International Journal of Sexual Health最新文献

{"title":"Teaching Equity to Prevent Violence: The ANULA School-SAFE Framework Across Continents.","authors":"Gayathri Delanerolle, Nimesha Wijamuni, Sohier Elneil, Vindya Pathiraja, Nirmala Rathnayake, George Eleje, Peter Phiri","doi":"10.1080/19317611.2026.2649955","DOIUrl":"10.1080/19317611.2026.2649955","url":null,"abstract":"<p><strong>Background: </strong>Violence against women and girls (VAWG) remains a global public health crisis, driven by structural inequalities and harmful gender norms. Schools reaching nearly every child offer unique opportunities to prevent violence, yet existing interventions are fragmented and unsustainable. We propose the ANULA SCHOOL-SAFE framework, a ten-step, culturally adaptable model that embeds prevention into education systems through four integrated pillars: Safeguard, Act, Foster, and Empower. Grounded in ecological systems, social norms, and resilience theories, the framework combines age-appropriate spiral curricula, robust safeguarding policies, trauma-informed teacher training, digital safety, and community engagement with families and faith leaders.</p><p><strong>Objectives: </strong>This article presents an intervention framework, which addresses the persistent global crisis of violence against women and girls (VAWG), by applying the ANULA SCHOOL-SAFE framework as a primary prevention strategy.</p><p><strong>Method: </strong>The ANULA SCHOOL-SAFE framework was developed from global evidence on school-based violence prevention and is grounded in ecological systems, social norms, and resilience/protection theories: ecological theory informs multilevel interventions, social norms theory targets beliefs and behaviors that sustain VAWG, and resilience theory strengthens students' protective capacities. It integrates age-appropriate curricula, safeguarding policies, trauma-informed teacher training, digital safety measures, and community engagement, using a tiered design (Essential, Enhanced, Full) adaptable to diverse school types and resource settings.</p><p><strong>Results: </strong>The ANULA SCHOOL-SAFE framework offers a structured pathway to embed violence prevention into education. By integrating curriculum alignment, protective mechanisms, and cultural adaptation, it provides schools with a practical roadmap for early intervention. Its multilevel approach equips teachers, students, and communities to challenge harmful gender norms, strengthen resilience, and foster a culture of safety and equity.</p><p><strong>Conclusion: </strong>Embedding the ANULA SCHOOL-SAFE framework within education systems positions schools as transformative spaces capable of disrupting intergenerational cycles of violence. This model demonstrates how education can move beyond fragmented interventions toward a sustainable, system-wide strategy that promotes gender equity and resilient societies.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1252-1259"},"PeriodicalIF":2.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professional Training of Sexologists in Latin America and the Caribbean.","authors":"Osmar Juan Matsui-Santana, Silvina Valente, Jaqueline Brendler, Karla Urriola-González","doi":"10.1080/19317611.2026.2665272","DOIUrl":"10.1080/19317611.2026.2665272","url":null,"abstract":"<p><strong>Introduction: </strong>Since 1974, the World Health Organization has recommended the training of health and education professionals in sexology and sexual health. A wide range of studies and programs related to sexuality have been developed globally since the late 19th century, primarily in Europe. This movement also emerged in Latin America in the early 20th century and gradually strengthened in its second half.</p><p><strong>Methods: </strong>This is a cross-sectional study to explore and describe main characteristics of professional sexology training programs offered in Latin America and the Caribbean region. It is part of a Global Project of the Professional Education Committee in Sexology of the World Association for Sexual Health (WAS). Data were collected through a questionnaire distributed by email to sexologists via the WAS Media Committee and the Latin American Federation of Societies of Sexology and Sexual Education.</p><p><strong>Results: </strong>A total of 136 responses were received, of which 75 valid responses from professional sexologist training programs were included for analysis. These came from 11 continental countries and one Caribbean territory. The main orientations of these programs included educational, basic, clinical, and/or social sexology. The academic levels of the programs were, in descending order: Certificate/Diploma, Master's degree, Continuing Education, Undergraduate Courses, Short Courses, and Doctoral level.</p><p><strong>Discussion: </strong>There is considerable diversity in the characteristics of professional training programs in sexology. As the first regional study of its kind, this research offers a foundation for establishing consensus on educational levels and academic discipline orientations. It highlights the need for Latin American countries to create professional positions for sexologists within public health and education institutions.