Yanet Ruvalcaba, Colleen Ray, Kayleigh E. Zinter, Vi D. Le, Liris Berra, Ruth Leemis
{"title":"Nonconsensual Pornography, Sextortion, and Deepfake Pornography Victimization: Findings from a National Online Sample of U.S. Adults","authors":"Yanet Ruvalcaba, Colleen Ray, Kayleigh E. Zinter, Vi D. Le, Liris Berra, Ruth Leemis","doi":"10.1007/s10508-026-03503-4","DOIUrl":"10.1007/s10508-026-03503-4","url":null,"abstract":"<div><p>The purpose of this study was to estimate the percentage of adults experiencing nonconsensual pornography, sextortion, and deepfake pornography victimization using probability-based online samples weighted to the U.S. population. We used data collected from two web panels in the Fall of 2023. The surveys contained three measures about lifetime experiences of technology-facilitated sexual violence victimization with binary yes/no response options on the following violence types: nonconsensual pornography, sextortion, and deepfake pornography. Descriptive analyses were conducted in STATA to produce weighted prevalence estimates of technology-facilitated sexual violence across various demographic groups, and to perform adjusted Wald tests for the comparison of means across demographic groups. Overall, 4.33% of adults experienced nonconsensual pornography, 4.74% experienced sextortion, and 1.13% experienced deepfake pornography victimization. Prevalence estimates for technology-facilitated sexual violence victimization varied across demographic groups, with higher rates for adults who were LGB+, had a disability, or who were younger in age than those who did not experience victimization. Our findings suggest there are health equity considerations relevant to technology-facilitated sexual violence response and prevention strategy development, including the importance of considering the unique sociostructural contexts of LGB+ community members, people with disabilities, and younger adults.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"55 6","pages":"2357 - 2362"},"PeriodicalIF":2.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817203","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}
Stephen E. Ratcliff, Susan Wright, Debby Herbenick, Aidan A. Sunassee, Kiana Cummings, Tess Zachary, Anna Randall, Russell Stambaugh, Gael Strack, Doug D. Brown, K. Tony Korol-Evans
{"title":"Why Sexual Choking Is Not as Safe as You Think: A Call to Action from Sex Researchers and Kink Educators","authors":"Stephen E. Ratcliff, Susan Wright, Debby Herbenick, Aidan A. Sunassee, Kiana Cummings, Tess Zachary, Anna Randall, Russell Stambaugh, Gael Strack, Doug D. Brown, K. Tony Korol-Evans","doi":"10.1007/s10508-026-03481-7","DOIUrl":"10.1007/s10508-026-03481-7","url":null,"abstract":"<div><p>This is a synthesis of the research area and issues involving sexual choking, followed by calls to action based on the synthesis. We describe the health risks associated with sexual choking, which is often performed as a form of strangulation, along with its growing popularity in at least the Australia, Iceland, Italy, New Zealand, United Kingdom, and United States. Beginning with a clarification of the often-obfuscated terminology, this paper describes various ways that people are exposed to the practice of sexual choking. Our team identified social media, online pornography, and other popular media as potential drivers of the higher numbers of people reporting engaging in sexual choking compared to older studies. However, there are significant problems with consent and legal issues, including cases where consensual adult choking involving injury or death have resulted in criminal or civil charges in the U.S. This group of researchers, educators, and health experts offers calls to action in specific steps: (1) Widespread education about sexual choking and its risks; (2) Empowering critical evaluation through media and pornography literacy; (3) Organizational engagement in increasing risk awareness; (4) Health education curriculum development; (5) Healthcare provider continuing education; (6) Funding research that addresses sexual choking topics. The goal of this paper is to synthesize the research on this concerning trend in a manner accessible to a diverse array of audiences, and to offer calls to action to address this public health issue for researchers, educators, clinicians, students, kink/BDSM community members, and mainstream persons alike.