Sexual Functioning in Adolescents and Young Adults With Spina Bifida

Diana D. Cardenas, Tari D. Topolski, Catherine J. White, John F. McLaughlin, William O. Walker

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Cardenas DD, Topolski TD, White CJ, McLaughlin JF, Walker WO. Sexual functioning in adolescents and young adults with spina bifida. Objective: To assess sexual education and sexual functioning in adolescents and young adults with spina bifida. Design: Survey, inception cohort. Setting: The community. Participants: A cohort of adolescents and young adults (N=121; range, 15-35y; 58% women) enrolled in a longitudinal pediatric database. Interventions: Not applicable. Main Outcome Measures: Questions on sexual function, reproductive function, bladder and bowel continence, the Perceived Quality of Life Scale, and the Satisfaction With Life Scale. Results: Almost all adolescents and young adults with spina bifida in our study received sexual education at school, less at home, or by physicians. Twenty-five percent of men and 68% of women were informed about reproductive function by their physicians. Participants who reported that they smoked were 10 times more likely to report being sexually active and women were 2.3 times more likely to be sexually active than men. Hydrocephalus was a significant predictor of sexual activity among women but not men. Participants with urinary incontinence were less likely to be sexually active. Women without hydrocephalus were significantly more satisfied with life than women with hydrocephalus. Conclusions: Adolescents and young adults with spina bifida in this sample were only slightly satisfied with life and sexual activity was only associated with life satisfaction among women. Dissatisfaction with life often leads to engagement in health-risk behaviors, which may, in part, account for the association between sexual activity and smoking behavior observed in these data. Further studies of health risk behaviors among youth with spina bifida are warranted and interventions aimed at reducing health risk behaviors among adolescents and young adults should specifically include spina bifida as a target group.

Original languageEnglish
Pages (from-to)31-35
Number of pages5
JournalArchives of Physical Medicine and Rehabilitation
Volume89
Issue number1
DOIs
StatePublished - Jan 1 2008
Externally publishedYes

Fingerprint

Spinal Dysraphism
Young Adult
Hydrocephalus
Risk-Taking
Sexual Behavior
Health
Physicians
Education
Urinary Incontinence
Urinary Bladder
Smoking
Quality of Life
Outcome Assessment (Health Care)
Databases
Pediatrics

Keywords

  • Hydrocephalus
  • Myelomeningocele
  • Rehabilitation
  • Sex behavior
  • Sex education
  • Spina bifida

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Cardenas, D. D., Topolski, T. D., White, C. J., McLaughlin, J. F., & Walker, W. O. (2008). Sexual Functioning in Adolescents and Young Adults With Spina Bifida. Archives of Physical Medicine and Rehabilitation, 89(1), 31-35. https://doi.org/10.1016/j.apmr.2007.08.124

Sexual Functioning in Adolescents and Young Adults With Spina Bifida. / Cardenas, Diana D.; Topolski, Tari D.; White, Catherine J.; McLaughlin, John F.; Walker, William O.

In: Archives of Physical Medicine and Rehabilitation, Vol. 89, No. 1, 01.01.2008, p. 31-35.

Research output: Contribution to journalArticle

Cardenas, DD, Topolski, TD, White, CJ, McLaughlin, JF & Walker, WO 2008, 'Sexual Functioning in Adolescents and Young Adults With Spina Bifida', Archives of Physical Medicine and Rehabilitation, vol. 89, no. 1, pp. 31-35. https://doi.org/10.1016/j.apmr.2007.08.124
Cardenas, Diana D. ; Topolski, Tari D. ; White, Catherine J. ; McLaughlin, John F. ; Walker, William O. / Sexual Functioning in Adolescents and Young Adults With Spina Bifida. In: Archives of Physical Medicine and Rehabilitation. 2008 ; Vol. 89, No. 1. pp. 31-35.
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abstract = "Cardenas DD, Topolski TD, White CJ, McLaughlin JF, Walker WO. Sexual functioning in adolescents and young adults with spina bifida. Objective: To assess sexual education and sexual functioning in adolescents and young adults with spina bifida. Design: Survey, inception cohort. Setting: The community. Participants: A cohort of adolescents and young adults (N=121; range, 15-35y; 58{\%} women) enrolled in a longitudinal pediatric database. Interventions: Not applicable. Main Outcome Measures: Questions on sexual function, reproductive function, bladder and bowel continence, the Perceived Quality of Life Scale, and the Satisfaction With Life Scale. Results: Almost all adolescents and young adults with spina bifida in our study received sexual education at school, less at home, or by physicians. Twenty-five percent of men and 68{\%} of women were informed about reproductive function by their physicians. Participants who reported that they smoked were 10 times more likely to report being sexually active and women were 2.3 times more likely to be sexually active than men. Hydrocephalus was a significant predictor of sexual activity among women but not men. Participants with urinary incontinence were less likely to be sexually active. Women without hydrocephalus were significantly more satisfied with life than women with hydrocephalus. Conclusions: Adolescents and young adults with spina bifida in this sample were only slightly satisfied with life and sexual activity was only associated with life satisfaction among women. Dissatisfaction with life often leads to engagement in health-risk behaviors, which may, in part, account for the association between sexual activity and smoking behavior observed in these data. Further studies of health risk behaviors among youth with spina bifida are warranted and interventions aimed at reducing health risk behaviors among adolescents and young adults should specifically include spina bifida as a target group.",
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