Journal of Adolescent Health
Volume 43, Issue 4 , Pages 357-363 , October 2008

Why Do Young Women Continue to Have Sexual Intercourse Despite Pain?

  • Eva Elmerstig, R.N., R.M.

      Affiliations

    • Division of Gender and Medicine, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Sweden
    • Kalmar Youth Centre, Kalmar Läns Landsting, Sweden
    • Corresponding Author InformationAddress correspondence to: Eva Elmerstig, R.N., R.M., Division of Gender and Medicine, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, SE-581 85 Linköping, Sweden
    • ,
  • Barbro Wijma, M.D., Ph.D.

      Affiliations

    • Division of Gender and Medicine, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Sweden
    • ,
  • Carina Berterö, R.N.T., Ph.D.

      Affiliations

    • Division of Nursing Sciences, Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, Sweden

Received 3 October 2007 ,Accepted 20 February 2008.

References 

  1. Regeringens proposition [Government proposition] 2002/03:35 (Mål för folkhälsan. [Goals for public health.] [Online]). http://www.regeringen.se/sb/d/108/a/1259Accessed June 7, 2007
  2. FSUM. Policyprogramme for Sweden's Youth Centres. [Online] http://www.fsum.org/eng/index.htmAccessed June 7, 2007
  3. Cromer BA, McCarthy M. Family planning services in adolescent pregnancy prevention: the views of key informants in four countries. Fam Plann Perspect. 1999;31:287–293
  4. Danielsson M, Rogala C, Sundström K. Teenage Sexual and Reproductive Behavior in Developed Countries: Country Report for Sweden. Occasional Report, No. 7 New York: Alan Guttmacher; 2001;[Online] http://www.guttmacher.org/pubs/summaries/sweden_teen.pdfAccessed June 26, 2007
  5. Crosby RA, Di Clemente RJ, Wingood GM, et al. Correlates of unprotected vaginal sex among African American female adolescents: importance of relationship dynamics. Arch Pediatr Adolesc Med. 2000;154:893–899
  6. Christianson M, Johansson E, Emmelin M, et al. “One-night stands”—risky trips between lust and trust: qualitative interviews with Chlamydia trachomatis infected youth in North Sweden. Scand J Public Health. 2003;31:44–50
  7. Haggstrom-Nordin E, Hanson U, Tyden T. Sex behavior among high school students in Sweden: improvement in contraceptive use over time. J Adolesc Health. 2002;30:288–295
  8. Sellgren U, Voog E, Zoger S. [Superficial pain in connection with coitus is a complex pain syndrome.]. (In Swedish) Lakartidningen. 2000;97:5343–5345
  9. Danielsson I, Eisemann M, Sjoberg I, et al. Vulvar vestibulitis: a multi-factorial condition. Bjog. 2001;108:456–461
  10. Danielsson I, Sjoberg I, Wikman M. Vulvar vestibulitis: medical, psychosexual and psychosocial aspects, a case–control study. Acta Obstet Gynecol Scand. 2000;79:872–878
  11. Graziottin A. Clinical approach to dyspareunia. J Sex Marital Ther. 2001;27:489–501
  12. Meana M, Binik YM. Painful coitus: a review of female dyspareunia. J Nerv Ment Dis. 1994;182:264–272
  13. Meana M, Binik YM, Khalife S, et al. Dyspareunia: more than bad sex. Pain. 1997;71:211–212
  14. Nunns D. Vulval pain syndromes. Bjog. 2000;107:1185–1193
  15. Sadownik LA. Clinical profile of vulvodynia patients (A prospective study of 300 patients). J Reprod Med. 2000;45:679–684
  16. Binik YM. Should dyspareunia be retained as a sexual dysfunction in DSM-V? (A painful classification decision). Arch Sex Behav. 2005;34:11–21
  17. Nunns D. Vulvodynia and the primary health care physician. AIDS Patient Care STDS. 1997;11:345–351
  18. Berglund AL, Nigaard L, Rylander E. Vulvar pain, sexual behavior and genital infections in a young population: a pilot study. Acta Obstet Gynecol Scand. 2002;81:738–742
  19. Lewin B, Fugl-Meyer K, Helmius G, et al. Sex i Sverige (Om sexuallivet i Sverige 1996). [Sex in Sweden. On Swedish Sexual Life in 1996.] (In Swedish) Stockholm: Folkhälsouniversitetet; 1998;
  20. Nusbaum MR, Gamble G. The prevalence and importance of sexual concerns among female military beneficiaries. Mil Med. 2001;166:208–210
  21. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed.. Washington, DC: American Psychiatric Association; 1994;
  22. Glaser BG, Strauss AL. The Discovery of Grounded Theory: Strategies for Qualitative Research. Mill Valley, CA: Sociology Press; 1967;
  23. Patton MQ. Qualitative evaluation and research methods. Sage Publications, Inc: Newsbury Park, CA; 1990;
  24. Glaser BG. Theoretical Sensitivity: Advances in the Methodology of Grounded Theory. Mill Valley, CA: Sociology Press; 1978;
  25. In:  Schreiber RS,  Stern PN editor. Using grounded theory in nursing. New York: Springer Publishing Company, Inc; 2001;
  26. Streubert HJ, Carpenter DR. Qualitative Research in Nursing (Advancing the Humanistic Imperative). 2nd ed.. Philadelphia, PA: Lippincott; 1999;
  27. Denzin NK, Lincoln YS. Handbook of Qualitative Research. Thousand Oaks, CA: Sage Publications, Inc; 1994;
  28. Roberts C, Kippax S, Waldby C, et al. Faking it: The story of “Ohh!”. Women's Stud Int Forum. 1995;18:523–532
  29. Warr DJ. The importance of love and understanding: speculation on romance in safe sex health promotion. Women's Stud Int Forum. 2001;24:241–252
  30. Berggren I. Identity, Gender and Class (How Working Class Girls Shape Their Identity (in Swedish)). Göteborg, Sweden: Göteborg University, Acta universitatis Gothoburgensis; 2001;
  31. Shaw J. Treatment of primary vaginismus: a new perspective. J Sex Marital Ther. 1994;20:46–55
  32. Brown JD. Mass media influences on sexuality. J Sex Res. 2002;39:42–45
  33. Kalof L. The effects of gender and music video imagery on sexual attitudes. J Soc Psychol. 1999;139:378–385
  34. Zillmann D. Influence of unrestrained access to erotica on adolescents' and young adults' dispositions toward sexuality. J Adolesc Health. 2000;27:41–44
  35. Graziottin A, Castoldi E, Montorsi F, et al. Vulvodynia: the challenge of “unexplained” genital pain. J Sex Marital Ther. 2001;27:503–512

 This study was supported by the Medical Research Council of Southeast Sweden (FORSS), The Swedish Research Council, Research and Development (FoU) Kalmar Läns Landsting, The Ottar Foundation, and Eva and Oscar Ahréns Foundation.

PII: S1054-139X(08)00154-7

doi: 10.1016/j.jadohealth.2008.02.011

Journal of Adolescent Health
Volume 43, Issue 4 , Pages 357-363 , October 2008

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