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Kirwan M, Stewart R, Chen W, Hammett JF, Davis KC. Sexual Compulsivity Mediates the Association Between Childhood Sexual Abuse and Condom Use Resistance Among Men Who Have Sex with Men and Women. ARCHIVES OF SEXUAL BEHAVIOR 2023; 52:3457-3469. [PMID: 37697092 DOI: 10.1007/s10508-023-02681-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 07/27/2023] [Accepted: 07/31/2023] [Indexed: 09/13/2023]
Abstract
Despite the continued prevalence of HIV and condoms' proven effectiveness in HIV prevention, many young men continue to engage in condom use resistance (CUR). Research shows that sexual compulsivity and childhood sexual abuse (CSA) victimization are risk factors for CUR. Given that sexual activity between men is the most common method through which HIV is transmitted, and that men who have sex with men and women (MSMW) are up to five times as likely to contract or transmit HIV as men who have sex with women only (MSWO), understanding the CUR behaviors of MSMW is uniquely important. Young, single men who had had sex with a woman in the past year (N = 623) completed questionnaires assessing their previous sexual experiences with men and women, history of CSA, sexual compulsivity, and CUR to determine how MSMW classification may moderate the associations between these variables. Results revealed full, moderated mediation, such that CSA was significantly associated with sexual compulsivity among MSMW, but not MSWO. Furthermore, sexual compulsivity was subsequently associated with CUR, in a model accounting for 5.35% of CUR variance. Such findings suggest that exposure to CSA may render MSMW especially susceptible to maladaptive, sexually compulsive desires and behaviors. As a result, MSMW may be more likely to disregard the inherent risks associated with condomless sexual activity and engage in CUR. Thus, intervention programs seeking to reduce the transmission of HIV and other STIs should prioritize targeting MSMW who experienced CSA to reduce sexual compulsivity and increase condom use.
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Affiliation(s)
- Mitchell Kirwan
- Department of Psychology, University of Texas at El Paso, 500 W University Ave., El Paso, TX, 79968, USA.
| | - Robin Stewart
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
| | - Weiqi Chen
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
| | - Julia F Hammett
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
| | - Kelly Cue Davis
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
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Khazaeian S, Navidian A, Rahiminezhad M. Effect of mindfulness on sexual self-efficacy and sexual satisfaction among Iranian postmenopausal women: a quasi-experimental study. Sex Med 2023; 11:qfad031. [PMID: 37408874 PMCID: PMC10318424 DOI: 10.1093/sexmed/qfad031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2022] [Revised: 04/03/2023] [Accepted: 05/03/2023] [Indexed: 07/07/2023] Open
Abstract
Background Menopause with anatomical, physiological, and psychological changes can affect sexual satisfaction and consequently the quality of life. Aims The study sought to evaluate the effects of mindfulness-based counseling on sexual self-efficacy and sexual satisfaction among Iranian postmenopausal women. Methods This quasi-experimental study was conducted on 110 women who were assigned to an intervention group (n = 55) and a control group (n = 55). The intervention group received 8 sessions of mindfulness-based training and daily mindfulness exercises. Data collection tools included questionnaires of demographics and midwifery, sexual self-efficacy, and sexual satisfaction. They were completed before and 8 weeks after the intervention. The collected data were analyzed through a t test, a chi-square test, and repeated-measures analysis of variance. Outcomes Changes in sexual self-efficacy and sexual satisfaction scores were evaluated. Results The mindfulness-based intervention significantly improved sexual self-efficacy (F = 146.98, P = .000, ƞ2 = 0.576) and sexual satisfaction (F = 129.47, P = .000, ƞ2 = 0.545) over time. The mean scores of sexual self-efficacy (17.03 ± 2.08) and sexual satisfaction (87.94 ± 8.26) in the intervention group increased after the intervention as opposed to the mean scores of sexual self-efficacy (12.65 ± 1.70) and sexual satisfaction (76.61 ± 6.45) in the control group. Clinical Implications Mindfulness training can improve sexual self-efficacy and sexual satisfaction in postmenopausal women. Strengths and Limitations The intervention was implemented on a population of menopausal women in a culture in which the expression of sexual issues is taboo and has not been noticed in the past. The main limitation of this study was self-reporting, which may have affected the responses. The next limitation was the nonrandomized controlled design. Finally, the research sample included menopausal women who were heterosexual and married. Hence, the findings may not be generalizable to more diverse samples. In this study, psychological maladjustment or psychological distress was not analyzed. They should also be considered in future research. Conclusion According to the results, it is advisable to employ mindfulness-based intervention in routine care, because it can improve different aspects of menopausal women's life.
