Archives of Sexual Behavior最新文献

{"title":"Culturally Responsive Outreach and Peer Navigation to Improve HIV Prevention and Care for Latino Gay and Bisexual Men in Atlanta.","authors":"Carlos S Saldana, Raul Perez, Lily Bonadonna, Jane Y Scott, Karina I Gonzalez, Jessica M Sales, Shirin Jabbarzadeh, Joshua O'Neal, David P Holland, Eric Rangel, Brad Cooper, Phyllis Mwaura, Alana Sulka, Dorian Freeman, Karie Reed, Pete Clark, Yazmin Silva, Sebastian Gonzalez, Mario Zuluaga, Carmen Gonzalez, Jane J Lee, Holley Wilkin, Valeria D Cantos","doi":"10.1007/s10508-025-03231-1","DOIUrl":"https://doi.org/10.1007/s10508-025-03231-1","url":null,"abstract":"<p><p>To evaluate the implementation outcomes of a culturally responsive social media outreach campaign and peer navigation program to improve access to HIV status-neutral sexual health services-which encompass both HIV prevention and care, regardless of HIV status-for Latino gay and bisexual men (LGBM) in metropolitan Atlanta. We designed and implemented a social media outreach campaign linked to a peer navigation program. The study included four stages: peer navigator recruitment/training, social media campaign development, program implementation, and exit interviews. Data from social media engagement, intake forms, follow-ups, and exit interviews evaluated reach, effectiveness, acceptability, usability, and patient-centeredness. A total of 70 participants, primarily young, foreign-born, Spanish-speaking, uninsured, and undocumented, enrolled in the study over 6 months. The program facilitated same-day service referrals, providing access to HIV/STI testing, PrEP, and care. Participants reported high acceptability, usability, and patient-centeredness. Factors impacting acceptability included ease of use, practical assistance, effective communication, and empathetic approach of the navigator. A community-informed social media outreach campaign connected with a culturally responsive peer navigation program was very well received by LGBM participants in the Atlanta area and led to successful linkage the HIV status-neutral services. Given the ongoing disparities in HIV prevention and care in this group, further intervention scale-up in the setting of a clinical trial is warranted, to assess its effectiveness in increasing uptake of PrEP and HIV treatment services in this population.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the Binary: When to Lump and When to Split in Sex Differences Research.","authors":"Andrea L Meltzer, Elizabeth A D Hammock","doi":"10.1007/s10508-025-03324-x","DOIUrl":"https://doi.org/10.1007/s10508-025-03324-x","url":null,"abstract":"","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Prevalence of Sexsomnia in a General Population Sample.","authors":"Ståle Pallesen, Ingvild West Saxvig, Siri Waage, Carlos H Schenck, Bjørn Bjorvatn","doi":"10.1007/s10508-025-03235-x","DOIUrl":"https://doi.org/10.1007/s10508-025-03235-x","url":null,"abstract":"<p><p>Few studies have surveyed the prevalence of sexsomnia and sexsomnic behaviors in general population samples. In the present study, 1002 respondents (508 males and 494 females), mean age 50.3 years (SD = 17.5), recruited from a Norwegian survey panel, participated in an online survey about sleep phenomena and sleep habits. The survey included questions about lifetime and current parasomnias, such as sleepwalking, sleep terrors, confusional arousals, and dream enactment, as well as sleep duration and sleep need. Questions about lifetime and current sexsomnia, various sexsomnic behaviors, and frequency of current sexsomnia episodes were included. Logistic regression analyses were conducted to identify predictors of lifetime and current sexsomnia. A total of 10.5% and 6.1% reported lifetime and current sexsomnia, respectively. In the adjusted analysis, male sex (OR = 1.58; 95% CI = 1.03-2.42), sleep terrors (OR = 2.80; 95% CI = 1.64-4.78), and dream enactment (OR = 2.46; 95% CI = 1.56-3.88) were significant predictors for lifetime sexsomnia, whereas sleep terrors (OR = 2.86; 95% CI = 1.48-5.51), and dream enactment (OR = 1.97; 95% CI = 1.10-3.51) were significant predictors for current sexsomnia. Among those who reported lifetime sexsomnia, 6.5% had current sexsomnia episodes with at least a weekly frequency. Masturbation (5.4%), and fondling (4.0%) were the two most common behaviors, whereas consummated intercourse (1.8%) was the least common sexsomnic behavior. Most participants with sexsomnia reported a relatively restricted range of sexsomnic behaviors. The results are discussed in light of the existing literature. Recommendations for future research are provided.