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Porn or Partner Arousal? When It Comes to Romantic Relationships, Not All Sexual Arousal Is Equal: A Prospective Study 色情还是伴侣唤醒?在恋爱关系中,并非所有的性兴奋都是平等的:前瞻性研究
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-30 DOI: 10.1007/s10508-024-02985-4
Nicholas J. Lawless, Gery C. Karantzas

Little is known about the role of subjective sexual arousal within romantic relationships. The current paper addresses this limitation using a prospective study design that investigates the direct associations between subjective sexual arousal induced by a romantic partner (partner arousal) and arousal induced by pornography (porn arousal) on changes in relational outcomes. A total of 309 participants who were in a current romantic relationship completed measures of partner and porn arousal as well as relational outcomes (i.e., sexual satisfaction and relationship quality and stability) at baseline (T1) and completed a second assessment of relational outcomes 2 months later (T2). Partner arousal was found to have no significant associations with changes in relational outcomes; however, porn arousal was associated with significant declines in sexual satisfaction and relationship quality and stability over a 2-month period. This paper is the first to examine how feeling sexually aroused by porn may impact relational outcomes for those in romantic relationships.

人们对主观性唤起在恋爱关系中的作用知之甚少。本文采用前瞻性研究设计,调查了恋爱伴侣引起的主观性唤醒(伴侣唤醒)和色情作品引起的唤醒(色情唤醒)对关系结果变化的直接影响,从而解决了这一局限性。共有 309 名目前处于恋爱关系中的参与者在基线期(T1)完成了对伴侣唤醒和色情唤醒以及关系结果(即性满意度、关系质量和稳定性)的测量,并在 2 个月后(T2)完成了对关系结果的第二次评估。结果发现,伴侣唤醒与关系结果的变化无明显关联;但色情唤醒与两个月内性满足度、关系质量和稳定性的显著下降有关。本文首次研究了色情片引起的性兴奋如何影响恋爱关系中人的关系结果。
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引用次数: 0
Understanding U.S. Caregivers’ Perceptions of Youth’s Sexting Motivations and Concerns About Their Children’s Sexting Involvement: Fall ConsumerStyles Survey, 2018 and 2019 了解美国照料者对青少年色情短信动机的看法以及对其子女参与色情短信的担忧:2018年和2019年秋季消费者风格调查
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-30 DOI: 10.1007/s10508-024-02989-0
Megan Steele-Baser, Christopher T. Allen, Melissa C. Mercado, Adina C. Cooper, Riley L. Wagner

Sexting is associated with a range of negative outcomes among youth. While parents and caregivers can play a critical role in the prevention of youth risk behaviors, nationally representative research has yet to examine U.S. caregivers’ perceptions of youth’s sexting motivations to help inform sexting risk prevention efforts. Using 2018 and 2019 Fall ConsumerStyles online panel survey data (N = 1,034), this study estimated and examined U.S. caregivers’ perceptions of youth’s sexting motivations and the associations of such perceptions with concerns about their children (ages 10–17) getting and sharing sexts (sexual messages, photos, videos). Weighted percentages were calculated to describe caregivers’ perceptions of youth’s sexting motivations. Logistic regression analyses were performed to examine associations between caregivers’ perceptions and concerns about youth’s sexting. Results suggest that many caregivers perceive youth sext because they think it is harmless (72.79%), they want to be popular or boast (70.51%), they have low self-esteem (52.00%), and/or it is part of their sexual exploration process (49.05%). Fewer caregivers perceived that youth sext because they want revenge (21.80%) or to harm others (16.06%). Caregivers’ concerns about their children getting and sharing sexts were related to perceiving that youth sext because of low self-esteem, sexual exploration processes, or to harm others. The perception that youth sext because they want to be popular or boast was related to concern about youth getting but not sharing sexts. Odds of concern were significantly higher among caregivers from some racial/ethnic subgroups. Findings can inform sexting prevention efforts that include caregivers.