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"819-829"},"PeriodicalIF":2.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Sociodemographic Determinants of Persistent Female Sexual Dysfunction Among Breast Cancer Survivors: A Prospective Cohort Study.","authors":"Amirhossein Hessami, Erfan Ghadirzadeh, Afshin Zarei, Farima Taghavi, Forouzan Elyasi, Mobina Gheibi, Ehsan Zaboli, Reza Alizadeh-Navaei, Fatemeh Akbari Gelvardi, Akbar Hedayatizadeh-Omran, Mahmood Moosazadeh","doi":"10.1080/19317611.2026.2639078","DOIUrl":"10.1080/19317611.2026.2639078","url":null,"abstract":"<p><strong>Background: </strong>Sexual dysfunction is a prevalent issue among breast cancer (BC) patients, yet its persistence over time remains underexplored. This study aimed to assess the prevalence and determinants of persistent female sexual dysfunction (PFSD) in BC survivors.</p><p><strong>Methods: </strong>This prospective cohort study enrolled 187 reproductive-age married BC survivors in Mazandaran Province, Iran, who had undergone surgical intervention within the prior 48 months. Sexual function was evaluated using the Female Sexual Function Index (FSFI) at two time points, approximately eight months apart. PFSD was defined as an FSFI score ≤23 at both assessments.</p><p><strong>Results: </strong>Of the 187 participants, 113 (60.4%) exhibited PFSD. Domain-specific persistent dysfunctions included Desire (80.7%), Arousal (68.4%), Pain (52.4%), Lubrication (47.6%), Orgasm (39.6%), and Satisfaction (29.9%). Rural residence increased the odds of persistent Desire dysfunction (OR: 2.87), later menarche heightened persistent Arousal dysfunction risk (OR: 2.26 and 2.90), employment lowered odds of persistent Lubrication (OR: 0.26) and Orgasm dysfunction (OR: 0.40), and later marriage reduced persistent Arousal dysfunction odds (OR: 0.40). No significant predictors were identified for overall PFSD, Satisfaction, or Pain after multivariate adjustment.</p><p><strong>Conclusion: </strong>This study reveals a high prevalence of PFSD among BC survivors, with specific sociodemographic factors influencing distinct dysfunction domains. These insights emphasize the need for tailored interventions to address long-term sexual health challenges in this population.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1190-1203"},"PeriodicalIF":2.2,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Justice and the Future of Sexual Rights: A Call to Action.","authors":"Alain Giami, Esther Corona, Lisa Welsh, Ricardo Hernandez Forcada, Zahra Stardust, Md Sharful Islam Khan, Magaly Pirotte, Richard G Parker, Shereen El Feki, Amaranta Gómez Regalado, Denise Medico, Agata Loewe Kurilla, Luis Perelman, René de Klerk, Erick Janssen, Pedro Nobre, Elna Rudolph","doi":"10.1080/19317611.2026.2655809","DOIUrl":"10.1080/19317611.2026.2655809","url":null,"abstract":"<p><p>This position paper introduces sexual justice as a transformative framework for addressing the systemic inequalities and inequities that shape global and local experiences of sexuality, health, and rights. While international frameworks have recognized sexual and reproductive rights as fundamental human rights, they remain unevenly realized, particularly for those who live at the intersections of socio-economic injustice, structural violence, and oppression, moralistic control, colonial legacies, and authoritarian retrenchments. Sexual justice challenges us to move beyond necessary individual and collective protections toward structural transformation. It reframes our understanding of what it means to live with dignity, autonomy, full citizenship, and pleasure. In doing so, it interrogates the legal, political, medical, economic, and cultural systems that determine whose lives are deemed legitimate, whose desires are punished, and whose knowledge is erased. Grounded in the lived experience of movements that have long resisted oppression and marginalization, drawing on theoretical and historical perspectives, intersectional analysis, global solidarity and activist knowledge, sexual justice offers a shared foundation for reflection and action, serving as both a political compass and a call to build just, inclusive, and participatory systems across health, education, law, civil society, and international cooperation. Sexual justice requires equity as a core condition for access, not only to healthcare, information, and education, but also in the distribution of power and resources. It insists on reparations and redress for past and ongoing harms, and centers on those most affected in defining the path forward. This paper offers strategic recommendations for governments, institutions, social movements and sexual health professionals to operationalize sexual justice through legislative reform, institutional accountability, resource redistribution, and participatory practice. Endorsed by The World Association for Sexual Health (WAS), this framework builds upon the Porto Proclamation: Advancing a Global Agenda for Sexual Health, Rights, and Justice (2026), the WAS Declaration on Sexual Justice (2025), the WAS Declaration on Sexual Pleasure (2019), and the WAS Declaration on Sexual Rights (2014).