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Diversity of Chemsex Experiences among Men Who Have Sex with Men: Results from the French ANRS PaacX Study Using Q-Methodology 男男性行为者化学性行为经历的多样性:使用 Q 方法的法国 ANRS PaacX 研究结果
IF 3.8 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-15 DOI: 10.1007/s10508-024-03007-z
Christel Protiere, Abdourahmane Sow, Vincent Estellon, Morgane Bureau, Vincent Leclercq, Muriel Grégoire, Fred Bladou, Bruno Spire, David Michels, Perrine Roux

Chemsex is mostly approached through the prism of risk-taking, neglecting the pleasure and social linking dimensions. However, feedback from the field and few studies highlights a diversity of chemsex practices and relationships to chemsex (RtC). Using Q-methodology, we identified the main RtC and their divergences and convergences, to help develop tailored prevention and care programs. Q-methodology enables the exploration of complex subjective structures and provides a multifaceted picture of a phenomenon. In 2019–2020, we asked 126 men who have sex with men living in France and practicing chemsex to rank order 37 statements. RtC were defined through by-person factor analysis and interpreted using a holistic process. Five RtC emerged, highlighting various motivations for practicing chemsex, relationships to substance use and to sexuality, and regulation strategies implemented: (1) From compensation to fulfillment; (2) The pleasure-seeking manager; (3) Between addiction and management; (4) From curiosity to the destruction of sexuality; and (5) From the hope of compensation to disillusion. Respondents all agreed on two statements: the need to first accept oneself as a drug user in order to be able to manage drug use, and the possibility of harm reduction during chemsex sessions. Our results are the first to elicit the main RtC and the intricacies between the dimensions at stake. The five analysis-based narratives derived from RtC might facilitate discussion during interviews or support groups on chemsex, and could serve as a standardized survey tool. Our findings advocate longitudinal studies to identify factors associated with shifting from one RtC to another.

人们大多从冒险的角度来看待化学性行为,而忽视了快乐和社会联系的层面。然而,来自实地的反馈和为数不多的研究强调了化性实践和化性关系(RtC)的多样性。利用 Q 方法,我们确定了主要的 RtC 及其分歧和趋同,以帮助制定有针对性的预防和护理计划。Q-方法论能够探索复杂的主观结构,并提供现象的多面图景。2019-2020年,我们询问了126名居住在法国、从事化学性性行为的男性同性恋者,让他们对37项陈述进行排序。我们通过逐人因子分析对 RtC 进行了定义,并采用整体程序对其进行了解释。结果发现了五种 RtC,突出了进行药交的各种动机、与药物使用和性行为的关系,以及所实施的调节策略:(1)从补偿到满足;(2)寻求快感的管理者;(3)在成瘾和管理之间;(4)从好奇到破坏性行为;以及(5)从补偿的希望到幻灭。所有受访者都同意以下两点:首先需要接受自己是一名吸毒者,这样才能管理好毒品的使用;以及在药交过程中减少伤害的可能性。我们的研究结果首次揭示了主要的 RtC 以及相关层面之间错综复杂的关系。基于 RtC 得出的五种分析叙述可能有助于在关于药交的访谈或支持小组中进行讨论,并可作为标准化的调查工具。我们的研究结果主张开展纵向研究,以确定从一种 RtC 转向另一种 RtC 的相关因素。
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引用次数: 0
Is the Screening Scale for Pedophilic Interest-2 a Measure of Pedophilic Interests or a Measure of Behavioral Propensity to Sexually Offend Against Children? 恋童癖兴趣筛选量表-2》是对恋童癖兴趣的测量,还是对性侵害儿童行为倾向的测量?
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-14 DOI: 10.1007/s10508-024-03017-x
Martin L. Lalumière, Skye Stephens, Michael C. Seto
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引用次数: 0
Spanish Validation of the Brief Pornography Screen Within a Clinical Sample of Individuals with Gambling Disorder 在赌博障碍患者的临床样本中对简短色情内容筛查进行西班牙文验证。
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-02 DOI: 10.1007/s10508-024-02986-3
Ernesto Tarragón, Giulia Testa, Roser Granero, Marc N. Potenza, Shane W. Kraus, Juan Carlos Uríszar, Carlos Chiclana Actis, Fernando Fernández-Aranda, Susana Jiménez-Murcia, Gemma Mestre-Bach

