International Journal of Sexual Health最新文献

{"title":"From Pornography to Somatic Symptoms. A Moderated Mediation Model Involving Moral Disapproval of Pornography and Difficulties in Emotion Regulation.","authors":"Tudor-Daniel Huțul, Adina Karner-Huțuleac, Antonia-Ștefania Petroiu, Florentina-Brigita Chiricheș, Andreea Huțul, Maria Drăgan, Ana Maria Ciobanu","doi":"10.1080/19317611.2026.2646620","DOIUrl":"10.1080/19317611.2026.2646620","url":null,"abstract":"<p><strong>Objective: </strong>The present study aimed to examine the association between problematic pornography consumption (PPC) and somatic symptoms, and to investigate whether difficulties in emotion regulation and moral disapproval of pornography play a role in this relationship.</p><p><strong>Method: </strong>A sample of 321 individuals, aged between 18 and 64 years (M = 24.85, SD = 8.93), completed self-report measures assessing problematic pornography consumption, difficulties in emotion regulation, somatic symptoms, frequency of pornography use, and moral disapproval of pornography.</p><p><strong>Results: </strong>PPC was positively associated with somatic symptoms and difficulties in emotion regulation. Difficulties in emotion regulation mediated the association between PPC and somatic symptoms only at high levels of moral disapproval, indicating a moderated mediation effect. No significant indirect effect was observed at low or average levels of moral disapproval.</p><p><strong>Conclusions: </strong>These findings highlight the importance of integrating moral, emotional, and somatic dimensions when conceptualizing problematic pornography consumption. The role of moral disapproval suggests that individuals experiencing moral conflict may be particularly vulnerable to emotion regulation difficulties and somatic manifestations linked to pornography use, offering useful implications for future theory and clinical practice.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1204-1222"},"PeriodicalIF":2.2,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875815","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":"Perceptions of Sexual Harassment Among Graduate Students: A Crisp-Set Qualitative Comparative Analysis (csQCA) of 25 Cases from a Chinese University.","authors":"Li Zheng, Yu Xiao","doi":"10.1080/19317611.2026.2641188","DOIUrl":"10.1080/19317611.2026.2641188","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines how Chinese university students perceive sexual harassment, aiming to understand (a) the processes of identification and interpretation of incidents, (b) the structural patterns underlying these perceptions, and (c) the roles of gender dynamics, social status, situational context, and prior personal experiences in shaping judgments.</p><p><strong>Methods: </strong>The research draws on in-depth interviews with 20 graduate students in Beijing, generating 25 distinct cases of explicit harassment judgments. Using crisp-set qualitative comparative analysis (csQCA), the study constructed a truth table based on causal conditions to identify the conjunctural causal pathways leading to an incident being perceived as sexual harassment.</p><p><strong>Results: </strong>Analysis revealed four distinct configurational paths: (1) harassment of women by high-status strangers, underscoring gendered and hierarchical norms; (2) harassment of women by higher-status individuals in private settings, emphasizing contextual vulnerability; (3) inconsistent perception within intimate relationships, split between requiring explicit consent and exempting partners; and (4) recognition of male victimization by strangers in public, though this was less prevalent. Perceptions were dominated by cases of female victims, influenced by primacy effects, real-life relevance, and institutional discourses. Social status and contextual cues consistently moderated judgments, while prior experiences heightened sensitivity to potential harassment.</p><p><strong>Conclusions: </strong>University students' perceptions of sexual harassment are shaped by complex intersections of gendered expectations, social hierarchies, situational factors, and personal history. The identified pathways reveal systematic patterns and contextual nuances that should strategically inform the development of prevention programs, institutional policies, and targeted educational interventions within higher education.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1001-1016"},"PeriodicalIF":2.