Journal of Sex Research最新文献

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.

Time and again, research has shown that men are less accepting of homosexuality than women. Studies on such attitudinal sex differences have been overwhelmingly conducted in Western democracies, however, with a special focus on the U.S. Whether the sex difference in attitudes towards homosexuality is a worldwide phenomenon has not yet been investigated. Using data from the seventh wave of the World Values Survey (2017-2021), this article provides evidence that the sex difference is not universal, but limited almost exclusively to Europe and the Americas, indicating the need to replicate studies conducted in these societies in global cross-country comparisons. Contrary to predictions of the social role theory or biosocial construction theory, but in line with predictions from evolutionary psychology and a growing number of empirical studies in this field, the sex difference in attitudes towards homosexuality widens with rising gender equality and development, especially when the two coincide.

There is growing interest in understanding how sexual arousal unfolds between partners, and how this may change over the course of a relationship and in the face of sexual distress. To capture the variable, dynamic, and dyadic nature of sexual responding, this paper introduces the concept of sexual synchrony, defined as the temporal, reciprocal, and coordinated interchange between partners' subjective and genital sexual arousal. Sexual synchrony is a key mechanism for understanding how partners experience and adapt their sexual arousal responses as they evolve over time. Its relevance lies in examining the mechanisms that may disrupt and facilitate synchrony and exploring how it may contribute to sexual well-being by enabling partners to mutually regulate their sexual arousal within and across sexual interactions. The paper also discusses how sexual synchrony may evolve throughout relationship development and its potential role in sexual problems, offering valuable insights into improving sexual relationships. Suggestions are provided for future research, together with a discussion of the methodological and statistical issues involved when examining sexual dynamics. Understanding how partners jointly regulate their sexual responses allows the development of dyadic models of sexual arousal which will inform treatments for improving couples' (sexual) well-being. The study of sexual synchrony also exemplifies the importance of translational research that is relevant across disciplinary borders.

Few U.S. states require school-based sex education to be representative or inclusive of LGBTQ+ people. Data suggests that adolescents' receipt of necessary topics in sex education has declined in the past 25 years, yet the literature on LGBTQ+ people's sex education experiences in the United States is largely limited to non-probability samples. Data were from a national probability sample of adolescents and adults in the United States. Individuals identifying as LGBTQ+ (N = 818) were asked an open-ended item about the type of sex education they would have liked to have received. Participants were classified into four generational cohorts: Boomer+, Generation X, Millennials, and Generation Z. Inductive content analyses and chi-square tests of independence were used. Having sex education that normalized LGBTQ+ identities was the most reported topic, with Boomer+ being more likely to report this and Generation X being least likely. About one-quarter of respondents indicated they would have liked any type of sex education. Millennials were more likely to report wanting more information on sexual orientation and gender identity and safe sexual practices compared to other cohorts. Nearly one-fourth of respondents indicated their sex education did not need improvement/was unnecessary. Older generations wished their sex education normalized their identities, while Generation Z and Millennials reported wanting more information on safe sex and/or sexual violence prevention. Findings from this study can inform the development of tailored sexual health education programs for LGBTQ+ individuals, particularly considering that current programming may not be different compared to the sex education received by earlier generations.