Testing a New Measure of Sexual Health Knowledge and Its Connections to Students' Sex Education,Communication, Confidence,and Condom Use

ABSTRACT

This study investigates the nature of college students' sexual health knowledge, prior sex education coverage, and sexual communication and confidence. We created a new, comprehensive sexual health knowledge measure to assess 347 undergraduates' knowledge of reproductive health, contraception, condom use, sexually transmitted diseases (STDs), and HIV/AIDS. Overall, students demonstrated a fairly poor understanding of sexual health issues. Women were more knowledgeable than men, specifically on the topics of contraception and STDs. Prior exposure to sex education covering mainstream reproductive health issues or newer contraception methods was correlated with greater knowledge across all domains, particularly for men. Greater knowledge was also correlated with greater sexual assertiveness and confidence with condoms among women.     

Deficits in young men's knowledge about accessing sexual and reproductive health services

Objective: The current study aimed to examine (1) gender differences in college students' knowledge of sexual and reproductive health care (K-SRHC) service access points, and (2) the relationship between demographic and psychosocial factors and college students' overall K-SRHC service access points. Methods and Participants: Self-report online surveys were administered to 18- and 19-year-old college students from a northern California public university (N = 183; 39.9% men; 32.2% Latino). Results: Women reported higher overall K-SRHC service access point scores than men. Findings indicated that gender and family planning self-efficacy were the strongest correlates of K-SRHC service access points. Men with a regular source of health care had higher K-SRHC service access points than men without. Conclusions: Results suggest that college men need additional education about how to access sexual and reproductive health services to support their own and their partner's health.     

Gender roles and scholastic performance among adolescent Vietnamese women: the paradox of ethnic patriarchy

The author argues that Vietnamese patriarchal views regarding gender roles have led to greater educational advancement among Vietnamese women as compared to men in the US. Data for this study were obtained from the 1990 census and from interviews in 1994 at two high schools located near a Vietnamese community and at a public high school for honor students. The survey sample included 402 Vietnamese students from the three schools. The sample was 90% of all Vietnamese students enrolled at these schools and 75% of high school students living in the neighborhood near the schools. Census data showed that Vietnamese women over age 25 were more likely than similarly aged men to have less than a high school education or a college education. The education gap between men and women declined among the population aged under 25 years. Among married men and women aged 16-24 years, there were few gender differences in the proportion of school drop outs. However, among the unmarried aged 16-24 years, young women were significantly more likely to be enrolled in college and were less likely to drop out of school. Among the sample student population, findings indicate that female students had significantly higher grades and spent more time on home work. Census reports reveal that women were more likely both to report the lack of plans for college and to report that college was very important to them. Fathers stressed the importance of obedience until marriage and achievement among daughters. Fathers expected daughters to advance educationally for a number of reasons. Mothers agreed with fathers that the education and employment of women was not a rejection of traditional Vietnamese values. Mothers believed that daughters would be increasing their potential resources by improving their educational status. Adolescent males held more traditional attitudes towards wives as mothers. Young women reported stricter social controls of behavior from parents.     

Smoking among New England College Men and Women

Abstract

Smoking behavior was examined among college students at 34 New England colleges. Women were more often smokers (44%) than men (32%) and were also more likely to smoke daily than men (23 vs. 16%). Men in private colleges were significantly less likely to smoke (22%) than those in public colleges (26%). At both public and private colleges, women were more likely to smoke than men. Smoking was inversely related to health habits for both men and women.

The percentage of college women who smoked is similar to that reported for the general population, while that for men is less. Prevention programs should be targeted to girls in the primary and secondary grades, as well as to college women, and support for smoking cessation should be made available on college campuses.     

What’s Gender Got to Do With It? Sexual Double Standards and Power in Heterosexual College Hookups

Although college hookups are typically enjoyable for both men and women, heterosexual hookups often involve inequitable power dynamics that privilege men (e.g., women perform sexual acts to please partners and/or succumb to pressure for intercourse). Some scholars have attributed this power imbalance to the traditional double standard. However, recent studies have indicated college students typically endorse egalitarian standards—and some endorse a reverse double standard in which they negatively judge men more than women for engaging in the same sexual behavior. Using Online College Social Life Survey data (N = 11,077) I examined relationships between endorsement of double standards and power in hookups. Because contemporary students often believe double standards exist in society but not in their own minds, I also examined relationships between feeling negatively judged for hooking up and power. Most respondents endorsed egalitarian standards, but women were more likely than men to feel judged for hooking up. Feeling judged was a significant predictor of power disadvantages for women and men; endorsing a double standard disparaging one’s own gender was significant among men. Findings suggest contemporary relevance of the traditional double standard and highlight differences between women’s and men’s endorsement of double standards disparaging their own gender.     

