Sex,lies, and videos in rural china: A qualitative study of women's sexual debut and risky sexual behavior

We studied the sexual behaviors of young, unmarried women living in rural China with a special focus on sexual debut, sexual risk‐taking behaviors, and reproductive health consequences. The analysis was based on 40 in‐depth interviews with young women who had undergone induced abortion, as well as information from focus group discussions. Study participants identified pornographic videos, parents’ tacit approval, and even encouragement as factors instigating their sexual debut. Reasons for unprotected intercourse included spontaneous sexual activity, misconceptions about fertility and the effective use of contraceptives, and the lack of negotiation skills. The results indicate the importance of making reproductive health education more accessible to rural populations in China, a group usually considered to be more traditional and less likely to engage in premarital sex.     

Virginity Lost,Satisfaction Gained? Physiological and Psychological Sexual Satisfaction at Heterosexual Debut

Despite the literature's focus on (hetero)sexual initiation, little is known about the degree to which young people are satisfied by their first vaginal intercourse experience, let alone the factors that predict satisfaction. This study analyzed data from a cross-sectional survey of 1,986 non-Hispanic White and Black 18- to 25-year-old respondents from four university campuses. Respondents were asked to rate the degree to which their first vaginal intercourse was physiologically and psychologically satisfying. Both Black and White women were significantly less likely than Black and White men to experience considerable or extreme satisfaction at first vaginal intercourse, particularly physiological satisfaction. Among all four gender–race groups, being in a committed relationship with one's sexual partner greatly increased psychological satisfaction, particularly among women. Experiencing less guilt at first sexual intercourse was also strongly associated with psychological satisfaction for women. Developing sexual relationships with partners they care for and trust will foster satisfaction among young people at first vaginal intercourse. These findings highlight strong gender asymmetry in affective sexual experience.     

The sexually experienced woman: Multiple sex partners and sexual satisfaction

It has been suggested that women who have had more than one sex partner differ from those who have had only one, both in their background and in their current functioning (in the forms of attitudes, partner interaction, sexual satisfaction, desired changes in their sex life, and other behaviors). To explore these issues, we distributed a questionnaire to a sample of 868 nurses located in 15 states. For most variables, there were no significant differences among those with only one lifetime partner, those with few (2–5) partners, and those with many (6 or more) partners. Those with more partners did report having intercourse earlier, reaching orgasm earlier, and pretending to reach orgasm more often. Those with many partners indicated their partners more often delayed orgasm until after their own first orgasm. They also expressed more concern about a lack of interest in and a lack of adequate foreplay by their partners. Those women with a few partners expressed the least psychological sexual satisfaction (79%).     

Determining Latent Classes of Cumulative Family Structure Experiences in Emerging Adulthood

ABSTRACT

Using a sample of emerging adults (N = 536), this study examined detailed cumulative family structure spanning birth through emerging adulthood. Latent class analysis was used to determine profiles of cumulative family structure experiences based on measures of family structure measured at 5 time points, duration in current family structure, the number of parent relationship transitions, and the number of sibling transitions. Two distinct stable groups, 2 distinct mostly stable groups, and 1 highly unstable group emerged. Additionally, we explored 2 demographic variables as predictors of class membership, and class-level differences on current levels of well-being with a sample of emerging adults.     

The Relationship between Knowledge and Child and Caregiver Distress during the Medical Examination for Child Sexual Abuse

When child sexual abuse is suspected, a child sexual abuse–related medical examination is recommended to ensure the child's well-being. While the extant research has sought to identify factors influencing child distress during this examination, only recently have studies began examining variables that may be directly associated with the child or with the medical setting. Knowledge of the child sexual abuse–related medical examination is one medical-related variable that has been implicated in child and caregiver distress during the examination. The current study contributes to the existing literature by investigating associations among examination knowledge in relation to caregiver and child anxiety at the time of a child sexual abuse–related medical examination, taking into account ethnicity, past child abuse, injury to child as result of abuse, and caregiver response to disclosure. Sixty-eight children and their nonoffending caregiver were assessed. Results indicated that understanding of the examination and caregiver response to disclosure were significantly associated with caregiver and child anxiety.     