</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"852-873"},"PeriodicalIF":2.2,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who Shapes Health Narratives on TikTok? Evaluating Content Sources and Discourse Quality in Comments on Reproductive Health Videos.","authors":"Dayeon Eom, Sedona Chinn, Julianne Renner","doi":"10.1080/19317611.2026.2637639","DOIUrl":"10.1080/19317611.2026.2637639","url":null,"abstract":"<p><strong>Objective: </strong>This study examines how TikTok creators, including health-care professionals and social media influencers, engage in contraceptive discourse with their audience. It evaluates differences in content themes, engagement metrics, and the quality of discourse in video comment sections to understand how reproductive health communication unfolds across creator types.</p><p><strong>Methods: </strong>A dataset of 100 TikTok videos (50 from influencers, 50 from health-care providers) and 46,747 associated comments was collected using Apify. Engagement metrics (likes, views, shares, comments) were compared across groups. N-gram analysis identified linguistic differences in creator messaging. To assess discourse quality, comments were evaluated using a modified Discourse Quality Index (DQI) scored by a large language model (GPT-4o) trained on 500 human-coded examples. Structural topic modeling (STM) was used to identify dominant themes in high-quality discourse.</p><p><strong>Results: </strong>Influencer videos received significantly higher engagement across likes, plays, and shares. Influencers more often used affective and experiential language, while health-care providers used clinical and third-person discourse. Comments on influencer videos scored higher across six of seven DQI dimensions, including empathy, clarity, and personal experience sharing. High-quality comments on influencer content emphasized emotional well-being, long-term side effects, and social support, while provider content generated more medically detailed but often skeptical or fact-checking discussions.</p><p><strong>Conclusion: </strong>TikTok influencers not only achieve broader reach but also facilitate richer, more supportive discussions about contraception compared to health-care professionals. While providers emphasize clinical accuracy, influencers foster parasocial intimacy that encourages experiential storytelling. To improve reproductive health communication on social media, hybrid approaches that integrate influencers' narrative resonance and experiential credibility with health-care providers' evidence-based guidance may be most effective.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1157-1173"},"PeriodicalIF":2.2,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Position Modifications for Pain-Free Intimacy: A Scoping Review.","authors":"Abhijeet Singh, Fayaz Ahmad Paul, Arif Ali","doi":"10.1080/19317611.2026.2650811","DOIUrl":"10.1080/19317611.2026.2650811","url":null,"abstract":"<p><strong>Background: </strong>Sexual pain disorders impair intimacy and quality of life. While clinicians routinely recommend sexual position modifications, evidence is scattered in gynecology, urology, physiotherapy, sex therapy, and biomechanics.</p><p><strong>Objective: </strong>To systematically scope and synthesize evidence on sexual position modification alone or as part of multimodal care to decrease pain and enhance sexual function in adults with sexual pain disorders.</p><p><strong>Methods: </strong>We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and searched Medical Literature Analysis and Retrieval System ON-LINE (MEDLINE), Embase, Scopus, Web of Science, Cochrane, PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Institute of Electrical and Electronics Engineers (IEEE Xplore), and grey literature from January 2000 to August 2025. Two reviewers independently screened, extracted, and appraised studies (κ = 0.84) using a revised tool to assess risk of bias in randomized trials (RoB-2), risk of bias in non-randomized intervention (ROBINS-I), the Joanna Briggs Institute (JBI) Scale, and the Critical Appraisal Skill Enhancement tool (CASP). Included designs were randomized and quasi-experimental trials, observational studies, qualitative studies, and biomechanical/magnetic resonance imaging (MRI) studies to provide a comprehensive overview of the study.</p><p><strong>Results: </strong>From 2,146 records, 27 studies were included (3 RCTs, 1 secondary randomized control trial, ∼10 observational, 7 qualitative, 5 biomechanical/Manetic resonace imaging (MRI). Partner-controlled depth, angle, and tempo consistently reduced pain and improved sexual function. In Physical Vapor Deposition (PVD), cone beam computed tomography (CBCT) and multimodal pelvic physiotherapy outperformed lidocaine. Post-surgical endometriosis improved with sensate focus and guided position change. Woman-on-top, side-lying, and supported missionary were favored; rear-entry often worsened dyspareunia. Biomechanical/Magnetic Resonance Imaging (MRI) data supported plausibility of position-dependent changes in anatomical contact and tissue strain.