Archives of Sexual Behavior最新文献

{"title":"Effects of an Afrocentric Sexual Health Education Curriculum for Medical, Nursing, and Midwifery Students in Tanzania: A Single-Blinded Randomized Controlled Phase 3 Trial","authors":"B. R. Simon Rosser,&nbsp;Dickson Ally Mkoka,&nbsp;Maria Trent,&nbsp;Nidhi Kohli,&nbsp;Lucy R. Mgopa,&nbsp;Corissa T. Rohloff,&nbsp;Ever Mkonyi,&nbsp;Michael W. Ross,&nbsp;Stella Emmanuel Mushy,&nbsp;Inari Mohammed,&nbsp;Agnes F. Massae,&nbsp;Ziwei Zhang,&nbsp;Dorkasi L. Mwakawanga,&nbsp;Gift Gadiel Lukumay","doi":"10.1007/s10508-025-03207-1","DOIUrl":"10.1007/s10508-025-03207-1","url":null,"abstract":"<div><p>Sub-Saharan Africa has the world’s highest rates of sexual health challenges. Yet, sexual health curricula for health students are rare. To advance research on the effects of such a curricula, we conducted the first randomized controlled trial of a sexual health curriculum for health students. “Training for Health Professionals” was a randomized, controlled, single-blind, trial conducted in Tanzania. In 2021, 412 nursing, midwifery, and medical students were stratified by discipline, completed baseline assessments, then randomized to receive a four-day comprehensive curriculum (<i>n</i> = 206) or to a waitlist control (<i>n</i> = 206). The curriculum covered sexual health across the lifespan, male and female sexual dysfunctions, key populations (LGBT, sex workers), sexual violence, clinical skills building, ethics, policy writing, and cultural considerations. Primary outcomes were assessments of sexual health knowledge, attitudes, and clinical skills at baseline, post-intervention, and three-month follow-up. Clinical skills were evaluated through videotaped standardized patient interviews assessed by expert raters blind to arm of study or baseline/follow-up interview. Attrition was minimal (&lt; 1%); final sample size was 408. Compared to control, intervention participants had statistically significant, moderate to large, increases in sexual health knowledge (<span>(beta =3.49, SE=0.24, p&lt;0.001)</span>), confidence in addressing patients’ concerns (<span>(beta =29.34, SE=3.26, p&lt;0.001)</span>), ability to discuss sexual health with patients (<span>(beta =22.00, SE=1.99, p&lt;0.001)</span>), and improved clinical skills (<span>(beta =8.04, SE=0.60,,p&lt;0.001)</span> for interpersonal communication; <span>(beta =2.50, SE=0.28, p&lt;0.001)</span> for medical history taking). Most participants (76.6%) evaluated the curriculum as culturally appropriate for Africa. No adverse effects were observed. This study provides “gold standard” evidence that training in sexual health is culturally acceptable, needed, and effective for nursing, midwifery, and medical students. Such training may be particularly important in sub-Saharan Africa and low- and middle-income countries given substantial sexual health challenges.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 7","pages":"2727 - 2738"},"PeriodicalIF":2.9,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-025-03207-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144819602","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":"What's In a Name? Beyond Binaries of Sex and Gender.","authors":"David Haig","doi":"10.1007/s10508-025-03154-x","DOIUrl":"https://doi.org/10.1007/s10508-025-03154-x","url":null,"abstract":"","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"13 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144802545","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":"An Evaluation of the Prevalence and Efficacy of Gender Affirmative Vocal Therapy in Poland","authors":"Krzysztof Dąbrowski,&nbsp;Scech Marcin,&nbsp;Philippa C. R. Wheble","doi":"10.1007/s10508-025-03196-1","DOIUrl":"10.1007/s10508-025-03196-1","url":null,"abstract":"<div><p>The voice is one of the most important factors influencing gender and cultural identity. Voice problems and disabilities are common in the transgender community. This preliminary research investigates the prevalence of voice problems in transgender people who have completed or are in the process of completing gender reassignment in Poland. The aim was to describe the scope of challenges faced by the transgender community and to assess whether gender affirmative vocal therapy improves outcomes during gender transition. A questionnaire was distributed through secure social media forums to gather anonymized data. The questionnaire explored demographic details, self-perception, societal perception, and voice quality perception. Out of 200 responses, 21 confirmed participating in gender affirmative vocal therapy. Ten elements of voice quality perception were significantly improved in the gender affirmative vocal therapy group compared to controls (<i>p</i> &lt; 0.033). The study showed a significant impact of societal and self-perception on voice quality perception. It is crucial for health and well-being that people who undergo gender reassignment have access to gender affirmative vocal therapy.