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's Experiences with Exercise-Induced Orgasm: Findings from Qualitative Interviews.","authors":"Debby Herbenick, Callie Patterson Perry, J Dennis Fortenberry, Ruhun Wasata, Jodi Wilson, Owen Miller, Kayla Willens, Alyssa Williams, Georgia Frey","doi":"10.1007/s10508-025-03237-9","DOIUrl":"https://doi.org/10.1007/s10508-025-03237-9","url":null,"abstract":"<p><p>Exercise-induced arousal (EIA) and exercise-induced orgasm (EIO) have been described as occurring from engaging in exercise or physical activities that are vigorous, repetitive, or demanding of core abdominal muscles, usually apart from sexual situations and without direct genital stimulation. Few existing studies have examined EIA/EIO, and no prior studies have qualitatively explored these experiences. Thus, the purpose of this research was to understand women's lived experiences of EIO. We used a qualitative semi-structured interview format to ask women to describe when and under what circumstances they first experienced EIO, their understanding of how EIO feels to them and occurs in their body, the exercises that lead to their EIO experiences, as well as whether they feel EIO may be similar to or different from other orgasms they have experienced. A total of 21 adult women ages 19-68 years participated in in-person (n = 18) or virtual (n = 3) qualitative interviews. Data were coded into the following six categories: Discovering and Making Sense of EIO; How EIO is Experienced; Factors Associated with EIO; Communication about EIO; Feelings About EIO; and Intersection Between EIO, Sex, and Masturbation. Many participants described first experiencing EIA/EIO during childhood or adolescence. They reported EIA/EIO from diverse exercises (core exercises, swimming, strength training, yoga, among others) and varied in the extent to which they had discussed their EIA/EIOs with friends, partners, or healthcare providers. Although some felt embarrassed or ashamed about EIA/EIO, others felt positively about their experiences and, in some cases, even incorporated their experiences into partnered sexual experiences.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conditioning Does Not Need to Cause Strong Desires to Provide a Simpler Explanation than Erotic Target Identity Inversion.","authors":"B Terrance Grey","doi":"10.1007/s10508-025-03273-5","DOIUrl":"https://doi.org/10.1007/s10508-025-03273-5","url":null,"abstract":"","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145197998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cross-Sectional Study of Sexual Health and Well-Being in Married or Cohabitating Middle-Aged and Older Adults in Nouna, Burkina Faso.","authors":"Oluwadamilola A Omojola, Cristina A Osborne, Mamadou Bountogo, Maxime Inghels, Guy Harling, Ali Sie, Dina Goodman Palmer, Till Bärnighausen, Justine I Davies, Lisa R Hirschhorn","doi":"10.1007/s10508-025-03223-1","DOIUrl":"https://doi.org/10.1007/s10508-025-03223-1","url":null,"abstract":"<p><p>Sexual health and well-being is important for middle-aged and older adults, but knowledge is limited on prevalence and determinants in countries in Sub-Saharan Africa. We analyzed cross-sectional data collected in 2021 from married or cohabitating adults age ≥ 40 in Nouna, Burkina Faso. Sexual health and well-being were measured using the Sexual Relationships and Activities Questionnaire. Descriptive statistics and multivariable logistic models were used to describe the dimensions of sexual health and well-being-including levels of sexual activity, sexual function, and sexual health concerns-and their associations with age, sex, and education. Among 2336 individuals (56.8% men; mean age 53.2 years) almost all reported having a sexual partner (96.0% men, 93.2% women) in the last year. Men reported more frequent sexual thoughts (71.8% versus 51.2%) and sexual activity (69.4% versus 