Sexes

The prevalence of premature ejaculation (PE) across different cultures and nationalities has long been a topic of debate, with early studies suggesting that men in such regions as the Middle East and Asia experience higher rates. However, the validity of these claims has been questioned due to methodological inconsistencies and the lack of comparative studies that apply uniform diagnostic criteria across different populations. This narrative review aims to analyze the existing literature to assess whether justifiable support for cultural or national differences regarding PE prevalance truly exists. The review focused on empirical studies spanning from 1995 to 2024 that included men from multiple nationalities or cultures. Studies on patient or specialized populations or that assessed only ejaculation latencies (EL) were excluded. Three categories of studies were reviewed: (1) studies including multiple nationalities within a single analysis, (2) studies from different countries that used an identical method to determine PE status, and (3) studies employing varied methodologies to determine PE status. The review found that differences in PE prevalence across cultures are more likely due to methodological variations than true cultural or national differences. While some trends, such as slightly higher rates in Latin American and Asian countries, were noted, no consistent patterns emerged. Studies using standardized methods, like the PEDT, generally showed prevalence rates between 5% and 15%, with no clear outliers across regions. Thus, current evidence does not support significant cultural or national differences in PE prevalence. Methodological inconsistencies, such as reliance on self-report and non-standardized diagnostic criteria, likely contribute to perceived differences. Future research should focus on using standardized methodologies and include more studies from underrepresented regions, such as Latin America and sub-Saharan Africa. Full article

Adolescence is a stage of significant intrapersonal and interpersonal changes, influenced by cultural and historical shifts. This study aims to analyze the changes in heterosexual behaviors among adolescents in Western countries over the past 50 years approximately. For this purpose, we conducted a systematic review following the PRISMA model, utilizing the online databases EBSCO, WoS, and Scopus, covering the period from 1980 to 2024, across ten European countries. The review focused on studies published in scientific journals with regional or national samples. In addition to the 30 selected studies, three more were included due to their relevance as cited in the selected articles. Despite the considerable methodological heterogeneity, the results showed a relative stabilization of the differences in sexual behaviors of boys and girls throughout time. Those differences were more evident in Southern European countries. Some changes were also noted, such as the delay in the initiation of the first sexual intercourse, a trend observed over the last decade. The findings are discussed in terms of the sexual script theory, highlighting the importance of these mental frameworks in the heteronormative sexual socialization of boys and girls. Future research should emphasize the diversity of heterosexual behaviors, their significance, and the emotional experiences that accompany them. Full article

Using semi-structured, qualitative interviews of 25 heterosexual Muslim women residing in the US, the author examines the extent to which respondents simultaneously constructed and deconstructed the gender dichotomy when explaining sexuality, countering reductionist accounts of Muslim women’s sexuality. Integrating concepts of religiosity and gender norms, respondents reconfigured the dominant discourse of power and sexuality in innovative ways. One of the main themes that emerged from this research is that male sex drive discourse, typically associated with power and “machismo” within the traditional sexual script, was reimagined by Muslim women as an indicator of women’s greater strength in the eyes of God. Full article

As gender-based violence, obstetric violence is a complex phenomenon that represents a matter for debate worldwide. The main objective of this exploratory study is to understand the experiences of obstetric violence during pregnancy, childbirth, and the postpartum period of racialised Brazilian women in the Portuguese National Health System. Using a qualitative case study research approach, semi-structured individual interviews were conducted with ten racialised Brazilian women who gave birth in Portugal. A thematic qualitative analysis was used. The findings reveal significant cases of obstetric violence, which include the complexities and lack of support, assistance and monitoring networks, structural inequalities, neglect, and intersectional discriminatory practices based on racial and cultural prejudices, as well as reflection. These experiences not only affect the physical health of mothers but also have profound psychological and emotional consequences. This study highlights the urgent need for culturally sensitive care and the implementation of policies to prevent obstetric violence, ensuring that the rights and dignity of migrant mothers are upheld. By highlighting these critical issues, this study aims to contribute to the broader discourse on maternal health care and promote social justice for these historically marginalised groups. Full article

