TY - JOUR KW - leprosy KW - Marital relationships KW - Sexual relationships KW - Married men KW - Nepal KW - Stigma AU - Meis M AU - Mieras L AU - Essink D AU - Bastola N AU - van Brakel WH AU - Dhakal K AB -

Introduction Leprosy has a negative impact on the physical state of a person as well as social and psychological consequences. Because of related disabilities and stigmatization, people with leprosy experience participation restrictions and exclusion in marital and sexual relationships. Objective To gain insight in the marital and sexual relationships of married Nepali men with leprosy, by comparing their experiences regarding marital and sexual relationships with men without leprosy with and without impairments. Methods This research had a qualitative design using thirty semi-structured interviews and two focus group discussions. Data analysis was done using NVivo. Results The majority of the men indicated they were satisfied with their marital and sexual relationship. The negative impact on their marital lives were related to physical limitations and stigmatization from family-in-law or community due to leprosy and disabilities. A decrease in sexual drive and desire, physical limitations and the wife being uneducated about leprosy caused difficulties in sexual relationships of men with leprosy. Conclusions Men with leprosy or disabilities face more problems in their marital relationship than men without leprosy and disabilities. Furthermore, there was a severe lack of knowledge on leprosy and sexual education.

BT - Leprosy review J2 - Lepr Rev LA - eng N2 -

Introduction Leprosy has a negative impact on the physical state of a person as well as social and psychological consequences. Because of related disabilities and stigmatization, people with leprosy experience participation restrictions and exclusion in marital and sexual relationships. Objective To gain insight in the marital and sexual relationships of married Nepali men with leprosy, by comparing their experiences regarding marital and sexual relationships with men without leprosy with and without impairments. Methods This research had a qualitative design using thirty semi-structured interviews and two focus group discussions. Data analysis was done using NVivo. Results The majority of the men indicated they were satisfied with their marital and sexual relationship. The negative impact on their marital lives were related to physical limitations and stigmatization from family-in-law or community due to leprosy and disabilities. A decrease in sexual drive and desire, physical limitations and the wife being uneducated about leprosy caused difficulties in sexual relationships of men with leprosy. Conclusions Men with leprosy or disabilities face more problems in their marital relationship than men without leprosy and disabilities. Furthermore, there was a severe lack of knowledge on leprosy and sexual education.

PY - 2016 T2 - Leprosy review TI - The impact of leprosy on marital and sexual relationships of married Nepali men. ER -