Problematic pornography use (PPU) shares characteristics with behavioral addictions, such as gambling disorder (GD), and PPU and GD may frequently co-occur. In order to fill existing gaps in screening instruments for PPU validated in GD, the study examined the psychometric properties of the Spanish version of the Brief Pornography Screen (BPS) within a clinical sample of individuals with GD. A total of 200 individuals seeking treatment for GD were consecutively recruited. The psychometric properties of the BPS were examined by performing confirmatory factor analysis (CFA) and testing for evidence of convergent and discriminant validity. The CFA supported a one-factor solution showing high internal consistency (α = 0.81). The BPS showed convergent validity and correlated with psychological distress, general psychopathology, impulsive tendencies, and low self-directedness. The BPS demonstrated adequate psychometric properties and is therefore recommended as a brief screening tool for identifying probable PPU in individuals seeking treatment for GD.

问题性色情使用(PPU)与赌博障碍(GD)等行为成瘾具有相同的特征,而且问题性色情使用和赌博障碍可能经常同时存在。为了填补现有色情使用问题筛查工具的空白,本研究对西班牙文版色情使用问题简明筛查(BPS)的心理测量特性进行了研究。该研究连续招募了 200 名寻求 GD 治疗的患者。通过进行确认性因素分析(CFA)和测试收敛性和区分性的证据,对 BPS 的心理测量特性进行了检验。CFA支持单因素解,显示出较高的内部一致性(α = 0.81)。BPS 显示了收敛有效性,并与心理困扰、一般精神病理学、冲动倾向和低自我导向性相关。BPS 具有充分的心理测量特性,因此建议将其作为一种简短的筛查工具,用于识别因广东话寻求治疗的患者中可能存在的 PPU。
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引用次数: 0
Birth Order and Family Size of UK Biobank Subjects Identified as Asexual, Bisexual, Heterosexual, or Homosexual According to Self-Reported Sexual Histories. 根据自述性史被认定为无性恋、双性恋、异性恋或同性恋的英国生物库受试者的出生顺序和家庭规模。
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-01 DOI: 10.1007/s10508-024-03004-2
Jan Kabátek, Ray Blanchard

This study used a recently developed statistical technique to investigate the relations between various elements of a subject's family background and the odds of that subject reporting a sexual history indicative of a minority sexual orientation. The subjects were 78,983 men and 92,150 women who completed relevant questionnaire items in the UK Biobank, a large-scale biomedical database of volunteers aged 40-69 years. The men were divided into three sexual minority groups-homosexual, bisexual, and asexual-and a comparison group of heterosexual men. The same was done for the women. The analytic procedure consisted of logistic regressions specifically designed to disentangle the effects of birth order and family size. The results showed that older brothers increased the odds of homosexuality in both men and women, and that older sisters increased the odds in men. In contrast, neither older brothers or older sisters affected the odds of bisexuality or asexuality in men or in women. These results suggest that birth order effects may be specific to homosexuality and not common to all minority orientations. The only family size finding was the negative association between family size and the odds of asexuality in both men and women. The outcomes of this study indicate that the maternal immune hypothesis, which was advanced to explain the relation between older brothers and homosexuality in later-born males, might have to be abandoned or else expanded to explain the findings concerning females. A few such modifications are considered.