Understanding Men's Health and Illness: A Gender-relations Approach to Policy,Research, and Practice

Abstract

Men's health has emerged as an important public concern that may require new kinds of healthcare interventions and increased resources. Considerable uncertainty and confusion surround prevailing understandings of men's health, particularly those generated by media debate and public policy, and health research has often operated on oversimplified assumptions about men and masculinity. A more useful way of understanding men's health is to adopt a gender-relations approach. This means examining health concerns in the context of men's and women's interactions with each other, and their positions in the larger, multidimensional structure of gender relations. Such an approach raises the issue of differences among men, which is a key issue in recent research on masculinity and an important health issue. The gender-relations approach offers new ways of addressing practical issues of healthcare for men in college environments.     

An Exploratory Study of Factors Associated With Sexual Inhibition and Excitation: Findings From a Representative Survey in Flanders

The dual control model of sexual response was developed to account for individual differences in sexual excitation and inhibition. According to this model, the balance between excitation and inhibition is of crucial importance in determining an individual's sexual response to a stimulus. In this study, we aimed to contribute to the existing literature on sexual excitation and inhibition in two ways. First, we investigated the distribution of excitation and inhibition scores in a representative population sample. Second, we conducted an exploratory study of the factors associated with variation in excitation and inhibition. We used data from a representative survey on the sexual health of men and women in Flanders (N = 1,825; mean age = 43.77; SD = 17.98). The results indicated that excitation and inhibition had a near normal distribution among men and women. However, the scores for sexual inhibition due to threat of performance failure (SIS1) among men, and for sexual inhibition due to the threat of performance consequences (SIS2) among women, were somewhat skewed. Furthermore, age, gender, physical and mental health, education level, and attitudes toward sex were all to some extent associated with differences in inhibition, excitation, or both.     

The Relationship Between Nontraditional Gender Roles and Sexual Coercion

Social scientists have proposed that traditional gender role socialization contributes to sexual coercion. Data from 398 students at an eastern state university were used to examine (1) the incidence of women enacting nontraditional gender roles in dating and sexual interactions, (2) the relationship between women's enactment of nontraditional roles and their experiences with physical and nonphysical sexual coercion and (3) the incidence of men reporting nonphysical coercive strategies used by women to engage in sexual intercourse. Results showed that a majority of women had asked a man out for a date and shared or paid the entire expenses for a date and over one third had initialed a first sexual involvement with a man. No support was found for the view that women's enactment of nontraditional roles puts them at lower risk of sexual coercion. Women who reported more sex partners experienced significantly more incidents of both physical and nonphysical coercion than women with fewer sex partners. Subslantial proportions of men also reported that women tried to have sex with them by nonphysical coercive strategies. Findings are discussed in terms of implications for high school and college sex education courses.     

Gender and reactions to a hypothetical relationship partner's masturbation and use of sexually explicit media

Heterosexual college students completed a questionnaire measuring affective reactions and cognitive attributions pertaining to behavior by a hypothetical relationship partner. Compared to men, women indicated more negative feelings about a partner's solitary sexual behavior. For men and women, a partner's use of sexually explicit material was rated more negatively than a partner's masturbation. Regarding the attributions, there was a difference on concerning the belief about partner satisfaction. Respondents were more likely to see a partner's use of sexually explicit materials rather than masturbation as a sign of dissatisfaction with the original partner or the sexual relationship. Results are discussed with regard to implications for future research.     

Weight-related issues and high-risk sexual behaviors among college students

Individuals with high body mass index (BMI), negative body image, and unhealthy weight control behaviors may be more likely to engage in high-risk sexual behaviors than others. Researchers have not fully investigated these relationships in a sample of college students. The authors collected data regarding several weight-related issues and high-risk sexual behaviors (response rate = 39%) from 1,168 college students. Over half reported at least 1 high-risk sexual behavior. After the authors controlled for several demographic characteristics, they found that higher BMIs were associated with increased odds of having a casual sexual partner (odds ratio [OR] = 2.70) and being intoxicated at last intercourse (OR = 2.25). Among women, unhealthy weight control behaviors were associated with having a casual partner (OR = 2.12), using no or unreliable contraception (OR = 1.98), and being intoxicated at last intercourse (OR = 2.31). Weight-related issues were not associated with sexual behaviors among college men. The authors describe their findings within two health behavior frameworks, and they discuss implications for research and health education.     

