Katherine M. Anderson, Anandi N. Sheth, Dazon Dixon Diallo, Celeste Ellison, Deja L. Er, Adaora Ntukogu, Kelli Komro, Jessica M. Sales
{"title":"HIV Prevention and Sexual Health Conversations Among Women in Ending the HIV Epidemic Priority Communities: A Qualitative Exploration of Experiences and Preferences","authors":"Katherine M. Anderson, Anandi N. Sheth, Dazon Dixon Diallo, Celeste Ellison, Deja L. Er, Adaora Ntukogu, Kelli Komro, Jessica M. Sales","doi":"10.1007/s10508-025-03108-3","DOIUrl":"https://doi.org/10.1007/s10508-025-03108-3","url":null,"abstract":"<p>Despite significant advances in HIV prevention, women comprise ~ 20% of new HIV infections in the USA. New infections occur primarily in the South and among Black women, with research demonstrating that insufficient knowledge, inaccurate risk assessment, and HIV stigma impair HIV prevention. Understanding how cisgender women wish to communicate about sexual health and HIV prevention is vital to facilitating conversations about, and subsequent uptake of prevention methods. A total of 70 individuals who lived or worked in four HIV prevention priority counties in the state of Georgia were recruited through community-based organizations (CBOs) and flyers. Consenting participants completed 30–45-min interviews. Interviews were transcribed verbatim; transcripts were coded deductively and inductively. Participants were primarily female-identifying (91%) and were primarily Black. Overall, participants noted that community-level conversations about sexual health among women were limited due to stigma, despite endorsed comfort with conversations. Participants noted that media/community sources implied HIV prevention was unneeded for cisgender women. CBOs and informed community members were endorsed as trusted sources for information; clinicians were cited as a theoretically trusted source, particularly sexual health preventative care providers with established patient relationships, though barriers of medical mistrust, lack of cultural concordance, and stigma were noted. Suggestions for improved communication around HIV prevention included use of community members/trusted sources to facilitate conversation, promotion of non-judgment in clinical practice, and prevention awareness building. Participants’ responses suggest little-to-no movement in knowledge of HIV prevention for US women. Engagement of CBOs in community education, training of community leaders, and integration of trauma-informed and patient-empowering clinical practices should be explored to promote increased HIV prevention discussion and uptake among cisgender women in the US South.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"183 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653359","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}
Savannah Minihan, Melanie Burton, Katherine Giunta, Laureen Villegas, Mariesa Nicholas
{"title":"Young People’s Intentional and Unintentional Encounters with Internet Pornography in Australia","authors":"Savannah Minihan, Melanie Burton, Katherine Giunta, Laureen Villegas, Mariesa Nicholas","doi":"10.1007/s10508-025-03109-2","DOIUrl":"https://doi.org/10.1007/s10508-025-03109-2","url":null,"abstract":"<p>Amidst the increased online engagement of adolescents, a growing global body of literature has examined adolescents’ encounters with internet pornography (IP). Though prevalence rates vary across studies, collectively the literature suggests that most adolescents have encountered IP. However, there is a lack of recent Australian research regarding adolescents’ encounters with IP, in particular research that distinguishes between intentional and unintentional encounters. The present study provides updated evidence on the prevalence of intentional and unintentional encounters with IP among Australian adolescents (<i>n</i> = 1004, 16–18 years) and examines sociodemographic characteristics associated with encounters. Approximately 75% of adolescents reported having ever encountered IP, with 40% of adolescents first encountering it under the age of 13 and accidentally. Most adolescents (63%) indicated that they encountered IP monthly or more often. Older adolescents, boys, sexually diverse adolescents, and disabled young people, were more likely to have ever encountered IP. Sexually diverse adolescents, young people with disability, and those who spoke a language other than English at home were also significantly more likely to first encounter IP at a younger age. Girls were more likely than boys to report first encountering IP unintentionally and were also more likely to report subsequent accidental encounters with IP. Conversely, boys were more likely to report encountering IP intentionally and recurrently. Finally, participants who reported being under 13 years of age when they first encountered IP were more likely to report recurrent and intentional encounters with IP. Our findings indicate that IP is highly visible in the online lives of Australian adolescents, with many encounters likely occurring unintentionally. Evidently, more stringent measures are needed on online platforms to prevent adolescents from unintentionally encountering IP.