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P003 Complex relationship between domestic abuse (DA) and sexual difficulties
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Journal Article
P003 Complex relationship between domestic abuse (DA) and sexual difficulties
2023
Overview
IntroductionDomestic abuse (DA) is highly prevalent and results in wide-ranging negative consequences for individuals, families and wider society. Sexual safety and security is a core domain determining sexual wellbeing. We investigated reported DA amongst service users attending our sexual Problems and Assessment and Treatment Service (SPATS).MethodsAll patients attending between January 2018 - November 2022 were included. Clinical records were reviewed. For those patients who had experienced DA, health and demographic data was collated in excel.Results830 patients were seen in the SPATS service during this period, 73 reported experiencing DA; 11/73 (15%) had occurred within <3 months.Characteristics of those disclosing DA are shown below:Gender Female:47 (%) male:25 (%) Sexuality Heterosexual: Bisexual Homosexual: 43(91%) 4 (9%) 7(28%)5 (20%)11(44%) HIV 0 6 HIV+ (24%) Unwanted sexual experiences/Sexual assault 27 (57%) 8 (32%) Concern’s around self-harm 19 (40%) 8 (32%) Mood difficulties 36 (77%) 13 (52%) Recreational Drug Use 11 (23%) 15 (60%) FGM 3 (6%) EC during study period 17 (36%) (range 1–8) DiscussionReports of unwanted sexual experiences, mood problems, self-harm and drug use were all very high in this group, and may be both a cause of, and result in, sexual problems.The relationship between these factors, DA and sexual difficulties is linked and complex, and there is likely to be an intersection of risks making individuals vulnerable to sexual difficulties.High rates of repeat EC was seen in this group which could reflect lack of contraceptive control in abusive partnerships.Effective intervention for sexual difficulties relies upon sexual safety and security, and the adequate management of pre-existing trauma. This highlights the importance of a holistic approach to supporting sexual difficulties, including screening for DA and addressing other determinants of sexual wellbeing such as mood difficulties, effective contraceptive choice and supporting substance misuse.
Publisher
BMJ Publishing Group LTD
Subject