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 7","pages":"2739 - 2753"},"PeriodicalIF":2.9,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-025-03196-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144797404","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":"Childhood Sexual Behavior as a Mediator of the Relationship Between Sexual Abuse and Early Sexual Debut: A Prospective Analysis","authors":"Brian Allen","doi":"10.1007/s10508-025-03228-w","DOIUrl":"10.1007/s10508-025-03228-w","url":null,"abstract":"<div><p>Childhood sexual abuse (CSA) is a commonly recognized risk factor for early sexual debut. However, relatively few studies are available that examine the potential mediators of this relationship. One promising marker is a preoccupation with sex and sexual topics as one enters the teenage years; however, sexual behavior observed at age 8 might serve as an even earlier risk indicator for early sexual debut. This study used the prospective data of 697 female children to test a serial multiple mediation model where sexual abuse predicts sexualized behavior at age 8, which in turn predicts sexual preoccupation at age 12, and this sequence then forecasts engaging in sexual intercourse at age 14. Given that child physical abuse (CPA) is also commonly linked to the display of childhood sexualized behavior, this variable was included in the models. Path analyses determined that the best-fitting model included sexual behavior as measured at age 8 and sexual preoccupation measured at age 12 in a serial mediator model, which effectively accounted for the relationship between early CPA and CSA and early sexual debut. Contrary to expectations, CPA emerged as an independent predictor of sexual behavior while CSA did not after the effects of CPA were controlled. The implications of these findings for understanding risk for early sexual intercourse are discussed, including treatment/prevention suggestions.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 7","pages":"2463 - 2473"},"PeriodicalIF":2.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-025-03228-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144787706","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":"Sex, Attraction, and Social Norms: Distinguishing Romantic and Non-Romantic Relationships in Non-Sexual Contexts","authors":"Ana Carolina de Barros,&nbsp;Emily R. L Lackie,&nbsp;Sari M. van Anders","doi":"10.1007/s10508-025-03163-w","DOIUrl":"10.1007/s10508-025-03163-w","url":null,"abstract":"<div><p>Close relationships are typically distinguished by whether they are “romantic” versus “platonic” and this distinction is often based on sexual attraction and/or behavior. However, several forms of close relationships do not follow this pattern. Thus, the purpose of this research was to explore how individuals distinguish between romantic relationships and close, non-romantic relationships in non-sexual contexts. We aimed to answer the following research questions: (1) What differentiates romantic and non-romantic close relationships? (2) How do people distinguish between people they want to be in non-romantic versus romantic relationships with? and (3) Do underlying structures of romantic and non-romantic relationships differ and, if so, how? We recruited 30 individuals who were either in romantic non-sexual relationships or close non-sexual relationships that they considered to be “more than a typical ‘best friend’ relationship.” Participants completed 60-min interviews where we asked them about several aspects of their relationship (e.g., labels, development, and structure), as well as their understandings of romantic and non-romantic relationships in general. We analyzed data using template analysis and developed several themes, including: differentiators between romantic and non-romantic relationships (intimacy, type of love, interdependence, social norms, and sexuality), similarities between romantic and non-romantic relationships (importance, emotions, and behaviors), romantic attraction (interest, excitement, enaction, and intellectual connection), and similarities and differences in relational structures (commitment, effort, terms and labels, development, and conflict). Our results contribute to the growing literature on diverse relationships and specify how norms about sexuality play a role in distinguishing relationship types, even for asexual individuals.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 7","pages":"2517 - 2538"},"PeriodicalIF":2.