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Affiliation(s)
- Somayyeh Khazaeian
- Department of Midwifery, Pregnancy Health Center, Zahedan University of Medical Sciences, Zahedan 9816743463, Iran
| | - Ali Navidian
- Department of Counseling, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan 9816743463, Iran
| | - Maryam Rahiminezhad
- Corresponding author: Department of Midwifery, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan 9816743463, Iran.
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Shim J, Baek J, Han S. Factors Related to Sexual Intercourse Among Korean Middle and High School Students. Front Public Health 2022; 10:924489. [PMID: 35875024 PMCID: PMC9304745 DOI: 10.3389/fpubh.2022.924489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 06/16/2022] [Indexed: 11/13/2022] Open
Abstract
Background Social interest in sexual intercourse among teenagers is increasing in Korea. This study aimed to identify factors related to sexual intercourse among adolescents. Methods This is a secondary analysis study using data from the 2020 Korea Youth Risk Behavior Survey, with information regarding 54,948 middle school and high school students in Korea having been analyzed. Demographics, health behavior, and mental health characteristics were included. Data evaluation involved chi-square test and binary multivariable logistic regression analysis. Results For middle school students, sexual intercourse was related to their housing type [Odds Ratio (OR) = 10.698], smoking (OR = 5.165) and drinking (OR = 2.229) experience, suicide attempt (OR = 1.920), gender (OR = 1.632), loneliness (OR = 1.501), sadness and despair (OR = 1.493), year level (OR = 1.457), happiness (OR = 0.772), sleep status (OR = 0.716), economic status (OR = 0.705). For high school students, sexual intercourse was related to their smoking experience (OR = 4.746), housing type (OR = 3.661), drinking experience (OR = 2.840), drug use (OR = 2.511), suicide attempt (OR = 2.071), year level (OR = 1.989), sadness and despair (OR = 1.506), gender (OR = 1.429), suicide plan (OR = 1.402), loneliness (OR = 1.270), academic performance (OR = 1.165), happiness (OR = 0.865), subjective health status (OR = 0.814), and economic status (OR = 0.727). However, sleep status was statistically significant for middle school students, but not for high school students. Academic performance, drug use, suicide plan, and subjective health status were statistically significant in high school students, but not in middle school students. Conclusion A program that can directly mediate these factors must be prepared. When conducting sex education for adolescents, mental health-related factors must also be considered.
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Affiliation(s)
- Joohee Shim
- College of Nursing, Yeungnam University College, Daegu, South Korea
| | - Jihyun Baek
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, South Korea
| | - Seungwoo Han
- Department of Emergency Medical Technology, Kyungil University, Gyeongsan, South Korea
- *Correspondence: Seungwoo Han
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Choi Y, Lee T. A structural equation modeling of reproductive health promoting behaviors among female adolescents in the Philippines. Jpn J Nurs Sci 2021; 19:e12463. [PMID: 34873832 DOI: 10.1111/jjns.12463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 10/13/2021] [Accepted: 11/01/2021] [Indexed: 10/19/2022]
Abstract
AIMS Integrated reproductive health promoting behaviors, including safe sexual intercourse, preventing sexually transmitted diseases, sexual responsibility, and genital health management, are essential for adolescents in developing countries. The Philippines is currently facing several reproductive health threats. The aim of this study was to identify factors affecting reproductive health promoting behaviors based on a theoretical model using structural equation modeling. METHODS In this cross-sectional study and a structural equation modeling, a total of 227 female adolescents in the Philippines participated in a self-reported questionnaire survey. RESULTS The results indicated that reproductive health knowledge (β = .14, p = .033), attitudes regarding reproductive health behaviors (β = .31, p = .027), and reproductive health self-efficacy (β = .31, p = .002) influenced participants' reproductive health promoting behaviors. Social norms (β = .31, p = .021) influenced reproductive health self-efficacy and indirectly influenced reproductive health promoting behaviors. Attitude toward gender roles (β = .20, p = .020) was associated with reproductive health knowledge. CONCLUSIONS This study confirmed the direct effect of reproductive health knowledge, attitudes regarding reproductive behaviors, and reproductive health self-efficacy, as well as the indirect effect of social norms, on reproductive health promoting behaviors using structural equation modeling.
