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Community perceptions on the role of sexual activity on stroke: a qualitative study exploring the views of Ghanaian local community residents

Authors
  • Sanuade, Olutobi Adekunle
Type
Published Article
Journal
BMC Public Health
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Jun 10, 2019
Volume
19
Issue
1
Identifiers
DOI: 10.1186/s12889-019-7093-6
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundStroke is a major cause of morbidity and mortality in Ghana and sometimes comes with multifaceted complications including sexual dysfunction. While evidence is clear that living with stroke can result in sexual dysfunction, there are contradictory views regarding the causal association between sexual activity and stroke. This study explores perceptions of Ghanaian local communities on the role of sexual activity on stroke causation.MethodsThis was a cross-sectional qualitative study. Thirty (30) focus group discussions (FGDs) were conducted in five communities across Ghana (Ga Mashie, Tafo, Gyegyeano, Chanshegu and Agorve) between October and November 2017. Data were analysed through a thematic approach.ResultsParticipants generally believed that sexual activity can cause a stroke. They mentioned that the dynamics through which sex can trigger a stroke include sex positions (i.e. having sex while standing and on the floor), high frequency of sex, having sex when older and engaging in indiscriminate sex.ConclusionThis study shows the need to pay critical attention to these community perceptions when developing intervention strategies for stroke in Ghana. This study also highlights that discussion about sexual activity in Ghana is more complex than the current health education programme allows, and so demands a ‘comprehensive sex education approach’ rather than a ‘disease-centered approach’.

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