</p><p><strong>Conclusions: </strong>Position adjustments emphasizing depth control and partner synchronization appear feasible, safe, and beneficial, with the strongest evidence in vestibulodynia and moderate evidence in endometriosis.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1285-1299"},"PeriodicalIF":2.2,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intimate Partner Violence and Reproductive Autonomy in Canada: A Scoping Review.","authors":"Kathleen Szajbely, Tara Mantler","doi":"10.1080/19317611.2026.2646622","DOIUrl":"10.1080/19317611.2026.2646622","url":null,"abstract":"<p><strong>Background: </strong>Forty-four per cent of Canadian women who have been in an intimate relationship during their lifetime have reported experiencing violence. IPV can include physical, psychological, sexual, spiritual, and financial abuse as well as reproductive coercion, coercive control, harassment, and stalking. Reproductive autonomy is defined as having the power to independently control reproductive matters. The objective of this study was to assess the scope of evidence on intimate partner violence and reproductive autonomy among Canadian women.</p><p><strong>Methods: </strong>To provide an overview of evidence and identify gaps for future research, a scoping review using a comprehensive database search strategy was used. 7908 articles across 4 databases were screened using Covidence. 9 peer-reviewed articles published in English, focusing on reproductive autonomy and/or reproductive decision-making and intimate partner violence, and took place in Canada were screened and selected for data extraction, informing numerical and descriptive content analysis.</p><p><strong>Results: </strong>Using thematic analysis methodology, the scoping review findings demonstrate that reproductive decision-making among women is influenced by their partner through various forms of violence, which impacts how they utilize reproductive services. Women presenting for services including abortions, STI testing, emergency contraception, and other services may indicate an IPV relationship. Women in these situations experience a lack of autonomy and control over their health and decision-making.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1223-1238"},"PeriodicalIF":2.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"African American Women's Experiences of Power Imbalance and Safe Sex Practices: A Scoping Review.","authors":"Jessica M Morgan, Kathryn A Kaiser, Tamika L Smith","doi":"10.1080/19317611.2026.2649960","DOIUrl":"10.1080/19317611.2026.2649960","url":null,"abstract":"<p><strong>Objectives: </strong>African American women continue to face power imbalances when engaging in heterosexual sexual contact with African American men, due to historical contexts, sexual scripts, and gender-based stereotypes that stem from discrimination. However, the impact of power imbalances on safe sex practices is poorly understood due to deep-rooted traditional gender roles. The goal of this scoping review is to better understand the literature on power imbalance and safe sex practices and identify gaps in knowledge that will better inform future interventions for African American women.</p><p><strong>Methods: </strong>Online databases identified 548 papers published in the United States between 2004 and 2021, from which 18 selected publications were identified that included power imbalance concepts, such as condom negotiation and sexual risk taking. The study selection process was highlighted using the PRISMA diagram. Data were extracted and evaluated based on the interventions using thematic analysis.</p><p><strong>Results: </strong>The review of outcomes and measures was guided by the utilization of theoretical frameworks and intersectional structural factors, such as gender imbalances and cultural norms. In many studies, women believed that men controlled sexual relationships and sexual and reproductive decision-making. African American women who reported less relationship power in their heterosexual relationships were less likely to suggest condoms in sexual encounters. Overall, relationship power was associated with condom negotiation behavior among African American women.</p><p><strong>Conclusion: </strong>The findings from this scoping review suggest a large body of recent literature about power imbalance, as well as its impact on safe sex practices among African American women. Some findings suggest that African American women's fear of violence hinders them from making healthy sexual decisions regarding their own health. However, more research is needed, as this scoping review sets the groundwork for future systematic reviews.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1270-1284"},"PeriodicalIF":2.