The Incidence of Sexual Dysfunction in Patients Attending Dutch General Practitioners

ABSTRACT

Data on patients with a sexual dysfunction were collected in 45 Dutch general practices between 2003 and 2008. The aim of the study was to determine the incidence of patients with a sexual dysfunction, associated health problems, and related interventions performed by their general practitioners (GPs). The study design was a dynamic cohort study comparing 6 years of data on patients with a sexual dysfunction. Participating GPs were asked to record weekly all consulting patients who presented with a sexual dysfunction. In an additional questionnaire, these problems and associated interventions were specified. Incidence of sexual dysfunctions varied between 132 per 100,000 per year for male patients and 60 per 100,000 per year for female patients. Men mainly consulted a GP for erectile dysfunction, and women mainly consulted a GP for hypoactive sexual desire disorder and dyspareunia. Sexual desire problems were more often associated with comorbid problems such as psychological and relationship problems and medication use than other sexual dysfunctions. Female patients showed more co-occurrence of sexual dysfunction and were more often referred to secondary care services than were male patients. During the period of 2003 to 2008, the help-seeking pattern of men and women consulting their GP for a sexual dysfunction appears to be stable. The presence of comorbid problems indicates that GPs are often dealing with complex multifactorial dynamics. Co-occurrence of sexual dysfunction among women probably resulted in a higher referral rate to secondary care services. Therefore, a gender-sensitive approach and an open mind to differences in sexual identity are needed for counseling in and treatment of sexual dysfunction.     

Stepfamily fertility in contemporary Sweden: The impact of childbearing before the current union

We focus on the fertility of Swedish men and women who lived in a consensual or marital union in the 1970s and 1980s, and where at least one of the partners had children before they entered that union. Couples without any children before the current union were included for contrast. We find clear evidence that couples wanted a shared biological child, essentially regardless of how many children (if any) they had before their current union. The shared child seems to have served to demonstrate commitment to the union, as did its conversion into a formal marriage. We have not found much support for the hypothesis that our respondents sought to enter parenthood to attain adult status. A second birth might have been valued because it provided a sibling for the first child -- a half-sibling acting as a substitute for a full sibling -- but our evidence for such eåects is contradictory. Our analysis makes it very clear that parity progression depends on whose parity we consider.     

Emerging Adolescent Sexuality: A Comparison of American and Dutch College Women's Experiences

ABSTRACT

The United States has the highest rates of teen pregnancy, births, and abortions of all industrialized countries. On the contrary, The Netherlands has the lowest rates. Using qualitative and quantitative methods, this retrospective study investigated American and Dutch college women's sexual behavior, attitudes, and comfort to better understand the factors that lead to the disparity between these two countries. Survey results revealed that the American sample experienced sexual behaviors at a younger age and with more partners, whereas the Dutch sample showed a better use of contraceptives during high school, more talk with their parents, and greater sexuality education. Several distinctly different themes emerged between the U.S. and Dutch women from the in-depth interviews. Themes about U.S. girls included: driven by hormones and peers; unprepared; satisfying him; and uncomfortable and silent parents. Some themes about Dutch girls were: motivated by love; control of my own body; parents as supporters and educators; and books at young ages. Implications for what the United States could be doing to promote sexual health are discussed.     

The Deportation of Germans from the Netherlands 1946–1952

Between 1946 and 1948 Dutch authorities planned to deport all 25,000 Germans from the Netherlands. This article is based on an analysis of parliamentary debates and newspaper reports. It offers a new explanation for why these deportations were stopped. A concerted effort from the press, clergy and charitable organisations provided arguments to change policies, however the Minister of Justice did not defend changes in policy by copying any of these arguments. He phrased his policy in terms of success: policies had been fine-tuned, not fundamentally changed. Within a relatively short period (between 1945 and 1948) the discourse changed from revenge to pity. Papers pointed out that if the Dutch continued to deport all Germans they were no better than the Gestapo.     

Translators and Transformers: International Inspiration and Exchange in Social Movements

Cross-national traffic of ideas and practices contribute to the spread of collective action across borders. These processes have only recently become the subject of study and theoretical discussion. The theoretical models that have been developed so far fail to take into account the complex nature of intercultural communication. No attention is paid to problems of interpretation and translation that may occur and how potential adopters adapt foreign ideas and practices to a new context. Moreover, the central role of networks and existing (power) relations within these networks in this process is often neglected. Instead, I propose an empirically grounded, alternative model of the process, based on the cases of women's organizations against sexual violence in the Netherlands and Spain. My approach focuses on the processes of reception, recontextualization and the relations within the diffusion network. The reception of innovative repertoires was different for organizations that came across the example of pioneers at an early stage than for later groups. Early groups had less critical distance and more readily identified with pioneers than later observers. While some early followers aimed at ‘literal’ translation of an inspiring example, far more adaptations were made by the later groups. Innovative repertories traveled through networks, but within these networks power struggles emerged over ownership and the right to transform.     

