International Journal of Sexual Health最新文献

Objective: This meta-analysis aimed to synthesize the effect of sexuality education during pregnancy on female sexual function. Although sexual dysfunction in pregnancy is a common problem, it is often overshadowed by other outcomes, such as pregnancy risks or birth complications. Therefore, understanding the impact of educational interventions on women's sexual health is crucial to improving their overall well-being during this period.

Method: Studies were searched on the electronic databases Google Scholar, Web of Science, Journal Park, the Cochrane Library, EBSCO Medline, Pubmed, and Scopus without imposing any restrictions on the publication year. This meta-analysis used the Preferred Reporting Items for Systematic Reviews and meta-analysis statement guidelines. Findings were analyzed using fixed- or random-effects models based on 95% confidence intervals, p values, and heterogeneity testing.

Results: This systematic review included 4 studies with 337 (training: 169 and control: 168) participants due to the limited number of studies on this topic. Interventions in the four studies using the Female Sexual Function Index showed that sexuality education provided to intervention groups had a statistically significant positive effect on the total female sexual function score compared to control groups (p < .001, range: 0.552-0.995).

Conclusion: This meta-analysis provides insights into the implementation of educational interventions considering their positive impact on female sexual function during pregnancy. Despite the limited number of studies (only 4 studies), the findings suggest that sex education leads to significant improvements in many aspects, such as sexual pleasure, vaginal lubrication, orgasm, sexual desire, and overall satisfaction. Furthermore, pregnancy provides an ideal opportunity to normalize and integrate this education into pregnancy care, as it is a time when women often attend antenatal checkups or childbirth classes.

Objectives: This study investigates the relationship between HIV/AIDS-related online health information seeking (OHIS) and cyberchondria among Chinese men who have engaged in high-risk sexual behaviors. It proposes a moderated mediation model to explore the role of query escalation as a mediator and intolerance of uncertainty (IU) as a moderator in this relationship.

Method: A survey was conducted with 227 men from an online community focused on HIV/AIDS-related fear in China. Participants reported their frequency of OHIS, levels of query escalation and IU, and experiences of cyberchondria. The study employed the PROCESS macro to examine the proposed moderated mediation model.

Results: The findings indicated that frequent OHIS significantly predicts cyberchondria, with query escalation mediating this relationship. Additionally, IU moderates the mediation pathway, weakening the effect of query escalation on cyberchondria when IU is high. This suggests that individuals with high IU are less likely to experience escalating health inquiries and, consequently, cyberchondria.

Conclusions: The study highlights the complex interaction between OHIS, query escalation, and IU in predicting cyberchondria among high-risk groups. These insights are crucial for designing effective interventions to mitigate cyberchondria by addressing the escalation of health information seeking and managing uncertainty intolerance in this population.

Objectives: Trust has been identified as a key factor associated with supporting access to sexual health interventions and digital healthcare. We aimed to explore and synthesize factors that may cultivate trust for young people (10-24-year-old) when accessing digital sexual healthcare.

Methods: A total of 5950 articles were extracted from 5 databases (Scopus, PubMed, Embase, PsycINFO and CINAHL) and independently assessed for relevance by two researchers. Trust descriptions were analyzed using a narrative synthesis approach, extracted tabularly and synthesized into themes through conceptual mapping.

Results: Thirteen papers between 2011 and 2021 from the United States (n = 5), Australia (n = 3), United Kingdom (n = 2), Canada (n = 2), and Netherlands (n = 1) were reviewed. Young people (n = 462), varying in gender identity and sexuality, were aged between 14 and 29 years old. Four areas cultivating trust in digital sexual healthcare were described: (1) Esthetics, language, tone: Trusted digital sexual healthcare was easy to navigate, had limited sexually explicit content or pop-up ads, was not overly teen-friendly and used a professional tone and language, reflecting communication reportedly expected from healthcare providers. (2) Privacy, anonymity, safety: Safety features that preserved young people's anonymity were important for their trust, particularly amid fear of shame or stigma. (3) Authors' expertise, authenticity, reputation: Personal accounts online which reflected the young person's own lived experience were trusted for topics considered subjective (e.g., dating and relationships). (4) Consistency: Cross-checking personal accounts and scientific information to confirm the consistency of content helped with young people's evaluation of trust.

Conclusions: Considering the factors cultivating trust when designing digital sexual health interventions may improve access and use. However, given the nuance in lived experience and needs, young people should be meaningfully engaged in the design of digital sexual health interventions. Particularly as sexual health intervention and resources are increasingly being delivered and accessed online by young people.

[This corrects the article DOI: 10.1080/19317611.2024.2420048.].

Background: To evaluate the efficacy and safety of on-demand 20 mg tadalafil alone or combined with lidocaine spray for treating patients with comorbid erectile dysfunction (ED) and premature ejaculation (PE).

Methods: This randomized controlled trial included 98 patients with comorbid ED and PE, randomly assigned to the experimental group (n = 50, tadalafil alone) or the active control group (n = 48, tadalafil combined with lidocaine spray). Patients took tadalafil 30 min before sexual intercourse, while the combination therapy group also used lidocaine spray 5 min before intercourse. After 12 weeks of treatment, changes in the International Index of Erectile Function (IIEF-5), Chinese Index of Premature Ejaculation (CIPE-5), Intravaginal Ejaculatory Latency Time (IELT), and Sexual Satisfaction Score (SSS) were evaluated.