这项研究使用了一种最新开发的统计技术来调查受试者家庭背景的各种因素与该受试者报告显示少数性取向的性史几率之间的关系。研究对象是英国生物库中的 78,983 名男性和 92,150 名女性,他们填写了相关的问卷项目,英国生物库是一个大型生物医学数据库,收录了 40-69 岁的志愿者。这些男性被分为三个性少数群体--同性恋、双性恋和无性恋,以及一个由异性恋男性组成的对比群体。女性也是如此。分析程序包括逻辑回归,专门用于区分出生顺序和家庭规模的影响。结果显示,在男性和女性中,哥哥会增加同性恋的几率,而在男性中,姐姐会增加同性恋的几率。相反,哥哥或姐姐都不会影响男性或女性双性恋或无性恋的几率。这些结果表明,出生顺序的影响可能是同性恋所特有的,而不是所有少数倾向所共有的。唯一的家庭规模发现是家庭规模与男性和女性无性恋的几率之间存在负相关。这项研究的结果表明,为了解释兄长与后生男性同性恋之间的关系而提出的 "母体免疫假说 "可能必须放弃,或者扩大其范围,以解释有关女性的研究结果。本研究考虑了一些这样的修改。
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引用次数: 0
Is Degradation in the Eye of the Beholder (or the Researcher)? 退化是在观察者(还是研究者)的眼中?
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-01 DOI: 10.1007/s10508-024-02999-y
Jessica A Hehman, Catherine A Salmon

When people raise concerns about pornography, they most often are focused on whether pornography increases violence toward women and/or whether it degrades women. While a substantial amount of cross-cultural data suggests that there is no direct link between adult consumption and violence, the question of whether pornography is inherently degrading to women lacks clear answers. As does the question of whether behaviors in pornography that are commonly labeled as degrading are perceived that way when they take place outside pornography. To answer this question about the inherent nature of degradation, we need a better definition and understanding of what particular behaviors people consider to be degrading and whether their perception of what is degrading is influenced by the circumstance or the people involved in a non-pornography setting. To examine this, 496 individuals (247 females, 249 males) were asked to indicate their perceptions of various sexual behaviors when engaged in by males and females toward male and female partners. Results suggest that while some particular sexual behaviors are broadly viewed as degrading (e.g., watersports), perceptions of degradation for other behaviors seem to be influenced by who is doing what to whom. In this sense, the perception of degradation exists in the eye of beholder and is often not defined by the particular sexual act. Future studies of degradation should take into account the context as well as the players involved.

当人们提出对色情制品的担忧时,他们最常关注的是色情制品是否会增加对妇女的暴力和/或是否会贬低妇女的人格。虽然大量的跨文化数据表明,成人消费与暴力之间没有直接联系,但色情制品是否本质上有辱女性人格的问题却缺乏明确的答案。至于色情制品中通常被称为有辱人格的行为在色情制品之外发生时是否也会被认为是有辱人格的行为,这个问题也没有明确的答案。要回答这个关于有辱人格的固有性质的问题,我们需要更好地定义和理解人们认为哪些特定行为是有辱人格的,以及在非色情环境中,他们对有辱人格行为的看法是否会受到环境或相关人员的影响。为了研究这个问题,我们要求 496 人(女性 247 人,男性 249 人)表明他们对男性和女性对男性和女性伴侣的各种性行为的看法。结果表明,虽然某些特定性行为被广泛视为有辱人格(如水上运动),但对其他行为有辱人格的看法似乎受到谁对谁做了什么的影响。从这个意义上说,退化感存在于观察者的眼中,往往不是由特定的性行为决定的。今后对有辱人格行为的研究应考虑到背景和参与者。
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引用次数: 0
Evolutionary Role of the Female Orgasm: Insights into Mate Choice and Beyond. 女性性高潮的进化作用:洞察配偶选择及其他。
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-30 DOI: 10.1007/s10508-024-03011-3
Caio Santos Alves da Silva, Anthonieta Looman Mafra, Jaroslava Varella Valentova

