Non‐erotic thoughts: Content and relation to sexual functioning and sexual satisfaction

We examined the possible range of content of non‐erotic thoughts experienced during typical sexual activities with a partner. Undergraduate men (n = 47) and women (n = 50) were administered a measure of non‐erotic thought content, frequency, and anxiety, along with measures of sexual attitude, satisfaction, and functioning. Men were more likely to report performance‐related thoughts, and women were more likely to report thoughts about body image. However, men and women were equally likely to report thoughts about the external consequences of the activity (e.g., pregnancy, being caught) and the emotional consequences of the activity (e.g., morality, implications of the activity for the relationship). Women reported that their thoughts occurred more frequently and caused more anxiety. Greater thought frequency and greater anxiety over thoughts were associated with poorer sexual functioning for both men and women. For women, greater frequency of and anxiety evoked by thoughts was associated with lower sexual satisfaction. These data provide modest support for cognitive‐behavioral models of sexual dysfunction and indicate the importance of both examining a broad range of non‐erotic thought content and taking gender into account when applying these models to understanding and treating sexual difficulties.     

The sexuality scale: An instrument to measure sexual‐esteem,sexual‐depression,and sexual‐preoccupation

This article describes the development of the Sexuality Scale, an instrument designed to measure three aspects of human sexuality: sexual‐esteem, defined as positive regard for and confidence in the capacity to experience one's sexuality in a satisfying and enjoyable way; sexual‐depression, defined as the experience of feelings of depression regarding one's sex life; and sexual‐preoccupation, defined as the tendency to think about sex to an excessive degree. The procedure involved (a) item construction, selection and subsequent validation through item analysis; and (b) a factor analysis of the items on the Sexuality Scale and the establishment of factorial validity. The results indicated that the three subscales were psychometrically sound, that males reported more sexual‐preoccupation than did females, and that the three subscales have unique intercorrelation patterns. The exploratory nature of these findings are discussed.     

Sexual self-concept and sexual self-efficacy in adolescents: a possible clue to promoting sexual health?

This study examined the associations between sexual self-concept (sexual esteem and sexual anxiety) and sexual self-efficacy (situational and resistive) in a sample of 388 high school students (59% Caucasian, 28% African American). Males reported lower sexual esteem and lower sexual self-efficacy than females. Males and African Americans reported higher levels of sexual anxiety and lower levels of resistive self-efficacy than females and Caucasians. In regression models, higher sexual self-esteem uniquely predicted higher sexual self-efficacy scores, even after controlling for demographic variables, knowledge of sexual risk, and previous coital experience. In post hoc analyses, sexual self-esteem mediated the relation between knowledge of sexual risk and both types of sexual self-efficacy. Results suggest the need for interventions to promote male sexual self-efficacy and sexual esteem and the need for longitudinal research that explicates models of sexual health in adolescence.     

A short‐form scale to measure sexual discord in dyadic relationships

This paper presents a new short‐form scale for use by clinical workers and researchers in measuring the degree or magnitude of a problem in the sexual component of a dyadic relationship, as seen by the respondent. The scale was designed for use in repeated administrations at periodic intervals in order that therapists might continually monitor and evaluate their clients' response to treatment. Internal consistency and test‐retest reliability were found to be in excess of .90, and the scale has a discriminant validity coefficient of .76.     

Parent–youth communication to reduce at-risk sexual behavior: A systematic literature review

There are nearly 110 million cases of sexually transmitted infections (STIs) in the United States. The Centers for Disease Control and Prevention estimate that annually there are more than 19.7 million new STI cases. Of those, more than half are accounted for by youth aged 15–24 years. Although some STIs are not considered to be life threatening, they can lead to severe health problems, risk of HIV infection, or infertility if they are not properly treated. Some research has shown that parent–youth communication can reduce youth’s at-risk sexual behaviors. The following is a systematic review of the literature on parent–youth sexual communication and family-level interventions designed to reduce risky sexual behavior in youth.     

Number of sexual partners and sexual assertiveness predict sexual victimization: do more partners equal more risk?

In previous studies, number of sexual partners and sexual assertiveness were examined as independent risk factors for sexual victimization among college women. Using a sample of 335 college women, this study examined the interaction of number of sexual partners and sexual assertiveness on verbal sexual coercion and rape. Approximately 32% of the sample reported unwanted sexual intercourse, 6.9% (n = 23) experienced verbal sexual coercion, 17.9% (n = 60) experienced rape, and 7.2% (n = 24) experienced both. As number of sexual partners increased, instances of verbal sexual coercion increased for women low in relational sexual assertiveness but not for women high in relational sexual assertiveness. A similar relationship was not found for rape. Among women who experienced both verbal sexual coercion and rape, increases in number of partners in the context of low refusal and relational assertiveness were associated with increases in verbal sexual coercion and rape. Findings suggest sexual assertiveness is related to fewer experiences of sexual coercion.     