在青少年中,sexting 与一系列负面结果有关。虽然父母和看护人在预防青少年风险行为方面可以发挥关键作用,但具有全国代表性的研究尚未考察美国看护人对青少年sexting动机的看法,从而为sexting风险预防工作提供参考。本研究利用 2018 年和 2019 年秋季 ConsumerStyles 在线面板调查数据(N = 1,034),估算并研究了美国看护者对青少年sexting动机的看法,以及这种看法与对其子女(10-17 岁)获取和分享sexts(性信息、照片、视频)的担忧之间的关联。我们计算了加权百分比来描述照顾者对青少年sexting动机的看法。我们还进行了逻辑回归分析,以研究看护者对青少年sexting行为的看法和担忧之间的关联。结果表明,许多照顾者认为青少年发送色情短讯是因为他们认为这样做无害(72.79%)、他们想受欢迎或自夸(70.51%)、他们自卑(52.00%),和/或这是他们性探索过程的一部分(49.05%)。较少的看护人认为青少年发色情短信是为了报复(21.80%)或伤害他人(16.06%)。照护者对其子女获取和分享色情短信息的担忧与他们认为青少年发色情短信息是因为自卑、性 探索过程或伤害他人有关。认为青少年发色情短信息是为了受人欢迎或夸耀自己的看法与担心青少年获取但不分享色情短信息有关。在某些种族/民族亚群中,照顾者表示担忧的几率明显更高。研究结果可为包括照顾者在内的sexting预防工作提供参考。
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引用次数: 0
Examining the Measurement Invariance of the Revised Sociosexual Orientation Inventory Among Hispanic and Non-Hispanic White College Women in the U.S. 在美国西班牙裔和非西班牙裔白人女大学生中检验修订版社会性倾向量表的测量不变性
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-29 DOI: 10.1007/s10508-024-02980-9
Christina N. Gillezeau, Elizabeth A. Yeater

The Revised Sociosexual Orientation Inventory (SOI-R) is a widely used measure in research, yet the invariance of this measure has not been established in English speaking Non-Hispanic White (NHW) and Hispanic/Latine populations. This study examined whether the SOI-R, a measure developed in Germany, was invariant between US Hispanic/Latina (N = 208) and NHW (N = 190) undergraduate women. Confirmatory factor analysis (CFA) was used to assess model fit in the Hispanic/Latina and NHW samples and fit of increasingly restrictive models was used to test configural, metric, scalar, and residual invariance of the models in both samples. CFA results revealed that data from both the Hispanic/Latina and NHW groups fit the model adequately in this sample, which consisted of highly acculturated Hispanic/Latina college women. Tests of measurement invariance found that the SOI-R was invariant across Hispanic/Latina and NHW college women. However, questions about the development of the SOI-R and the underlying assumptions made during the course of its development might be considered prior to the use of the measure in research, and further invariance testing should be conducted in future work with less acculturated Hispanic/Latine populations.

修订版社会性倾向量表(SOI-R)在研究中被广泛使用,但该量表的不变性尚未在讲英语的非西班牙裔白人(NHW)和西班牙裔/拉丁裔人群中得到证实。本研究考察了德国开发的 SOI-R 测量在美国西班牙裔/拉丁裔(208 人)和非西班牙裔白人(190 人)女大学生中是否具有不变性。确认性因素分析(CFA)被用来评估西班牙裔/拉丁裔和非华裔样本的模型拟合度,而越来越严格的模型拟合度被用来检验两个样本中模型的构型、度量、标度和残差不变性。CFA 结果表明,西班牙裔/拉丁裔和非华裔女大学生群体的数据均充分符合该样本的模型,该样本由文化程度较高的西班牙裔/拉丁裔女大学生组成。测量不变性测试发现,SOI-R 在西班牙裔/拉丁裔和非华裔女大学生中具有不变性。然而,在将 SOI-R 用于研究之前,应考虑有关 SOI-R 的开发及其开发过程中的基本假设的问题,并应在未来针对文化程度较低的西班牙裔/拉丁裔人群开展进一步的不变量测试。
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引用次数: 0
Latent Class Analysis of Sexual Partnerships and Substance Use Across Generations 跨代性伴侣和药物使用的潜类分析》(Latent Class Analysis of Sexual Partnerships and Substance Use Across Generations)。
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-27 DOI: 10.1007/s10508-024-02960-z
Emily C. Andrus, Andrew F. Brouwer, Rafael Meza, Marisa C. Eisenberg