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"55 6","pages":"2397 - 2412"},"PeriodicalIF":2.6,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-026-03481-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811904","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":"Attention to Self-Related Face or Attractive Face? Neural Activation and Oscillation Evidence from Orthognathic Patients","authors":"Hui Kou, Qianguo Xiao, Xiaodong Li, Jia Wu, Yuzhen Hu, Haoran Chen, Taiyong Bi","doi":"10.1007/s10508-026-03509-y","DOIUrl":"10.1007/s10508-026-03509-y","url":null,"abstract":"<div><p>Attractive faces capture attention. However, the cognitive-behavioral model predicts that individuals with body dysmorphic disorder exhibit a cognitive bias to faces related to their appearance-related self-beliefs. To differentiate between these two mechanisms, we employed electroencephalogram techniques to investigate attentional bias toward faces in orthognathic patients with dento-maxillofacial deformities (DD), who were scheduled to undergo orthognathic surgery to correct these anomalies. We recruited 17 orthognathic patients and 17 controls to complete an oddball task when EEG was recorded. Highly attractive (HA), lowly attractive (LA), and DD faces were used as target stimuli. Waveform analysis revealed that, among controls, HA faces elicited a higher P300 response compared to other faces, a pattern not observed in orthognathic patients. In contrast, time–frequency analysis in the patients showed that DD faces elicited stronger alpha band power initially, and HA faces induced stronger beta band suppression later, a pattern not observed in controls. These findings suggest that attractive faces capture attention in controls. Conversely, orthognathic patients show an initial attentional bias toward DD faces and active attentional suppression of attractive faces, as revealed by neural oscillations in the alpha and beta bands, respectively.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"55 6","pages":"2453 - 2463"},"PeriodicalIF":2.6,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148769072","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}
Erisvan Vieira da Silva, Guilherme Tavares de Arruda, Leticia Amaral Corrêa, Melissa Medeiros Braz, Hedioneia Maria Foletto Pivetta
{"title":"Correction: Patient-Reported Outcome Measures Assessing Genital Self-Image: A Systematic Review of Measurement Properties","authors":"Erisvan Vieira da Silva, Guilherme Tavares de Arruda, Leticia Amaral Corrêa, Melissa Medeiros Braz, Hedioneia Maria Foletto Pivetta","doi":"10.1007/s10508-026-03639-3","DOIUrl":"10.1007/s10508-026-03639-3","url":null,"abstract":"","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"55 6","pages":"2853 - 2853"},"PeriodicalIF":2.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-026-03639-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148769069","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}
Bryan A. Kutner, Long-Jie Huang, Charlotte E. Rinnooy Kan, Baichun Hou, Yingchen Xu, Rebecca Giguere, Jim Pickett, Mitchell J. Wharton, Sara Bowen-Lasisi, Edgar Quintero, Wenzhu Bi Mowrey, Theodorus G. M. Sandfort, members of The Pleasure, Health Study Advisory Board
{"title":"Evaluating PEACHES: Pleasure-Inclusive Implementation Strategies to Enable Healthcare Workers to Address Anal Sex Stigma During HIV Service Encounters","authors":"Bryan A. Kutner, Long-Jie Huang, Charlotte E. Rinnooy Kan, Baichun Hou, Yingchen Xu, Rebecca Giguere, Jim Pickett, Mitchell J. Wharton, Sara Bowen-Lasisi, Edgar Quintero, Wenzhu Bi Mowrey, Theodorus G. M. Sandfort, members of The Pleasure, Health Study Advisory Board","doi":"10.1007/s10508-026-03500-7","DOIUrl":"10.1007/s10508-026-03500-7","url":null,"abstract":"<div><p>Stigma toward anal sex hinders HIV prevention by limiting equitable access to sexual health services. To mitigate this hindrance, we developed a clinician- and community-informed package of anti-stigma implementation strategies using the Behaviour Change Wheel and its Capability, Opportunity, Motivation, Behaviour (COM-B) Model. The package, “Partnering to Enhance Anal Health Communication and HIV-related Evidence-based Services” (PEACHES 1.0), combined training strategies with quality improvement (QI) strategies. We implemented a pilot evaluation of PEACHES 1.0 among HIV workers in the Southern USA and assessed pre/post-shifts in participants’ self-reported proximal outcomes (mechanisms of action like knowledge, comfort, skills) and their frequency of anal sex-specific health promotion. In two clinics that received organization-specific QI meetings, we also assessed patient uptake of anal sex-related HIV services