Young women's sexual health and their views on dialogue with health professionals.

Background: Many women who experience sexual problems or who have been subjected to sexual abuse, do not seek help, and often health professionals avoid raising such issues. The aim of this study was to describe young women's sexual health and their views on a dialogue about aspects of sexuality in connection with a gynecologic examination.

Method: Cross-sectional study. Women, 23, 26 and 29 years of age, called for gynecologic screening between March and July 2006 (n=488; response rate 75%). Descriptive statistics, multiple logistic regression and bivariate analysis were used.

Results: The majority (95%) had a positive attitude towards sexuality, although many women reported sexual problems, and one-fifth (22%) were dissatisfied with their sex life. Women considered it appropriate to be asked about sexuality in general (92%), while a majority (72%) found questions about sexual abuse appropriate. However, depending on the area, the majority (76-99%) had never been asked such questions. Demographic variables, aspects of life, sexuality and sexual abuse were irrelevant for whether women considered it appropriate to be asked questions about aspects of sexuality, by a midwife/doctor in connection with a gynecologic examination.

Conclusion: The result can activate health professionals to initiate a dialogue about sexual issues among young women. In this way, many women who experience sexual problems or have been subjected to sexual abuse, may be provided the opportunity to improve their sexual health.