Sexually transmitted infections (STIs) remain an important public health concern for people of all age groups, with older age groups experiencing a notable increase in STI burden. Historically, most research into STI risk behaviors has focused on adolescents and young adults, leaving a paucity of research on the ways STI risk factors change over the life course. Additionally, age and cohort trends in STI risk factors can be challenging to investigate with standard statistical tools as they can be collinear and are subject to sociocultural and generational influences. To help address these issues, we used multi-group latent class analysis to identify and compare risk behavior profiles defined by responses to three sexual activity and three substance use variables, across and within four age groups. We identified six behavior profiles in the unstratified dataset and five behavior profiles in each of the four age stratified groups. The five behavior profiles identified in each of the age categories appear to reflect a similar set of five underlying profile “archetypes,” with the exact composition of each age category’s five profiles varying in the magnitude that specific behaviors are endorsed. Interestingly, despite the similarity of profiles across the four age groups, analyses indicate that the experience of belonging to any one of these five archetypes differs by age group. This variance is likely due group specific age, period, and cohort effects, and may indicate that, when estimating one’s STI risk, it is better to compare them to their peers than to the population as a whole.

性传播感染(STI)仍然是各年龄段人群关注的一个重要公共卫生问题,老年群体的性传播感染负担明显加重。从历史上看,对性传播感染风险行为的研究大多集中在青少年和年轻成年人身上,对性传播感染风险因素在生命过程中的变化方式研究甚少。此外,由于性传播感染风险因素的年龄和队列趋势可能是相互关联的,并受到社会文化和世代的影响,因此用标准的统计工具来研究这些趋势具有挑战性。为了帮助解决这些问题,我们采用了多组潜类分析法,在四个年龄组之间和内部识别和比较了由对三个性行为变量和三个药物使用变量的反应所定义的风险行为特征。我们在未分层数据集中识别出六种行为特征,在四个年龄分层组中各识别出五种行为特征。在每个年龄组中发现的五种行为特征似乎反映了一组相似的五种基本特征 "原型",每个年龄组的五种特征的具体构成在特定行为被认可的程度上有所不同。有趣的是,尽管四个年龄组的特征相似,但分析表明,属于这五种原型中任何一种原型的体验却因年龄组而异。这种差异可能是由于特定年龄组、时期和队列效应造成的,并可能表明,在估计一个人的性传播感染风险时,最好将其与同龄人进行比较,而不是与整个人口进行比较。
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引用次数: 0
The Chain Mediation Effect of Victimization and Neuroticism on the Association Between Sexual Orientation and Depressive Symptoms: A Prospective Birth Cohort Study 受害与神经质对性倾向与抑郁症状之间关系的连锁中介效应:前瞻性出生队列研究
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-23 DOI: 10.1007/s10508-024-02979-2
Yin Xu, Qazi Rahman

This study tested whether sexual orientation differences in depressive symptoms were partially explained by the chain mediation effect of neuroticism and victimization. Using the Avon Longitudinal Study of Parents and Children from the UK (N = 4647, 36.52% men, 88% White), self-reported neuroticism, sexual orientation, and depressive symptoms were measured at age 13.5, 21, and 22 years, respectively. Childhood abuse between birth and age 11 years and the individuals’ experiences of being bullied at age 17.5 years were measured as the components of victimization. Structural equation modeling was used to analyze the data. Non-heterosexual individuals reported higher depressive symptoms than heterosexual individuals, with a total effect (standardized path coefficient) of 0.590 and 0.768 for men and women, respectively. This association was partially explained by childhood abuse (indirect effect = 0.043 and 0.046 for men and women, respectively) and neuroticism directly (indirect effect = 0.036 and 0.056 for men and women, respectively). Sexual orientation differences in depressive symptoms were also partially explained by a path through increased risk of experiencing childhood abuse leading to higher levels of neuroticism (indirect effect = 0.004 and 0.009 for men and women, respectively) and by a path through higher levels of neuroticism leading to increased risk of being bullied (indirect effect = 0.004 and 0.002 for men and women, respectively). The findings suggest that while some of the association between sexual orientation and depression might be explained by neuroticism and experiences of victimization measured prospectively, these factors do not account for most of this relationship.

