International Journal of Sexual Health最新文献

{"title":"Factors Influencing Health Professionals' Attitudes Toward Lesbian, Gay, and Bisexual Individuals in Turkey: Myths and Prejudice.","authors":"Tuğçe Uçgun, Cansu Akdag Topal","doi":"10.1080/19317611.2025.2579752","DOIUrl":"https://doi.org/10.1080/19317611.2025.2579752","url":null,"abstract":"<p><strong>Objective: </strong>Recognizing the critical role of culturally competent and inclusive care in healthcare, this study aims to identify the factors influencing healthcare professionals' attitudes toward lesbian, gay and bisexual individuals and to assess the impact of myths and prejudices on these attitudes.</p><p><strong>Method: </strong>This descriptive study was conducted with 268 healthcare professionals. Data were collected with Sociodemographic Data Collection Form, and Sexual Orientation Myths Scale (SOMS). Multiple linear regression analysis was used to identify predictors of SOMS toward lesbian, gay and bisexual individuals among healthcare professionals.</p><p><strong>Results: </strong>The total mean score of the SOMS was 50.07 <math><mrow><mo>±</mo></mrow> </math> 13.42 (moderate level). The findings indicate that educational level, occupational group, and participation in sexual orientation health training programs significantly impact these biases (<i>p</i> < .001). Religious beliefs (<i>p</i> = .001) and misconceptions about sexual orientation (<i>p</i> < .001) contribute to negative perceptions, while education, social media engagement, and training programs help reduce prejudices (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>This study shows that education, training programs, and social media engagement help reduce healthcare professionals' myths and prejudices toward lesbian, gay and bisexual individuals, while religious beliefs and misconceptions contribute to biases. Integrating sexual orientation health education into training curricula is essential for fostering inclusivity.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"668-685"},"PeriodicalIF":2.1,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044229","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":"Period Prevalence of and Biopsychosocial Factors Associated With Sexual Dysfunction in Self-Identified Females in Gauteng, South Africa, During 2013-2023.","authors":"Corlia Brandt, Elna Rudolph, Sumaya Mall","doi":"10.1080/19317611.2025.2578666","DOIUrl":"10.1080/19317611.2025.2578666","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the period prevalence and association of a range of biopsychosocial factors with sexual dysfunction in self-identified females attending clinics in Gauteng, South Africa, during 2013-2023.</p><p><strong>Methods: </strong>In a cross-sectional design, 1595 patient records were analyzed. Prevalence of Female Sexual Dysfunction (FSD) (using the Female Sexual Function Index) and associations were estimated using logistic regression analysis.</p><p><strong>Results: </strong>Prevalence of FSD was 84.17% (<i>N</i> = 1595), with a prevalence of > 90% in participants presenting with concern about sex drive, orgasm, and sexually transmitted infections (STI). Factors associated with higher odds of FSD (<i>p</i> ≤ 0.05) were concern about sex drive (AOR = 5.99) and orgasm (AOR = 5.30), urinary symptoms (OR = 2.22), contraception use (AOR = 2.02). Number of sexual partners (AOR = 0.68), relationship status (AOR = 0.18), concern about STI (OR = 0.37), and doing exercise (OR = 0.56) were protective factors.</p><p><strong>Conclusion: </strong>Findings suggest that indicated factors may be related to higher odds of FSD or may be protective. FSD should be further researched through longitudinal designs to inform interventions.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"503-514"},"PeriodicalIF":2.2,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043136","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":"Consensual Non-Monogamy (CNM) - Considering Sexual Minorities and Moving Away from a Dyadic Conceptualization.","authors":"Dora Morar-Bolba, Rainer Banse, Terri D Conley","doi":"10.1080/19317611.2025.2576764","DOIUrl":"10.1080/19317611.2025.2576764","url":null,"abstract":"<p><strong>Objectives: </strong>Despite the growing interest in consensual non-monogamy (CNM), gaps and inconsistencies remain in this field of research. In the present study, we aimed to replicate and expand upon prior research on differences in relationship outcomes across monogamous and CNM individuals in a German sample.</p><p><strong>Method: </strong>Heterosexual and LGBQ individuals in monogamous, open, polyamorous, and swinger relationships (N = 1623) completed online measures of relationship satisfaction and its proposed predictors, sexual satisfaction, and jealousy. One-way ANOVA were conducted to investigate group differences. Hierarchical linear regression analyses were conducted to test the predictors of relationship satisfaction.