Genital Psoriasis and Associated Factors of Sexual Avoidance – A People-centered Cross-sectional Study in Germany

Authors

  • Maximilian Christian Schielein
  • Linda Tizek
  • Barbara Schuster
  • Stefanie Ziehfreund
  • Tilo Biedermann
  • Alexander Zink

DOI:

https://doi.org/10.2340/00015555-3509

Keywords:

genital psoriasis, sexual behavior, sexual health, avoidance, people-centered, person-centered

Abstract

Patients with genital psoriasis show poorer outcomes regarding quality of life and sexual distress than those without. This study aimed to assess the occurrence of genital psoriasis and to determine factors associated with the avoidance of sexual activities due to psoriasis in a non-clinical setting. A cross-sectional, person-centered, and online-based nationwide survey was conducted in Germany between March and June 2019. A multiple logistic regression model was used to analyze the data. Furthermore, free-text answers were provided. Overall, 344 individuals with psoriasis participated. Of these, 198 (57.6%) reported having genital psoriasis and 261 (75.9%) currently received medical care. Duration of psoriasis, subjective overall severity, and pain during sex were associated with the avoidance of sexual activities. Most prevalent reasons to avoid sexual activities were ?shame,? ?pain,? and ?fear of rejection.? Sexual distress was high in this sample and a person-centered care approach needs to be further promoted.

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Published

2020-05-28

How to Cite

Schielein, M. C., Tizek, L., Schuster, B., Ziehfreund, S., Biedermann, T., & Zink, A. (2020). Genital Psoriasis and Associated Factors of Sexual Avoidance – A People-centered Cross-sectional Study in Germany. Acta Dermato-Venereologica, 100(10), 1–7. https://doi.org/10.2340/00015555-3509

Issue

Vol. 100 No. 10 (2020): May

Section

Articles

License

Copyright (c) 2020 Maximilian Christian Schielein, Linda Tizek, Barbara Schuster, Stefanie Ziehfreund, Tilo Biedermann, Alexander Zink

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

All digitalized ActaDV contents is available freely online. The Society for Publication of Acta Dermato-Venereologica owns the copyright for all material published until volume 88 (2008) and as from volume 89 (2009) the journal has been published fully Open Access, meaning the authors retain copyright to their work.

Unless otherwise specified, all Open Access articles are published under CC-BY-NC licences, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.

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