本研究测试了抑郁症状中的性取向差异是否可以通过神经质和受害的连锁中介效应得到部分解释。研究人员利用英国雅芳父母与子女纵向研究(N = 4647,36.52% 为男性,88% 为白人),分别在 13.5 岁、21 岁和 22 岁时测量了自我报告的神经质、性取向和抑郁症状。受害的构成因素包括出生至 11 岁期间的童年受虐经历和 17.5 岁时的受欺凌经历。结构方程模型用于分析数据。非异性恋者的抑郁症状高于异性恋者,男性和女性的总效应(标准化路径系数)分别为 0.590 和 0.768。童年虐待(间接效应 = 0.043,男性和女性分别为 0.046)和神经质(间接效应 = 0.036,男性和女性分别为 0.056)可以部分解释这种关联。抑郁症状的性取向差异还可以通过以下途径得到部分解释:童年遭受虐待的风险增加导致神经质水平升高(男性和女性的间接效应分别为 0.004 和 0.009);神经质水平升高导致受欺凌的风险增加(男性和女性的间接效应分别为 0.004 和 0.002)。研究结果表明,虽然性取向与抑郁之间的部分联系可以用神经质和前瞻性测量的受害经历来解释,但这些因素并不能解释这种关系的大部分。
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引用次数: 0
Religious Disaffiliates’ Experiences and Challenges with Sex, Sexuality, and Body Image 无宗教信仰者在性、性行为和身体形象方面的经历和挑战
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-21 DOI: 10.1007/s10508-024-02961-y
Zvika Orr, Beth G. Zalcman, Anat Romem, Ronit Pinchas-Mizrachi

In recent years, an increasing number of ultra-Orthodox Jews have left their insular communities, choosing instead to lead a secular life. This article illuminates their perceptions and experiences related to sexuality, sexual behavior, and sexual health. Based on thematic analysis of 37 in-depth, semi-structured interviews with ultra-Orthodox disaffiliates, we found that sexual experiences have played a decisive role in the disaffiliates’ lives. First, some participants shared that experiencing sexual abuse during childhood led them to disaffiliate. Second, prior to disaffiliating, participants had very little knowledge about sex, which was an unspoken issue. This resulted in misunderstandings and miscommunication related to courtship and dating after disaffiliating. Moreover, the knowledge gap of secular social norms led to disaffiliates being sexually exploited, as well as to male disaffiliates behaving inappropriately and consequently suffering from social rejection and loneliness. While some participants celebrated their new sexual freedom, others were fearful and reluctant to have sex. We suggest that in transgressing social, cultural, and identity boundaries, disaffiliates experience “cleft habitus” and are situated in a prolonged liminal position that affects their sexual behavior, intimate relations, sexual health, and body image. During the liminal period, disaffiliates typically learn threshold concepts, which are often troublesome and threatening. There is a striking need to offer disaffiliates assistance and support throughout this difficult process. This analysis can shed light on other groups of religious disaffiliates and cultural immigrants.

近年来,越来越多的极端东正教犹太人离开了他们与世隔绝的社区,选择过世俗生活。本文阐述了他们对性、性行为和性健康的看法和经历。基于对 37 个脱离极端正统犹太教的半结构式深度访谈的主题分析,我们发现性经历在脱离极端正统犹太教的犹太人的生活中起到了决定性的作用。首先,一些参与者分享了童年时期遭受性虐待导致他们脱离教派的经历。其次,在脱离隶属关系之前,参与者对性知识知之甚少,这是一个难以启齿的问题。这导致他们在脱离教会后在求爱和约会方面产生误解和沟通不畅。此外,由于对世俗社会规范的认识不足,导致脱离社会者遭到性剥削,也导致男性脱离社会者做出不恰当的行为,并因此遭受社会排斥和孤独。一些参与者为自己新的性自由欢呼雀跃,而另一些人则对性感到恐惧,不愿发生性关系。我们认为,在跨越社会、文化和身份界限的过程中,失恋者会经历 "习惯裂痕",并处于一种长期的边缘状态,这种状态会影响他们的性行为、亲密关系、性健康和身体形象。在边缘时期,失恋者通常会学习门槛概念,而这些概念往往是麻烦和威胁性的。在这一艰难的过程中,我们亟需为失恋者提供帮助和支持。这项分析可以为其他无宗教归属者和文化移民群体提供启示。
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引用次数: 0
Stigmatization and Preferences in Monkeypox Vaccine Regimens. 猴痘疫苗接种方案中的污名化和偏好。
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-21 DOI: 10.1007/s10508-024-02975-6
Yi-Hsuan Shen, Hao-Hsiang Chang, Chiao-Yun Tou, Yi-Chen Lee, Yi-Hsuan Lee, Shao-Yi Cheng, Kuo-Chin Huang, Chia-Wen Lu