Fathers' involvement and the impact on family mental health: evidence from Millennium Cohort Study analyses

This paper reports evidence from the Millennium Cohort Study (MCS) on the relationship between fathers' involvement and the mental well-being of mothers, fathers and children. Drawing on previous research, we use a tripartite definition of father involvement: engagement, accessibility and responsibility. After searching 14 databases and websites, we screened for applicability, coded, quality assessed and synthesised the evidence. The majority of studies focused on ‘accessibility’ in terms of family structure or on ‘responsibility’ in terms of father employment. Overall, the studies suggest that aspects of fathers' involvement can positively influence both maternal and child mental well-being; fathers' mental health was only analysed in relation to one aspect of involvement: parental or father employment was found to influence fathers' mental well-being positively. Further MCS-based research is recommended to examine the impact of fathers' involvement on their own mental well-being, as well as the broader impact of a more active or ‘modern’ fatherhood model encompassing engagement and an understanding of responsibility beyond the breadwinning role.     

How valid are the common concerns raised against water birth? A focused review of the literature

BackgroundWomen have birthed in water for many years, with researchers finding a number of benefits for mother and baby. Despite these benefits, many health institutions and clinicians are hesitant to support women's access to water immersion in birth for a number of reasons. As such, this paper aimed to (1) select five common concerns raised against water birth and (2) examine whether research supports these concerns as being evidence-based.MethodA literature review was conducted to (1) select the concerns for review and to (2) review each selected concern as to whether they were supported by the current evidence. A recent review of women's access to, and uptake of, water immersion in Queensland, Australia, was also used to determine the concerns for review in order to better capture concerns relevant to Australian practice.FindingsThree clinical concerns were selected for review: water aspiration, neonatal and maternal infection, and neonatal and maternal thermo-regulation; and two concerns around the practice of water birth were selected: skills and education of workforce, and emergency procedures in case of maternal collapse. The three clinical concerns were not found to be supported by the available evidence and the two practice concerns can be addressed by appropriate policy, guidelines and practice.ConclusionThe reviewed common concerns against water birth are not evidence-based nor are they sufficient to prevent women from accessing the use of water in labour and birth. Health institutions and clinicians should ensure they take adequate precautions to enable women access to this valued and effective method of birth.     

A Longitudinal Study of Belief and Desire State Discourse During Mother–Child Play and Later False Belief Understanding

There is considerable interest in the role of mental state language in theory of mind development. This study examines cognitive and desire state discourse of 43 mothers during play interactions with their two‐year‐old children and theory of mind as indicated by a battery of false belief tasks around the age of five. Desire state comments of mothers during free play which were appropriate to the conversational context were significantly related to children's later theory of mind, and this relation was independent of other confounding variables, including a home‐based measure of maternal sensitivity, and socio‐economic status, and an estimate of child language. The child's desire state language was concurrently related to the mother's desire state language used appropriately, and the child's cognitive state language was related to the mother's appropriate cognitive state language. Although cognitive state language was not predictive of later theory of mind, this may be because this kind of language plays a later role in theory of mind development.     

A complex solution to a complicated problem? Early messages from the national evaluation of the Children's Fund Prevention Programme

This paper is concerned with exploring the research and policy base that underpinned the development of the Children's Fund Prevention Programme. It discusses how the initiative developed, how it is being evaluated and how it is now contributing to the new policy agenda around prevention services. Early findings are discussed highlighting some of the challenges local projects have to manage around partnership working, participation of children and young people in the programme, and the embedding of prevention strategies in local practice. Finally the conclusion sets the Children's Fund in forthcoming central government policy activity and examines how the evaluation can best inform the development of collaborative preventative services to children and their families.