2024 Volume 44 Pages 763-776
Objective: This study aimed to clarify the situation regarding sexuality and reproduction in individuals with mental disorders.
Methods: A web-based questionnaire regarding sexual and reproductive status, knowledge, sexual risks and coping, and sexual and reproductive concerns was administered to adults with mental disorders. Each item was compared according to sex and gender.
Results: Responses were obtained from 300 participants; 39.7% men and 60.3% women according to sex, and 33.0% male, 48.7% female, and 18.3% sexual minorities according to gender. Unexpected pregnancy and sexually transmitted infections were experienced by 11.7% and 10.3%, respectively. Approximately 50% of the respondents answered knowledge on sexually transmitted infections and contraception correctly, with men having a low percentage of correct answers. Sexual dysfunction was the most common sexual and reproductive concern. Approximately 59.0% did not have an individual with whom to discuss about sexual and reproductive matters, and 49.7% reported that mental disorders influenced their decision to have children.
Conclusions: Sexuality education is needed to address the concerns and lack of mental disorder-related knowledge.