Differences in Emerging-Adult Women's Body Image and Sexuality Outcomes According to BMI and Dating Status

ABSTRACT. Emerging adulthood is a crucial time for the development of body image and sexuality concerns among women. We collected self-reported data from 184 women to determine possible differences according to body mass index (BMI) classification and dating status. Multivariate analyses of variance and follow-up univariate analyses of variance were conducted to determine differences in body image and sexuality outcomes according to both BMI (normal weight vs. overweight) and dating status (dating vs. not dating) as well as interaction effects of BMI and dating status. First, results indicated differences between normal-weight and overweight women for body satisfaction, body self-consciousness, and body image avoidance. Overweight women had lower satisfaction, higher self-consciousness, and more avoidance. Differences were also found between women who were dating and those who were not dating for body satisfaction and self-consciousness: Women not dating had lower satisfaction and higher self-consciousness. Second, whereas results indicated that women of varying BMIs did not differ on sexuality outcomes, differences were found according to dating status for sexual attitudes, esteem, and self-schema, such that women not dating had more conservative sexual attitudes, less sexual esteem, and lower self-schemas. No significant interaction effects were found.     

Sexuality in Marriage,Dating, and Other Relationships: A Decade Review

In this article, we review the major research advances made during the 1990s in the study of sexuality in marriage and other close relationships. More specifically, we provide a critical review of the empirical findings from the last decade on such sexual phenomena as sexual behavior, sexual satisfaction, and sexual attitudes within the context of marriage, dating, and other committed relationships. After highlighting the major theoretical and methodological advances of the 1990s, we focus on the research literatures of: (1) frequency and correlates of sexual activity in marriage; (2) sexual satisfaction, including its association with general relationship satisfaction; (3) sexuality in gay and lesbian committed relationships; (4) trends in sexual behavior and attitudes in dating relationships; and (5) the role of sexuality in dating relationships. We also incorporate brief reviews of the past decade's research on sexual assault and coercion in marriage and dating and on extramarital sex. We end our decade review with recommendations for the study of sexuality into the next decade.     

Body Image in Dyadic and Solitary Sexual Desire: The Role of Encoding Style and Distracting Thoughts

This study explored the link between body image and desire to engage in sexual activity (dyadic and solitary desire) in adult women living in a long-term couple relationship. Moreover, it considered two psychological factors that may underlie such a link: the occurrence of body-related distracting thoughts during sexual activity and encoding style (i.e., the tendency to rely on preexisting internal schemata versus external information at encoding). A total of 53 women (29 to 47 years old) in heterosexual relationships completed questionnaires assessing sexual desire (dyadic, solitary), body image, body-related distracting thoughts during sexual activity, and encoding style. Results showed that poor body image was associated with low dyadic and solitary sexual desire. Body-related distracting thoughts during sexual activity mediated the link between body image and solitary (but not dyadic) sexual desire. Finally, the mediation of body-related distracting thoughts between body image and solitary sexual desire was moderated by encoding style. A negative body image promoted the occurrence of body-related distracting thoughts during sexual activity, especially in internal encoders. Our study highlights the importance of body image, distracting thoughts, and encoding style in women’s solitary sexuality and suggests possible factors that may reduce the impact of those body-related factors in dyadic sexual desire.     

The relation between early abuse and adult sexuality

One thousand and thirty‐two (566 non‐Asian; 466 Asian) undergraduates were assessed in a confidential laboratory setting regarding levels of physical abuse, emotional abuse, sexual abuse, neglect, and a wide range of sexuality variables. The purpose was to examine relationships between specific forms of early abuse and later adult sexuality, and to assess potential gender and ethnic differences in these associations. Independent of other forms of abuse, sexual abuse in females was significantly positively related to sexual drive and experience, range of sexual fantasies, liberal sexual attitudes, frequency of intercourse and masturbation, and likelihood of engaging in unrestricted sexual behaviors and fantasies, and was negatively related to virginity status. Among males, emotional abuse was significantly associated with poor body image and sexual dissatisfaction, independent of the other forms of abuse. There were no significant differences in associations between early abuse and sexuality between persons of Southeast Asian and European ancestry.     