A significant monkeypox (mpox) outbreak occurred in 2022, particularly involving sexual and gender minority (SGM) groups. Stigma and misperceptions have led to fear of being labeled a member of the SGM group when obtaining immunization for mpox. We hypothesized that the most recommended injection site, intradermal injection in the forearm, stresses stigmatization. We conducted an online survey in a medical center in Taiwan between May 2023 and June 2023 among adults who were going to receive the second preexposure vaccination. The questionnaire comprised questions about physical and psychological impacts of the first mpox vaccination and the preference for the second vaccination location and factors influencing the preference. A total of 2,827 individuals (98.4% male) completed the questionnaires. Intradermal injection in the forearm was related to greater physical and psychological impacts of local adverse events, especially discoloration. "Beauty," "scar," and "others' view" were the most significant factors influencing preference for vaccination regimens. Compared to intradermal injection in the forearm, subjects who cared about "others' views" were likely to prefer vaccination in the deltoid. The odds ratio for preferring intradermally injection in the deltoid over in the forearm was 1.88 (95% CI 1.38-2.56). The odds ratio for preferring subcutaneous injection in the deltoid over intradermally injection in the forearm was 1.69 (95% CI 1.23-2.32). The odds ratio for preferring intradermally injection in the deltoid regardless of the route over intradermally injection in the forearm was 2.11 (95% CI 1.53-2.92). This study demonstrated the adverse events of different mpox vaccination regimens and their association with stigma. Recognizing the factors affecting the preference for mpox vaccine regimens is crucial for easing the mental stress of vaccinee.

2022 年爆发了严重的猴痘(mpox)疫情,特别是涉及性与性别少数群体(SGM)。污名化和误解导致人们害怕在接种猴痘疫苗时被贴上 SGM 群体成员的标签。我们假设,最推荐的注射部位--前臂皮内注射--会加重耻辱感。我们于 2023 年 5 月至 2023 年 6 月期间在台湾的一家医疗中心对即将接种第二次暴露前疫苗的成年人进行了在线调查。问卷内容包括第一次接种麻痘疫苗对身体和心理的影响、对第二次接种地点的偏好以及影响偏好的因素。共有 2827 人(98.4% 为男性)填写了问卷。前臂皮内注射与局部不良事件造成的更大生理和心理影响有关,尤其是色素沉着。"美观"、"疤痕 "和 "他人的看法 "是影响接种方案偏好的最重要因素。与前臂皮内注射相比,在意 "他人看法 "的受试者更倾向于三角肌接种。与前臂皮内注射相比,更倾向于三角肌皮内注射的几率比为 1.88(95% CI 1.38-2.56)。三角肌皮下注射优于前臂皮内注射的几率比为 1.69(95% CI 1.23-2.32)。与前臂皮内注射相比,无论通过何种途径,更倾向于三角肌皮内注射的几率比为 2.11(95% CI 1.53-2.92)。这项研究显示了不同麻痘疫苗接种方案的不良反应及其与耻辱感的关系。认识到影响对天花疫苗接种方案偏好的因素对于减轻接种者的精神压力至关重要。
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引用次数: 0
Sexual Expression and Subsequent Marital Quality Among Partnered Older Adults. 有伴侣的老年人的性表达和随后的婚姻质量。
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-20 DOI: 10.1007/s10508-024-02956-9
Heidi A Lyons, David F Warner, Terri L Orbuch

A great deal of research has linked aspects of couples' sex lives to the quality of their relationships. Yet most of this work is with younger couples. Although sexual frequency is associated with positive marital quality, less is known regarding how sexual expression-sexual attitudes, desires, and behaviors-influences later positive and negative marital quality, particularly in older couples. Using latent class analysis and dyadic data on 620 heterosexual couples in long-term marriages from Rounds 2 and 3 of the National Social Life, Health, and Aging Project, we examined how couple-level configurations of sexual expression influence later marital quality. Generally, the latent classes with more agreement on sexual expression and higher overall sexual frequency were associated with later higher positive marital quality for both wives and husbands. Sexual expression configurations were associated with wives' negative marital quality, not husbands' negative marital quality. Across classes, wives' better mental health and husbands' functional limitations were associated with later marital quality. It is essential for practitioners to recognize the relevance of sexual expression to marital quality in older couples.