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"1 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143640719","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":"Effectiveness and Acceptability of a Sexual Health Education Program for Muslim Countries: An Intervention Study","authors":"Özlem Karatana, Abdullah Beyhan, Ayşe Ergün","doi":"10.1007/s10508-025-03111-8","DOIUrl":"https://doi.org/10.1007/s10508-025-03111-8","url":null,"abstract":"<p>In Muslim societies, issues related to sexual and reproductive health are rarely discussed and considered sensitive subjects. This study was conducted to assess the acceptability and effectiveness of a sexual health education program in Turkey, a Muslim country. The study was conducted using a one-group quasi-experimental design. The sexual health education program consisted of five sessions of sexual health education, pre-test, post-test, first follow-up (30 days after) and second follow-up (60 days after). The sample of the study consisted of 207 female and 79 male first year Muslim university students. At the end of the program, 96.5% of the Muslim university students stated that they liked the education, 96.2% found the education useful, 86.0% found the online education convenient, and 96.9% would use the information they learned. Muslim university students, in general, found the feasibility of the education to be highly favorable. It was determined that the post-test score of sexual health knowledge was higher than the pre-test score (<i>p</i> < 0.05). The program in this study was found to be adopted by Muslim university students and it is thought to be valuable in societies with similar religious beliefs and views.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"197 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143640480","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}
Sam Sperring, Jane Ussher, Rosalie Power, Alexandra Hawkey
{"title":"Sexual Embodiment and Sexual Renegotiation Post-Cancer for LGBTQ People with a Cervix","authors":"Sam Sperring, Jane Ussher, Rosalie Power, Alexandra Hawkey","doi":"10.1007/s10508-025-03090-w","DOIUrl":"10.1007/s10508-025-03090-w","url":null,"abstract":"<div><p>Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people face unique challenges in the context of cancer due to cis-heterocentric constructions of sexuality in oncological care. This paper explores the impacts of these challenges for LGBTQ people with a cervix, examining embodied sexual changes and sexual renegotiation during and after cancer, and the implications for LGBTQ people’s access to relevant, tailored cancer information and support. Semi-structured interviews were conducted with 57 LGBTQ people with a cervix with cancer and 14 intimate partners, representing a range of cancer types and stages. Data were analyzed using reflexive thematic analysis. Several participants positioned changes to their sexual embodiment as abject, instilling a loss of control and uncertainty. Sexual practices were misunderstood by many health-care professionals (HCPs), meaning concerns about bodily changes, sex, and intimacy were poorly addressed in cancer support resources and medical interactions. This left LGBTQ participants and their partners ill-equipped to cope with changes to sexual functioning, feeling unsupported, distressed, and as though their sexual concerns were of less importance than those of cis-heterosexual patients. However, some LGBTQ participants and partners were able to renegotiate sexual practices through engaging in non-genital intimacy and experimenting with non-penetrative sex. This was facilitated through good couple communication, where needs were openly discussed between partners. Assumptions of heterosexuality and cisgender embodiment, identity, and sexual expression have serious implications for LGBTQ people’s physical and emotional well-being, agency, and sexual health decision-making. These assumptions also affect access to relevant and culturally safe sexual health information and care. Findings reinforce the need for the inclusion of LGBTQ content in HCP education and professional training curricula, and institutional support for LGBTQ-inclusive practice behaviors.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 3","pages":"1105 - 1120"},"PeriodicalIF":2.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-025-03090-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143608039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Parental and Artificial Intelligence Perspectives on Adolescent Sexting: A Comparative Analysis","authors":"Tsameret Ricon, Michal Dolev-Cohen","doi":"10.1007/s10508-025-03100-x","DOIUrl":"https://doi.org/10.1007/s10508-025-03100-x","url":null,"abstract":"<p>This study investigated the perspectives of artificial intelligence (AI) language models on the complex issue of sexting among adolescents, comparing their ability to mediate and manage quality communication on the topic with traditional parental mediation strategies. Drawing on a survey of 472 parents, the research compared parental attitudes, communication patterns, and mediation approaches to the outputs generated by four AI systems. The findings revealed that AI models emphasize to emphasize restrictive mediation strategies and highlight the perceived susceptibility and severity of sexting, while parental responses were varied. Notably, the AI systems differed in predicting dysfunctional parent–child communication on sexting, suggesting divergent implicit models of ideal communication dynamics. By comparing AI-generated responses with human reactions, this research offers initial insights into the significance of parental communication with adolescents regarding sexting and the potential limitations of current language models in promoting improved discussions between parents and adolescents on sensitive topics.