history of medical disease. Coital pain was correlated with secondary education and planning to have more children. Both unidirectional coitus initiation and low coital frequency were major contributors to all four sexual symptoms. Conclusions: Sexual problem is a prevalent health issue among reproductive age women. A number of risk factors are identified, which provide useful direction to the design of counseling and education materials that might help to enhance sexual performance in women. © 2014 International Society for Sexual Medicine.
Lo S.S.T.,The Family Planning Association of Hong Kong |
Fan S.Y.S.,The Family Planning Association of Hong Kong
Hong Kong Medical Journal | Year: 2016
Objective: To evaluate the motivators and barriers to the use of the combined oral contraceptive pill among Hong Kong women. Methods: The Family Planning Association of Hong Kong commissioned the ESDlife to launch an online survey and invited its female members aged 18 to 45 years who had used contraceptives in the past 12 months to participate in this survey. The online survey was posted on the ESDlife website between April 2015 and May 2015. Measurements included contraceptive choice, and motivators and barriers to the use of a combined oral contraceptive pill. Results: A total of 1295 eligible women with a median age of 32 years participated in this survey. In the past 12 months, 76.1% of them used a male condom, 20.9% practised coitus interruptus, 16.2% avoided coitus during the unsafe period, and 12.6% took a combined oral contraceptive pill. These women chose a combined oral contraceptive for convenience, effectiveness, and menstrual regulation, though 60.9% had stopped the pills because they were worried about side-effects, experienced side-effects, or consistently forgot to take the pills. Some women had never tried a combined oral contraceptive pill because they feared side-effects, they were satisfied with their current contraceptive method, or pill-taking was inconvenient. Conclusions: The combined oral contraceptive pill is underutilised by Hong Kong women compared with those in many western countries. A considerable proportion of respondents expressed concern about actual or anticipated side-effects. This suggests that there remains a great need for doctors to dispel the underlying myths and misconceptions about the combined oral contraceptive pill. © 2016, Hong Kong Academy of Medicine Press. All rights reserved.
PubMed | Tai Po Nethersole Hospital, Pamela Youde Nethersole Eastern Hospital, Tseung Kwan O Hospital, Hong Kong Polytechnic University and 4 more.
Type: Journal Article | Journal: American journal of infection control | Year: 2015
We aimed to investigate the frequency of standard precautions (SPs) compliance and the factors affecting the compliance among nursing students (NSs).A cross-sectional survey study guided by the health belief model was conducted in 2009. The study questionnaire is valid (content validity index, 0.81) and reliable (Cronbach range, 0.65-0.94).There were 678 questionnaires analyzed, with a response rate of 68.9%. The mean frequency score of SPs compliance was 4.38 0.40 out of 5. Tukey honest significant difference post hoc test indicated that year 2 and year 4 students had better SPs compliance than year 3 students. Further analysis using a univariate general linear model identified an interaction effect of perceived influence of nursing staff and year of study (F1,593=3.72; P<.05). The 5 following predictors for SPs compliance were identified: knowledge of SPs, perceived barriers, adequacy of training, management support, and influence of nursing staff.Although the SPs compliance among NSs was high, the compliance varied by year of study and was affected by the nursing staff. Furthermore, SPs compliance among NSs can be enhanced by increasing SPs knowledge, providing more SPs training, promoting management support, reducing identified SPs barriers, and improving nursing staff compliance to SPs.
PubMed | The Family Planning Association of Hong Kong
Type: Journal Article | Journal: Maturitas | Year: 2013
To study the sexual activities and prevalence of sexual dysfunctions in midlife Chinese women and their correlations with demographic factors, sexual dissatisfaction and interpersonal difficulty.This is a cross-sectional survey of a convenience sample of women aged 40-60, who requested gynecological checkup or attend social activities at Womens Club.Sexual activities, sexual dysfunctions, sexual dissatisfaction, demographic factors and interpersonal difficulty were assessed by self-administered questionnaire.Among 371 eligible subjects, 22.4% and 39.6% women had low intimacy and coitus frequency (0 to <12 acts in one year), respectively. The odds ratios for low coital frequency in the natural menopausal and surgical menopausal subgroups were 3.00 and 5.09, respectively (95% confidence interval: 1.73-5.19 and 1.77-14.69, respectively). Overall, 77.2% women had at least one type of sexual dysfunctions; this proportion was highest in the surgically menopausal subgroup (88.9%) followed by the naturally menopausal subgroup (79.3%), the perimenopausal subgroup (78.2%) and the premenopausal subgroup (72.2%) (p=0.003). No lubrication (42.9%) was the commonest sexual dysfunction and predominantly affected naturally and surgically menopaused women (p=0.001). Sexual dysfunction was the major contributor to sexual dissatisfaction (0.80), followed by interpersonal difficulty (0.2). Arousal disorder was the pivot of interaction between sexual dissatisfaction, menopausal status and low coital frequency.Chinese women had fewer intimate contacts and less coitus when menopause progressed. No lubrication was the commonest sexual dysfunction and predominantly affected menopaused women. Our model showed that sexual dysfunction is the main contributor to sexual dissatisfaction.