Women's Education,Marital Violence,and Divorce: A Social Exchange Perspective

Drawing on social exchange theories, the authors hypothesized that educated women are more likely than uneducated women to leave violent marriages and suggested that this pattern offsets the negative education–divorce association commonly found in the United States. They tested these hypotheses using 2 waves of young adult data on 914 married women from the National Longitudinal Study of Adolescent Health. The evidence suggests that the negative relationship between women's education and divorce is weaker when marriages involve abuse than when they do not. The authors observed a similar pattern when they examined the association of women's proportional earnings and divorce, controlling for education. Supplementary analyses suggested that marital satisfaction explains some of the association among women's resources, victimization, and divorce but that marital violence continues to be a significant moderator of the education–divorce association. In sum, education appears to benefit women by both maintaining stable marriages and dissolving violent ones.     

Sex,Educational Differentiation,and Occupational Status: Analyzing Occupational Differences for Community and Four-Year College Entrants*

Based on the Fames data, the author analyzes how the differentiation of higher education into sectors affects current occupational status among a homogeneous age population. The sample consists of young men and women ten years after high school graduation. Past studies analyzing correlations between educational level and occupational status virtually ignore the effects of community college attendance. Most earlier work defines school quality solely in terms of per-pupil expenditures, but these studies fail to account for the complexity of the higher educational system in the United States today. My research shows that the type of first college entered is a significant variable in analyzing differences in occupational status, even when holding constant variations in ability, socioeconomic background, and college goal. The average status of four-year college entrants' jobs is almost 12 points higher on the Duncan scale than the status of community college entrants' jobs. Community college entrants suffer an occupational penalty, compared to four-year college entrants, even when controlling for years of education.     

Gendered Divisions of Fertility Work: Socioeconomic Predictors of Female Versus Male Sterilization

Domestic labor researchers have examined a multitude of duties disproportionately performed by women, yet the responsibility associated with navigating a couple's fertility—fertility work—has been overlooked. Using data from the 2006–2010 National Survey of Family Growth (N = 1,415), the author examined how racial and socioeconomic factors affect the division of contraceptive fertility work among married and cohabiting women who rely on either their partners' vasectomies or their own sterilizations. Drawing theoretical connections between fertility work and housework, resource‐ and gender‐based perspectives were used to assess whether women's or their partners' characteristics are stronger predictors of sterilization type, and whether women's absolute or relative education level has a greater impact. Findings suggest that White and socioeconomically privileged women are more likely to have vasectomized partners than disadvantaged women. Male partners' characteristics were more closely associated with sterilization type than women's characteristics, lending greater support for the gender‐based hypotheses.     

“Drunkorexia”: Exploring the Who and Why of a Disturbing Trend in College Students’ Eating and Drinking Behaviors

Abstract. Objective: “Drunkorexia,” limiting food intake before alcohol consumption, increases college students’ risk for negative alcohol-related health consequences. The current study tested whether (1) women engage in drunkorexia more frequently than men; (2) weight control motivations explain sex differences in drunkorexia; and (3) among women, weight control motivations are a particularly strong predictor of drunkorexia for heavier drinkers. Participants: Undergraduate males and females (N = 63) recruited during fall of 2011. Methods: Participants self-reported their alcohol consumption, drunkorexia, and weight control motivations online. Results: Findings supported hypotheses: weight control motivations explained why women engage in drunkorexia more than men; and the weight control motivation → drunkorexia relation was strongest for heavier- (vs lighter-) drinking women. Conclusion: Women have more weight concerns than men, which makes them more likely to engage in drunkorexia. Heavy-drinking women with strong weight control motivations are at greatest risk for drunkorexia. Interventions should help students more safely reconcile pressures to be thin and drink alcohol.     