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Affiliation(s)
- Yoona Choi
- Department of Nursing, Ulsan College, Ulsan, South Korea
| | - Taewha Lee
- College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, South Korea
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Jalali T, Bostani Khalesi Z, Jafarzadeh-Kenarsari F. The Association between Sexual Self-Efficacy and the Quality of Life among Menopausal Women. J Menopausal Med 2021; 27:87-93. [PMID: 34463072 PMCID: PMC8408323 DOI: 10.6118/jmm.21006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Revised: 04/23/2021] [Accepted: 07/07/2021] [Indexed: 11/30/2022] Open
Abstract
Objectives The present study aimed to determine the association between sexual self-efficacy (SSE) and quality of life (QOL) among menopausal women. Methods In this analytical cross-sectional study, 558 menopausal women were enrolled. Consecutive and available sampling was performed for the sample collection. The instruments used for data collection included a three-part questionnaire consisting of demographic information, Menopausal-Specific Quality of Life Questionnaire (MENQOL), and SSE questionnaire. Results Overall, the maximum and minimum scores of SSE were related to sexual desire (2.88 ± 0.60) and orgasm (0.85 ± 0.17). The highest and lowest scores of QOL were related to psychosocial (4.14 ± 1.24) and sexual activity (3.03 ± 1.74) domains. A significant correlation was observed between the QOL and the domains of SSE (P < 0.001). The maximum and minimum correlation of QOL were related to sexual desire (P < 0.001, r = 0.030) and orgasm (P < 0.001, r = 0.108), respectively. Furthermore, a significant correlation was observed between the SSE score and all domains of QOL except for the vasomotor domain. With regard to the SSE score, the maximum association was found with the sexual activity score (P < 0.001, r = 0.466). Conclusions Based on the findings of this study, a significant direct correlation was observed between the QOL and SSE of menopausal women. Thus, further research and developing education and consultation as intervention programs for enhancing SSE can promote the QOL among women.
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Affiliation(s)
- Tahereh Jalali
- Student Research Committee, Guilan University of Medical Sciences, Rasht, Iran
| | - Zahra Bostani Khalesi
- Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.
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Adigun OT. Self-esteem, self-efficacy, self-concept and intimate image diffusion among deaf adolescents: A structural equation model analysis. Heliyon 2020; 6:e04742. [PMID: 32885078 PMCID: PMC7452541 DOI: 10.1016/j.heliyon.2020.e04742] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 08/11/2020] [Accepted: 08/13/2020] [Indexed: 11/27/2022] Open
Abstract
This study aimed to assess the role of self-esteem, self-efficacy and self-concept on intimate image diffusion among in-school deaf adolescents in Lagos, Nigeria. The theory of planned behaviour served as a framework for the study. Data was collected through structured questionnaire from 276 (male = 39.5%; female = 60.5%) in-school deaf adolescents from five senior secondary (3 integrated and 2 inclusive). Data generated were analysed with IBM SPSS 22 and IBM AMOS 26.0 packages. Mean age of participants was ±16.5, all participants use WhatsApp while 71.7% had Facebook profile. It was observed that all the fit measures of the SEM fell within the acceptable range (χ2 = 104.34, df = 39, χ2/df = 2.67, GFI = 0.92, CFI = 0.91, NFI = 0.93, IFI = 0.91 and RMSEA = 0.54). According to the findings, self-esteem and self-efficacy had a positive and direct relationship with intimate image diffusion while a negative but direct link exists between self-concept and intimate image diffusion among deaf adolescents. Based on the finding, an appropriate recommendation was made.
