International Journal of Sexual Health最新文献

{"title":"(In)Visible Victims: The Sexual, Reproductive, and Mental Health Effects of Stealthing Among Brazilian Women.","authors":"Wendell Ferrari, Marcos Antonio Ferreira do Nascimento, Liliana Rodrigues","doi":"10.1080/19317611.2025.2604850","DOIUrl":"https://doi.org/10.1080/19317611.2025.2604850","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines stealthing, the non-consensual removal of a condom during sexual intercourse, within the broader framework of heterosexual sexuality, power relations, and contraceptive negotiation.</p><p><strong>Method: </strong>Through in-depth interviews with ten urban-dwelling Brazilian women aged 19 to 58 who have experienced stealthing, the research explored the social dynamics that shape unprotected sex without mutual consent.</p><p><strong>Results: </strong>Utilizing thematic analysis, the findings reveal complex power imbalances in relationships that lead to significant sexual, reproductive, and mental health consequences, including emergency contraception use, pregnancy and abortion experiences, exposure to sexually transmitted infections, and inadequate institutional support.</p><p><strong>Conclusions: </strong>The invisibility of stealthing in Brazil complicates its legal recognition and public discourse, underscoring the critical tension between female autonomy and male responsibility. This study highlights stealthing as a pressing issue within gender inequality research, with important implications for sexuality, social sciences, and public health.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"544-559"},"PeriodicalIF":2.1,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044260","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":"The Interplay Between Alexithymia and Sexual Function: A Systematic Review.","authors":"Davide Doroldi, Giulia Origlia, Tessa Giannini, Rezvan Shekarchi, Stefano Eleuteri, Chiara Simonelli, Erika Limoncin, Emmanuele A Jannini, Giacomo Ciocca","doi":"10.1080/19317611.2025.2611100","DOIUrl":"10.1080/19317611.2025.2611100","url":null,"abstract":"<p><strong>Objective: </strong>Alexithymia represents a difficulty in identifying and describing emotions in oneself and others, and a reduced ability to reflect on one's feelings. The relationship between alexithymia and sexual functioning is a key chapter of clinical psychosexology but has not been fully explored. In particular, the clinical relevance of alexithymic traits in individuals with sexual dysfunction deserves particular attention. This study explores the association between alexithymia and sexual function in the domains of desire, excitement, orgasm, and sexual pain.</p><p><strong>Methods: </strong>We conducted a PRISMA 2020-compliant systematic review, searching PsycINFO, MEDLINE, Scopus, and Web of Science for studies published until March 14, 2025, including adult participants assessed for alexithymic traits and at least one phase of the sexual response cycle or sexual pain. Data extracted included study design, participant characteristics, assessment tools, and the sexual functioning domains evaluated. Quality assessment was performed using the AXIS Tool.</p><p><strong>Results: </strong>We included 15 articles. The results demonstrate the existence of a relationship between alexithymic traits and sexual dysfunctions. The studies analyzed demonstrate that subjects who reported desire disorders exhibit significantly higher levels of alexithymia compared to control groups. Furthermore, a positive linear relationship has been identified between female arousal problems and levels of alexithymia. Subjects with arousal problems report higher levels of alexithymia than control subjects. The studies considered demonstrate that subjects experiencing erectile dysfunction exhibit higher levels of alexithymia than control groups. However, this result does not appear consistent in the case of female subjects encountering lubrication difficulties. There is also complete consensus among studies regarding the relationship between sexual pain problems and alexithymia. Orgasm difficulties do not appear to be related to levels of alexithymia.</p><p><strong>Conclusion: </strong>This study's findings highlight the significance of addressing the alexithymic traits of individuals experiencing sexual dysfunction, as they could represent important predisposing and maintenance factors.