Trauma recovery research requires the development of instruments that capture gender-based violence (GBV) survivor recovery phases. The salutogenic concepts in Antonovsky’s Sense of Coherence (SOC) (manageability, comprehensibility, and meaning) could help capture trauma recovery stages, but the factorial structure of the SOC-13 has remained problematic. Moreover, most SOC revisions generally abandon the original intent of the SOC-13, developing scales that capture essential but different aspects of positive psychology. This study used mixed methods to develop the Sense of Meaning Inventory (SOMI), preserving the original concepts but updating the language, removing cultural idioms, and revising the response scales to stabilize the subscales. The qualitative phase evaluated and updated the items of the scale while retaining the original concepts. The quantitative phase conducted a two-sample psychometrics reliability and validity evaluation of the new scale with GBV survivors, finding a three-factor solution. This scale may be more amenable for international research and theory testing in GBV and other health conditions. Full article

Communication concerning sexual consent among young people is a significant concern for prevention in our society today. While sexual consent awareness campaigns (SCACs) hold importance in various communication modes, they predominantly rely on speech acts despite scientific literature providing other elements beyond these. This research aims to fill this gap through dialogues between young people and the scientific literature. A content analysis of 23 international and national campaigns was conducted alongside fieldwork in Spain with 77 young participants (18–25 years old) and 24 professionals from the field of education and society engaging in dialogue with scientific evidence on sexual consent. The results provide three aspects for future campaigns: (a) to be based on scientific evidence, (b) to introduce clear examples of coercive discourse and interactive power, and (c) to aim at new alternative masculinities rather than targeting potential victims. Full article

This narrative review offers a deep dive into the theoretical and empirical literature on adolescent online health information-seeking behavior, specifically in relation to sexual health. It presents ways in which motivational influences impact adolescent social media use to seek sexual health information and offers insight into how Longo’s comprehensive and integrated model for understanding health information, communication, and information-seeking and self-determination theory may be used as frameworks for improved understanding in adolescent use of social media for seeking information related to sexual health. The main objectives of this article are, first, to examine the existing literature pertaining to social media, namely its main characteristics and uses by adolescents, its use as an educational tool, and its relation to health information; second, to explore information-seeking and learning through online platforms, particularly social media; and third, to provide a framework utilizing self-determination theory to better understand adolescent motivation in health-seeking behavior. This manuscript advances current knowledge and practices in supporting adolescent skill-development surrounding information-seeking and evaluation behaviors. Such practices will only become more beneficial as young people seek information in various settings (e.g., online, social media platforms, and artificial intelligence systems), particularly sensitive information such as that related to sexual health. Full article

Peer-reviewed journal articles provide the data for this study, given that their findings undergird the quantitative data referenced by prominent organizations, courts, and policy-makers. The “Espy file”, based on the research of Major Watt Espy, Jr., is used to identify studies due to the dataset’s esteem and prolific usage. It is the largest known dataset of men’s and women’s executions in the United States since 1608 and has been of monumental significance to capital punishment research. The protocol established by the Preferred Reporting of Items for Systematic Reviews and Meta-Analyses (PRISMA) is the methodology followed due to its conformity to scientific standards and acceptance in scholarly communities. The initial sampling frame involved 613 studies which were narrowed to 79 peer-reviewed journal articles that cited or utilized the Espy file. The empirical findings justify the contention that past and current studies, while interdisciplinary, require new voices and approaches to contribute to the study of capital punishment. Mainstream death penalty research does not generally incorporate critical theories including, for example, gender, intersectional, Black feminist, Queer, and other theories that focus less on quantitative data and more on how capital punishment is a reflection of institutional, historical, and social processes that are hierarchical and defined by power. The findings suggest that not only are executed women removed from many analyses, but so are inclusionary methodologies and theoretical approaches that could bolster the legitimacy of academic studies (inside academia as well as the judicial system) and our understanding of capital punishment in general. Full article

