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.     

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.     

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.     

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.     

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.     

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.     

Providing sexual education to victims of child sexual abuse:what is a clinician to do?

Despite the large body of research on childhood sexual abuse, virtually no one has examined the coverage of sexual education in treatment. Agencies from across the United States that specialize in treating child and adolescent victims of sexual abuse were surveyed. The results indicate that sexual education is covered in treatment with children of all ages, with male and female clients, and in both individual and group therapy. There was a statistically significant difference in the coverage of sexual education based on clients' age, but not based on gender or treatment modality. Parents are often included in treatment; however, the amount of parental involvement varies. Published materials, such as children's books and videos, are frequently used. Participants (i.e., clinicians) are satisfied with their coverage of sexual education in treatment even though clients often experience negative reactions. Results suggest that covering sexual education in treatment helps decrease some of the negative effects of sexual abuse. This study also serves as a test of Dillman's Total Design Method of conducting mail surveys.     

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.     

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.     

The amount and timing of parent‐adolescent sexual communication as predictors of late adolescent sexual risk‐taking behaviors

This study examined the moderating role of timing of first discussion of sexual intercourse with mothers and fathers on the relationship between the amount of sexual communication and sexual risk‐taking behaviors in late adolescence. Late adolescents (N = 214) completed questionnaire measures regarding the amount and timing of sexual communication with their mothers and fathers. In addition, the participants provided information about their various sexual risk‐taking behaviors. In general, the results suggest that timing of first discussion of sexual intercourse contributes additional variance in several sexually risky behaviors beyond that contributed by the amount of communication with both fathers and mothers. The implications of these findings are discussed.     

Sources of sex information and premarital sexual behavior∗

Parents and educators have been concerned with the impact of sex education courses and sources of sex information on premarital sexual behavior. This study investigates different sources of sex information, including parents, peers, and others, and how they influence premarital sexual behavior among American college students. This exploratory research is based on the secondary analysis of cross‐sectional data from a national probability sample of 1,177 college students interviewed about their sexual behavior and sexual socialization experiences. Cross‐tabulations between several sources of sex information and a composite index of incidence and prevalence of premarital socio‐sexual involvement are presented. Among females, sexual behavior was influenced in a negative direction by their mothers and in a positive direction by male friends and independent reading. Among males, sexual behavior was influenced in a negative direction by clergymen and in a positive direction by male and female friends and independent reading. Due to the availability of cross‐sectional data only, the need for cautious interpretation is emphasized.     

Co‐marital sex and the sexual freedom movement∗

Schachter's (1964) cognitive labeling model of emotions was used to make predictions about the impact of presentation order of explicit sexual stimuli and order of reporting reactions to these stimuli on sexual and affective responses. Subjects (27 males, 23 females) viewed a series of sexually explicit slides in story‐line sequence, in reversed story‐line sequence, or in a random sequence. In counterbalanced order subjects rated how sexually arousing and disgusting the slides were to themselves. Males, but not females, reported being more disgusted when they rated disgust first than when they rated sexual arousal first. Additionally, males and females who saw the random presentation sequence reported more sexual arousal than those who saw the reversed story‐line sequence. Females also were more aroused by the random sequence them by the story‐line sequence, while males in these conditions did not differ in arousal. These results indicated that Schachter's model of emotions may be useful in explaining how people respond to sexual stimuli.     

Sexual satisfaction and sexual self‐disclosure within dating relationships

This study examined dating individuals' self‐disclosure about their sexual likes and dislikes to their partner. Forty‐seven college men and 52 college women in a dating relationship of 3 to 36 months completed a questionnaire measuring sexual exchange variables, sexual satisfaction, relationship satisfaction, sexual communication satisfaction, and sexual and non‐sexual self‐disclosure with their partner. Both sexual and nonsexual self‐disclosure were at the level of revealing some detail but not fully disclosing personal attitudes and feelings. Participants reported self‐disclosing significantly more about non‐sexual than about sexual topics. Sexual and nonsexual self‐disclosure were related to sexual satisfaction, relationship satisfaction, and sexual communication satisfaction. Sexual self‐disclosure was uniquely related to sexual communication satisfaction when nonsexual self‐disclosure was controlled, but was not uniquely associated with relationship satisfaction or sexual satisfaction. The study provided evidence that both sexual exchanges and relationship satisfaction mediate the relationship between sexual self‐disclosure and sexual satisfaction as proposed by Cupach and Metts (1991). The results of a series of analyses suggest that self‐disclosure affects sexual satisfaction through two routes. First, sexual self‐disclosure may increase sexual rewards in the relationship. Second, it may increase overall relationship satisfaction. Both increased sexual rewards and increased relationship satisfaction, in turn, enhance sexual satisfaction.     

Predictors of sexual risk‐taking among new drug users

We studied predictors of HIV‐related sexual risk‐taking among individuals who initiated the use of heroin or metham‐phetamine during the past 5 years. Many studies have linked drug use to HIV risk, but most research has been based on samples of users with long‐established drug careers. We conducted face‐to‐face interviews with 153 adult new drug users in Atlanta, GA. Drug use was not a statistically significant predictor of sexual risk, but gender, age, race, homelessness status, childhood neglect, level of paranoia, and level of (dys)functionality in handling disagreements were associated with frequency of sexual risk‐taking. We discuss the need to incorporate new drug users in HIV/AIDS and other health‐related prevention and intervention programs.     

The intimacies of young people’s sexual health and pleasure

This paper considers the discourse of intimacy in young people’s accounts of sexual health. In interviews with people from Sydney aged 18–25 years, diverse understandings of sexual safeties are offered, reflecting a range of sex partner intimacies. This is seen in participants’ accounts of having a range of different partners, having different experiences with a particular partner, and having sex with friends. This discourse is considered against Australian sexual health websites for young people. In the websites, connections between safeties and intimacies are not explored, and discussion of safety is limited to condom use, as per the concept of ‘safe sex’. How condom use is supported and/or challenged by sexual and friendship intimacies is overlooked. In considering research claims about the missing discourse of pleasure in formal approaches to young people’s sexual health, I extend this to a missing discourse of intimacy. Connections between pleasure, intimacy, safety, and friendship are explored throughout this paper, and theorisations of intimacy as cultural, public, and intersubjective are considered, drawing upon the works of Lauren Berlant and Eva Illouz. It is argued that sexual health research and promotion that engages with young people’s conceptualisations of intimacy will better engage with young people’s sexual cultures, and hence be more relevant and useful to this population.     

Do hostile sexual beliefs affect men's perceptions of sexual-interest messages?

This study tested the distorted cognitions component of Hall and Hirschman's (1991) quadripartite model of sexual aggression. Men (N = 107) with and without hostile sexual beliefs viewed erotic slides with a female partner who provided one of four patterns of feedback: clear disinterest, token disinterest, compliant interest, and clear interest. Hostile men reported fewer differences between women, were unresponsive to their partner's perceived embarrassment, and reported a consistent positive mood regardless of her feedback. Conversely, nonhostile men were more responsive to feedback, mirrored the partner's embarrassment, and experienced a less positive mood when she communicated clear disinterest in the erotica. These findings support the distorted cognitions component of the quadripartite model of sexual aggression. The authors also discuss the strengths and limitations of this study's methodology.