Perceived Barriers and Needs in Accessing Sexual Health Services for Iranian Couples: A Qualitative Research
Abstract
Background: Sexual and Reproductive Health (SRH) and access to related services are the most important issues and are part of reproductive health rights. Therefore, this study was designed and conducted to explain the perceived barriers and needs in accessing sexual health services for Iranian couples.
Materials and Methods: We conducted this study on 14 subjects at the Navab Health Center in Isfahan and Behsa Counseling Center in Tehran from November 2015 to December 2016 by common qualitative content analysis approach through semi‑structured interviews.
Results: The results show that sub‑subcategories “Therapist’s Individual Traits” and “Specialized Skills of Therapist” formed “Need for Access to a Professional Therapist” subcategory and sub‑subcategories “Provide specialized problem‑based treatments” and “Rapid and Timely Therapy of Sexual Problems” formed the “Need for Timely and Comprehensive Access” subcategory and these two subcategories formed the main category of “Need to access a specialized, comprehensive and timely sexual health services system.” Furthermore, sub‑subcategories of “Failure to Prioritize Sexual Matters” and “Lack of sexual awareness” formed the “Individual Challenges of Search for Sexual Health Services” subcategory, and sub‑subcategories of “Sexual Problems are a Taboo” and “Lack of awareness of the existence of sex therapists and sexual health service centers” formed “Sociocultural Challenges to Access Sexual Health Services” subcategory. Two subcategories formed the main category of “Obstacles to Access Efficient and Proper Sexual Health Services.”
Conclusions: The explored couple’s experiences demonstrated that the need to receive timely and comprehensive specialized sexual health services because of the obstacles to access is not provided.
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World Health Organization (WHO). Sexual health and its linkages to reproductive health: An operational approach. Geneva. Available from: https://www.who.int/publications/i/ item/978924151288. [Last accessed on 2022 Dec 24].
Sex Information and & Education Council of Canada (Sieccan). In: Centre HaER, navigation M, editors. Available from: https://healtheducationresources.unesco.org/library/documents/ canadian-guidelines-sexual-health-education-0. [Last accessed on 2023 Jan 23].
World Health Organization (WHO). Sexual health, human rights and the law Geneva, Switzerland. Available from: https://www. who.int/reproductivehealth/publications/sexual_health/sexual-health-human-rights-law/en/. [Last accessed on 2022 Dec 24].
Desrosiers A, Betancourt T, Kergoat Y, Servilli C, Say L, Kobeissi L. A systematic review of sexual and reproductive health interventions for young people in humanitarian and lower-and-middle-income country settings. BMC Public Health 2020;20:666.
Hatami H, Razavi S, Eftekhar H, Majlesi F. Comprehensive Book of Public Health. Tehran: Arjemand Publications. 2019:45-7.
Tabrizi JS, Pourasghar F, Gholamzadeh Nikjoo R. Status of Iran’s primary health care system in terms of health systems control knobs: A review article. Iran J Public Health 2017;46:1156-66.
Janghorban R, Latifnejad Roudsari R, Taghipour A, Abbasi M. Current status of sexual health and rights indicators in Iran: An overview. Iran Red Crescent Med J 2015;17:e23731.
Motamedi M, Merghati-Khoei E, Shahbazi M, Rahimi-Naghani S, Salehi M, Karimi M, et al. Paradoxical attitudes toward premarital dating and sexual encounters in Tehran, Iran: A cross-sectional study. Reprod Health 2016;13:102.
Nassimi M, Sabouri Khosrowshahi H, Hashemzehi N. Relationship between religious beliefs and sexual health in married women of Qom, Iran. Health Spiritual Med Ethics. 2018;5:16-22.
Heinemann J, Atallah S, Rosenbaum T. The impact of culture and ethnicity on sexuality and sexual function. Curr Sex Health Rep 2016;8:144-50.
Vu M, Azmat A, Radejko T, Padela AI. Predictors of delayed healthcare seeking among American Muslim women. J Womens Health (Larchmt) 2016;25:586-93.
Traumer L, Jacobsen MH, Laursen BS. Patients’ experiences of sexuality as a taboo subject in the Danish healthcare system: A qualitative interview study. Scand J Caring Sci 2019;33:57-66.
Maasoumi R, Taket A, Zarei F. How Iranian women conceptualize the role of cultural norms in their sexual lives. Sex Cult 2018;22:1376-90.
Abdolmanafi A, Nobre P, Winter S, Tilley PM, Jahromi RG. Culture and sexuality: Cognitive–emotional determinants of sexual dissatisfaction among Iranian and New Zealand women. J Sex Med 2018;15:687-97.
So Hw, Cheung FM. Review of Chinese sex attitudes & applicability of sex therapy for Chinese couples with sexual dysfunction. J Sex Res 2005;42:93-101.
Heinonen E, Lindfors O, Härkänen T, Virtala E, Jääskeläinen T, Knekt P. Therapists' professional and personal characteristics as predictors of working alliance in short-term and long-term psychotherapies. Clin Psychol Psychother. 2014;21:475-94. doi: 10.1002/cpp.1852. Epub 2013.
Siegel LM, Attkisson CC, Carson LG. Need identification and program planning in the community context. Evaluation of Human Service Programs. 1978. p. 215-52.
Lindgren BM, Lundman B, Graneheim UH. Abstraction and interpretation during the qualitative content analysis process. Int J Nurs Stud 2020;108:103632. doi: 10.1016/j.ijnurstu. 2020.103632.
Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H. Qualitative content analysis: A focus on trustworthiness. SAGE Open 2014;4:2158244014522633. doi: 10.1177/2158244014522633.
Moors F, Zech E. The effects of psychotherapist’s and clients’ interpersonal behaviors during a first simulated session: A lab study investigating client satisfaction. Front Psychol 2017;8:1868. doi: 10.3389/fpsyg. 2017.01868.
Ramlachan P, Campbell M. An integrative treatment model for patients with sexual dysfunctions. SAMJ: S Afr Med J 2014;104:440-5.
Soltani F, Azizi R, Sourinegad H, Shayan A, Mohammadi Y, Khodakarami B. Sexual knowledge and attitude as predictors of female sexual satisfaction. Biomed Res Ther 2017;4:1874-84.
Basson R, Gilks T. Women's sexual dysfunction associated with psychiatric disorders and their treatment. Womens Health (Lond). 2018;14:1745506518762664. doi: 10.1177/1745506518762664.
Dyer K, das Nair R. Why don’t healthcare professionals talk about sex? A systematic review of recent qualitative studies conducted in the United Kingdom. J Sex Med 2013;10:2658-70.
Ford JV, Barnes R, Rompalo A, Hook EW 3rd. Sexual health training and education in the U.S. Public Health Rep 2013;128(Suppl 1):96-101.
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