The female orgasm remains a subject of extensive debate within evolutionary sciences, primarily due to the absence of a consensus regarding its adaptive function. Some hypotheses propose that it could function as a mechanism for mate selection, possibly linked to reproductive strategies. Studies have observed that lesbian women tend to experience orgasms more frequently than straight women, suggesting a potential link to advantageous partner characteristics. We explored the connection between the female orgasm and mate selection, aiming to ascertain its role as an adaptive tool for mate choice. A total of 939 sexually active Brazilian women (Mage = 28.3 years) engaged in committed relationships participated by completing the Marital Empathy Questionnaire, the Female Sexual Function Index, and evaluations of their partners' attributes. Analysis using structural equation models revealed that higher orgasm scores were positively associated with perceptions of partner kindness, intelligence, good health, physical attractiveness, and empathy. However, the small effect sizes of these associations warrant caution in their interpretation, and no significant association was found for relationship duration, financial prospects, dominance, and masculinity/femininity. Additionally, no differences were found between women in same-sex and other-sex relationships regarding orgasm frequency and its association with partner traits. The findings partially support the mate-choice theory, encompassing both sire-choice and pair-bond hypotheses, suggesting that female orgasm is positively associated with some partner attributes related to genetic quality and the capability for emotional connection and resource investment. Therefore, female orgasm may offer information about the partner that might not be primarily accessed and contribute to relationship maintenance.

女性性高潮仍然是进化科学界广泛争论的一个话题,这主要是由于对其适应功能缺乏共识。一些假说认为,女性性高潮可能是一种择偶机制,可能与生殖策略有关。有研究观察到,女同性恋比异性恋更频繁地经历性高潮,这表明性高潮可能与伴侣的优势特征有关。我们探讨了女性性高潮与择偶之间的联系,旨在确定其作为择偶适应工具的作用。共有 939 名性生活活跃的巴西女性(年龄 = 28.3 岁)通过填写《婚姻移情问卷》、《女性性功能指数》和对伴侣特质的评价参与了这项研究。结构方程模型分析表明,较高的性高潮得分与伴侣的善良、聪明、健康、身体吸引力和移情能力呈正相关。然而,这些关联的效应大小较小,因此在解释这些关联时需要谨慎,而且在关系持续时间、经济前景、支配力和男性/女性特质方面也没有发现显著关联。此外,在性高潮频率及其与伴侣特质的关联方面,同性关系中的女性与异性关系中的女性没有差异。研究结果部分支持择偶理论,包括初恋选择和配对结合假说,表明女性性高潮与伴侣的某些特质呈正相关,这些特质与遗传质量、情感联系能力和资源投资有关。因此,雌性性高潮可能提供有关伴侣的信息,而这些信息可能并非主要获取途径,并有助于关系的维持。
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引用次数: 0
Gender Minority Stressors and Psychological Distress Among Chinese Transgender and Gender Diverse People: Variable-Centered, Person-Centered, and Psychological Network Approaches 中国跨性别和性别多元化人群中的性别少数压力源与心理困扰:以变量为中心、以人为中心和心理网络方法。
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-26 DOI: 10.1007/s10508-024-03003-3
Hongjian Cao, Nan Zhou, Jinhui Qiao, Lin-Xin Wang, Yue Liang, Yijing Li, Shijia Wu, Zexuan Jiang, Jinbo He

Mental health disparities in transgender and gender diverse (TGD) populations call for more research examining gender minority stressors (GMS) as antecedents to their psychological distress, especially for the long-underrepresented groups living in conservative societies towards gender minorities. Furthermore, some questions remain underexamined, including the relative, independent influences of various GMS on TGD people’s mental well-being (i.e., uniqueness of each stressor); how these stressors would configurate with each other in distinctive patterns to characterize subgroups of TGD people (i.e., beyond-average heterogeneity); and how these stressors would constitute a psychological network and vary in their centrality in that network (i.e., holistic complexity). To narrow such gaps, we examined the links between GMS and TGD people’s psychological distress, using survey data collected in 2023 from 410 Chinese TGD people (Meanage = 22.33 years, SD = 4.27; 306 transgender, 70 non-binary/gender-queer/gender-fluid, 26 agender/gender-neutral, 3 intersex, and 5 others). We approached such links from three perspectives. First, variable-centered analyses indicated that while different GMS were considered simultaneously, internalized transphobia, preoccupation with gender dysphoria, and gender-related victimization were uniquely associated with psychological distress. Second, person-centered analyses yielded a 3-profile solution. Psychological distress varied systematically across profiles. Last, network analyses revealed a 3-cluster structure: Distal, Proximal Internal, and TGD-Specific Stressors. Preoccupation with gender dysphoria was the most central node. These findings contribute to a more nuanced understanding of the implications of GMS for TGD people’s mental well-being. GMS related to internal struggles with gender identity might be among the central intervention targets to prevent/reduce TGD people’s psychological distress.