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144787696","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":"Youth Perceptions of Male Homosexuality: Conceptions and Stereotypes in Brazil","authors":"Emerson Vicente-Cruz,&nbsp;Maria T. Soto-Sanfiel,&nbsp;Ariadna Angulo-Brunet","doi":"10.1007/s10508-025-03206-2","DOIUrl":"10.1007/s10508-025-03206-2","url":null,"abstract":"<div><p>This study identifies traditional conceptions of homosexuality and social stereotypes about gay men among Brazilian teenagers. A total of 178 adolescents (50% girls; age range 11–16 years) participated in 45 focus groups held at five schools in Brazil, in which a semi-structured script and videos depicting homophobic bullying were used to elicit their opinions. Thematic analysis revealed a dichotomy in their conceptions and stereotypes: While some spontaneously expressed homophobic conceptions (e.g., homosexuality is a sin or a pathology) supported by stereotypes (e.g., gays are not real men or sexually harass heterosexuals), others openly condemned homophobia and actively voiced their objections to the former group’s homophobic views. The analysis also reveals the persisting influence of religious beliefs in their perceptions. The study highlights the need to foster critical reflections in educational settings and the formulation of strategies to deconstruct homophobia and promote diversity and inclusion.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 7","pages":"2567 - 2578"},"PeriodicalIF":2.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-025-03206-2.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144787697","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":"Validation of the Problematic Pornography Consumption Scale: Short Form (PPCS-6) in a Spanish Clinical Population with Gambling Disorder","authors":"Susana Jiménez-Murcia,&nbsp;Roser Granero,&nbsp;Giulia Testa,&nbsp;Ernesto Tarragón,&nbsp;Marc N. Potenza,&nbsp;Beáta Bőthe,&nbsp;Zsolt Demetrovics,&nbsp;Juan Carlos Uríszar,&nbsp;Carlos Chiclana-Actis,&nbsp;Fernando Fernández-Aranda,&nbsp;Gemma Mestre-Bach","doi":"10.1007/s10508-025-03201-7","DOIUrl":"10.1007/s10508-025-03201-7","url":null,"abstract":"<div><p>The prevalence of problematic pornography use (PPU) and its potential negative effects have raised concerns, necessitating the availability of accurate assessment tools. This study aimed to validate the Problematic Pornography Consumption Scale (PPCS-6) in a Spanish sample with gambling disorder. The sample consisted of 359 adults (92.2% men, <i>M</i> = 39.5 years, <i>SD</i> = 13.6) seeking treatment for gambling disorder. Other than the PPCS-6, various psychometrically sound instruments were used to assess variables related to PPU, gambling behavior, psychopathology, emotional dysregulation, impulsivity, and personality features. Confirmatory factor analysis and correlation coefficients were used for data analysis to examine the factor structure and assess convergent-discriminative validity of the PPCS-6. The psychometric properties of the PPCS-6 were supported in the present treatment-seeking population, showing a one-dimensional solution with good fit and internal consistency. Higher PPCS-6 scores were associated with more severe psychopathology, higher impulsivity, more emotion regulation difficulties, and lower self-directedness. Additionally, positive correlations were observed between PPCS-6 scores and specific motivations for using pornography. This study validates the Spanish version of the PPCS-6 as a reliable screening tool for assessing PPU in clinical populations, specifically in individuals with gambling disorder.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 7","pages":"2715 - 2726"},"PeriodicalIF":2.9,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-025-03201-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777872","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":"Obesity-Related Anthropometric Indicators and Erectile Dysfunction: A Systematic Review","authors":"Tingxin Li,&nbsp;Jun Chen,&nbsp;Baoming He,&nbsp;Qiang Feng","doi":"10.1007/s10508-025-03208-0","DOIUrl":"10.1007/s10508-025-03208-0","url":null,"abstract":"<div><p>The observed results of body mass index are inconsistent, which makes it controversial whether weight loss is beneficial to erectile function. The purpose of this review aimed to summarize the potential relationship between obesity-related eight anthropometric indexes and erectile dysfunction: body mass index, waist circumference, weight-adjusted waist index, waist-to-height ratio, a body shape index, conicity index, abdominal volume index, and body roundness index. Body mass index or waist circumference has limitations in evaluating ectopic deposition of adipose tissue, which might lead to the obesity paradox in erectile dysfunction. As an alternative or supplement for body mass index or waist circumference, the other six obesity-related anthropometric indexes show advantages in capturing the complexity of adipose tissue and its ectopic deposition distribution. Combining multiple indicators may enhance the accuracy of forecasting of erectile dysfunction risk. However, there is a paucity of data regarding the clinical randomized controlled intervention studies.