大量的研究将夫妻性生活的各个方面与他们的关系质量联系起来。然而,这些研究大多针对年轻夫妇。虽然性生活的频率与积极的婚姻质量有关,但对于性表达--性态度、性欲望和性行为--如何影响以后积极和消极的婚姻质量,尤其是老年夫妇的婚姻质量,人们却知之甚少。利用潜类分析和全国社会生活、健康和老龄化项目第二轮和第三轮中 620 对长期婚姻中的异性夫妻的夫妻数据,我们研究了夫妻层面的性表达配置如何影响日后的婚姻质量。一般来说,在性表达方面有更多共识且总体性频率较高的潜类与妻子和丈夫日后较高的积极婚姻质量相关。性表达配置与妻子的负面婚姻质量有关,而与丈夫的负面婚姻质量无关。在不同的等级中,妻子较好的心理健康和丈夫的功能限制都与日后的婚姻质量有关。从业人员必须认识到性表达与老年夫妇婚姻质量的相关性。
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引用次数: 0
Distressing Problems with Sexual Function and Symptoms of Attention-Deficit/Hyperactivity Disorder. 令人苦恼的性功能问题和注意力缺陷/多动症症状。
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-19 DOI: 10.1007/s10508-024-02977-4
Simone Y Goldberg, Maya C Thulin, Hyoun S Kim, Samantha J Dawson

Cognitive models of sexual dysfunction situate distraction as a core mechanism underlying difficulties with sexual function. It follows that individuals who have difficulties with inattention and distractibility (e.g., attention-deficit/hyperactivity disorder; ADHD) may be at increased risk of problems with their sexual function, though previous research is mixed, and no research has examined links with sexual distress despite distress being a necessary criterion for sexual dysfunction. The goals of the current study were to: (1) examine associations between ADHD symptoms, sexual function, and sexual distress; (2) examine group differences in sexual function and sexual distress as a function of presumptive ADHD diagnosis; and (3) establish whether individuals with presumptive ADHD are at greater risk of distressing problems with sexual function relative to controls. In a large mixed-gender community sample (N = 943: controls n = 837, presumptive ADHD n = 106), we found that ADHD symptoms were positively correlated with worse overall sexual function, as well as orgasm difficulties and greater sexual distress. Relative to controls, individuals with presumptive ADHD reported worse sexual function and greater sexual distress, controlling for age, biological sex, and sexual orientation. Individuals with presumptive ADHD were significantly more likely (OR = 2.16) to have distressing problems with sexual function than controls. Core difficulties related to ADHD, including inattention, distractibility, and emotion dysregulation, may make individuals more vulnerable to experiencing problems with sexual function and sexual distress, putting them at risk for developing sexual dysfunction. Taken together, these data support associations between ADHD and distressing sexual function problems, including possible mechanisms explaining these links such as difficulties with emotion regulation.

性功能障碍的认知模型将注意力分散视为性功能障碍的核心机制。因此,注意力不集中和注意力分散(如注意力缺陷/多动障碍;ADHD)的人出现性功能问题的风险可能会增加,尽管以往的研究结果不一,而且尽管性功能障碍的一个必要标准是性苦恼,但还没有研究对其与性苦恼之间的联系进行研究。本研究的目标是(1) 研究多动症症状、性功能和性困扰之间的关联;(2) 研究性功能和性困扰在推定多动症诊断中的群体差异;(3) 确定与对照组相比,推定多动症患者是否有更大的性功能困扰风险。在一个大型男女混合社区样本(样本数=943:对照组样本数=837,推定多动症样本数=106)中,我们发现多动症症状与总体性功能较差、性高潮困难和性困扰较大呈正相关。与对照组相比,在控制年龄、生理性别和性取向的情况下,假定患有多动症的人的性功能更差,性困扰更大。与对照组相比,假定患有多动症的人在性功能方面遇到困扰的可能性明显更高(OR = 2.16)。与多动症相关的核心困难,包括注意力不集中、注意力分散和情绪调节障碍,可能会使患者更容易出现性功能问题和性困扰,从而使他们面临发展成性功能障碍的风险。综上所述,这些数据支持多动症与令人痛苦的性功能问题之间的联系,包括解释这些联系的可能机制,如情绪调节困难。
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引用次数: 0
Effects of Substance Use on Condomless Anal Sex in a Large Sample of Adolescent Men Who Have Sex with Men: A Within and Between Relationship Design 在大量青少年男性同性性行为者样本中,物质使用对无保险套肛交的影响:内部和之间关系设计
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-19 DOI: 10.1007/s10508-024-02924-3
Artur Queiroz, Elissa Sarno, Brian Mustanski