University women are vulnerable to engaging in risky sexual behaviors (RSBs), which are related to academic stress, alcohol, and tobacco consumption. The aim of this study was to identify profiles of university women who associate RSBs with alcohol consumption, tobacco consumption level, and frequency of academic stress. A total of 534 female university students from Mexican universities answered an online questionnaire with five instruments related to their sexual behavior, alcohol consumption, tobacco consumption, and academic stress. They were studying to become professionals in health sciences, administration and social sciences, engineering, and “others” with grade point averages ranging from 5.7 to 10/10. They had to sign an informed consent and acknowledge having had at least one sexual relationship with anal or vaginal penetration before participating. A multiple correspondence analysis yielded a parsimonious solution with the following three dimensions that explained 38.60% of the variance: 1 “pregnancy”; 2 “number of sexual partners”; 3 “substance use”. Using a point cloud clustering strategy based on the Euclidean distance between categories in a two-dimensional space, five profiles were identified: Conservative and Prudent, Active Promiscuous, Vulnerable Reproductive Health, STI Risk, and Moderate Risk Behaviors. The estimation of ellipses with 95% confidence from the calculation of centroids allowed for the integration of two profiles: Lower probability of RSB and Higher probability of RSB. The contribution of academic stress was null with respect to the model solution, so this variable was discarded. The results identified particular risk profiles in female university students. These findings are useful for the development of differentiated intervention strategies to reduce RSB in this vulnerable group. Full article

The extent to which estradiol, progesterone, and testosterone influence mating behavior across the menstrual cycle is unclear. The Proactive and Responsive Mating Strategies Scales (PARMSS) were developed to separately examine two specific components of sexuality and were used here to test divergent hormonal associations. Preliminary psychometric data (N = 364 females) suggest that both scales consist of one factor and demonstrate strong psychometric properties (internal consistency, test–retest reliability, and construct and convergent validity). The PARMSS were used in a repeated-measures observational study to examine the relationships between changes in endogenous hormone levels and both proactive and responsive mating intentions with potential new short-term or long-term partners in healthy pre-menopausal participants (N = 38). At two points in their cycle, participants provided salivary hormone samples in the laboratory and reported the likelihood of engaging in proactive and responsive behaviors with men in photos and vignettes. Participants reported greater responsive than proactive intentions. Increases in estradiol and testosterone across the cycle were associated with increases in short-term mating intentions, particularly responsivity to potential short-term relationship partners. No associations were found for intentions that were proactive or that involved potential long-term partners or for progesterone. Changes in the three hormones explained changes in short-term responsive mating intentions (22% of the variance). The results suggest (a) cyclical changes in estradiol and testosterone are differentially associated with changes in responsive vs. proactive mating intentions and (b) context-dependent changes (i.e., short-term vs. long-term mating intentions and possibly relationship status). The findings require replication with larger and diverse samples. Full article

Social power can activate behavior toward goal attainment. In the context of romantic and sexual relationships, social power may facilitate competitor derogation tactics and self-promotion tactics to attract a partner. We hypothesized that perceived invulnerability to harm would provide a pathway linking social power to competitor derogation, whereas self-perceived mate value would provide a pathway linking social power to self-promotion. Findings from 218 participants (M_age = 38 years) revealed that experimentally manipulated social power enhanced perceived invulnerability, which in turn was positively associated with competitor derogation. Social power did not affect ratings of self-perceived mate value. Women more strongly endorsed self-promotion in pursuit of a short-term (vs. long-term) relationship, whereas men’s ratings did not vary by relationship goal. Our findings suggested that social power may influence goal-directed thinking and behavior in the context of romantic and sexual relationships. Full article

We sought to understand how the mental state of religious queer individuals is affected by religious marginalization and queer identity. Using a multi-method approach, we analyzed data from 626 participants to assess how a queer status affected psychological distress and life satisfaction, the mediating effect of strength of faith on the relationship between the queer status and life satisfaction, and the moderating effect of experiences with marginalization on the relationship between the strength of faith, psychological distress, and life satisfaction. Queer status was found to have a significant impact on queer individuals’ psychological wellness and life satisfaction. Marginalization experiences decreased psychological wellness and life satisfaction. Our qualitative analyses add to these results, describing the weaponization of queer identity in religious settings. These results can be attributed to the strong main effects of queer status and strength of faith on psychological distress and life satisfaction rather than tertiary variables. Full article