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876134","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":"Health-Care Access and Unmet Needs Among Sexual and Gender Minorities Engaging in Chemsex: A Scoping Review.","authors":"Xi-Yuan Peng, Wei Du, Juan Miao, Li Shi, Wei Li, Meng-Wei Ge, Lu-Ting Shen, Rui Feng, Kang Zhong, Si-Qi Gao, Hong-Lin Chen","doi":"10.1080/19317611.2026.2640418","DOIUrl":"10.1080/19317611.2026.2640418","url":null,"abstract":"<p><strong>Objectives: </strong>Chemsex detrimentally affects psychological, social, and physical well-being, generating substantial health-care demands and revealing systemic service deficiencies. The aim of this scoping review is to explore three key areas in health care for gay, bisexual, and other men who have sex with men (MSM), transgender, and nonbinary populations: unmet clinical needs, patterns of service utilization, and barriers to accessing care.</p><p><strong>Methods: </strong>Comprehensive literature searches employed PubMed, PsycINFO, Embase, Web of Science, and Scopus. Retrieval scope encompassed reference lists of all eligible full-text records. Data extraction and narrative synthesis were structured along three analytical dimensions: health-care needs, service engagement patterns, and barriers to access.</p><p><strong>Results: </strong>33 eligible articles were identified from 2,176 unique search results. Key unmet service needs encompass psychological support; sexual health and substance use interventions; human immunodeficiency virus (HIV) and sexually transmitted infection (STI), prevention particularly including pre-exposure prophylaxis provision (PrEP); emergency medical care, and urgent overdose management. Utilization rates of specialized medical services vary significantly across target populations, with a marked preference observed for chemsex support specialists. A primary barrier confronting individuals involved in chemsex is stigmatization and discrimination, especially in interpersonal contexts. This was followed by inadequate health awareness, manifested as insufficient knowledge of available support resources, suboptimal risk assessment, and deficient comprehension of chemsex practices.</p><p><strong>Conclusions: </strong>This scoping review enhances comprehension of health-care services targeting chemsex practices. Gaining insight into health-care access and unmet needs is essential to guide future drug policy and advocacy efforts.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"885-903"},"PeriodicalIF":2.2,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875928","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":"LGBTQ+ Couples' Sexual Health Experiences During Pregnancy and Postpartum: A Qualitative Survey Study.","authors":"Anna Malmquist, Ellen Norén, Katri Nieminen, Hanna Grundström","doi":"10.1080/19317611.2026.2643656","DOIUrl":"10.1080/19317611.2026.2643656","url":null,"abstract":"<p><strong>Background: </strong>Sexual health is often negatively affected during pregnancy and the postpartum period in the general pregnant and birthing population. Although an increasing number of LGBTQ+ individuals are becoming parents, their experiences of sex during pregnancy and postpartum have not been studied.</p><p><strong>Aim: </strong>To explore whether, and in what ways, sex life was affected during pregnancy and postpartum among LGBTQ+ couples and individuals.</p><p><strong>Methods: </strong>LGBTQ+ pregnant individuals (<i>n</i> = 301) and partners of pregnant individuals (<i>n</i> = 104) responded to a digital survey during pregnancy, with a postpartum follow-up response rate of 74.3%. Free-text responses (<i>n</i> = 526) describing experiences of sex life were analyzed using codebook thematic analysis.</p><p><strong>Findings and discussion: </strong>A decrease in sexual desire was common and was generally associated with physical complications and mental stress. Intimacy was often maintained without sexual activity. A lack of LGBTQ+ inclusive information on safe sex during pregnancy and postpartum was noted. Active engagement by healthcare staff in addressing sexuality during these periods is essential for providing relevant and LGBTQ+ specific information.</p><p><strong>Conclusion: </strong>Specific knowledge of LGBTQ+ sexual practices among healthcare staff is important, as are affirming attitudes toward less normative sexual practices.