based on aggregated medical record data. We conducted paired <i>t</i>-tests on longitudinal survey responses, thematic analysis of longitudinal in-depth interviews and open-ended survey responses, and non-statistical comparison of rates for patient uptake of services. Post-PEACHES, HIV workers reported 8% to 54% improvements (all <i>p</i> < .01) in proximal outcomes like knowledge, comfort, and skills. Frequency of self-reported anal health promotion increased 15% to 25% (<i>p</i> < .01). Clinics that received QI sessions differed in their QI engagement and had diverging patient uptake of services. Clinic A, with greater QI engagement, saw a 60% increase in anorectal STI screening, and a 28% increase in new PrEP prescriptions; Clinic B, with less engagement, saw 17% and 18% decreases, respectively. Qualitative findings indicated that the QI strategies—placing pleasure-inclusive visual cues linked to a website of informational resources in the clinic environment and clinic-specific QI meetings—enabled workers to destigmatize discussions about anal sex within HIV services. Future research should standardize elements of QI, and evaluate scalability with fidelity as well as the potential impact on client outcomes in a fully-powered hybrid implementation-effectiveness trial.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"55 6","pages":"2701 - 2721"},"PeriodicalIF":2.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-026-03500-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148768927","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":"The New Digital Pandemic: How Uncertainty Drives the Rise of Sextortion","authors":"Yamei Zeng, Shoujie Cai, Amjad Fakher, Sajid Ali","doi":"10.1007/s10508-026-03521-2","DOIUrl":"10.1007/s10508-026-03521-2","url":null,"abstract":"<div><p>The global wave of pandemic-induced uncertainty sparked a rise in online criminal activities, with sextortion emerging as a leading form of exploitation. It involved perpetrators coercing victims into providing sexual images or favors under the threat of exposing compromising material. As daily routines were disrupted and digital reliance increased, cybercriminals seized new opportunities to target vulnerable individuals, thereby amplifying sextortion risks worldwide. This research explored the asymmetric association between pandemic uncertainty and sextortion across 10 key nations (Brazil, Canada, Germany, India, Mexico, Nigeria, the Philippines, Russia, South Africa, and the USA). An innovative pandemic uncertainty index was employed, integrating data from multiple outbreaks, namely COVID-19, MERS, SARS, and Ebola. Prior studies had relied on panel data methods and often disregarded the diverse economic structures across countries. However, by utilizing the Quantile-on-Quantile tool, this study revealed nuanced relationships between the variables, capturing global trends while uncovering the distinctive dynamics of each country. The findings indicated that pandemic-induced uncertainty was associated with increased sextortion rates across different quantiles in the selected economies, highlighting varied patterns across nations. The findings underlined the urgency for policymakers to craft tailored, context-specific strategies to combat sextortion, especially as the digital landscape had become increasingly shaped by pandemic-related fears. To protect vulnerable populations, targeted interventions are needed to address the unique challenges and nuanced trends observed across countries.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"55 6","pages":"2431 - 2452"},"PeriodicalIF":2.6,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787612","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":"Compensatory and Dissociative Coping in Young Adults: A Person-Centered Analysis of Their Associations with Childhood Maltreatment and Problematic Pornography Use","authors":"Ori Meir Komemi, Yaniv Efrati","doi":"10.1007/s10508-026-03495-1","DOIUrl":"10.1007/s10508-026-03495-1","url":null,"abstract":"<div><p>Building on the Compensatory-Dissociative Online Gaming model (Giardina et al., 2024a), the current study proposes a compensatory–dissociative continuum of online pornography consumption. Using a person-centered approach, we identified distinct young adult profiles based on compensatory and dissociative patterns. We first examined differences in psychopathological symptoms, impulsivity, loneliness, emotion regulation, basic psychological needs, and early childhood trauma. We then explored how early childhood trauma