变性人和性别多元化(TGD)人群在心理健康方面的差异要求我们开展更多的研究,将性别少数群体压力源(GMS)作为其心理困扰的前因,尤其是对于生活在对性别少数群体持保守态度的社会中长期代表性不足的群体。此外,一些问题仍未得到充分研究,包括各种 GMS 对 TGD 人群心理健康的相对独立影响(即每种压力源的独特性);这些压力源如何以独特的模式相互配置,以描述 TGD 人群亚群体的特征(即超出平均水平的异质性);以及这些压力源如何构成一个心理网络,并在该网络中的中心地位如何变化(即整体复杂性)。为了缩小这些差距,我们利用2023年收集的410名中国跨性别者(平均年龄=22.33岁,标准差=4.27;306名跨性别者,70名非二元/性别-同性/性别-融合者,26名无性别/性别中立者,3名双性人,5名其他)的调查数据,研究了GMS与跨性别者心理困扰之间的联系。我们从三个方面探讨了这种联系。首先,以变量为中心的分析表明,虽然同时考虑了不同的 GMS,但内化的变性恐惧症、对性别焦虑症的关注以及与性别相关的受害与心理困扰有着独特的联系。其次,以人为中心的分析得出了 3 个特征的解决方案。心理困扰在不同特征之间存在系统性差异。最后,网络分析揭示了 3 个集群结构:远端、近端内部和 TGD 特定压力源。对性别焦虑症的关注是最核心的节点。这些发现有助于我们更细致地了解性别压力源对 TGD 心理健康的影响。与性别认同的内部斗争相关的 GMS 可能是预防/减少 TGD 心理困扰的核心干预目标之一。
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引用次数: 0
Correction: Prevalence of Sexual Strangulation/Choking Among Australian 18-35 Year-Olds. 更正:澳大利亚 18-35 岁人群中性勒颈/窒息的发生率。
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-25 DOI: 10.1007/s10508-024-03014-0
Leah S Sharman, Robin Fitzgerald, Heather Douglas
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引用次数: 0
A Critical Discourse Analysis of Sexual Violence Survivors and Censorship on the Social Media Platform TikTok 社交媒体平台 TikTok 上性暴力幸存者与审查制度的批判性话语分析
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-24 DOI: 10.1007/s10508-024-02987-2
Heather Tillewein, Keely Mohon-Doyle, Destiny Cox

Sexual violence is a public health threat in the USA and past research has found that survivors who seek support and disclose their experiences tend to have greater positive outcomes, such as positive life changes, reduced post-traumatic stress disorder, and fewer depressive symptoms. While social media have become an important site of disclosure, over-moderation of sex and sexuality on social media platforms due to the passing of the Fight Online Sex Trafficking Act and the Stop Enabling Sex Traffickers Act may inadvertently lead to the removal of survivors’ posts and hinder their ability to build communities of support. In line with critical discourse analysis, this study examined the discursive strategies utilized in online disclosures made by sexual violence survivors on the social media platform TikTok to determine if they make use of algospeak, a neologism referring to the strategy of misspelling words or using coded language to avoid detection and deletion by site moderators. Analysis of the data indicated that sexual violence survivors do make use of algospeak, as well as direct and indirect language, to share their disclosures, and that, while TikTok claims to provide space for survivors’ stories, its guidelines and approach to language about sex and sexuality may create barriers to building supportive communities.

