Journal of Sex Research最新文献

Kink and BDSM can have healing and liberatory potential for practitioners, whether kink-identified or not, particularly Black women and those who are members of alternative sexual communities. This study presents data from N = 22 kink/BDSM-identified, experienced, and non-kinky/BDSM Black ciswomen on their awareness of and engagement in kink and BDSM (bondage and discipline, sadism and masochism, dominance, and submission). Qualitative data were from Phase Two of The Big Sex Study, a #HotGirlScience participatory action project. Reflexive thematic analysis resulted in four themes: (1) Kink/BDSM Introductions, (2) Identity Within/Outside of Kink/BDSM, (3) Kink/BDSM in Action (subthemes: Principles and Values, Sexual Practices, Partner Compatibility, and Digital Spaces), and (4) Liberation and Healing. Participants reported 49 kink/BDSM activities and demonstrated an awareness of kink/BDSM identities, values, and behaviors regardless of their experience or identification with kink/BDSM. We conclude with implications for research and practice.

Sexual desire is a complex construct with important implications for sexual functioning and well-being. In this research, we translated the Sexual Desire Inventory (SDI-2), a widely used scale for assessing sexual (desire), into 25 languages from English and used data from the International Sex Survey (ISS) to (a) investigate its psychometric properties (i.e. factorial structure, reliability, validity, and measurement invariance) and (b) explore the expression of sexual desire across different countries, genders, and sexual orientations. A total of 82,243 participants from 42 countries completed the SDI-2, along with other sexuality-related scales. Confirmatory factor analysis supported a three-factor solution for the SDI-2 (CFI = .980; RMSEA = .060), encompassing the domains of "Partner-related," "Attractive-person-related," and "Solitary" sexual desire. The reliability of the total score and subscales were excellent. Likewise, correlations with other sexuality-related variables were positive yet weak-to-moderate in effect size. Measurement invariance tests supported its use across countries, languages, genders, and sexual orientations. Analysis of SDI-2 scores according to these variables supported its ability to capture group-based differences in sexual desire. In sum, the SDI-2 constitutes a psychometrically robust measure for the assessment of sexual desire in non-clinical samples with utility in large-scale cross-cultural studies.

We developed and validated a measure of the depth of the resolution experience - the Sexual Resolution Scale (SRS). Portuguese-speaking participants responded to an online survey including the SRS whose eight items were derived from the literature on post-sex states: 1) deeply relaxed, 2) with elevated heart rate, 3) with intensified emotions, 4) more aware of body, 5) in a profound peace, 6) more imaginative, 7) more predisposed to talk about emotionally charged topics, 8) more predisposed to listen to emotionally charged topics. They also reported the intensity of satisfaction, desire, arousal, and orgasm, during the last sexual activity, and completed the Perceived Relationship Quality Components Inventory, and the Female Sexual Function Index or the International Index of Erectile Function. Principal Component Analysis and Confirmatory Factor Analysis revealed two dimensions: Internal Experience (items 1 to 6) and Openness to Communication (items 7 and 8). The two dimensions had good reliability. Invariance was confirmed between women and men. Nomological validity evidence was demonstrated: the two dimensions correlated with better sexual function during the last sexual activity and over the past 4 weeks. The SRS appears to be usable to measure the enjoyable aspects of the resolution phase of sexual intercourse.

Previous research on male clients of sex workers has emphasized the diversity of purchasing behaviors; however, we know little about how to organize or categorize this diversity quantitatively. I employed latent class analysis with survey data from cisgender male clients of primarily cisgender female sex workers in the United States to organize client consumption patterns by the type of venue used to contact sex workers and the frequency of using each venue. I found that patterns of consumption emerged around the frequency and context in which sex work is negotiated, generating six distinct patterns of buying: generalists, internet-only buyers, brothel-only buyers, experimenters, routinized buyers, and opportunists. I used multinomial logistic regression to identify relationships between latent class membership, known covariates, and self-reported motivations for purchase. Classes had small but significant demographic differences around age, income, marital status, arrest history, and international sex work engagement. Motivational differences were observed across classes, including the importance of emotional connection, practicing sexual skills, and relaxation. Implications for future research are discussed.

Comprehensive sex education (CSE) is linked to several favorable health outcomes yet is consistently underfunded and under-implemented. This is likely due to the perceived controversy of CSE, but research indicates that CSE in the K-12 system is widely supported in most areas of the U.S. Legislators, school board members, and funding agencies need a more thorough and accurate understanding of their communities' attitudes toward CSE. An attitudinal scale for the general adult population could help generate research that would give these stakeholders the confidence they need to make decisions about CSE in their local areas. The current study created this needed scale using a structured 6-step process that integrated several methods establishing validity and reliability. Scale structure was tested using both exploratory and confirmatory factor analyses, in addition to invariance testing and validity checks. The scale performed similarly across several groups and met predictions for known-groups and predictive validity, while showing some evidence for convergent validity as well. However, although findings indicate that the one-factor model of the CSEA-K12 was the best fitting model, the fit was weaker than desired. Suggestions for future work further addressing internal consistency of the scale are noted.