Alcohol and Sexual Health Behavior: “What We Know and How We Know It”

Alcohol, despite salutary associations with sexuality, has been implicated in sexual health problems. This review examines the relationship between alcohol and outcomes related to sexual health. Methodological considerations limiting causal assertions permissible with nonexperimental data are discussed, as are advantages of experimental methods. Findings from laboratory experiments are reviewed evaluating causal effects of acute alcohol intoxication on a variety of outcomes, including sexual arousal, sexual desire, orgasm, and sexual risk behaviors related to sexually transmitted infections (STIs) and human immunodeficiency virus (HIV). Several variables exerting mediating and moderating influences are identified. It is concluded that acute alcohol intoxication is capable of exerting a causal impact on multiple constituent components of sexual responding related to sexual health. Both alcohol expectancy and alcohol myopia theories have been supported as explanations for these causal effects. Furthermore, for sexual risk behavior, noteworthy recent developments include research highlighting the importance of women’s sexual victimization history and men’s condom use resistance. Limitations and implications associated with this body of research are also discussed.     

Hormones and history: the evolution and development of primate female sexuality

Sexual behavior is required for reproduction in internally fertilizing species but poses significant social and physical risks. Females in many nonprimate species have evolved physical and behavioral mechanisms restricting sexual behavior to when females are fertile. The same hormones producing female fertility also control these mechanisms, assuring that sex only occurs when reproduction is possible. In contrast to nonprimate mammals, hormones do not regulate the capacity to engage in sex in female anthropoid primates, uncoupling fertility and the physical capacity to mate. Instead, in primates, sexual motivation has become the primary coordinator between sexual behavior and fertility. This dependence upon psychological mechanisms to coordinate physiology with behavior is possibly unique to primates, including humans, and allows a variety of nonphysiological influences, particularly social context, to regulate sexual behavior. The independence between hormonal state and sexual behavior allows sex to be used for social purposes. This complex regulation of primate sexuality develops during adolescence, where female monkeys show both hormonally influenced sexual motivation and socially modulated sexual behavior. We present findings from rhesus monkeys illustrating how social context and hormonal state interact to modulate adolescent and adult sexuality. It is argued that this flexibility in sexual behavior, combined with a tight regulation of sexual motivational systems by reproductive hormones, allows sexual behavior to be used for nonreproductive purposes while still assuring its occurrence during periods of female fertility. The evolutionary pressures that produced such flexibility in sexual behavior remain puzzling, but may reflect the importance of sexuality to primate social attraction and cohesion.     

A Preliminary Study of Body Image and HIV Sexual Risk Behavior in Black Gay and Bisexual Men: Implications for HIV Prevention

Nearly three decades since the onset of the AIDS epidemic, Black gay and bisexual men (BGBM) experience increasingly disproportionate rates of HIV and AIDS in the United States. The aim of this exploratory research investigation was to examine the relationship between body image and HIV sexual risk behavior in a community-based sample of 481 BGBM in the New York metropolitan area. Multivariable analyses demonstrated that men with a negative body image were less likely to use condoms during anal intercourse with a male sexual partner as compared to those respondents with a positive body image. These findings pose considerable implications for the influence of body image on HIV sexual risk behavior in BGBM.     

The Relationship Between College Women’s Sexual Attitudes and Sexual Activity: The Mediating Role of Body Image

ABSTRACT. This study examined the relationship between sexual attitudes and engagement in sexual activity among a sample of 401 college women. In addition, we investigated the potential role of body image as a mediator of this relationship. Online surveys included self-report measures of sexual attitudes ranging from liberal to conservative, body image satisfaction, and frequency of sexual activity. Results indicated that more liberal sexual attitudes were directly linked with more frequent sexual activity. Whereas mediation was not evident, indirect effects existed such that more liberal sexual attitudes were associated with higher body image satisfaction, which, in turn, was associated with increased sexual activity. Clearly, sexual attitudes and body image are important cognitive factors that affect women's sexual activity, yet each influence alone is not enough to explain the complex process that leads to sexual behavior. Although cross-sectional in nature, our findings suggest that body image and sexual attitudes may work together as a process to affect women's sexual activity.     

Beyond hookup culture: Current trends in the study of college student sex and where to next

A prominent body of sexuality research on college‐enrolled students in the twenty‐first century focuses on “hookup” culture, marked by the prevalence of sexual encounters between students with no expectation for a relationship to develop. This article will review and respond to current themes in the literature on hookup culture on college campuses. I argue that this literature privileges the White, middle‐class heterosexual experience, although less is known about how students who cannot or choose not to participate in this culture experience sexual relationships on college campuses. I place studies of hookup culture in conversation with those attentive to the effects of race, class, gender, and sexuality on access to, and experience of, hookup culture. I conclude with suggestions for future research, to include a renewed interest in sexual relationships forged outside of hookup cultures.     