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"920-932"},"PeriodicalIF":2.2,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876114","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 Systematic Review of Sexual Health in Older Chinese Adults: Significant Challenges, Marginalized Voices, and Directions for Future Interventions.","authors":"Xiangnan Chai, Siyu Ji, Yuepei Wu","doi":"10.1080/19317611.2026.2638498","DOIUrl":"10.1080/19317611.2026.2638498","url":null,"abstract":"<p><strong>Objectives: </strong>China has a substantial population of older adults, defined as individuals aged 60 and above. In mainstream social and cultural scripts, older Chinese adults are frequently portrayed in a desexualized or asexual manner, reflecting traditional cultural norms that regard seniors as paragons of virtue. However, it is vital to acknowledge that older adults possess sexual desires, needs, and expressions, even though discussions about older sexuality are often viewed as taboo in Chinese society.</p><p><strong>Methods: </strong>In accordance with PRISMA guidelines for systematic reviews, this study included 42 English-language and 13 Chinese-language articles published between 2005 and 2025. The R programming was utilized to assist in thematic analysis. Furthermore, a policy review was undertaken to examine China's aging policies and assess the extent to which they address older sexual health.</p><p><strong>Results: </strong>Four primary themes were identified: older adults' attitudes toward sex, their sexual activeness, the adverse health outcomes associated with risky sexual behaviors, and current levels of sexual health literacy. The findings indicate that a substantial proportion of older Chinese individuals maintain sexual desires and needs, which are often suppressed by prevailing societal and cultural scripts. It not only negatively impacts their well-being but also contributes to further health risks, including a rise in extramarital or other risky sexual behaviors. The policy review further revealed that sexual health issues among the older population are largely overlooked in China's active aging policies.</p><p><strong>Conclusion: </strong>Recommendations are offered for sexual education toward older Chinese adults based on the framework of sexual health literacy, which highlights the importance of accessing, understanding, evaluating, and practicing sexual health knowledge that are related to pursuing sexual pleasure and engaging in sexual behaviors. Particular attention should be given to disadvantaged subgroups, including older adults with lower socioeconomic status, those who self-identify as sexual minorities, and individuals living with HIV.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"981-1000"},"PeriodicalIF":2.2,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875066","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":"<i>\"It's burning down there\":</i> A Mixed-Methods Study on Sexually Transmitted and Other Vaginal Infections Among Adolescent Girls and Young Women in South Africa.","authors":"Zoe Duby, Kate Bergh, Kim Jonas, Mari Lotvonen, Caroline Kuo, Catherine Mathews","doi":"10.1080/19317611.2026.2637641","DOIUrl":"10.1080/19317611.2026.2637641","url":null,"abstract":"<p><strong>Objectives: </strong>South Africa has one of the highest rates of sexually transmitted infections (STIs) globally, with adolescent girls and young women (AGYW) disproportionately affected due to intersecting biological, behavioral, structural, and social determinants. While HIV prevention receives sustained attention, other STIs remain under-addressed despite high prevalence and increased HIV transmission risk. This study explored STI- and vaginal infection-related knowledge, attitudes, experiences, and health-seeking behaviors among South African AGYW.</p><p><strong>Methods: </strong>A convergent parallel mixed-methods approach integrated a household survey of 4932 AGYW aged 15-24 years with 68 qualitative interviews. Descriptive quantitative analyses and qualitative thematic analysis were performed.</p><p><strong>Results: </strong>Only 16.1% (794/4932) of surveyed AGYW reported an STI diagnosis by a medical professional. Genital itching was the most common self-reported symptom (17.5%), but a further 22.5% of participants preferred not to disclose symptoms experienced in the past year. Among those reporting STI-related symptoms, most sought care from clinics/hospitals (57.1%), with older participants more likely to seek treatment. Qualitative findings revealed variation in STI knowledge, from complete unawareness to detailed understanding of transmission and symptoms, although inaccuracies persisted. Whilst school was the most common source of STI information, peers served as important information sources, albeit often inaccurate. Family members, particularly older women, were also sources of STI education, although discussions were limited by sexuality communication restrictions. Most participants had never discussed vaginal infections or STIs with anyone, illustrating communication gaps.