Substance use is a significant risk factor for HIV infection among adolescent men who have sex with men (AMSM). Substance use may reduce the use of HIV prevention measures or increase the likelihood of engaging in activities with a higher risk of HIV transmission, but there is a lack of studies dedicated to analyzing these mechanisms in adolescents and young MSM. This study aimed to explore the impact of substance use on condomless anal sex (CAS) in a large, racially diverse sample of AMSM. Additionally, we investigated how an individual's general level of substance use moderated the association between substance use before sex and CAS at the partnership level. Baseline data for an HIV prevention intervention were collected through online surveys from April 2018 to June 2020. The sample consisted of 1624 AMSM (M age, 16.69 years) who reported at least one sexual partner in the previous 3 months. Participants provided information about their three most recent sexual partners, including their relationship to the partner, PrEP use, frequency of alcohol, marijuana, and non-prescription drug use before sex, and the number of CAS acts. Participants also completed measures of their substance use frequency. Multilevel modeling in Mplus was used for data analysis, accounting for sexual partnerships nested within participants. All models controlled for PrEP use and relationship status. Results revealed a significant positive association between the frequency of non-prescription drug use before sex and CAS at the partnership level. This indicates that higher non-prescription drug use frequency before sex was associated with a greater number of CAS acts with partners. Moreover, the cross-level interaction between alcohol frequency and non-prescription drug use before sex was statistically significant. Specifically, for participants with high alcohol frequency scores, there was a significant positive association between non-prescription drug use before sex and CAS at the partnership level. AMSM with higher average alcohol consumption were more likely to engage in CAS when using non-prescription drugs prior to sex with a partner, compared to those with lower alcohol consumption. This study's use of multilevel data analysis contributes innovatively to the field by shedding light on how substance use operates within sexual relationships and different partnership dynamics. Tailored interventions targeting substance use should be developed to reduce HIV risk among AMSM.

使用毒品是青少年男男性行为者(ASM)感染艾滋病病毒的一个重要风险因素。使用药物可能会减少 HIV 预防措施的使用,或增加参与 HIV 传播风险较高活动的可能性,但目前还缺乏专门针对青少年和年轻 MSM 分析这些机制的研究。本研究旨在通过大量不同种族的男性同性恋、双性恋和变性者样本,探讨药物使用对无安全套肛交(CAS)的影响。此外,我们还调查了个人使用药物的总体水平如何在伴侣关系层面上调节性前使用药物与无套肛交之间的关联。从 2018 年 4 月到 2020 年 6 月,我们通过在线调查收集了艾滋病预防干预的基线数据。样本包括 1624 名报告在过去 3 个月中至少有一个性伴侣的 AMSM(平均年龄 16.69 岁)。参与者提供了他们最近三个性伴侣的信息,包括他们与性伴侣的关系、PrEP 的使用情况、性生活前饮酒、吸食大麻和非处方药的频率以及 CAS 行为的次数。参与者还完成了对其药物使用频率的测量。数据分析使用了 Mplus 的多层次模型,并考虑了参与者内部嵌套的性伴侣关系。所有模型都对 PrEP 的使用和关系状况进行了控制。结果显示,在伴侣关系层面上,性生活前使用非处方药的频率与 CAS 之间存在明显的正相关。这表明,性爱前使用非处方药的频率越高,与伴侣发生 CAS 行为的次数就越多。此外,酗酒频率与性爱前使用非处方药之间的交叉交互作用在统计学上也有显著意义。具体来说,对于酒精频率得分较高的参与者,在伴侣关系层面上,性爱前使用非处方药与 CAS 之间存在明显的正相关。与酒量较低的人相比,平均酒量较高的 AMSM 在与伴侣发生性关系前使用非处方药时更有可能参与 CAS。本研究采用多层次数据分析,揭示了药物使用如何在性关系和不同伴侣关系动态中发挥作用,为该领域做出了创新性贡献。应针对药物使用情况制定有针对性的干预措施,以降低 AMSM 感染艾滋病毒的风险。
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Archives of Sexual Behavior
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