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"933-946"},"PeriodicalIF":2.2,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148874887","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":"Non-Genitally Stimulated Orgasms Increase Plasma Prolactin in a Menopausal Woman.","authors":"James G Pfaus, Roni Erez, Nitsan Erez, Jan Novák","doi":"10.1080/19317611.2025.2608697","DOIUrl":"10.1080/19317611.2025.2608697","url":null,"abstract":"<p><strong>Background and objectives: </strong>Objective measures of orgasm in both women and men include increased plasma prolactin and characteristic pelvic floor contractions. Typically, these are induced by genital and other erogenous stimulation, but can occur through fantasy and willful activation of pelvic floor and abdominal muscles that likely stimulate pudendal, hypogastric, and pelvic nerves without any direct genital stimulation. It has been shown previously that non-genitally stimulated orgasms (NGSOs) from tantra result in lawful increases in prolactin in a premenopausal woman. The present study examined whether a systematic technique of pelvic floor exercises induces NGSOs that are accompanied by lawful increases in prolactin.</p><p><strong>Methods: </strong>A menopausal woman trained in a systematic technique of pelvic floor movements and able to induce orgasms fully clothed with those movements alone, agreed to induce a 2.5-min and 10-min orgasm at 48-hr intervals, along with a control condition (10-min Pilates workout). Blood samples were taken immediately before, immediately after, and 15 min after each session, and analyzed for prolactin, luteinizing hormone, follicle-stimulating hormone, and total testosterone using ELISA. Pelvic floor movements were observed during a 5-min orgasm using the Lioness 2.0 biofeedback sensor.</p><p><strong>Results: </strong>Prolactin levels increased by to 110% and 141% of baseline, respectively, after the 2.5- or 10-min NGSO. No changes were observed in the other hormones. The Pilates workout resulted in a 12% decrease in prolactin levels. The Lioness sensor revealed that orgasms came at 7- to 15-sec intervals throughout the 10-min session, and were preceded by an upswing of pelvic floor contractions.</p><p><strong>Conclusions: </strong>As with genitally-stimulated orgasms, increases in prolactin accompany NGSOs induced by specific pelvic floor movements and occur in women regardless of their reproductive status. The induction of NGSOs represents a new vista in the study of women's orgasms and a potential therapeutic intervention for women with orgasm difficulties.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"404-408"},"PeriodicalIF":2.2,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044371","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 experiences of new fathers in the first year postpartum.","authors":"Tera J Jansen, Beatrice E Robinson, Len Jennings, Jennifer A Vencill","doi":"10.1080/19317611.2025.2610321","DOIUrl":"https://doi.org/10.1080/19317611.2025.2610321","url":null,"abstract":"<p><strong>Objectives: </strong>The transition to parenthood is a complex and challenging time, often negatively impacting sexual relationships. Much has been documented regarding this trend in the sexual health of new mothers. The sexual experiences of new fathers in the postpartum period, however, remain significantly underrepresented in the extant literature.</p><p><strong>Methods: </strong>Utilizing a thematic analysis informed approach, semi-structured interviews were conducted with 10 first-time, heterosexual, cisgender fathers (ages 26 to 44).</p><p><strong>Results: </strong>Nine major themes emerged with regard to new fathers' sexuality in the year postpartum: (1) Changes in Attraction to Partner, (2) Changes to Sexual Interests and Behaviors, (3) Changes to Sexual Frequency, (4) Changes Father Would Make to Approaching Partnered Sex, (5) Changes to Sexual Quality, (6) Reactions to Sexual Changes, (7) Reduced Sexual Satisfaction, (8) Experiences with Breastfeeding, and (9) Communication about Postpartum Sex. Beyond sexual frequency and quality, these data also highlighted several previously unidentified factors affecting the postpartum sexual experiences of new fathers.</p><p><strong>Conclusions: </strong>The current study affirms that the year postpartum is a dynamic and complex transitional period during which new fathers reported a number of key changes to their individual sexuality (e.g., fantasy, sexual interests and arousal, masturbation practices, sense of self as a sexual partner), sexual relationship with their partner, and overall relationship satisfaction. This study illustrates a need for further research into the sexual experiences of new fathers, particularly given the capacity to impact overall relationship satisfaction and health. Clinical implications regarding the transition to parenthood are also addressed.