Men's Reproductive and Sexual Health

Abstract

A broad definition of men's reproductive and sexual health (MRSH) includes medical (pathophysiological) matters such as sexually transmitted infections (STIs), developmental anomalies, malignancy, trauma, and infertility. It also includes psychosocial concerns: sexuality, contraception, disease prophylaxis, developmental and lifecycle issues, tobacco and drug use, sexual identity and orientation, and partnership issues. College men, of whom a large majority are sexually active, have a range of MRSH needs, including some that are particular to their age and social environment. To reach men effectively requires approaches that are somewhat different from those used with women. Clinicians in college health services are in an excellent position to help young men recognize the importance of reproductive health and sexual responsibility. College health services therefore should offer men screening; clinical diagnosis and treatment for MRSH conditions; and information, education, and counseling services, in a manner designed to meet their unique needs.     

An analysis of college students' anonymous questions about human sexuality

This study analyzed the frequency and type of questions about sex and sexuality that were anonymously submitted by college undergraduates enrolled in personal health education courses at three universities. More than 1,300 queries were submitted by 626 students (249 men and 377 women) from an original pool of 644 possible subjects. Questions asked most often fell into six general categories: sexual arousal/response, general anatomy/physiology, contraception, dating/relationships, pregnancy/fertility, and sexually transmitted diseases. Queries concerning sexual arousal/response accounted for just over 30% of the questions from men and 25% of the questions from women. Women asked nearly twice as many questions about pregnancy and contraception as men did, and men asked far more about general anatomy/physiology and sexually transmitted diseases than women did. Chi-square analysis identified a significant association (p less than .001) between the sex of the questioner and the categories of sexual arousal/response and pregnancy/fertility. Physicians, psychologists, nurses, counselors, and educators should be aware that a considerable degree of sexual uncertainty still exists among college undergraduates. The authors concluded that the anonymous-submission technique was an effective means of enhancing the learning process and meeting student needs in sexuality education.     

Prevalence of Traumatic Events and PTSD Symptomatology Among a Selected Sample of Undergraduate Students

Abstract

University faculty and mental health counselors often work with students in distress which may be related to their experiences with traumatic accidents, interpersonal violence, or natural disaster. Traumatic events can have long-lasting effects, which include somatic complaints, substance abuse, “flashbacks,” and a reduction in memory and recall. The purpose of this study is to identify the number, types and severity of traumatic events that occur among a student sample from three academic departments (Sociology and Criminal Justice, Social Work, and Human Development) at a rural southern university. The sample of 234 undergraduate students confirmed previous research regarding the high number of self-reported traumas among college students. The study found that college-aged women are much more likely than men to report trauma and to seek counseling and treatment for its effects. Significant differences were noted in distributional patterns for men and women when reporting exposure to stressful events. The study's findings serve as an important indicator of the need for prevention, early recognition, and treatment for trauma victims. Suggestions are also provided to assist administrators in implementing the appropriate workplace and academic accommodations for PTSD victims under the Americans with Disabilities Act (ADA) and the Rehabilitation Act of 1973 (Section 504).     

Sexual and Reproductive Health Knowledge Among Men and Women Aged 15 to 49 Years in Metropolitan Tehran

Sexual and reproductive health (SRH) knowledge is an important predictor of an individual’s sexual behavior; however, little is known regarding this issue among Iranians. This study assessed sexual and reproductive health knowledge among men and women aged 15 to 49 years in Tehran. A total of 755 men and women aged 15 to 49 years were recruited using multistage, random cluster sampling in June 2014. An illustrative anonymous questionnaire endorsed by the World Health Organization (WHO) was used to collect the data. Bivariate and multivariate analyses were performed. The results showed that men and women were moderately knowledgeable about sexual and reproductive health (mean score of SRH knowledge = 39, range: 26 to 52); however, myths and misperceptions prevailed in different aspects of SRH. For example, only 45% of women and 38.7% of men accurately knew that a person infected with human immunodeficiency virus (HIV) can look healthy. Friends were identified as the primary or secondary source of knowledge about puberty and sex-related issues. A multivariate analysis showed that being female (coefficient = 0.139, p < 0.001) and being married (coefficient = 0.180, p < 0.001) were significant predictors of better SRH knowledge, while being young (age group 15 to 24) was a significant determinant of poor SRH knowledge (coefficient = ?0.161, p < 0.001) when other influencing factors were controlled. Culturally appropriate and age-specific comprehensive education is recommended, particularly for men, the unmarried, and the younger generation in Iran.