</p><p><strong>Results: </strong>Our findings revealed that relationship satisfaction differed based on relationship type only among LGBQ individuals. Individuals engaging in monogamy were slightly less satisfied than individuals engaging in polyamory. Need fulfillment and effective communication were significant predictors of relationship satisfaction. For heterosexual individuals, sexual satisfaction was lower in the monogamous group than in the CNM groups. Regardless of sexual orientation, the monogamous group reported fewer, but more emotionally troubling instances of jealousy than any of the CNM groups, yet lower levels of jealous cognitions than the open relationship group.</p><p><strong>Conclusions: </strong>Our study differs from past studies in that we used a non-hypothetical approach to measuring jealousy and measured relationship concepts at the level of the relationship constellation. These new contributions along with the inclusion of individuals practicing nonhierarchical CNM provide more differentiated insights into the actual experiences of CNM and monogamous individuals.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 1","pages":"337-356"},"PeriodicalIF":2.2,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785271","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 Bright Side of Gender Nonconformity Among Chinese Cisgender LGQ Individuals: Life Satisfaction, Positive Sexual Identity, and Interpersonal Resources.","authors":"Yaxin Pu, Stephanie L Budge, Wenjian Xu","doi":"10.1080/19317611.2025.2577731","DOIUrl":"10.1080/19317611.2025.2577731","url":null,"abstract":"<p><strong>Purpose: </strong>While research has consistently linked gender nonconformity to adverse mental health outcomes among lesbian, gay, and queer (LGQ) individuals, its connection to positive outcomes-such as life satisfaction-remains less understood. Drawing on a positive psychological framework, this study investigates the relationship between gender nonconformity and life satisfaction among cisgender Chinese LGQ individuals, examining the roles of positive sexual identity (identity centrality, identity affirmation, and identity superiority) as suppressors and interpersonal resources (community connectedness and family support) as moderators.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted with 1,486 Chinese cisgender LGQ individuals, aged 18 to 56 years. Bivariate analyses were used to explore relationships among key variables. Structural equation modeling (SEM) was employed to examine the associations between gender nonconformity, positive sexual identity, and life satisfaction across gender groups. Moderation analyses were conducted to explore the buffering role of interpersonal resources.</p><p><strong>Results: </strong>For sexual minority women, gender nonconformity was related to higher levels of life satisfaction, with identity centrality fully mediating this relationship. For sexual minority men, gender nonconformity was indirectly associated with higher levels of life satisfaction through identity centrality and affirmation. Family support, but not community connectedness, moderated this association.</p><p><strong>Conclusions: </strong>These findings provide a more nuanced and strengths-based perspective on gender nonconformity among Chinese cisgender LGQ individuals, highlighting its potential benefits for identity development and well-being. The results also underscore the protective role of interpersonal resources, offering important implications for culturally sensitive interventions and future research.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"650-667"},"PeriodicalIF":2.2,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044218","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":"Statement of Retraction: Men's Perceptions of Female Genitals.","authors":"","doi":"10.1080/19317611.2025.2578133","DOIUrl":"10.1080/19317611.2025.2578133","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1080/19317611.2024.2424887.].</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 1","pages":"357"},"PeriodicalIF":2.2,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785447","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":"Covering Up or Coming Out? The Role of Social Media Engagement and Sexual Self-Identification in Disclosure of Sexual Orientation Among Stigmatized Gay and Bisexual Men.","authors":"Wenlan Zhu, Along He","doi":"10.1080/19317611.2025.2573690","DOIUrl":"10.1080/19317611.2025.2573690","url":null,"abstract":"<p><strong>Objectives: </strong>In increasingly internet-dependent societies, social media has become a safe space for sexual self-identification and disclosure among gay and bisexual men. Few studies have examined the underlying mechanisms linking social media engagement to sexual disclosure behaviors, particularly within non-Western contexts. Drawing on the uses and gratifications theory and the model of antecedents of disclosure of invisible stigmas, this study investigates whether sexual self-identification mediates the relationship between social media engagement and disclosure of sexual orientation, and whether this pathway is moderated by perceived public stigma.</p><p><strong>Methods: </strong>Using PROCESS macro models, we conducted both mediation and moderated mediation analyses of a sample of 366 Chinese gay and bisexual men to delineate the conditional pathways through which social media engagement contributed to their decision to come out.