46.4%, both p < 0.001) than women. Being a woman was associated with lower sexual activity (aOR = 0.57) and intercourse frequency (aOR = 0.37, both p < 0.001). Older age was associated with reduced sexual thoughts and intercourse (both aOR = 0.93, p < 0.001), greater erectile difficulties in men (aOR = 1.06, p < 0.001), and arousal difficulties in women (aOR = 1.07, p < .001). Higher education was associated with more frequent sexual thoughts (aOR = 1.50, p < 0.001), and intercourse (aOR = 1.41, p = 0.012). Married and co-habitating middle-aged and older respondents in Nouna reported high rates of sexual activity, with variability in other areas of sexual health and well-being, identifying areas where more research and interventions are needed.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145197877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Double Historicity of Sex and Gender.","authors":"Alex Thinius","doi":"10.1007/s10508-025-03308-x","DOIUrl":"https://doi.org/10.1007/s10508-025-03308-x","url":null,"abstract":"","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"There Is No Sex (or Gender).","authors":"Mario S Staller,Swen Koerner","doi":"10.1007/s10508-025-03307-y","DOIUrl":"https://doi.org/10.1007/s10508-025-03307-y","url":null,"abstract":"","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"18 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of the Information-Motivation-Behavioral Skills Theory to Explore HIV Self-Testing Behavior Among Men Who Have Sex with Men in Southwest China.","authors":"Yang Zhu, Zhikang Li, Xiaoting Chen, Xiao Yang, Yuhui Shi, Xiaodong Wang, Yawei Guo, Jing Gu, Chun Hao, Yuantao Hao, Wangnan Cao, Jinghua Li","doi":"10.1007/s10508-025-03212-4","DOIUrl":"https://doi.org/10.1007/s10508-025-03212-4","url":null,"abstract":"<p><p>HIV self-testing (HIVST) has been shown to complement existing facility-based testing services and promote regular HIV testing among men who have sex with men (MSM). However, HIVST uptake among Chinese MSM remains suboptimal, with existing studies reporting a testing rate below 50%. While the Information-Motivation-Behavioral Skills (IMB) model has often been employed to understand health behaviors, its application to quantitatively investigate HIVST remains limited. An anonymous cross-sectional survey was conducted among 499 eligible MSM in Chengdu, China, from March to May 2022. The psychometric properties of the IMB components were validated using confirmatory factor analysis and Analysis of Moment Structures. The associations between IMB factors and HIVST were explored through univariate and multivariate logistic regression analyses. Factors identified in the regression analyses were subsequently included in a structural equation modeling framework. A total of 178 individuals (35.7%) reported HIVST in the last 6 months. Higher self-testing knowledge (adjusted odds ratio, aOR = 1.54, 95% CI: 1.07-2.23), positive attitudes toward self-testing-specifically regarding test accuracy (aOR = 1.29, 95% CI: 1.02-1.63) and confidentiality (aOR = 1.33, 95% CI: 1.10-1.62)-and greater behavioral skills related to self-testing (aOR = 1.11, 95% CI: 1.04-1.20) were independently associated with higher HIVST uptake. In the IMB model, information (β = 0.118, p = 0.027), motivation (β = 0.263, p < 0.001), and behavioral skills (β = 0.149, p = 0.002) each demonstrated a direct positive effect on HIVST. Additionally, behavioral skills partially mediated the effects between information (β = 0.235, p < 0.001) and motivation (β = 0.131, p = 0.010) on HIVST. These findings indicate that interventions targeting IMB components are essential for improving HIVST uptake among Chinese MSM. In particular, health education focusing on self-testing knowledge, assurance of test kit validity, and empowerment through skill-building interventions may facilitate greater adoption of HIVST in this population.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Between Flesh and Identity: Embodied Selves in Disembodied Systems.","authors":"Paolo Meneguzzo","doi":"10.1007/s10508-025-03314-z","DOIUrl":"https://doi.org/10.1007/s10508-025-03314-z","url":null,"abstract":"","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"95 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}