Dutch Drug Policy and the Role of Social Workers

SUMMARY

Dutch drug policy has been renowned because of its pragmatic and liberal approach, and its positive effects on the health status and mortality rate of hard drug addicts. This policy, however, has had some negative consequences, especially with respect to crime and safety in big cities. As a result, the government took measures to redress these problems. This article presents an overview of recent measures in health care and criminal justice in the Netherlands and discusses the role of social work in drug addiction.     

The extent and limits of solidarity in Dutch health care

Solidarity and equal access are twin principles in the Dutch health care system: solidarity between the rich and poor and among people with high and low risks formally guarantees equal access to health care services. However, in the past few years government policies, guided by the ideology of market reform and free choice, have resulted in patterns of inequality that favour privately insured over sickness fund insured. In the meantime, the level of public support for the principles of solidarity and equal access is dropping. A significantly larger portion of the Dutch people now believes that it would be too costly to grant everyone the right to all medical treatments possible. An important reason for the decline of solidarity and equal accessibility is the scarcity of resources. The scarcity of resources and the waiting lists resulting from it will reduce the extent of the benefits package and the access to the care services of the health system. The better-off will have the resources to receive care services that are not part of the basic package. Moreover, the scarcity of resources will affect the readiness in society to provide informal care. Opposed to the compulsory macro solidarity of the health insurance system, informal care is based on a voluntary kind of solidarity in which personal choice plays an important role. Waiting lists and diminishing professional support weaken this readiness, as such support is a necessary condition for informal carers to keep caring for their relatives and friends. Because the informal care system is a necessary supplement to the formal system of care, the lack of help offered by the latter will in the end endanger the solidarity not only in informal care, but in the institutional care system as well.     

荷兰电子废弃物回收制度对我国的启示

详细介绍了荷兰以生产者联合组织为主体的电子废弃物回收管理制度、以消费者购买新产品时支付回收处理费的收费模式,结合我国国情分析了荷兰经验对我国的借鉴意义,并提出了促进我国电子废弃物处理回收处理产业健康发展的建议。     

Dutch Women are Liberated, Migrant Women are a Problem: The Evolution of Policy Frames on Gender and Migration in the Netherlands, 1995–2005

Over the past decade, there has been a major shift in Dutch gender equality policy to an almost exclusive focus on migrant women. Simultaneously, the focus of ‘minority policies’ has shifted more and more towards gender relations. The appearance of migrant women at the top of the political agenda is remarkable. In this article we examine how this construction of migrant women as a political problem has come about, and consider its implications. As we argue, the dominant policy frames of emancipation and individual responsibility are reinforcing a dichotomy between the autochthonous ‘us’ and the allochthonous ‘them’. As the problem is increasingly defined as a cultural one, it is implicitly stated that there is no problem with the dominant culture and society. Barriers for participation are exclusively located in the migrant (Muslim) culture. In this view, Muslim migrants should first change their culture before they can fully integrate in Dutch society.     

Changes in Female Labour Supply in the Netherlands 1989–1998: The Case of Married and Cohabiting Women

It is well-known that married and cohabitingwomen differ in labour supply. But we know verylittle about the causes of this difference. Isit due to differences in characteristics, likeage, presence and ages of children, own netwage rate, and net income of the partner? Or isit a difference in behaviour that – even aftercontrolling for variation in characteristics –is the basic cause? In this article we try toanswer these questions for Dutch married andcohabiting women. We use data of nationalsurveys by Statistics Netherlands for 1989 and1998. This also allows us to investigatewhether there have been important changes inthe last decade. Because we are able to comparethe results with those of an analogous analysisthat two of the authors did on similar Dutchdata for 1981 we are able to draw conclusionsabout changes that took place over the lasttwenty years. The results show that the massivegrowth in female labour force participation isespecially due to the growth in participationby married women. A slight decrease in labourmarket participation of cohabiting women can beobserved in the last decade. This seems to bethe result of cohabitation becoming morenormal, including cohabitation when there areyoung children in the household.