</p><p><strong>Results: </strong>The mediation analysis indicated that sexual self-identification mediated the relationship between social media engagement and disclosure of sexual orientation. However, the moderated mediation analysis revealed that this indirect effect hinged on levels of perceived public stigma, such that the benefits of sexual self-identification diminished under high levels of perceived public stigma.</p><p><strong>Conclusions: </strong>Our findings provide new empirical evidence for how social media engagement shapes identity development and disclosure behaviors among Chinese gay and bisexual men. The study contributes to the theoretical understanding of sexual self-identification processes within stigmatized contexts and carries implications for the development of culturally sensitive interventions and inclusive digital engagement strategies.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 1","pages":"248-261"},"PeriodicalIF":2.2,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785303","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":"Challenges and Enablers of Antiretroviral Therapy Adherence Among Ethiopian Adolescents: A Qualitative Study.","authors":"Cheru Tesema Leshargie, Daniel Demant, Sahai Burrowes, Nakachew Mekonnen Alamrew, Jane Frawley","doi":"10.1080/19317611.2025.2571620","DOIUrl":"10.1080/19317611.2025.2571620","url":null,"abstract":"<p><strong>Background: </strong>Despite global decline in acquired immunodeficiency syndrome (AIDS)-related mortality, <i>adolescent</i> (10-19 years) <i>deaths are rising.</i> Adolescents living with Human Immunodeficiency Virus (ALHIV) face unique antiretroviral therapy (ART) adherence challenges, <i>especially in low-income settings</i>. This study explores factors influencing ART adherence among Ethiopian adolescents.</p><p><strong>Methods: </strong>A qualitative study was conducted with 12 ALHIV from August to September 2021in Ethiopia's Amhara Region. Semi-structured interviews were conducted, transcribed, and analyzed using deductive coding and an interpretive phenomenological approach.</p><p><strong>Results: </strong>The analysis explored three prominent themes: (1) culture and religion, (2) connection and belonging, and (3) stigma and mental health. These themes collectively provide a comprehensive understanding of the barriers and facilitators influencing adolescent adherence to ART. Cultural and religious beliefs, especially those held by parents, such as misconceptions about long-term medication use, side effects of ART, and illness as divine punishment, acted as barriers to adherence. On the other hand, connection and belonging through family, community support, and shared experiences with peers facilitated adherence. However, stigma-whether internalized, experienced, or anticipated-caused isolation and mental health challenges, creating significant barriers to treatment adherence.</p><p><strong>Conclusion: </strong>This study sheds light on the multifaceted challenges faced by adolescents in adhering to HIV treatment, including cultural misconceptions, social and familial dynamics, and mental health barriers. Addressing these issues requires culturally sensitive health education and fostering environments that promote connection and support. Community-based interventions and peer networks can play a pivotal role in strengthening adherence, while stigma-reduction efforts are essential to addressing the mental health challenges adolescent's encounter. The findings highlight the need for a holistic approach integrating health education, stigma reduction, provider training, and mental health support to enhance adherence and outcomes for ALHIV.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 1","pages":"140-160"},"PeriodicalIF":2.2,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785275","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":"If I Only Knew Then: Single Adults' Perceptions of the Impact of Sex Education on Their Romantic and Sexual Lives.","authors":"Jessica J Hille, Justin R Garcia, Amanda N Gesselman","doi":"10.1080/19317611.2025.2566816","DOIUrl":"10.1080/19317611.2025.2566816","url":null,"abstract":"<p><strong>Objectives: </strong>Sex education research has focused largely on youth and adolescents, rather than adults. The current study explores single adults' attitudes about the potential impact of their sex education, including a lack of sex education, on their current sexual and romantic relationships.</p><p><strong>Methods: </strong>Data were collected in 2023 from a demographically representative U.S. sample of single adults (ages 18 to 98 years). Participants (<i>n</i> = 3,895) reported whether they had learned about 16 different topics typically included in comprehensive sex education programs and their perceptions of how additional sex education beyond what they had received would impact their adult lives.