Changes in sexual orientation identity (SOI) and gender identity (GI) have rarely been studied in transgender and/or nonbinary youth (TNBY), but documenting such changes is important for understanding identity development and gender transition and supporting the needs of TNBY. This study examined the frequency and patterning of changes in GI and SOI across 3 months (T1-T2) and 1.5 years (T1-T4) among 183 TNBY (baseline age 14-17 years; 83.6% White, 16.9% Hispanic/Latinx) who participated in a longitudinal US study. Participants completed online surveys including measures of GI and SOI. The most common gender identity selected at T1 (with or without another gender identity) was nonbinary (56.3%), and more than half (57.4%) of youth identified with a plurisexual identity (e.g., bisexual, pansexual). GI fluidity from T1-T2 was 13.2% and from T1-T4 was 28.9%. It was equally common to move toward a nonbinary gender identity as toward a binary gender identity. SOI fluidity was more common (30.6% from T1-T2; 55.8% from T1-T4) than GI fluidity. Shifts toward plurisexual identities were more common than shifts toward monosexual identities (e.g., straight, gay). Findings highlight the need to assess changes in GI and SOI in research and clinical practice to address the unique needs of TNBY accurately and effectively.

Compulsive sexual behavior disorder (CSBD) is a burgeoning diagnostic construct. No systematic reviews of CSBD pharmacotherapy interventions have been conducted. We addressed this gap using a three-aim approach. We reviewed researchers' theoretical arguments for various pharmacotherapies, outcomes from pharmacotherapy trials, and the generalizability of the extant findings. Our review included k = 13 studies, with n = 141 participants. An opioid model of reward seeking was the most popular framework, though inconsistently specified. A serotonin model was also documented, though with few details. Naltrexone was the most prominently examined pharmacotherapy and the only medication that reliably demonstrated a therapeutic effect for some (but not all) indicators compared to placebo. Paroxetine and citalopram were also documented in placebo-controlled trials, though their incremental benefit compared to placebo is suspect. Several additional pharmacotherapies have been documented in case series contexts. Across studies, only one female participant was identified. All trials were conducted in developed nations, and race was rarely assessed. We conclude that the case for pharmacotherapy for CSBD is limited and should preferably not occur outside of clinical trial contexts. Naltrexone offers the best evidence for a potential research program, though new theoretically informed approaches are welcome. Finally, we call for additional pharmacotherapy research in women and non-White populations.

Persistent inequalities in relation to health outcomes continue to exist among patients identifying as lesbian, gay, and bisexual (LGB), and very little is known about outcomes specific to bisexual populations. This study's aim was to compare the health of individuals identifying as LGB with heterosexual counterparts within primary care in England. Cross-sectional survey data from the year 10 (2015/2016) English General Practice Patient Survey (GPPS) dataset, which consisted of 836,312 responses (38.9% response rate), including 23,834 people who identified as gay, lesbian, bisexual or "other" was analyzed. Health outcomes were assessed through self-reported quality of life, physical and mental health, and confidence in managing own health. Multifactorial logistic regression (adjusting for age, ethnic group, working status, and socioeconomic status) were conducted. Long-term physical and mental health problems were more than twice as likely to be reported for people within LGB groups compared to the heterosexual group for both genders, except bisexual women where the odds were more than four times greater (OR = 4.275, 95% CI, 3.896, 4.691; p < .001). Bisexual women were half as likely to report the absence of a long-term health problem (OR = 0.452, 95% CI 0.419, 0.488; p < .001). LGB groups across both genders, reported a higher proportion of individuals that did not feel confident in managing their health and experienced significantly worse quality of life compared to heterosexuals. LGB patients consistently report poorer health outcomes than heterosexual patients. Bisexual people of both genders consistently experienced worse physical and mental health outcomes compared with the other recorded sexual orientations.

The current research explored consensually non-monogamous peoples' experiences accessing sexual healthcare. Using a mixed method approach, a sample of 67 consensually non-monogamous individuals (48% Polyamorous; 42% Relationship Anarchy/Solo polyamory; 6% Swingers; 4% Uncategorized) reported having significantly lower rates of trust in healthcare professionals compared to standardized scores. Sixty-three percent of participants reported disclosing their relationship status to a clinician when accessing sexual health services, whereas 37% sometimes or never disclosed. Qualitative responses identified that some participants reported a willingness to be open about their relationships, but many chose to "pass" as monogamous to both simplify and streamline their interactions as well as to avoid potential stigma. Participants reported a wide range of experiences with clinicians from those who were accepting and professional, to some who displayed prejudice and withheld treatment. This research outlines some of the experiences and challenges presented to consensual non-monogamists when accessing sexual healthcare as well as providing suggestions for clinicians to help remove some of the barriers to appropriate patient care.

This article provides a review and visualization of findings over the last 30 years related to the orgasm gap between men and women in heterosexual encounters. We describe and compare techniques commonly used for measuring orgasm occurrence and frequency patterns, and we summarize the contrast in orgasm rates shown in these studies across different behavior sets and social contexts. Of central importance, women's orgasm rates increase dramatically with the inclusion of behaviors that provide specific stimulation to the clitoris, revealing this gap is largely driven by social dynamics rather than strictly biological mechanisms. Disparities between men and women are especially pronounced in contexts with low levels of partnered sexual experience, partner familiarity, and relationship commitment. Women are also more likely to experience orgasm when masturbating or partnered with women than when partnered with men. Ultimately, we echo calls for a biopsychosocial approach to sexual enjoyment and well-being, and we provide recommendations for future research, including increased precision in measurement and reporting, diversifying sampling concentrations, and assessing life course trajectories.