Pub Date : 2024-08-30DOI: 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.
{"title":"Porn or Partner Arousal? When It Comes to Romantic Relationships, Not All Sexual Arousal Is Equal: A Prospective Study","authors":"Nicholas J. Lawless, Gery C. Karantzas","doi":"10.1007/s10508-024-02985-4","DOIUrl":"10.1007/s10508-024-02985-4","url":null,"abstract":"<div><p>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.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"53 9","pages":"3451 - 3460"},"PeriodicalIF":2.9,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-024-02985-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-30DOI: 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.
{"title":"Understanding U.S. Caregivers’ Perceptions of Youth’s Sexting Motivations and Concerns About Their Children’s Sexting Involvement: Fall ConsumerStyles Survey, 2018 and 2019","authors":"Megan Steele-Baser, Christopher T. Allen, Melissa C. Mercado, Adina C. Cooper, Riley L. Wagner","doi":"10.1007/s10508-024-02989-0","DOIUrl":"https://doi.org/10.1007/s10508-024-02989-0","url":null,"abstract":"<p>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 <i>ConsumerStyles</i> online panel survey data (<i>N</i> = 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.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"23 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-29DOI: 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.
{"title":"Examining the Measurement Invariance of the Revised Sociosexual Orientation Inventory Among Hispanic and Non-Hispanic White College Women in the U.S.","authors":"Christina N. Gillezeau, Elizabeth A. Yeater","doi":"10.1007/s10508-024-02980-9","DOIUrl":"https://doi.org/10.1007/s10508-024-02980-9","url":null,"abstract":"<p>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.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"7 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-27DOI: 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.
{"title":"Latent Class Analysis of Sexual Partnerships and Substance Use Across Generations","authors":"Emily C. Andrus, Andrew F. Brouwer, Rafael Meza, Marisa C. Eisenberg","doi":"10.1007/s10508-024-02960-z","DOIUrl":"10.1007/s10508-024-02960-z","url":null,"abstract":"<div><p>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.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"53 9","pages":"3537 - 3555"},"PeriodicalIF":2.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142078947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-23DOI: 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.
{"title":"The Chain Mediation Effect of Victimization and Neuroticism on the Association Between Sexual Orientation and Depressive Symptoms: A Prospective Birth Cohort Study","authors":"Yin Xu, Qazi Rahman","doi":"10.1007/s10508-024-02979-2","DOIUrl":"https://doi.org/10.1007/s10508-024-02979-2","url":null,"abstract":"<p>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 (<i>N</i> = 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.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"21 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142045625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-21DOI: 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.
{"title":"Religious Disaffiliates’ Experiences and Challenges with Sex, Sexuality, and Body Image","authors":"Zvika Orr, Beth G. Zalcman, Anat Romem, Ronit Pinchas-Mizrachi","doi":"10.1007/s10508-024-02961-y","DOIUrl":"https://doi.org/10.1007/s10508-024-02961-y","url":null,"abstract":"<p>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.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"12 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142013897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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。
{"title":"Stigmatization and Preferences in Monkeypox Vaccine Regimens.","authors":"Yi-Hsuan Shen, Hao-Hsiang Chang, Chiao-Yun Tou, Yi-Chen Lee, Yi-Hsuan Lee, Shao-Yi Cheng, Kuo-Chin Huang, Chia-Wen Lu","doi":"10.1007/s10508-024-02975-6","DOIUrl":"https://doi.org/10.1007/s10508-024-02975-6","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-20DOI: 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.
{"title":"Sexual Expression and Subsequent Marital Quality Among Partnered Older Adults.","authors":"Heidi A Lyons, David F Warner, Terri L Orbuch","doi":"10.1007/s10508-024-02956-9","DOIUrl":"https://doi.org/10.1007/s10508-024-02956-9","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-19DOI: 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.
{"title":"Distressing Problems with Sexual Function and Symptoms of Attention-Deficit/Hyperactivity Disorder.","authors":"Simone Y Goldberg, Maya C Thulin, Hyoun S Kim, Samantha J Dawson","doi":"10.1007/s10508-024-02977-4","DOIUrl":"https://doi.org/10.1007/s10508-024-02977-4","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141999375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-19DOI: 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。
{"title":"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","authors":"Artur Queiroz, Elissa Sarno, Brian Mustanski","doi":"10.1007/s10508-024-02924-3","DOIUrl":"10.1007/s10508-024-02924-3","url":null,"abstract":"<div><p>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.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"53 9","pages":"3583 - 3593"},"PeriodicalIF":2.9,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}