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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.

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.

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