Critical Flaws in the Female Sexual Function Index and the International Index of Erectile Function

The Female Sexual Function Index (FSFI; Rosen et al., 2000 Rosen , R. C. , Brown , C. , Heiman , J. , Leiblum , S. , Meston , C. , Shabsigh , R. , … D'Agostino , R. ( 2000 ). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function . Journal of Sex and Marital Therapy , 26 , 191 – 208 . doi: 10.1080/009262300278597 [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) and International Index of Erectile Function (IIEF; Rosen et al., 1997 Rosen , R. C. , Riley , A. , Wagner , G. , Osterloh , I. H. , Kirkpatrick , J. , &; Mishra , A. ( 1997 ). The International Index of Erectile Dysfunction (IIEF): A multidimensional scale for assessment of erectile dysfunction . Urology , 49 , 822 – 830 . doi: 10.1016/S0090-4295(97)00238-0 [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) are two of the most widely used measures of sexual dysfunction. However, they have potential measurement and psychometric flaws that have not been addressed in the literature. This article examines the measurement capabilities of these measures based on data collected from an online study in 2010. A convenience sample of 518 sexually active adults (65% female) drawn from the general community were included in the analyses. Both measures displayed critical theoretical and measurement problems for the assessment of sexual problems beyond sexual arousal, and for the sexual desire domains in particular. Based on these results, we encourage clinicians and researchers to think critically about whether the FSFI and IIEF are appropriate measures for their practice and research. In particular, these measures are inappropriate for use among individuals who are not currently sexually active, and research with a focus other than sexual arousal should consider supplementary measures of sexual function. The psychometric properties of these measures should be reassessed in clinical samples, but the theoretical issues with the measures raised in this article are relevant across clinical and research contexts.     

Sexual Quality of Life and Aging: A Prospective Study of a Nationally Representative Sample

Unlike other life domains, sexual quality of life (SQoL) has a negative relationship with age. This study disentangled the effect of age in this relationship from confounding sociocultural influences (e.g., the period of time in which data were collected, and cohort differences) and aimed to understand the roles of other sexual domains (i.e., frequency, perceived control, thought and effort invested in sex, and number of sexual partners). We analyzed data from the longitudinal Midlife in the United States study (n = 6,278; age range 20–93), which were collected between 1995 and 2013. Repeated measures linear mixed-effects models showed that age was the most robust time-related predictor of declining SQoL. However, after the sexual domains were included in the model, age had a positive relationship with SQoL and older adults’ SQoL was differentially influenced by the quality—not quantity—of sex. When partnership characteristics were included in the model, age was no longer related to SQoL. These findings suggest that aging may be associated with the acquisition of skills and strategies that can buffer age-related declines in SQoL, particularly in the context of a positive relationship. We summarize these findings as sexual wisdom.     

Is the Lack of Specific Lesbian,Gay, Bisexual,Transgender and Queer/Questioning (LGBTQ) Health Care Education in Medical School a Cause for Concern? Evidence From a Survey of Knowledge and Practice Among UK Medical Students

Lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ) people frequently report negative health care encounters. Medical professionals may inadequately manage LGBTQ persons’ health if they have not received training in this area. An anonymous survey measuring efficacy in health situations among LGBTQ persons was answered by 166 medical students across all years of a UK university. Results show that 84.9% of participants reported a lack of LGBTQ health care education, with deficits in confidence clarifying unfamiliar sexual and gender terms, deciding the ward in which to nurse transgender patients, finding support resources, and discussing domestic abuse with LGBTQ patients. Most participants reported that they would not clarify gender pronouns or ask about gender or sexual identity in mental health or reproductive health settings. Participants reported infrequently observing doctors making similar inquiries. Participants held positive attitudes toward LGBTQ patients, with attitude scores positively correlating with LGBTQ terminology knowledge scores (r_s = 0.5052, p < .01). Addressing gender identity and sexuality issues within medical curricula may remove barriers to accessing health care and improve encounters for LGBTQ patients.     

Desire for Marriage and Children: A Comparison of Feminist and Non-feminist Women

Research indicates that liberal gender ideologies and feminist beliefs are related to a lower desire for marriage and children, but the importance of feminist self-identification has not been assessed. In Study 1, self-identified feminist and non-feminist women were asked to rate their own and the typical woman’s desire for marriage and children. Non-feminists desired marriage and children more than did feminists. Both groups believed that the typical woman desired these more than they did. In Study 2, feminist and non-feminist women provided information about feminist beliefs as well as their own and the typical feminist’s desire for marriage and children. Consistent with the results from Study 1, non-feminists desired marriage and children more than did feminists. Feminist identity was also found to predict decreased desire for marriage above and beyond feminist beliefs. Our results indicated that stereotypes of feminists, in this context, are somewhat accurate.     

Time to care: socioeconomic,family, and workplace factors in men and women’s parental leave use

ABSTRACT

Parental leave has important benefits for women, men, and families. This study examines how individual, family, and workplace factors are associated with the length of parental leaves taken by workers in diverse jobs and work contexts, but with the same employer, focusing on gender differences in the factors associated with longer parental leaves. The data are the result of a collaboration between university researchers and a municipal employer. We find that gender was a major driver of the duration of parental leaves for these workers, who must use their accumulated paid time off or take unpaid leave for parental leave; women’s leaves were almost three times longer than men’s. We also find gender differences in the factors associated with leave duration. For women, socioeconomic status seemed to matter most, while for men, family and workplace context influenced leave length. The results indicate the centrality of financial considerations in parents’ leave decisions, reinforcing the importance of having a dedicated paid parental leave policy. We argue that paid parental leaves would help reduce disparities between and within genders at work and in the family.     

The communicative construction of FEMEN: naked protest in self-mediation and German media discourse

Abstract

In this article, we investigate how FEMEN employs female nudity to raise public attention in their mediatized strategies and how this form of naked protest is represented and interpreted in German media discourse. We will show that the significant media presence of FEMEN’s naked protest actions and its self-portrayal as the new feminism of our days have become increasingly ambivalent over time. As this is of great importance with regards to public perceptions of feminism, feminist activists, and feminist agency in general, our analysis provides a detailed investigation of the processes of appreciation and devaluation of FEMEN as an expression of contemporary feminists and feminism. Employing a qualitative discourse analysis, the article highlights the interwoven processes of contextualization and decontextualization in FEMEN’s self-mediation and news coverage in Germany. It is shown that FEMEN’s protests from 2008 to 2013 materialize in “local” actions, but are increasingly constructed and interpreted on a transcultural level. In this analysis, we identify the core interpretative scheme of decontextualization that becomes apparent in three forms of detachments. As we show, these forms of detachment are a core issue in the media’s devaluation and depolitization of FEMEN and feminism in general.     

Overcoming the barriers: a case study of service volunteers in post-Soviet Russia

Voluntary organisations and volunteer action are new pheno-mena in post-Soviet Russia. Despite growing needs, cultural and socio-economic barriers preclude their massive development. This is a report on a case study of a volunteer programme that succeeded in overcoming these barriers, and in recruiting large numbers of volunteers. Characteristics of the volunteers and organisational conditions that enabled this success were identified and lessons drawn.