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"19 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143599918","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":"Pleasure-Inclusive Sex Education, Sexual Agency, and Sexual Well-Being in Adolescents and Young Adults: A Scoping Review","authors":"Jenneke van Ditzhuijzen, Amely Overeem","doi":"10.1007/s10508-025-03103-8","DOIUrl":"https://doi.org/10.1007/s10508-025-03103-8","url":null,"abstract":"<p>It is known that incorporating pleasure into sex education can promote condom use (e.g., Zaneva et al., 2022), but it remains unclear whether this approach also contributes to sexual agency and sexual well-being more broadly. Pleasure-inclusive sex education is designed to enhance sexual agency, which, in turn, may facilitate sexual well-being. In this study, we review the literature on two key topics: (1) the associations between pleasure-inclusive sex education and sexual agency, and (2) the links between sexual agency and sexual well-being. We conducted a search across five scientific databases using a broad range of variables related to pleasure-inclusive sex education, sexual agency, and various aspects of sexual well-being, focusing on research from the last two decades. A total of 33 articles were selected for inclusion. In Part 1 of the review, we found that all studies reported positive associations between pleasure-based sex education and sexual agency or sexual well-being. However, the literature was marked by limitations, preventing definitive conclusions about the added benefits of the pleasure component. In Part 2, we found positive associations between sexual agency (and related variables) and sexual well-being. While sexual agency appears to be linked to increased sexual well-being, it remains unclear whether pleasure-inclusive sex education plays a significant role in this relationship. Given these findings, there is a strong need for high-quality research using innovative evaluation designs that consider other important sources of sex education and contextual factors.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"68 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143589700","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}
Sonia Stanger, Ashley A. Balsom, Jennifer L. Gordon
{"title":"Exploring 2SLGBTQIA+ Couples’ Experiences of Third-Party Reproduction","authors":"Sonia Stanger, Ashley A. Balsom, Jennifer L. Gordon","doi":"10.1007/s10508-025-03102-9","DOIUrl":"https://doi.org/10.1007/s10508-025-03102-9","url":null,"abstract":"<p>The purpose of the present study was to explore the experiences of two-spirit, lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, or otherwise gender or sexually diverse (2SLGBTQIA+) couples pursuing third-party reproduction (TPR). A sample of 31 2SLGBTQIA+ couples (<i>n</i> = 62) from the USA and Canada attempting to conceive via third-party reproduction were recruited online, underwent a semi-structured interview about their experiences, and completed an online survey assessing fertility quality of life, anxious and depressive symptoms, and institutional betrayal in healthcare. Descriptive statistics were used to assess mean levels of quality of life, mental health symptoms, and institutional betrayal. Rates of clinically significant reductions in quality of life and mental health were assessed. Thematic analysis was applied to the interview transcripts. Data were collected between November 2021 and July 2022. Thematic analysis identified numerous challenges in pursuing TPR, many of which were specifically tied to participants’ membership in the 2SLGBTQIA+ community. Two overarching themes were identified: “system-level issues,” such as a lack of information pertaining to their unique situation, and “provider-level issues,” such as the holding of heteronormative assumptions by providers. Quantitative findings revealed that a large proportion of the sample, 34%, scored in the clinical range on anxiety and depression questionnaires. The intended gestating partners reported poorer quality of life relative to their non-gestating partners. 