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"440-455"},"PeriodicalIF":2.1,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043990","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":"Exploring Sexual Health and Well-Being in Rural Areas: A Systematic Literature Review with Case Study from Indonesia.","authors":"Devie Yundianto, Muhammad Khatami, Winda Maharani, Isna Mutmainah, Muhammad Nauval Nawwaf, Michal Vaľko","doi":"10.1080/19317611.2025.2604836","DOIUrl":"https://doi.org/10.1080/19317611.2025.2604836","url":null,"abstract":"<p><strong>Objectives: </strong>Sexual health remain a significant challenge in rural Indonesia, driven by limited access to education, health, logistics, communication, and the lack of public policies in prioritizing sexual health. To see the multifaceted challenges, a holistic approach to sexual and reproductive health is a key strategy for improving sexual health and well-being. This systematic review aims to explore all research on sexual health and sexual well-being in rural Indonesia so that it can provide a comprehensive picture of the conditions and challenges faced by rural communities related to these aspects.</p><p><strong>Method: </strong>The study retrieved relevant literature from the Scopus database following the PRISMA guidelines with Watase Uake Tools. A total of 124 studies were identified, with 28 studies meeting the inclusion and exclusion criteria. The review spans a decade of research from 2015 to 2025, incorporating multidisciplinary perspectives across psychology, health, public policy, and sociology.</p><p><strong>Results: </strong>This systematic literature review groups several sexual health problems that occur in rural Indonesia, such as early marriage, multiple marriages, sexual harassment, premarital sex, risky sexual behavior, sexual violence, sexually transmitted infections (STIs), HIV/AIDS, sexual dysfunction, gender inequality, reproductive health, sexual well-being, pornography use, and sexual health education with policy about sexual health in indonesia such as HPV vaccine in Indonesia, sexual and reproductive health education, early marriage in Indonesia, sexual violence in Indonesia.</p><p><strong>Conclusion: </strong>With the information obtained, researchers, scientists, and practitioners working on sexual health issues can better understand the specific dynamics that affect rural communities. This includes understanding the cultural, social, and economic factors that influence sexual health and assessing the effectiveness of various interventions that have been implemented.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"482-502"},"PeriodicalIF":2.1,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044315","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":"Motivational Pathways Diverge Between Frequent and Problematic Pornography Use.","authors":"Edit Csányi, Martina D Veszprémi, András N Zsidó, Norbert Meskó","doi":"10.1080/19317611.2025.2605517","DOIUrl":"10.1080/19317611.2025.2605517","url":null,"abstract":"<p><strong>Objectives: </strong>With the increasing accessibility of online sexual content, pornography consumption has become a prevalent aspect of contemporary sexual behavior. However, frequent use does not inherently indicate problematic involvement. This study aimed to clarify the motivational pathways that differentiate frequent from problematic pornography use and to examine their associations with sexual regulation and sexual motivations.</p><p><strong>Methods: </strong>A total of 890 Hungarian adults (600 women and 290 men by sex assigned at birth) completed an online survey. Regarding gender identity, most participants identified as women (64.3%) or men (34.7%), with a small proportion identifying as non-binary (0.7%) or choosing not to disclose (0.3%). Participants ranged in age from 18 to 64 years (M = 33.95, SD = 10.14). The survey assessed motivations for pornography use (PUMS), problematic pornography use (PPCS-6), sexual regulatory tendencies (SSFS), and sexual motivations (YSEX?-15). We used generalized linear modeling (GLM) and structural equation modeling (SEM) to test a theory-driven model examining how positive and negative motivations predicted pornography use patterns and sexual regulation outcomes.</p><p><strong>Results: </strong>Positive motivations-such as enhancement and partner-related use-were associated with frequent but non-problematic pornography use and with adaptive sexual regulation. In contrast, negative motivations-such as coping and emotional avoidance-were strongly linked to problematic use, marked by sexual system hyperactivation, emotion regulation difficulties, and impaired relational functioning. Only PPCS-6, not frequency of use, mediated the association between negative motivations and sexual system deactivation.</p><p><strong>Conclusions: </strong>Frequent and problematic pornography use reflect distinct psychological profiles rather than points along a severity continuum. These findings support motivation-based clinical frameworks that distinguish between functional and dysfunctional pornography use when assessing sexual health risks and designing therapeutic interventions.