{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T20:13:15Z","timestamp":1789157595521,"version":"build-2803163510"},"reference-count":49,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T00:00:00Z","timestamp":1686182400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Dyspareunia refers to painful sexual intercourse that negatively affects a person's psychological well\u2010being and quality of life and can also have an impact on their partner, family, and social circle. The objective of this study was to understand the experiences of women with dyspareunia and a history of sexual abuse in the Dominican Republic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a qualitative study based on Merleau\u2010Ponty's hermeneutic phenomenology. Fifteen women with a diagnosis of dyspareunia and a history of sexual abuse participated. The study was carried out in Santo Domingo, Dominican Republic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In\u2010depth interviews were conducted for data collection. Through inductive analysis using ATLAS.ti, 3 main themes were developed that represent women's experiences of dyspareunia and sexual abuse: (1) a history of sexual abuse as a background to dyspareunia, (2) living in fear in a society that revictimizes the survivor, and (3) the sexual consequences of dyspareunia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In some Dominican women, dyspareunia stems from their history of sexual abuse, which was unknown to their families and partners. The participants experienced dyspareunia in silence and found it difficult to seek help from health care professionals. In addition, their sexual health was marked by fear and physical pain. There are individual, cultural, and social factors that influence the occurrence of dyspareunia; a better understanding of these factors is vital for planning innovative preventive strategies that reduce the progression of sexual dysfunction and its impact on the quality of life of people with dyspareunia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jmwh.13520","type":"journal-article","created":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T07:48:41Z","timestamp":1686210521000},"page":"637-644","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Experiences of Dyspareunia in Dominican Women with a History of Sexual Abuse: A Phenomenological Study"],"prefix":"10.1111","volume":"68","author":[{"given":"Raquel","family":"Alarcon\u2010Rodriguez","sequence":"first","affiliation":[{"name":"Department of Nursing, Physiotherapy and Medicine Faculty of Health Sciences University of Almer\u00eda  Almer\u00eda Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1721-0947","authenticated-orcid":false,"given":"Cayetano","family":"Fern\u00e1ndez\u2010Sola","sequence":"additional","affiliation":[{"name":"Department of Nursing, Physiotherapy and Medicine Faculty of Health Sciences University of Almer\u00eda  Almer\u00eda Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Garc\u00eda\u2010Alvarez","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Human Sexuality Institute Autonomous University of Santo Domingo  Santo Domingo Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosario","family":"Fadul\u2010Calder\u00f3n","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Human Sexuality Institute Autonomous University of Santo Domingo  Santo Domingo Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Ruiz\u2010Ortiz","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Human Sexuality Institute Autonomous University of Santo Domingo  Santo Domingo Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8305-3287","authenticated-orcid":false,"given":"Mar","family":"Requena\u2010Mullor","sequence":"additional","affiliation":[{"name":"Department of Nursing, Physiotherapy and Medicine Faculty of Health Sciences University of Almer\u00eda  Almer\u00eda Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3052-4166","authenticated-orcid":false,"given":"Jessica","family":"Garcia\u2010Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Nursing, Physiotherapy and Medicine Faculty of Health Sciences University of Almer\u00eda  Almer\u00eda Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,8]]},"reference":[{"issue":"3","key":"e_1_2_9_2_1","first-page":"267","article-title":"Trastornos del dolor sexual femenino: una revisi\u00f3n de su definici\u00f3n, etiolog\u00eda y prevalencia","volume":"28","author":"Becerra\u2010Alfonso YA","year":"2015","journal-title":"M\u00e9dicas UIS"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0957\u20105847(03)00041\u20106"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1807\u201059322005000100011"},{"key":"e_1_2_9_5_1","volume-title":"Gu\u00eda de Buena Pr\u00e1ctica Cl\u00ednica en Disfunciones Sexuales","author":"Sixto AV","year":"2004"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.22235\/ech.v3i2.565"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102458\u20106\u2010177"},{"key":"e_1_2_9_8_1","first-page":"25","volume-title":"Lo que Todo Cl\u00ednico Debe Saber de Sexolog\u00eda","author":"Delgado