</p><p><strong>Conclusions: </strong>In examining knowledge, attitudes, experiences and health seeking behaviors of South African AGYW in relation to vaginal infections and STIs, our study found that persistent shame, stigma, and embarrassment act as key barriers to enacting preventative and health-seeking behaviors that could treat and prevent further infections. Findings underscore the need for comprehensive, accurate STI and vaginal health education and service provision for AGYW that addresses misconceptions, stigma and shame.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1174-1189"},"PeriodicalIF":2.2,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876302","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":"Pornography Use and Sexual Health: Investigating Its Relationship with Sexual Function and Satisfaction in Iran.","authors":"Rezvan Shekarchi, Valeria Saladino, Stefano Eleuteri","doi":"10.1080/19317611.2026.2630710","DOIUrl":"10.1080/19317611.2026.2630710","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the association between pornography consumption and sexual function and satisfaction, and the moderating role of gender, among 500 Iranian adults. We hypothesized that higher levels of pornography consumption would be associated with greater sexual desire and arousal but lower sexual satisfaction and erectile function, and that gender would moderate these associations.</p><p><strong>Methods: </strong>Data were collected via a snowball model method through social media. The questionnaires used included the Consumption of Pornography Scale - General (COPS-G), the Female Sexual Function Index (FSFI), the International Index of Erectile Function (IIEF), and the New Sexual Satisfaction Scale (NSSS). Data were analyzed using Pearson correlation, multiple linear regression, and hierarchical regression.</p><p><strong>Results: </strong>In women, total pornography consumption was positively correlated with sexual desire (<i>r</i> = .421, <i>p</i> < .001) and arousal (<i>r</i> = .199, <i>p</i> = .041). In men, it was associated with increased desire and orgasm, but negatively with erectile function and overall sexual satisfaction. Across the full sample, pornography use frequency was negatively correlated with satisfaction with sexual partner (<i>r</i> = -.144, <i>p</i> = .001), with no significant overall association between pornography use and sexual satisfaction. Hierarchical regression showed no significant moderation by gender (Δ<i>R</i> ² = .000, <i>p</i> = .656).</p><p><strong>Conclusion: </strong>These findings highlight varied associations between pornography consumption and multiple dimensions of sexual functioning and satisfaction.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1112-1125"},"PeriodicalIF":2.2,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876159","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":"Perceived Homophobia and Identity-Related Discomforts on Psychological Well-Being in Bisexual Individuals of Color: The Mediating Roles of Community Connectedness and Religiosity.","authors":"Khoi Nguyen Anh Le, Rashmi Gangamma, Nicholas Newstrom","doi":"10.1080/19317611.2026.2641189","DOIUrl":"10.1080/19317611.2026.2641189","url":null,"abstract":"<p><strong>Objectives: </strong>Extensive studies on well-being and mental health have been conducted with general lesbian, gay, and bisexual populations, while findings for subgroups such as bisexual individuals, and especially bisexual individuals of color (BIOC), are scarce. Based on the minority stress model and intersectionality theory, we tested direct effects of perceived homophobia, race-based and sexuality-based discomforts on psychological well-being in BIOC and their indirect effects through lesbian, gay, and bisexual (LGB) community connectedness and religiosity.</p><p><strong>Methods: </strong>Our sample included 402 BIOC drawn from a larger Sexual Social Justice Project national sample with over 5,000 participants having diverse sexual and gender identities. A path analysis was conducted to test our hypotheses.</p><p><strong>Results: </strong>Overall, the path model demonstrated good fit to observed data (<i>χ</i> ² = 8.550; <i>df</i> = 13; <i>p</i> = .806; RMSEA = .000, 90% CI [.000, .035]; SRMR = .024; CFI = 1.000; TLI = 1.000). Furthermore, only perceived homophobia and sexuality-based discomfort displayed direct effects on well-being. While LGB community connectedness partially mediated the impact of perceived homophobia, religiosity mediated fully and partially, respectively, the influence of race-based and sexuality-based discomforts on well-being.