Effect of Sex Education on the Sexual and Contraceptive Practices of Female Teenagers in Mexico City

After having carried out a review of the literature on the relationship between sex education and sexual and contraceptive behavior, the National Research Council (1987) recently concluded that the existing evaluation of the effects of sex education on sexual and contraceptive practices is helpful but not sufficient. One possible explanation for the different results obtained are the diverse sociodemographic characteristics of the sample or samples of teenagers under consideration. Another aspect that can account for the differences found in the literature focuses on the areas covered in the course. In Mexico no studies have been carried out which deal with the relationship between sex education and sexual and contraceptive behavior. A study was carried out with 392 female teenagers between 16 and 17 years old of lower and middle lower socioeconomic level. Results show that the mere fact of attending a sex education course did not affect the initiation or continuation of sexual activity, contraceptive behavior or even the perception of accessibility to contraception. Providing information on sexuality, relationship with the partner and where to obtain contraceptives does not have an effect on sexual activity. Receiving information on pregnancy prevention and on where to obtain contraceptives was found to be related to contraceptive use. Although less dramatic, information about the relationship with the partner and on sexuality also produced increases in contraceptive use.     

Body size,physical attractiveness,and body image among young adult women: Relationships to sexual experience and sexual esteem

Although links between women's sexuality and body size, attractiveness, and body image may seem apparent, little empirical work has been conducted on this topic. In the current study, young adult women (N = 192) completed questionnaires and were weighed and rated for facial attractiveness. In general, current body size, experimenter‐rated facial attractiveness, and self‐rated facial and bodily attractiveness were related in some ways to current relationship status and sexual experience. General body dissatisfaction, avoidance of social settings due to appearance concerns, and degree of investment in one's physical appearance were unrelated to relationship status and sexual experience. Higher sexual esteem was related to subjective views of attractiveness, but not to actual body size or experimenter ratings of facial attractiveness.     

Promoting sexual health and responsible sexual behavior: an introduction

Facing a myriad of sexual health problems today, health ministries are being compelled to develop comprehensive approaches to sexual health promotion. Recently, there have been several attempts to develop these strategies at national, regional, and global levels. One of the challenges of articulating strategies has been arriving at basic definitions of sex, sexuality, sexual health, and responsible sexual behavior. However, there is remarkable consistency throughout these recent documents. These documents call for leadership of the health sector to create better climates for discussion of sexuality, access to information and education about sexuality, prevention strategies, access to care, and more research in human sexuality and evaluation of programs designed to promote sexual health and responsible sexual behavior.     

Risky sexual behavior in low‐income African American women: The impact of sexual health variables

In a sample of 163 low‐income African American women, we used logistic regression analyses to test for associations between (a) 5 operationalized constructs theorized in the Sexual Health Model to impact one's overall sexual health (barriers to healthy sexuality, sexual anatomy and functioning, positive sexuality, sexual health care, and cultural identity) and (b) several measures of risky sexual behavior (consistent condom use, multiple concurrent partnerships, and overall sexual risk). No significant relationship was found between acculturation and risky sexual behaviors. Having sexual difficulties was positively associated with overall sexual risk and multiple concurrent partnerships. Favorable attitudes toward condoms were positively associated with consistent condom use. Desiring or intending pregnancy was positively associated with inconsistent condom use and overall sexual risk behavior. This is only the second study linking sexual difficulties and risky sexual behavior. The exact nature of this correlational relationship needs to be studied and replicated in different and more heterogeneous populations.     

Sexual Function in Women with Deep Endometriosis: Correlation with Quality of Life,Intensity of Pain,Depression, Anxiety,and Body Image

Objectives: We evaluated sexual function, quality of life and perceived body image of women with deep endometriosis in comparison to that of healthy women. Methods: The sample consisted of 41 women with deep endometriosis and 40 healthy women without endometriosis. Sexual, psychological and pain evaluation were performed. Results: The study evidenced that deep endometriosis has a significant impact on sexuality and body image. Conclusions: An integrated and patient-centered approach to medical and psychological and sexual issues is suggested.     

Reasons Why Adolescents and Young Adults Have Sex: Associations With Psychological Characteristics and Sexual Behavior

We critically review the concepts of sexual addiction, sexual compulsivity, and sexual impulsivity and discuss their theoretical bases. A sample of 31 self‐defined sex addicts was assessed by means of interview and questionnaires and compared with a large age‐matched control group. A tendency to experience increased sexual interest in states of depression or anxiety was strongly characteristic of the sex addict group. Dissociative experiences were described by 45% of sex addicts and may have some explanatory relevance. Obsessive‐compulsive mechanisms may be relevant in some cases, and the addiction concept may prove to be relevant with further research. Overall, results suggested that out of control sexual behavior results from a variety of mechanisms. We propose an alternative theoretical approach to investigating these mechanisms based on the dual control model and recent research on the relation between mood and sexuality.     