moderates the links between compensatory and dissociative patterns profiles, problematic pornography use characterized by loss of control, distress, and impairment, and overall online pornography consumption. A total of 608 young adults (436 men [73%], 165 women [27%]), ranging in age from 18 to 27 years (M = 24.3, SD = 4.8) completed self-report measures assessing compensatory–dissociative pornography use, early childhood trauma, psychopathological symptoms, impulsivity, loneliness, difficulties in emotion regulation, satisfaction of basic psychological needs, and both problematic and overall pornography use. Latent profile analysis identified three profiles (Low, Mid, and High) based on compensatory and dissociative tendencies. Participants in the High profile group reported the most severe psychological outcomes, whereas those in the Low profile group demonstrated the healthiest functioning. Childhood sexual abuse severity was significantly linked to greater problematic pornography use and higher frequency of pornography consumption. Unexpectedly, participants in the Mid profile group, not the High profile group, reported the highest online pornography consumption. Results highlight the value of person-centered approaches in revealing complex trauma related behavioral patterns and emphasize the importance of tailored interventions addressing problematic pornography use among young adults.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"55 6","pages":"2643 - 2659"},"PeriodicalIF":2.6,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-026-03495-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787604","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}
G. Tyler Lefevor, Christopher H. Rosik, A. Lee Beckstead, Ty R. Mansfield, Mark A. Yarhouse
{"title":"A Preregistered, Prospective, Longitudinal Examination of the Impact of Self-Initiated Sexual Orientation Change Efforts on Health and Changes in Sexuality","authors":"G. Tyler Lefevor, Christopher H. Rosik, A. Lee Beckstead, Ty R. Mansfield, Mark A. Yarhouse","doi":"10.1007/s10508-026-03517-y","DOIUrl":"10.1007/s10508-026-03517-y","url":null,"abstract":"<div><p>Although sexual orientation change efforts are generally understood to be ineffective and health-undermining, this understanding is based almost entirely on retrospective, cross-sectional data. We present prospective, longitudinal data from a sample of 315 sexual minority current/former members of the Church of Jesus Christ of Latter-day Saints to examine the efficacy and impact of self-initiated sexual orientation change efforts (SISOCE). We found that 74.6% of participants engaged in SISOCE at some point in their lives. Of the 13.7% of participants who were engaged with SISOCE at the start of the study, 62.8% terminated their SISOCE in the 2-year window of the study. We failed to find significant differences in sexual attraction, aversion, or behavior two years later between those who were actively engaged in SISOCE and those who were not. At baseline, participants engaged in SISOCE reported more religiousness, self-alienation, desires to be exclusively heterosexual (i.e., internalized homonegativity), and concealment than participants not engaged in SISOCE. We also found that participants engaged in SISOCE reported less social support, well-being, and self-rated health alongside more depression than participants not engaged in SISOCE at baseline. Two years later, participants who engaged in SISOCE at baseline reported more depression and less social support than participants not engaged in SISOCE. Results support the idea that trying to change one’s sexual orientation is health-undermining and ineffective with caveats on how health-undermining, whether we know it is ineffective for everyone, and whether it is always health-undermining. We recommend therapists provide acceptance-focused and person-affirming assessments/interventions that promote identity development.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"55 6","pages":"2773 - 2789"},"PeriodicalIF":2.6,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-026-03517-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148728801","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}
Elena Fabbri, Giulia Rasolo, Maria Rinaldi, Giacomo Chiara