Does subliminal exposure to sexual stimuli have the same effects on men and women?

Three studies explored gender differences in explicit and implicit components of sexual arousal following brief exposure to a sexual stimulus. Whereas Study 1 assessed reports of sexual arousal following subliminal exposure to a sexual or a neutral picture, Studies 2 and 3 examined the effects of the same priming procedure on accessibility of sex-related thoughts assessed with a pictorial judgment task and a lexical decision task. The subliminal sexual prime did not have an effect on men's reports of sexual arousal, but caused women to report lower levels of sexual arousal. In contrast, the same subliminal sexual prime led to higher accessibility of sex-related thoughts in both men and women. It is therefore suggested that the subliminal sexual prime causes women to activate sex-related mental contents but to experience the result as somewhat aversive.     

“I had to get married to protect myself”: Gay academics’ experiences of managing sexual identity in China

Drawing on interviews with 40 gay academics, this article explores their experiences of managing sexual identity in Chinese universities. Three strategies of identity management are identified: passing via marriage or heterosexual relationships, self-distancing from people on campus, and demonstrating outstanding professional performance. This article argues that Chinese universities are heteronormative spaces in which queer identities are excluded. By highlighting gay academics’ transgression of heteronormativity within the closet, this research also unpacks gay academics’ expression of agency in subtle forms.     

Disco clothing, female sexual motivation, and relationship status: is she dressed to impress?

The relationship between a female's clothing choice, sexual motivation, hormone levels, and partnership status (single or not single, partner present or not present) was analyzed in 351 females attending Austrian discotheques. We digitally analyzed clothing choice to determine the amount of skin display, sheerness, and clothing tightness. Participants self-reported sexual motivation, and we assessed estradiol and testosterone levels through saliva sampling. Results show that females are aware of the social signal function of their clothing and that they in some cases alter their clothing style to match their courtship motivation. In particular, sheer clothing -although rare in the study- positively correlated with the motivation for sex. Hormone levels influenced clothing choice in many groups, with testosterone levels correlating positively with physique display. In females who had a partner but were at the disco unaccompanied by the partner, estradiol levels correlated positively with skin display and clothing tightness. Significant differences were not found, however, for clothing choice across the partnership-status groups.     

Reasons for not reporting victimizations to the police: do they vary for physical and sexual incidents?

Victimization is a significant problem among college students, but it is less likely to be reported to the police than are victimizations in the general population. OBJECTIVE: In this study, the authors examined (1) whether reasons for not reporting varied by type of victimization (sexual or physical) and (2) victim-, offender-, and incident-related predictors of these reasons. PARTICIPANTS: To address these objectives, the authors used data collected from 492 female college students. METHODS: The authors recruited women via flyers placed around campus that asked them to come to the student health center to complete anonymous surveys. RESULTS: Findings from within-subject analyses indicated that women were more likely to cite the following reasons for not reporting a sexual rather than a physical victimization: the incident would be viewed as their fault, they were ashamed, they did not want anyone to know about the incident, or they did not want the police involved. Results from logistic regression analyses indicated that the predictors of not reporting also varied across crime types. CONCLUSIONS: The authors discuss study implications for campus-based prevention strategies.     

Sexual addiction, sexual compulsivity, sexual impulsivity, or what? Toward a theoretical model

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 were 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.     

Enlisting friends to reduce sexual victimization risk: There's an app for that… but nobody uses it

ABSTRACT

Objective: The Circle of Six (Co6) phone application (app), winner of the White House's Apps Against Abuse Challenge, seeks to incorporate friends into sexual victimization risk reduction. Despite its growing presence on college campuses, the feasibility/acceptability of the app to college women is unknown. This mixed methods study sought to fill this gap. Participants: College women (n = 44) participated in summer/fall 2015. Methods: Participants completed questionnaires, used the Co6 app for 2 months, and returned to report their experiences. Results: Consistent with the app's aim, women reported greater intentions to help friends versus strangers in sexually aggressive situations. However, app use was low over follow-up. Reasons women gave for not using the app included redundancy with existing smart phone features and discomfort with group messaging. Some saw the app as an emergency only resource. Conclusions: The Co6 app may not meet the real world needs of college women.     

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.     