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ChatGPT as a Patient Education Tool in Female Sexual Dysfunction: A Clinician-Based Evaluation.","authors":"Celal Akdemir, Mücahit Furkan Balcı, Fatih Yıldırım, Mehmet Ferdi Kıncı, Ramazan Erda Pay","doi":"10.1080/19317611.2026.2649956","DOIUrl":"10.1080/19317611.2026.2649956","url":null,"abstract":"<p><strong>Objective: </strong>To provide a methodologically robust evaluation of ChatGPT^® responses to frequently asked patient questions on female sexual dysfunction (FSD) using operationalized rating criteria and cluster-aware statistical analyses.</p><p><strong>Methods: </strong>This study was conducted in Türkiye. Ten commonly encountered FSD questions were identified through a structured review of patient encounters. ChatGPT^® (March 2025) generated standardized responses using a fixed prompt. A multinational panel of obstetrics and gynecology specialists (n = 22) evaluated each response across three operationally defined criteria-accuracy, comprehensiveness, and safety-using a 5-point anchored Likert scale. The intentionally incorrect item was retained in the full dataset and also assessed separately as an attention check. Primary comparisons across criteria were performed using repeated-measures ANOVA, with mixed-effects sensitivity models including random intercepts for raters and questions. Secondary descriptive threshold analyses were performed using alternative positivity cut-points.</p><p><strong>Results: </strong>A total of 660 ratings were generated across ten ChatGPT^® responses. The overall mean rating was 4.08 ± 0.27. Accuracy received the highest mean score (4.22 ± 0.26), followed by safety (3.96 ± 0.28) and comprehensiveness (3.86 ± 0.30). Repeated-measures ANOVA showed significant differences across the three criteria (p = 0.014), and mixed-effects modeling demonstrated the same directional pattern. Treatment-focused questions received higher ratings (4.19 ± 0.24) than diagnostic questions (3.75 ± 0.31). Inter-rater reliability was moderate to good across domains. The intentionally incorrect response was correctly identified as inaccurate and/or unsafe by 20 of 22 raters (90.9%).</p><p><strong>Conclusion: </strong>In this clinician-based expert review, ChatGPT^® showed relatively strong performance in accuracy but lower performance in comprehensiveness and variable performance in safety when addressing FSD-related questions. These findings suggest that ChatGPT^® may serve as a supplementary patient-education tool for basic, guideline-aligned topics, but its outputs should be regarded as informational starting points rather than stand-alone clinical recommendations.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1260-1269"},"PeriodicalIF":2.2,"publicationDate":"2026-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Survey Study of Virginity Testing in the United States.","authors":"Eden Sheinin, Adriana Gutiérrez-Camacho, Samya El Sayed, Ophélie Sauzeau, Marie Elise Abi Antoun, Ashley Rempert, Lisa McNamee, James H Segars, Bhuchitra Singh","doi":"10.1080/19317611.2026.2649279","DOIUrl":"10.1080/19317611.2026.2649279","url":null,"abstract":"<p><strong>Objectives: </strong>Despite professional organizations describing virginity testing as medically invalid, it continues being requested and performed in many countries. This exploratory survey e study aimed to examine attitudes toward virginity testing in the United States (US) and explored its physical and psychosocial impacts among respondents.</p><p><strong>Methods: </strong>An anonymous Qualtrics survey was distributed online following institutional review board approval. The survey included questions specific to respondents assigned female and male at birth, healthcare providers and individuals who reported having undergone virginity testing. Analysis was performed using Microsoft Excel v.16.33 and descriptive statistics.</p><p><strong>Results: </strong>A total of 1054 responses were received. Most (86.7%) perceived virginity testing as a negative practice. Fourteen respondent (1.3% of all participants) reported personally undergoing virginity testing, most commonly between ages 15 and 17, frequently with limited informed consent. Among the 167 healthcare providers surveyed, seven (4.5%) reported performing testing, and fourteen (9%) reported being requested to perform it. Nineteen providers (12.3%) reported encountering virginity testing during training, while the majority supported stricter regulations.</p><p><strong>Conclusions: </strong>This study found that 4.5% of respondents reported performing virginity testing. Most individuals tested were minors and reported a lack of informed consent and comprehensive discussion. Virginity testing was considered physically and emotionally invasive by more than 97% of the respondents, highlighting its continued practice despite limited clinical validity.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1239-1251"},"PeriodicalIF":2.2,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148874879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}