V","year":"2014"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4939-3100-2_25"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806\u20109282.60.01.011"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/14034940210134040"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2008.01166.x"},{"key":"e_1_2_9_13_1","unstructured":"CancioRM.Estudio epidemiol\u00f3gico de la disfunci\u00f3n sexual femenina. Asociaci\u00f3n con otras enfermedades y factores de riesgo. Thesis. Universidad de Ciencias M\u00e9dicas de La Habana;2012. Accessed May 16 2022.http:\/\/tesis.sld.cu\/index.php?P=DownloadFile&Id=179"},{"key":"e_1_2_9_14_1","unstructured":"Ley Org\u00e1nica 1\/2004 de 28 de diciembre de Medidas de Protecci\u00f3n Integral contra la Violencia de G\u00e9nero. Agencia Estatal Bolit\u00edn Oficial del Estado; 2005. Accessed January 20 2023.https:\/\/www.boe.es\/buscar\/act.php?id=BOE\u2010A\u20102004\u201021760"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2017.03.244"},{"key":"e_1_2_9_16_1","unstructured":"When sex gives more pain than pleasure. Harvard Health Publishing website.2019. Accessed May 25 2022.https:\/\/www.health.harvard.edu\/pain\/when\u2010sexgives\u2010more\u2010pain\u2010than\u2010pleasure"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000576"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2021.1956454"},{"key":"e_1_2_9_19_1","unstructured":"Maltrato infantil. World Health Organization website. Accessed January 19 2023.https:\/\/www.who.int\/es\/news\u2010room\/fact\u2010sheets\/detail\/child\u2010maltreatment"},{"key":"#cr-split#-e_1_2_9_20_1.1","unstructured":"Ministerio de Salud P\u00fablica. Estrategias para el fortalecimiento de la respuesta del Sistema Nacional de Salud a la Violencia de g\u00e9nero y contra los ni\u00f1os ni\u00f1as adolescentes mujeres y personas adultas mayores 2016\u20102020.Ministerio de Salud P\u00fablica"},{"key":"#cr-split#-e_1_2_9_20_1.2","unstructured":"2015. Accessed June 12 2022.https:\/\/iris.paho.org\/handle\/10665.2\/31148"},{"key":"e_1_2_9_21_1","unstructured":"Ministerio de Salud P\u00fablica.Gu\u00eda para la Atenci\u00f3n de Ni\u00f1os Ni\u00f1as y Adolescentes V\u00edctimas de Violencia en Rep\u00fablica Dominicana.Ministerio de Salud P\u00fablica;2017. Accessed May 15 2022.https:\/\/www.paho.org\/sites\/default\/files\/Guia\u201023\u20108\u20102017\u2010para\u2010la\u2010Atencion\u2010de\u2010NNA\u2010Victimas\u2010de\u2010Violencia\u2010en\u2010Republica\u2010Dominicana.pdf"},{"key":"e_1_2_9_22_1","first-page":"235","article-title":"Problems with sexuality after sexual assault","volume":"11","author":"Berlo W","year":"2000","journal-title":"Annu Rev Sex Res"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.10.038"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2021.07.004"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2022.2110461"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.24875\/rechog.m21000024"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13523"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2021.1916802"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010019\u201003894\u20100"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1535583"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010019\u201004019\u20103"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/0092623X.2018.1549631"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2018.12.007"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203720714"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_9_36_1","volume-title":"Qualitative Methods for Health Research","author":"Green J","year":"2018"},{"key":"e_1_2_9_37_1","volume-title":"Interpretative Phenomenological Analysis","author":"Smith JA","year":"2009"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315588501"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2006.12.006"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3901495"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12608"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaceta.2016.05.010"},{"issue":"4","key":"e_1_2_9_44_1","first-page":"347","article-title":"Perfiles e indicadores psicol\u00f3gicos relacionados con la dispareunia y el vaginismo. Estudio cuantitativo. Primera parte","volume":"33","author":"S\u00e1nchez Bravo C","year":"2010","journal-title":"Salud Mental"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/10538712.2017.1288186"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010018\u20100523\u20102"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14084"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467\u20109280.00266"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2017.09.028"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.13520","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T02:02:32Z","timestamp":1707271352000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jmwh.13520"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,8]]},"references-count":49,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1111\/jmwh.13520"],"URL":"https:\/\/doi.org\/10.1111\/jmwh.13520","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,8]]},"assertion":[{"value":"2023-06-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}