性暴力是美国的一个公共健康威胁,过去的研究发现,寻求支持并披露其经历的幸存者往往会有更积极的结果,如积极的生活改变、减少创伤后应激障碍和抑郁症状。虽然社交媒体已成为一个重要的披露场所,但由于《打击网络性交易法案》和《停止助长性交易法案》的通过,社交媒体平台上对性和性行为的过度限制可能会无意中导致幸存者的帖子被删除,并阻碍他们建立支持社区的能力。根据批判性话语分析,本研究考察了性暴力幸存者在社交媒体平台 TikTok 上进行在线披露时所使用的话语策略,以确定他们是否使用了算法语言(一种新词,指拼写错误或使用编码语言的策略,以避免被网站管理员发现和删除)。对数据的分析表明,性暴力幸存者确实使用了算法语言以及直接和间接的语言来分享他们的披露信息,而且,尽管 TikTok 声称为幸存者的故事提供空间,但其有关性和性行为语言的准则和方法可能会对建立支持性社区造成障碍。
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引用次数: 0
Having Reliable Support: A Prerequisite to Promote Sexual and Reproductive Health in Young Women with ADHD 拥有可靠的支持:促进多动症年轻女性性健康和生殖健康的先决条件。
IF 2.9 2区 社会学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-23 DOI: 10.1007/s10508-024-03001-5
Karin Wallin, Inger Wallin-Lundell, Siw Alehagen, Lena Hanberger, Sally Hultsjö

Living with attention deficit hyperactivity disorder (ADHD) may influence sexual behaviors and intimate relationships in young women, resulting in a higher risk of unwanted pregnancy, sexual victimization, and sexual dysfunction. To develop adequate support, the study aimed to describe conceptions of how to promote sexual and reproductive health (SRH) in young women with ADHD. A secondary analysis using phenomenography was performed on qualitative interview data exploring variations of support. The study involved 15 young women with ADHD, aged 15–29 years, and 16 health care professionals, with various professions, working in the fields of gynecology, youth health, and psychiatry. Having reliable support was conceptualized as fundamental for promoting SRH. Access to information concerning SRH and living with ADHD as well as early support from health care contributed to a reliable support enabling self-knowledge and management of sexual relationships. Trustful relationships in health care were perceived as important because of previous experiences of feeling misunderstood and criticized in life, making them feel comfortable discussing SRH. Clinical encounters with a clear structure were further perceived to make information more accessible and clinics that provided appropriate organizational conditions and collaborated with other clinics were described to enhance the availability of support. This study reveals the need for clinics to provide conditions that ensure SRH support is available, accessible, and free of stigmatization. Early intervention programs for young women with ADHD may be considered, offering guidance on SRH issues in both psychiatric and sexual health clinics.

患有注意力缺陷多动障碍(ADHD)可能会影响年轻女性的性行为和亲密关系,导致意外怀孕、性受害和性功能障碍的风险增加。为了提供足够的支持,本研究旨在描述如何促进多动症年轻女性的性健康和生殖健康(SRH)的概念。研究采用现象学方法对定性访谈数据进行了二次分析,以探索支持方式的变化。这项研究涉及 15 名 15-29 岁患有多动症的年轻女性,以及 16 名从事妇科、青少年健康和精神病学领域工作的不同职业的医护人员。在概念上,获得可靠的支持是促进性健康和生殖健康的基础。获得有关性健康和生殖健康以及与多动症患者共同生活的信息,并及早得到医疗保健机构的支持,有助于获得可靠的支持,促进自我认识和处理性关系。他们认为医疗保健中的信任关系很重要,因为他们以前在生活中曾感到被误解和批评,这使他们在讨论性健康和生殖健康问题时感到自在。她们还认为,结构清晰的临床接触能让她们更容易获得信息,而提供适当组织条件并与其他诊所合作的诊所则能提供更多支持。这项研究表明,诊所有必要提供条件,确保性健康和生殖健康方面的支持是可用的、可获得的、无污名化的。可以考虑为患有多动症的年轻女性提供早期干预计划,在精神科诊所和性健康诊所就性健康和生殖健康问题提供指导。
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引用次数: 0
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