“Consent is sexy”: A poster campaign using sex-positive images and messages to increase dyadic sexual communication

Abstract

Objective: “Consent is Sexy” (CIS) is a poster campaign incorporating sex-positive messages to promote consent and increase sexual communication among college students. We assess reactions to the campaign and associations between campaign recall and communication attitudes and behaviors. Participants: Male and female undergraduates at a Midwestern university were recruited (N?=?284). Methods: A cross-sectional survey was conducted. t-Tests, logistic and multiple linear regressions were used to analyze the data. Results: Over half (56%) of participants recalled the campaign and reactions were positive. Students who recalled CIS had more positive attitudes towards sexual communication (p?=?.04) and greater perceived behavioral control (PBC; p?<?.01). Conclusions: Results show many students paid attention and reacted positively to CIS posters and results offer dissemination insights. Consent campaigns should continue to cultivate positive attitudes and PBC in regards to sexual communication.     

Under what conditions do lesbians disclose their sexual orientation to primary healthcare providers? A review of the literature

Under what conditions do lesbians disclose their sexual orientation to primary healthcare providers? A review of the literature was undertaken to answer this question and to provide insight into the ways healthcare professionals can play an active role assisting their lesbian patients in "coming out." Thirty empirical studies met the inclusion criteria and were reviewed. Collectively, these separate studies have found that a myriad of internal (patient attributes) and external (healthcare context, patient-provider relationship) factors influence disclosure. The discussion highlights the critical role of healthcare professionals in supporting disclosure.     

Premarital sexual experience: A longitudinal study∗

The relative importance of women's sex‐role orientation and their observation of maternal sexual affection in predicting college women's attitudes toward 18 sexual behaviors were examined in this investigation. A sample of 122 single female college students from intact families was administered three questionnaires: the Attitudes Toward Women Scale, the Mother's Expression of Affection Scale, and the Sexual Attitude Questionnaire. Stepwise regression analysis was used to determine the relative contribution of sex‐role orientation and maternal expression of affection to attitudes toward each of the sexual behaviors. Findings revealed that sex‐role orientation was a significant predictor of attitudes toward 14 of the 18 specific items. More egalitarian views of women were associated with more positive attitudes toward engaging in a variety of sexual behaviors and taking steps to ensure one's own contraceptive security. Mother's expression of sexual affection toward her spouse was a significant predictor of only two behavioral items. Greater exposure to an affectionate mother was associated with more positive attitudes toward speaking affectionately to men and behaving assertively in a sexual relationship. Implications of the findings for family practitioners are discussed.     

Will gay and bisexually active men at high risk of infection use over-the-counter rapid HIV tests to screen sexual partners?

The Food and Drug Administration may license OraQuick?, a rapid HIV test, for over-the-counter (OTC) sale. This study investigated whether HIV-uninfected, non-monogamous, gay and bisexual men who never or rarely use condoms would use the test with partners as a harm-reduction approach. Sixty participants responded to two computer-assisted self-interviews, underwent an in-depth interview, and chose whether to test themselves with OraQuick. Over 80% of the men said they would use the kit to test sexual partners or themselves if it became available OTC. Most participants understood that antibody tests have a window period in which the virus is undetectable, yet saw advantages to using the test to screen partners; 74% tested themselves in our offices. Participants offered several possible strategies to introduce the home-test idea to partners, frequently endorsed mutual testing, and highlighted that home testing could stimulate greater honesty in serostatus disclosure. Participants drew distinctions between testing regular versus occasional partners. Non-monogamous men who have sex with men, who never or rarely use condoms, may nevertheless seek to avoid HIV. Technologies that do not interfere with sexual pleasure are likely to be used when available. Studies are needed to evaluate the advantages and disadvantages of using OTC rapid HIV tests as one additional harm-reduction tool.     

Does similarity breed marital and sexual satisfaction?

This study examined the effect of socioeconomic-cultural homogamy on the marital and sexual satisfaction of Hong Kong Chinese couples. Using a representative, territory-wide sample of 1,083 first-time married heterosexual couples, this study found that wives were generally less satisfied than their husbands with their marital and sexual relationships. Husbands were more likely to be satisfied with their marriages when they were two to four years older than their wives than when they were of similar age to their wives (i.e., within one year of each other), but they were less likely to be satisfied with their marriages when only their wives were employed than when both partners were employed. In addition, they were less likely to be satisfied with both their marital and sexual relationships when their wives were five or more years older. Wives with an older husband were more likely to be sexually satisfied than wives of the same age as their husband, but they were less likely to be satisfied with their marriages when they were better educated than their husbands. The implications of the findings are discussed.