{"title":"Narratives on Sexuality in Vulvodynia and Endometriosis: A Qualitative Study on Italian Couples","authors":"Elena Fabbri, Giulia Rasolo, Maria Rinaldi, Giacomo Chiara","doi":"10.1007/s10508-026-03507-0","DOIUrl":"10.1007/s10508-026-03507-0","url":null,"abstract":"<div><p>Although qualitative research on dyspareunia has increased in recent years, most studies have focused on women’s individual experiences or on specific difficulties within the couple, leaving underexplored how partners jointly construct the meanings of sexuality when pain becomes part of the relationship. Against this backdrop, this study explored how couples make sense of sexuality and how their interactional processes shape the relational patterns through which they navigate intimacy in the presence of pain. Drawing on episodic interviews with nine Italian heterosexual couples (M age = 34 years) affected by dyspareunia associated with vulvodynia and/or endometriosis, we conducted a reflexive thematic analysis through which four themes were co-constructed: “Between Body and Emotion: The Shifting Landscape of Sexuality”; “He Holds Back, She Consents: Silent Sacrifices”; “Together Alone: When Coping Is Delegated”; and “From Pain to Partnership: Reimagining Sexuality Together.” Across narratives, couples described greater connection and intimacy when they were able to co-construct meanings and activate communicative spaces grounded in acknowledgment, mutual support, and negotiation. These findings underscore the importance of couple-centered clinical interventions that focus on interactive processes and promote reciprocity and a shared redefinition of sexuality. Adopting a relational and dialogical lens, the study highlights sexuality not as an individual function disrupted by pain, but as an evolving co-created process through which partners continually remake intimacy together.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"55 6","pages":"2341 - 2356"},"PeriodicalIF":2.6,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-026-03507-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148728798","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}
Matthew N. Berger, Sophie Norton, Jason Ma, Jennifer Lampard, Conrad Moreira, Rohan I. Bopage
{"title":"Healthcare Professionals’ Perspectives on the Direct Referral Pathway for Syphilis Management in Western Sydney","authors":"Matthew N. Berger, Sophie Norton, Jason Ma, Jennifer Lampard, Conrad Moreira, Rohan I. Bopage","doi":"10.1007/s10508-026-03497-z","DOIUrl":"10.1007/s10508-026-03497-z","url":null,"abstract":"<div><p>Syphilis remains a major public health concern globally, with rising incidence contributing to preventable complications, including congenital syphilis. As such, the Western Sydney Local Health District implemented a direct syphilis referral pathway between the public health unit and sexual health services. This study aimed to explore healthcare professionals’ experiences of this direct referral pathway and its perceived impact on clinical outcomes and care coordination. A qualitative study was conducted as part of a quality improvement initiative. Semi-structured interviews were undertaken with clinicians from public health and sexual health services involved in the referral pathway. Interviews were audio recorded, transcribed verbatim, and analyzed using inductive and deductive thematic analysis. Fourteen clinicians participated, including medical practitioners and registered nurses. Two overarching themes were identified: (1) proactive case follow-up as a safeguard against preventable consequences of syphilis and (2) infrastructure and interprofessional relationships as enablers of sustained coordination. Participants reported that the pathway enabled proactive engagement of high-risk populations (i.e., pregnant women), resulting in faster treatment and reduced loss to follow-up. Improved interprofessional communication, clearer roles, and access to digital tools (e.g., shared referral forms and electronic medical records) enhanced coordination. Persistent challenges included stigma, unstable housing, and difficulties engaging some patients despite repeated outreach. Clinicians perceived the direct syphilis referral pathway as improving timeliness, coordination, and equity of care for high-risk patients. Strengthened collaboration between public health and sexual health services supported integrated management, although ongoing social and structural barriers highlight the need for complementary supportive interventions.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"55 6","pages":"2679 - 2687"},"PeriodicalIF":2.6,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-026-03497-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148728788","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}