</p><p><strong>Conclusions: </strong>Although BIOC faces multiple challenges, they have unique ways of drawing strength from multiple communities of support. Further research into these pathways is warranted.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"904-919"},"PeriodicalIF":2.2,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876064","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":"Effects of a Creative Crowdsourcing Text-Messaging Intervention on Sexual Health Outcomes Among College Students in Eastern China: A Randomized Controlled Trial.","authors":"Etienne Jaime, Xinwen Hu, Chenwenyu Li, Shiqiang Wu, Bolin Cao, Brian J Hall, Andrew Jones, Stephen W Pan","doi":"10.1080/19317611.2026.2625658","DOIUrl":"10.1080/19317611.2026.2625658","url":null,"abstract":"<p><strong>Background: </strong>Creative crowdsourcing may be an effective means to mitigate higher-risk sexual behaviors among college students in China. We conducted an 8-month Randomized Controlled Trial evaluating a crowdsourced health promotion and text-messaging intervention among first-year college students in Eastern China.</p><p><strong>Methods: </strong>Participants were randomly assigned to four arms: Active Creative Crowdsourcing Engagement (ACCE) arm that created messages promoting sexual health (<i>n</i> = 129); Text-Messaging Intervention (TMI) arm that received health promotion messages bi-weekly (<i>n</i> = 111); ACCE-TMI arm that both created and received messages (<i>n</i> = 105); and the control arm (<i>n</i> = 135). Sexual health attitudes and behaviors in the past three months were analyzed at baseline and follow-ups.</p><p><strong>Results: </strong>Among 480 participants at baseline, 57% identified as male, 8% were sexually active in the past three months and 4% had condomless sex. Proportion of sexually active participants increased in all arms between baseline and last follow-up. A total of 812 messages were submitted throughout the intervention period. Odds of condomless sex were 76% lower in the ACCE arm compared to the control arm (<i>OR</i> = 0.24; <i>p</i> = 0.02, 95% Confidence Interval [0.07, 0.79]). No difference in other sexual activity or attitudes toward condom use was observed between arms.</p><p><strong>Conclusion: </strong>Study findings indicate that Active Creative Crowdsourcing is a feasible and potentially effective intervention for promoting safer sexual behaviors among college students in China. Future research should examine using Active Creative Crowdsourcing to promote healthier behaviors in other areas.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1092-1111"},"PeriodicalIF":2.2,"publicationDate":"2026-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875820","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":"Mapping Partnered Sex and Solitary Masturbation: A Cluster Analysis.","authors":"Oscar Cervilla, Carmen Gómez-Berrocal, Juan Carlos Sierra","doi":"10.1080/19317611.2026.2637633","DOIUrl":"10.1080/19317611.2026.2637633","url":null,"abstract":"<p><strong>Objective: </strong>A profile composed of sociodemographic and masturbation-related variables was examined in men and women in heterosexual relationships who exhibited different patterns of partnered sex and masturbation frequency.</p><p><strong>Methods: </strong>The study was a secondary analysis of cross-sectional data composed of 1028 heterosexual adults aged 18-75 years (<i>M</i> = 37.08, <i>SD</i> = 11.95) distributed into three clusters previously identified in prior analyses of this sample: one characterized by high frequencies of both partnered sex and solitary masturbation (HighPS_HighM), another high solitary masturbation frequency (LowPS_HighM), and a third by elevated partnered sex frequency (HighPS_LowM).</p><p><strong>Results: </strong>Overall, the results revealed differences in sociodemographic and masturbation-related variables among the clusters, including age of first masturbation, attitudes toward masturbation, reasons for masturbating, solitary sexual desire, subjective orgasm experience, and pornography use.</p><p><strong>Conclusions: </strong>These findings underscore the importance of considering masturbation-related factors in understanding sexual health within the couple context.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1137-1156"},"PeriodicalIF":2.2,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876117","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}