Results: Both groups showed significant improvement in IIEF-5 scores, but the difference between groups was not significant (F = 0.89, p = 0.45). The active control group showed significant improvement in CIPE-5 scores (p < 0.001), while the experimental group showed no significant change (p > 0.05). IELT in the active control group increased significantly from 25.7 s to 198.6 s (Z = 6.03, p < 0.001), while the experimental group showed no significant change (Z = 0.74, p = 0.46). SSS improved significantly in the active control group (p < 0.001) but not in the experimental group (p > 0.05). The incidence of adverse events was similar in both groups (14% vs 20.8%, p = 0.575).

Conclusion: Tadalafil combined with lidocaine spray is superior to tadalafil alone in improving symptoms, prolonging IELT, and enhancing sexual satisfaction in patients with comorbid ED and PE, with comparable safety. This combination therapy provides a new approach for improving treatment strategies for patients with comorbid ED and PE. Large-scale, multi-center randomized controlled trials are needed to further validate these findings.

Objectives: Little is known about the attitudes toward female genitals of men who are attracted to women. This is an important omission because these attitudes may influence men's own sexual experiences; they may also influence the genital self-image of their female partners if these views are knowingly or unknowingly communicated. Therefore, we examined men's views of women's genitals both globally and with respect to specific aspects.

Method: Participants were 212 self-identified men who completed an online survey that included scales assessing the men's views of female genitals, perceptions of women's satisfaction with their own genitals, sexual experience, and genital feedback provided to female partners. All were attracted to and had sexual experience with women.

Results: On average the men's attitudes toward female genitals were moderately positive, although they ranged from negative to very positive. The men did not rate any of 24 listed specific female genital aspects as extremely important to them. The men believed that the majority of women feel positively about their own genitals. However, a comparison with published data collected from women revealed that men's estimates of the percentage of women who are satisfied with their genitals were lower than the percentage of women who actually report that they are satisfied with their genitals. This discrepancy was particularly large with respect to genital appearance. A path analysis revealed that men with more positive attitudes toward female genitals reported having more lifetime sexual partners and providing more frequent positive genital feedback and less frequent negative genital feedback to partners.

Conclusion: These results suggest that although men generally have moderately positive attitudes toward female genitals, there is considerable variability among men ranging from negative to very positive. The study also provided some evidence that men's views of female genitals may adversely affect both the men themselves and their female partners.

Objective: Research consistently documents disproportionately high rates of sexual assault among bisexual women, one of the fastest growing sexual minority demographic groups in the United States. This study seeks to better understand how bisexual women's position as both women and sexual minority people may heighten their risk for sexual assault.

Method: Using data from 165 bisexual women in the Chicago Health and Life Experience of Women (CHLEW) study, we examine associations between the gender and sexuality characteristics of self-identifying cisgender bisexual women and sexual assault.

Results: We found that the risk of experiencing sexual assault, including rape, is associated with past experiences of bi-stigma, earlier age of recognizing bisexual identity, gender discrimination, and a less masculine gender presentation.

Conclusion: Our findings suggest that bisexual women are targeted in specific overlapping sexist, bi-phobic and stereotypical ways that may leave them particularly vulnerable to sexual assault. This study highlights the need for more research that investigates how bisexual women's high rates of sexual assault are shaped by oppressive systems and social forces related to their gender and sexuality.

Objective: This study was carried out to determine the effect of mindfulness-based cognitive therapies adapted for sexual function concerns on women's sexual function, sexual distress, and depression levels. Methods: For this meta-analysis study, a review was conducted by screening studies published in the last 10 years on PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK National Thesis Center databases from February to May 2024. After this initial review, 11 studies were included in this study. Considering the study design, quality assessment tools developed by JBI were used to evaluate the risk of bias. CMA version 2 was used for data synthesis. Data were synthesized using meta-analysis and narrative synthesis methods. Results: In this meta-analysis, mindfulness-based cognitive therapies were found to be effective in improving sexual function in women, and a high level of heterogeneity was detected among studies (standardized mean difference [SMD] = 0.461, 95% confidence interval [CI] = 0.163 to 0.760; Z = 3.027, p = .002, I² = 79.083). Additionally, it was also determined that mindfulness-based cognitive therapies were effective in reducing sexual distress in women (SMD = -0.352, 95% CI = -0.638 to -0.066; Z= -2.412, p = .016, I² = 78.377). Finally, mindfulness-based cognitive therapies were also determined to be effective in reducing symptoms of depression in women (SMD = -0.217, 95% CI = -0.420 to -0.015; Z= -2.101, p = .036, I² = 27.688). Conclusions: Mindfulness-based cognitive therapies were found to be effective in decreasing women's sexual dysfunction and reducing levels of sexual distress and depression.

Objective: This study aims to examine how positive and negative metacognitions about sex (MSS) mediate the relationship between psychological distress and problematic consumption of pornography.

Method: 821 individuals from Romania, aged 18-70 (M = 27.21; SD = 8.74), 64.4% of whom were women.

Results: Both positive and negative MSS mediated the link between psychological distress and problematic consumption of pornography.

Conclusion: MSS plays a crucial role in understanding the dynamics between psychological distress and problematic consumption of pornography. The study contributes to filling a gap in the literature by exploring MSS in this context. Theoretical and practical implications are discussed.

Objectives: The current research aimed to explore the mechanism behind sexual harassment experiences and views on marriage and love (ML) among Chinese college students. Methods: 424 college students were recruited to complete the questionnaires about sexual harassment experiences (SH), subjective social status (SES), sexual knowledge (SK), and their views on ML. Results: The results of the moderated mediation model showed a negative association between SH and views on ML, explained through the mediating effect of SK. The negative moderating effect of SES between SH and SK was also found. Conclusion: The findings provide implications for supporting college students who have experienced SH in navigating their future romantic relationships, with the consideration of varied SES backgrounds.