Religiosity, sexual behaviors, and sexual attitudes during emerging adulthood

The current study examined associations between religiosity and sexual behaviors and attitudes during emerging adulthood. Two hundred and five emerging adults completed surveys about five aspects of their religiosity (group affiliation, attendance at religious services, attitudes, perceptions of negative sanctions, and adherence to sanctions) and their sexual behaviors (abstinence, age of onset, lifetime partners, condom use) and attitudes (conservative attitudes, perceived vulnerability to HIV, and condom-related beliefs). Associations were found between the measures of religiosity and sexuality, although the patterns differed by measures used. Religious behavior was the strongest predictor of sexual behavior. Many aspects of religiosity were associated with general sexual attitudes, which was not the case for perceived vulnerability to HIV and condom-related beliefs. The findings support reference group theory and highlight the importance of considering the specific constructs of religiosity and sexuality assessed in studies of these topics.     

Navigating Sex and Sexuality After Sexual Assault: A Qualitative Study of Survivors and Informal Support Providers

Qualitative interview data from 45 matched pairs of survivors disclosing sexual assaults and their primary informal support providers (e.g., friend, family member, significant other) were used to explore survivor and support provider perspectives on changes in sexuality postassault and how those close to them have been affected as a result. Changes in sexuality included loss of interest in sex, increase or change in sexual partners, engaging in sex work, and increased sexual behavior. Support providers generally regarded promiscuity as a risky sexual behavior. If the support provider was the survivor’s sexual partner, he or she discussed exercising caution when navigating sexual intimacy with the survivor. Not all sexual encounters with romantic partners were positive; some survivors discussed being triggered (i.e., with post-traumatic stress disorder [PTSD] flashbacks) or experiencing the dissolution of their relationships due to the sexual impacts of their assault. Counseling implications are discussed in the context of improving survivors’ sexual experiences in general and in romantic relationships postassault. Implications can also be applied to prevention, scholarship on sex work, and sexuality research.     

Efficacy of group therapy for problems with postmastectomy self‐perception,body image,and sexuality

Until very recently, the sexual and body image problems of women treated for breast cancer by surgical removal of the breast were ignored by physicians and therapists. Postmastectomy women (N = 62) and non‐mastectomy women (N = 51) were compared on self‐image and sexuality, positive affect, autonomy, self‐sacrifice, and body touching. Additionally, mastectomees were tested three times over 12 months to evaluate the efficacy of group therapy for postmastectomy women. Prior to group therapy, baseline data indicated that, compared to nonmastec‐tomy women, mastectomees had a significantly different body image and lower sexual adjustment. Specifically there was marked dislike for the amputated breast region and diminished pleasure in self‐touching of the remaining breast. Positive affect and sexual receptivity for both the mastectomee and her partner were perceived to be adversely affected. These effects were not related to age, marital status, or elapsed time since mastectomy. Treatment significantly improved positive affect and sexual adjustment but did not improve attitude toward the amputated breast region or increase the range or frequency of sexual activity and sexual receptivity.     

A Latent Class Analysis of Behavioral and Psychosocial Dimensions of Adolescent Sexuality: Exploring Race Differences

Adolescent sexuality is a multidimensional concept involving sexual behavior as well as aspects of youth’s sexual self-concept and sexual socialization. The current study used latent class analysis (LCA) to examine patterns of adolescent sexuality, with data from a nationally representative sample of youth (Add Health; n = 13,447), incorporating information on behavioral and psychosocial dimensions of adolescent sexual experiences. LCA results highlighted that youth may exhibit similar sexual behaviors but vary on psychosocial dimensions, including sexual self-efficacy, knowledge, and views about sex. Sociodemographic characteristics, family factors, mental health, and substance use emerged as predictors of membership into different latent classes of sexuality. Given persistent racial differences in sexual outcomes and sexually transmitted infection (STI) rates, the current study also examined how adolescent patterns of sexuality may help mediate racial differences in sexual outcomes by young adulthood. Results suggested that racial differences in adolescent patterns of sexuality help mediate racial differences in the number of sexual partners by young adulthood but not differences in STI diagnosis. Findings highlight the need for research on multiple aspects of adolescent sexuality to understand linkages with later outcomes and group differences.