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"635-649"},"PeriodicalIF":2.2,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044389","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":"From Avoidance to Engagement: Trans Masculine and Nonbinary Strategies to Cope with Gender Dysphoria During Sex.","authors":"Louis Lindley, Annalisa Anzani, C Sailer-Galupo, Willow Rosen, M Paz Galupo","doi":"10.1080/19317611.2025.2601673","DOIUrl":"https://doi.org/10.1080/19317611.2025.2601673","url":null,"abstract":"<p><strong>Objectives: </strong>The current study takes a resilience-based approach to the sexual well-being of transmasculine and nonbinary individuals through asking them directly what coping strategies they utilize to manage gender dysphoria during sexual activities.</p><p><strong>Methods: </strong>Participants (<i>N</i> = 360) included trans masculine (<i>n</i> = 177, 49.2%), nonbinary (<i>n</i> = 148, 41.1%), and agender (<i>n</i> = 35, 9.7%), individuals who were assigned female at birth. An online study was completed by participants and thematic analysis was conducted to understand participants' descriptions of their strategies for coping with gender dysphoria during sex.</p><p><strong>Results: </strong>Based on participant responses, we developed five core themes that correspond to strategies used to navigate gender dysphoria during sex: 1) Communication; 2) Cognitive Strategies; 3) Physical Strategies; 4) Queering Gender; and 5) Physical Transition. Chi-square tests for independence were then conducted exploring differences across gender (transmasculine, nonbinary, agender) in the proportion of participants expressing each theme. Importantly, not all participants reported experiencing gender dysphoria in sexual contexts.</p><p><strong>Conclusions: </strong>Based on these findings, we developed a conceptual model that organizes coping strategies along a continuum from avoidant to engaging, with an intermediate category we refer to as positive avoidance. Our work offers not only a descriptive account of coping but a foundation for developing affirmative, flexible, and client-centered interventions that honor both resilience and vulnerability in trans people's sexual lives. Understanding the spectrum of coping strategies that transmasculine and nonbinary partners use when navigating gender dysphoria during sex can help clinicians avoid normative assumptions about what constitutes \"healthy\" sexual functioning.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"713-728"},"PeriodicalIF":2.1,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044286","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":"Assessment of Anxiety and Depressive Symptoms Among Gay, Bisexual, and Other Men Who Have Sex with Men in Nepal: Findings from a Cross-Sectional Survey.","authors":"Md Safaet Hossain Sujan, Kiran Paudel, Kamal Gautam, Anjila Pandey, Ancy Trinita Leo, Jeffrey A Wickersham, Prashu Ram Chaudhari, Manisha Dhakal, Sanjay Sharma, Roman Shrestha","doi":"10.1080/19317611.2025.2603483","DOIUrl":"10.1080/19317611.2025.2603483","url":null,"abstract":"<p><p><i>Background and objectives:</i> Anxiety and depressive symptoms among gay, bisexual, and other men who have sex with men (GBMSM) are growing public health concerns. Despite extensive global research on these issues among GBMSM, they are understudied in low- and middle-income settings like Nepal. Therefore, the present study focused on assessing the prevalence and associated factors of anxiety and depressive symptoms among GBMSM in Nepal.</p><p><strong>Methods: </strong>A nationwide cross-sectional online survey was conducted among 842 GBMSM in Nepal between March and May 2024. Generalized Anxiety Disorder-7 and Patient Health Questionnaire-9 were employed to assess anxiety and depressive symptoms, respectively. Bivariate and multivariable logistic regression analyses were utilized to examine the relationships between the outcome variables (i.e., anxiety and depressive symptoms).</p><p><strong>Results: </strong>Participants showed a concerning prevalence of anxiety and depressive symptoms. Engagement in transactional sex and substance use was associated with increased anxiety and depressive symptoms. Participants who had engaged in chemsex were also more likely to have depressive symptoms. Conversely, single participants were less likely to experience depressive symptoms.</p><p><strong>Conclusion: </strong>Our study revealed a noteworthy prevalence of anxiety and depressive symptoms among GBMSM in Nepal. These findings underscore the critical need for targeted mental health interventions to address the unique needs of GBMSM engaged in substance use and chemsex.