This study explored the relationships among psychological, relational, and sexual factors and their impact on sexual satisfaction among Italian women during the COVID-19 lockdown. Data were collected via an online survey with 3803 participants. The survey assessed mental health, relationship quality, frequency of sexual intercourse, frequency of masturbation, body awareness, and sexual satisfaction. Correlation analyses revealed positive relationships among all the variables and negative relationships with low mental health. A network analysis showed that sexual satisfaction was the most central variable, strongly linked to relationship quality, frequency of sexual intercourse, and body awareness. An exploratory mediation model examined the indirect effects of mental health and frequency of masturbation on sexual satisfaction through the other variables as mediators. The results indicated that mental health negatively influenced sexual satisfaction both directly and indirectly through relationship quality and body awareness, while frequency of masturbation had a positive indirect effect through body awareness. These findings highlight the complex interplay among mental health, body awareness, relational factors, and sexual satisfaction, emphasizing the importance of holistic approaches in enhancing sexual well-being. Future research should focus on longitudinal studies to establish causality and explore interventions that promote positive body awareness and relationship quality. Full article

Youth in the US experience high rates of sexual violence. Historically, adults design and deliver preventive initiatives, with youth limited to participants and recipients. The use of community-based participatory research and other participatory approaches can expand the reach and impact of adolescent sexual violence prevention initiatives by positioning youth as leaders and co-researchers. This systematic review explores both adolescent violence prevention programs and research projects that take a participatory, youth-engaged, or youth-led approach. This review aims to understand what activities youth are involved in and how they are equipped for their roles. Following PRISMA guidelines, the review located eight eligible articles that involved high school youth or younger as more than data, focused on adolescent sexual or dating violence prevention, and whose programs or studies were conducted in the United States. I reviewed each article for programmatic and study specifics, with special attention to which stages youth participated in and how capacity-building was incorporated. The results revealed that youth can participate in a variety of activities, though they are involved in certain stages more than others, and that capacity-building ranged in breadth and frequency. I call researchers to detail youth activities and training, and explain clearly their participatory approach and decisions. Full article

Research has primarily focused on female sex workers, leaving a large gap in our understanding of the factors affecting the welfare of male sex workers (MSWs). The purpose of this study was to review the body of research on how substance addiction affects MSWs’ health and welfare. Using Google Scholar, PubMed, Science Direct, Cochrane Library, Medline, and CINAHL, a systematic search was carried out. Included was all the research on the effects of drug misuse on the health and happiness of sex workers. The methodology for conducting systematic reviews developed by the Joanna Briggs Institute was applied in this review. The research encompassed English-language papers authored between 2000 and 2024 to guarantee a thorough analysis of current patterns and breakthroughs in the domain, mirroring the current obstacles and progressions in tackling substance addiction among male sex workers. Exclusion criteria were developed to guarantee the relevance and rigor of the included research, whereas inclusion criteria were set based on demographics, exposure, and results. Nineteen studies that met the inclusion criteria were found during the review. This study revealed three main themes: factors contributing to substance abuse among male sex workers; the correlation between substance abuse and mental health among sex workers; and the correlation between substance abuse and the incidence of STIs, including HIV. This study highlights the urgent need for comprehensive, inclusive approaches to address the specific needs of MSWs, ultimately aiming to improve their quality of life and reduce health disparities. Full article

Background: Consistent use of effective contraceptives is directly associated with a lower risk of unintended pregnancies, a significant public health burden in the U.S. The Asian American population is heterogeneous and fast-growing. However, patterns and disparities in contraceptive use among Asian American women, particularly within racial/ethnic subgroups, have been understudied, hindering effective family planning. Objectives: This study aimed to identify the prevalence of contraceptive use and its pattern in Asian American women using the 2015–2016 California Health and Interview Survey (CHIS) data, with a focus on different Asian ethnic subgroups. Study Design: A composite score of acculturation level (0–5) was created based on place of birth, years in the U.S., and language spoken at home. Data on demographics, self-rated health, contraceptive use, and related information were collected from women aged 18–44 years who were at risk of unintended pregnancy. Adjusted multivariable logistic regressions were conducted to examine contraceptive use and patterns in relation to race/ethnicity and other factors. Results: Over 18.20% of the overall sample (pop estimated N = 16,177,759) were Asian Americans, and among them, 24.62% were Chinese, followed by other Asian subgroups (28.83%), Filipina (25.49%), Korean (11.25%), and Vietnamese (9.80%). Overall, Filipina, Korean, and Vietnamese women were less likely to use contraception compared to their non-Hispanic White (NHW) peers, whereas acculturation level was positively associated with contraceptive use. Among different types of contraceptives, Filipina, Korean, and Vietnamese women were less likely to use long-acting reversible contraceptives compared to NHW. Such racial/ethnic disparities were not observed with less or moderately effective contraceptives. Conclusions: Patterns of contraceptive use and associated disparities varied among Asian American subgroups. Providers working with Asian American women should be aware of these racial disparities in contraceptive use and seek ways to address barriers to effective contraception use in this diverse population in order to provide culturally competent family planning services. Full article