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 7","pages":"2475 - 2489"},"PeriodicalIF":2.9,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-025-03208-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777874","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":"Swingers in Germany: Sociodemography and Event Preferences Assessed from Harvested Web Data","authors":"Oliver Maor","doi":"10.1007/s10508-025-03198-z","DOIUrl":"10.1007/s10508-025-03198-z","url":null,"abstract":"<div><p>This exploratory study investigated Germany’s heterosexual swinger community within the consensual non-monogamy spectrum. It used anonymized, verified data harvested in September and October 2023 from Joyclub, the leading online platform in Germany focused on sexual exploration. The first part examined anonymized profiles from self-declared swingers, totaling 22,973 individuals, revealing a mature demographic, with median ages of 44 for women and 46 for men. Despite high regional variations, no clear correlations between swinger prevalence and regional socioeconomic factors were found. Subgroup analysis identified BDSM-affiliated swingers and those involved in open relationships or polyamory, with a higher concentration in urban areas. The second study assessed 14,008 attendees at 82 categorized swinger events, which showed a preference for sex-focused events across all age strata. Contrary to the male-centric perspective, the data revealed events strongly focused on women’s preferences, including those targeting younger male partners. Events also combined sexual activities with social elements and drew participants from greater distances, indicating a strong commitment to the community lifestyle. A prominent presence of solo women was observed, contradicting earlier findings from other countries. Reduced pricing for women did not correlate with higher attendance, questioning the effectiveness of such strategies. The use of verified data and a large sample size provides robust insights into Germany’s swinger community, emphasizing gender participation and regional variations. This study offers an empirical foundation for future research and highlights the importance of local contexts and terminology in studying sexual behavior.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 7","pages":"2401 - 2427"},"PeriodicalIF":2.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-025-03198-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764392","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 Role of Autonomy in Multi-Partnered Relationships","authors":"Sonja Bröning","doi":"10.1007/s10508-025-03202-6","DOIUrl":"10.1007/s10508-025-03202-6","url":null,"abstract":"<div><p>Polyamory is a form of consensual non-monogamy (CNM) that openly endorses multiple romantic and sexual relationships. Previous research has reported high satisfaction and need fulfillment in polyamorous relationships. However, the feasibility of polyamory for a wider population given the societal monogamy norm is highly debated. Desire for relational autonomy, such as the freedom to love multiple partners and be sexually intimate with them, is a widespread motive for engaging in CNM. In this qualitative study, we explored if and how this kind of autonomy was experienced by polyamorous individuals in daily life. Autonomy in relationships was conceptualized through the differential lenses of self-determination theory, attachment theory, and differentiation theory. We conducted 20 semi-structured interviews with German-speaking polyamorists. The material was analyzed using reflexive thematic analysis to answer the following research questions: (1) In what ways is personal autonomy created and expressed in polyamorous relationships? (2) Are autonomy-related needs fulfilled in polyamorous relationships? (3) How important is personal autonomy for polyamorous individuals? Overall, participants reported a high need for and level of “doing autonomy” in their polyamorous relationships. Four central aspects of this autonomy emerged: assertive communication, independent emotion regulation, self-congruent lifestyle, and valuing freedom. Different nuances of these four aspects are discussed with regard to the study’s research questions and to their implications for mental health professionals working with polyamorous clients.</p></div>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":"54 7","pages":"2429 - 2444"},"PeriodicalIF":2.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10508-025-03202-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764394","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}