</p><p><strong>Results: </strong>When asked about sources of sex education/information, the majority of participants (54.6%) reported learning only about reproduction or pregnancy in school. Further, more than one in three participants reported receiving no education or information-from school or any other source-about healthy relationships (33.6%), gender identity (37.3%), or how to decide if they wanted to have sex (34.1%), among other topics. Participants believed that had they received additional sex education, they would currently have a better understanding of how to have a positive/healthy relationship, how to date more effectively, and how to talk about sex with partners. Participants also reported that additional sex education would have led to more sexual confidence now (40%) and healthier romantic relationships now (44%).</p><p><strong>Conclusions: </strong>Implications for supporting healthy and satisfying sexual and romantic relationships by providing evidence-based informal (i.e. non-school-based) sources of sex education for adults, including online education programs, are discussed.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 1","pages":"106-114"},"PeriodicalIF":2.2,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785335","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":"Sleep-Related Eating Disorder and Sexsomnia; Two Rare Parasomnias? A Mini-Review with Illustrative Case-Reports.","authors":"Gábor Barcs, József Janszky, Mengesha Srahbzu, Réka Horváth, Vivian Miranda Correa, Anna Szűcs","doi":"10.1080/19317611.2025.2547309","DOIUrl":"10.1080/19317611.2025.2547309","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep-related eating disorder and sexsomnia are non-rapid eye movement (NREM) parasomnias, characterized by reward-seeking behaviors during NREM sleep. These conditions are likely underpinned by specific patterns of sleep-wake dissociation and appear to be more common than expected, leading to significant health risks, psychological distress and even forensic consequences.</p><p><strong>Methods: </strong>We briefly review recent literature on sleep-related eating disorder and sexsomnia, and present three cases of each; for illustrating their clinical features and complexity.</p><p><strong>Results: </strong>Genetic predisposition may set the stage for sleep-related eating disorder and sexsomnia; stress, alcohol-use and sleep-disruption promoting the episodes. While sharing the common pathophysiology of sleep-wake dissociation, the dissociation-patterns underlying sleep-related eating disorder, sexsomnia, and other NREM parasomnias might be different. One of our cases (sex without consent of the partner) points to the potential forensic consequence of sexsomnia; and two cases highlight the side-effect of Quetiapine and Zolpidem (alike several additional psychoactive drugs) provoking sleep-related eating-episodes. Rarely, these drug-related side-effects may have unexpected therapeutic benefits.</p><p><strong>Conclusion: </strong>Sleep-related eating disorder and sexsomnia are under-recognized NREM parasomnias. Sexsomnia often leads to legal consequences with hard questions of responsibility; given its challenging multidisciplinary aspects. Regular sleep-schedule and other lifestyle-improvements help managing these conditions treated by Melatonin, certain antidepressants and, sedatives. Understanding their mechanism may provide meaningful data on reward-seeking during sleep.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 4","pages":"711-721"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12867415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120490","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":"Back to Basics: Ernst Burchard's Lexikon Des Gesamten Sexuallebens (Encyclopedia of the Entire Sexual Life).","authors":"Georg Bornemann, Holger Steinberg, Dirk Carius","doi":"10.1080/19317611.2025.2544618","DOIUrl":"10.1080/19317611.2025.2544618","url":null,"abstract":"<p><strong>Objectives: </strong>Ernst Burchard (1876-1920) worked as a neurologist and sexologist in early 20th century Berlin. He was a respected sexologist and court expert who researched extensively on transvestitism and homosexuality. Due to his early death, however, he soon fell into oblivion. Only recently has his scientific work been reviewed and, among other things, his <i>Lexikon des gesamten Sexuallebens</i> (Encyclopedia of the Entire Sexual Life) has been identified. The encyclopedia appeared in 1914 and thus comparatively early in a phase in which sexual science was beginning to establish itself as a German-dominated science. This study examines the originality of this work.</p><p><strong>Methods: </strong>The study analyses Burchard's work and by comparing it with other standard works of the sexual sciences that also appeared in this era, the monograph can be historically classified.</p><p><strong>Results and conclusions: </strong>Burchard's book appears to be the first sexological encyclopedia ever. It was published much earlier than other works, which had previously been recognized as pioneering achievements in sexual science research.and made an important contribution to the sexual education of the general population.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 4","pages":"734-745"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12867427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119568","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}