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"874-884"},"PeriodicalIF":2.2,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875692","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":"The Effect of Education on Improving Sexual/Reproductive Health in Adolescents: Systematic Review and Meta-Analysis.","authors":"Fatma Şule Bilgiç, Nuran GençTürk, Zeynep Çakir","doi":"10.1080/19317611.2025.2597853","DOIUrl":"https://doi.org/10.1080/19317611.2025.2597853","url":null,"abstract":"<p><strong>Objective: </strong>Various educational interventions are used to improve sexual and reproductive health and to prevent unintended pregnancy among adolescents. This meta-analysis examines how sexual and reproductive health education for adolescents affects their contraceptive use and the prevention of unintended pregnancy.</p><p><strong>Method: </strong>The search for articles was conducted in PubMed, CINAHL, Scopus, and Science Citation Index (Web of Science) databases between November 2024 and March 2025. A total of 542 articles were identified through database searching and manual screening. After removing duplicates, 223 articles were evaluated, of which 187 were excluded for failing to meet the inclusion criteria. Thirty-six full-text articles were assessed, and seven randomized controlled trials (RCTs) involving 18,773 adolescent boys and girls were deemed eligible and included in the analysis.</p><p><strong>Results: </strong>Across the seven RCTs, no significant differences were found between the intervention and control groups in terms of contraceptive use (MD: 0.97, 95% CI: 0.81-1.16, Z = 0.37, <i>p</i> = 0.71), condom use (MD: 0.90, 95% CI: 0.49-1.65, Z = 0.34, <i>p</i> = 0.73), and unprotected sexual intercourse (MD: 0.83, 95% CI: 0.67-1.03, Z = 1.69, <i>p</i> = 0.09). However, a significant difference was found in unintended pregnancy rates (MD: 0.60, 95% CI: 0.42-0.85, Z = 2.85, <i>p</i> = 0.004), favoring the intervention group.</p><p><strong>Conclusion: </strong>Although sexual and reproductive health education interventions did not significantly increase contraceptive or condom use, they contributed to a reduction in unintended pregnancy and unprotected sexual intercourse among adolescents.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"456-467"},"PeriodicalIF":2.1,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044192","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":"Factors Associated with Intentions for Sexual Consent: A National Comparison Study Among Three East Asian Countries.","authors":"Yueying Hong, Guancheng Li, Sihyun Park","doi":"10.1080/19317611.2025.2601610","DOIUrl":"https://doi.org/10.1080/19317611.2025.2601610","url":null,"abstract":"<p><strong>Objectives: </strong>The absence of sexual consent is a key indicator of sexual violence. However, intentions to obtain sexual consent can vary because of diverse contextual factors such as cultural and gender norms. This study explored and compared the factors associated with intentions for sexual consent among three East Asian countries-South Korea, China, and Japan; each country is influenced by Confucian cultural values, with unique cultural and gender norms.</p><p><strong>Methods: </strong>Data for this cross-sectional study were collected from 338 adults: 104 from South Korea, 135 from China, and 99 from Japan. Permissive sexual attitudes, traditional sex-role norms, sexual communication self-efficacy, and intentions to obtain sexual consent were assessed.</p><p><strong>Results: </strong>Permissive sexual attitudes and traditional sex-role norms were negatively associated with sexual consent intention, while sexual communication self-efficacy was positively associated. The patterns varied across countries. In South Korea, all variables-permissive sexual attitudes, traditional sex-role norms, and sexual communication self-efficacy-were significantly associated with intentions for sexual consent. However, permissive sexual attitudes did not correlate with consent intentions in China and Japan. In terms of demographics, gender was significantly associated with consent intentions in China, whereas educational attainment and frequency of alcohol consumption were significant factors in Japan.</p><p><strong>Conclusions: </strong>The results underscore the importance of developing culturally specific protocols and educational strategies to prevent sexual violence in East Asia, a region characterized by significant cross-cultural exchanges in industry and education.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"530-543"},"PeriodicalIF":2.1,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044310","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}