2SLGBTQIA+ couples attempting to conceive via third-party reproduction experience psychological distress and reduced quality of life and face inequities and challenges at the system and provider level. These findings lead to concrete recommendations for clinicians providing fertility services to cultivate competence and improve care standards for this population according to their ethical responsibility and highlight the need for policy change and the development of targeted supports. Key recommendations include 2SLGBTQIA+-specific training for staff, using inclusive language, visuals, and documentation processes, refraining from hetero- and cisnormative assumptions, developing anti-discrimination policy and a process to assess and respond to clients’ mental health needs, and identifying and sharing information and supports.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"13 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143575534","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":"Correction: Citation Issues in the American Academy of Pediatrics Policy Statement on Transgender and Gender-Diverse Children and Adolescents (Rafferty, 2018).","authors":"Kathleen McDeavitt","doi":"10.1007/s10508-025-03126-1","DOIUrl":"https://doi.org/10.1007/s10508-025-03126-1","url":null,"abstract":"","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143539914","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}
Valerie A. Lapointe, Simon Dubé, Sophia Rukhlyadyev, Tinhinane Kessai, David Lafortune
{"title":"The Present and Future of Adult Entertainment: A Content Analysis of AI-Generated Pornography Websites","authors":"Valerie A. Lapointe, Simon Dubé, Sophia Rukhlyadyev, Tinhinane Kessai, David Lafortune","doi":"10.1007/s10508-025-03099-1","DOIUrl":"https://doi.org/10.1007/s10508-025-03099-1","url":null,"abstract":"<p>Fueled by advances in artificial intelligence (AI), the adult entertainment industry is undergoing a significant transformation. AI-generated pornography—or AI porn—is reshaping how people create and consume sexually explicit content, progressively offering rapid, mass access to large quantities of interactive and highly customizable experiences. Yet, despite its accelerated growth and potential implications for human eroticism, the current state of AI porn remains underexplored. Using a qualitative inductive content analysis, this study examined the functionalities, production strategies, and customization options available on websites allowing AI porn generation (<i>n</i> = 36). All websites included an English language option, which was used for this analysis. Following systematic open coding, categorization, and inter-rater validation, the prevalence of each category was quantified across website data. Results suggest that most sites presently enable image generation (80.6%), with others allowing video generation (41.7%), content alteration (e.g., deepnude, upscaling, facemorphing; 2.8–55.6%), and interactions with artificial agents (44.4%). AI porn generation also predominantly relies on feature selection (97.2%) and/or prompting (72.2%) to customize content elements, including character bases (e.g., human, fictional; 11.1–94.4%), sociodemographic characteristics (27.8–86.1%), body features (72.2%), clothing (75.0%), as well as foundational (resolution, theme, point-of-view; 22.2–69.4%) and contextual aspects (e.g., weather, setting, lighting; 11.1–63.9%). Carrying significant social and ethical implications, these findings point to a gradual evolution toward an AI-driven porn landscape where individuals can create and interact with sexual content tailored to their preferences and fantasies.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"28 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538530","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":"Relationships Among Sex, Sexual Orientation, Dark Triad Traits, Sociosexuality, and Sexual Excitation/Inhibition","authors":"Scott W. Semenyna, Paul L. Vasey, P. Lynne Honey","doi":"10.1007/s10508-025-03092-8","DOIUrl":"10.1007/s10508-025-03092-8","url":null,"abstract":"<div><p>Subclinical narcissism, psychopathy, and Machiavellianism are a cluster of manipulative, callous, and entitled traits known as the Dark Triad (DT). These traits have been repeatedly linked to short-term mating strategies and a tolerance for uncommitted sexual behavior (i.e., unrestricted sociosexuality) in both men and women, a pattern interpreted as consistent with life history theory. Alongside sociosexuality, individuals vary in their distinct capacities toward sexual excitation and sexual inhibition. Although much research has examined the relationships between DT traits and sociosexuality, and between sociosexuality and sexual excitation/inhibition, none has simultaneously evaluated the links among all three. In a large undergraduate sample, DT traits and sexual excitation/inhibition showed unique multivariate associations with sociosexuality, even when accounting for age, sex, relationship status, and sexual orientation. Results suggest that DT traits, elevated sexual excitation, lower inhibition and bisexuality, facilitate fast life history strategies in both males and females.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 3","pages":"1261 - 1270"},"PeriodicalIF":2.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538531","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}