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Affiliation(s)
- Olufemi Timothy Adigun
- Department of Educational Psychology and Special Education, University of Zululand, KwaDlangezwa, South Africa
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Rizkianti A, Maisya IB, Kusumawardani N, Linhart C, Pardosi JF. Sexual Intercourse and Its Correlates Among School-aged Adolescents in Indonesia: Analysis of the 2015 Global School-based Health Survey. J Prev Med Public Health 2020; 53:323-331. [PMID: 33070504 PMCID: PMC7569018 DOI: 10.3961/jpmph.20.028] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Accepted: 06/11/2020] [Indexed: 11/24/2022] Open
Abstract
Objectives This study aimed to determine the prevalence and correlates of sexual intercourse among junior secondary and high school students in Indonesia from the 2015 Global School-based Health Survey (GSHS). Methods The survey was conducted among 11 110 students from 75 schools in Indonesia using a self-administered questionnaire. Univariate and multivariate analyses were conducted to explore associations between sexual intercourse and socio-demographic variables, substance use, mental distress, and protective factors. Results Overall, 5.3% of students reported having ever had sex (6.9% of boys and 3.8% of girls). Of students who engaged in sexual intercourse, 72.7% of boys and 90.3% of girls had an early sexual debut (before reaching the age of 15) and around 60% had multiple sex partners. Sexual intercourse was associated with gender, school grade, smoking, alcohol consumption, drug use, suicidal ideation, truancy, peer support, and parental supervision. Conclusions These findings indicate a pressing need to develop more comprehensive sexual health education in the national curriculum. An effective strategy should also address other risky behaviours.
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Affiliation(s)
- Anissa Rizkianti
- Centre for Research and Development of Public Health Efforts, National Institute of Health Research and Development (NIHRD), Jakarta, Indonesia
| | - Iram Barida Maisya
- Centre for Research and Development of Public Health Efforts, National Institute of Health Research and Development (NIHRD), Jakarta, Indonesia
| | - Nunik Kusumawardani
- Centre for Research and Development of Public Health Efforts, National Institute of Health Research and Development (NIHRD), Jakarta, Indonesia
| | - Christine Linhart
- School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, Australia
| | - Jerico Franciscus Pardosi
- Centre for Research and Development of Public Health Efforts, National Institute of Health Research and Development (NIHRD), Jakarta, Indonesia.,School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Australia
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Foshay JE, O’Sullivan LF. Home-based sex communication, school coverage of sex, and problems in sexual functioning among adolescents. THE CANADIAN JOURNAL OF HUMAN SEXUALITY 2020. [DOI: 10.3138/cjhs.2019-0025] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Young people experience problems in sexual functioning at high rates. Sexual health education (SHE) has been found to reduce risk for negative outcomes, yet research has not addressed how SHE is related to problems in sexual functioning among adolescents. The current study assessed how perceived quality of sexual education at home and quality of coverage of sexual health topics in school are related to sexual functioning among adolescents. Adolescents (N = 411, 16–21 years) completed measures of sexual functioning and related distress, sexual self-esteem, and school SHE and home-based sex communication. Lower sexual-self-esteem was related to higher odds of reporting a sexual problem as well as more distress about these problems. After controlling for sexual self-esteem, higher perceived quality of home-based communication with parents about sex was associated with lower odds of having one or more sexual problems (OR = .80), but higher odds of having distressing sexual problems (OR = 1.51) for male adolescents only. Quality of coverage of sex topics in SHE was unrelated. These findings suggest that home-based sex communication for male adolescents may be important for experiencing problems overall, but also may contribute to heightened distress should a problem occur. Results are discussed in terms of differential socialization by parents in communicating with sons and daughters about sex.
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Affiliation(s)
- Jeffrey E. Foshay
- Department of Psychology, University of New Brunswick, Fredericton, NB
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