The existing literature on sexual consent is extensive, but a new social approach to this topic is emerging, necessitating further research. This article addresses a gap in understanding how men’s interactions with other men, who are not their sexual partners, both before and during sexual encounters, influence their approach to consent beyond sexual cues. The study involved sixteen interviews and two focus groups with men aged 18–25. Conducted within the framework of the Consent project (PID2019-110466RB-100), this research aims to analyze how communicative acts, beyond verbal exchanges, shape relationships where either consent or coercion prevails. The findings reveal that when men engage in coercive interactions with non-sexual male peers, these interactions can encourage the violation of consent in their sexual relationships. Conversely, some men reject this coercive behavior, take a stand, and support others in avoiding situations that compromise consent. These results underscore the importance of addressing norms of masculinity and male interactions to ensure that all individuals can autonomously make decisions about their sexual lives. Full article

An online survey was completed by a convenience sample of 495 students to assess attitude toward polyamorous targets as an outgroup using 0–100 feeling thermometers. Also assessed was the likelihood of dating a polyamorous partner. These two measures were only weakly related for women participants but modestly related for men participants. Overall, feeling thermometer averages were favorable (66%) but dating likelihood was very low, with 89% rating dating a polyamorous partner as unlikely. Women were slightly more favorable toward polyamorous targets than were men but target gender showed no effect (i.e., ratings of polyamorous men were the same as those of polyamorous women). However, men were slightly more willing to date a polyamorous partner than were women. In terms of personality and individual difference variables as predictors of attitudes, authoritarianism, erotophobia–erotophilia, and participant sexual orientation accounted for a quarter of the variance in feeling thermometer ratings of polyamorous targets. Specifically, those who had lower authoritarianism, were more comfortable with sexuality, and were sexual minority in orientation were likely to rate the polyamorous targets the most favorably. Individual difference variables did not predict willingness to date a polyamorous partner consistently across gender and sexual orientation participant subgroups; the most consistent predictors were sociosexuality and erotophobia–erotophilia. This study adds to our knowledge in a nascent area of sexual attitude and discrimination research—it demonstrates the differences between rating an outgroup person and attitude toward engaging with them personally. The latter appears to involve more complexity in terms of the relationship with personality and the type of social perceiver. More research is needed into the differentiation between general ratings of others who engage in non-mainstream, stigmatized sexual practices versus when the ratings involve personal involvement or behavior of the social perceiver (i.e., such as dating). Full article

Research has shown that sexting is an increasingly common behavior, especially among teens and young adults. However, despite numerous studies, the relevance of sexting to people’s well-being is unclear. The present study seeks to determine the relevance of gender in sexting behavior and its association with psychological well-being and intimate partner violence victimization across the life cycle, from adolescence to old age. This study was cross-sectional, and the sample consisted of 6719 women and men from the general Spanish population who were assessed by six questionnaires measuring sexting behavior, psychological distress, psychological well-being, life satisfaction, self-esteem, and intimate partner violence victimization. The results showed that participation in sexting was higher in men than in women at all stages of the life cycle studied, although the differences were not statistically significant among adolescents. Greater sexting behavior was associated with greater intimate partner violence victimization, an association that was stronger for adolescents. And although the magnitude of the association was small, more sexting was also associated with greater psychological distress and lower psychological well-being in all age groups except older women. Our study results allow us to conclude that sexting behavior may pose risks to the well-being of citizens. Full article