Journal Description
Sexes
Sexes
is an international, peer-reviewed, open access journal on the interdisciplinary study of sexuality, with broad coverage of issues related to sexual health and behavior, published quarterly online by MDPI.
- Open Access— free for readers, with article processing charges (APC) paid by authors or their institutions.
- High Visibility: indexed within ESCI (Web of Science), EBSCO, and other databases.
- Journal Rank: JCR - Q2 (Womens Studies)
- Rapid Publication: manuscripts are peer-reviewed and a first decision is provided to authors approximately 25.1 days after submission; acceptance to publication is undertaken in 5.6 days (median values for papers published in this journal in the first half of 2024).
- Recognition of Reviewers: APC discount vouchers, optional signed peer review, and reviewer names published annually in the journal.
Impact Factor:
1.2 (2023)
Latest Articles
Reviewing the Perspectives on the Relationship between Religious Beliefs and Sex Work: A Qualitative Systematic Review
Sexes 2024, 5(3), 171-186; https://doi.org/10.3390/sexes5030013 (registering DOI) - 11 Jul 2024
Abstract
The intersection of religious beliefs and sex work has long been a subject of debate, with varying perspectives on the moral, social, and legal implications. This qualitative systematic review aimed to review the nuanced relationship between religious beliefs and sex work by synthesizing
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The intersection of religious beliefs and sex work has long been a subject of debate, with varying perspectives on the moral, social, and legal implications. This qualitative systematic review aimed to review the nuanced relationship between religious beliefs and sex work by synthesizing the existing literature and providing insights into the diverse perspectives and experiences. The rationale for this research is to understand how religious beliefs influence societal attitudes, policies, and the experiences of sex workers in order to inform more effective and culturally sensitive interventions and support mechanisms. This review focused on articles pertaining to female-identified sex workers, as the gendered discussion happens heavily in religious interpretations and in current anti-trafficking legislation, which now genders men as customers and not as sex workers. Five stages of systematic review were followed in this review. The following peer-reviewed electronic databases from 2000 to 2023 were utilized: Google Scholar, Scopus database, Science Direct, and PubMed. The search strategy focused on identifying studies that investigated the impact of religious beliefs on various aspects of sex work, including attitudes towards sex work within religious communities and the influence of religious teachings on the behavior and practices of sex workers. Inclusion criteria were defined based on population, exposure, study design, and outcomes, while exclusion criteria were established to ensure the relevance and rigor of the included studies. Only 25 relevant studies resulted from this research. Four themes emerged from this study: (1) religious attitudes towards sex work; (2) experiences of sex workers, including stigmatization and marginalization within religious contexts; (3) social control; and (4) empowerment and advocacy. The relationship between religious beliefs and sex work is complex and multifaceted, influenced by cultural, social, and historical factors. Recognizing and understanding these perspectives is essential for developing more inclusive and effective interventions and policies that address the needs and rights of sex workers within the context of their religious beliefs and communities.
Full article
(This article belongs to the Section Sexual and Reproductive Health, Sexual Medicine, and Psychosocial Remediation)
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Open AccessArticle
The Role of Breast Morphology in Women’s Rival Derogation Tactics
by
Ray Garza and Farid Pazhoohi
Sexes 2024, 5(3), 163-170; https://doi.org/10.3390/sexes5030012 - 26 Jun 2024
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Physical features that are desired by the opposite sex may drive competition between members of the same sex to gain access to potential mates. Women’s breasts are considered sexually attractive to men, and it has been shown that women may engage in competitive
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Physical features that are desired by the opposite sex may drive competition between members of the same sex to gain access to potential mates. Women’s breasts are considered sexually attractive to men, and it has been shown that women may engage in competitive tactics to compete with or derogate women with ideal physical traits (i.e., physically attractive features). In the current online study, we investigated Hispanic women’s (n = 114) perceptions of breast stimuli that had been manipulated to display four levels of breast size (A-, B-, C-, and D-cup) and three levels of ptosis (i.e., levels of sagginess: non, low, and high) and their likelihood of engaging in rival derogation tactics, such as verbal and indirect aggression. The findings demonstrated that women were more likely to engage in rival derogation towards women with larger breast sizes. Women’s dispositional level of intrasexual competition did not play a role in rival derogation tactics. The results are in line with previous research suggesting that women’s rival derogation tactics are likely to be targeted towards women with attractive features that are desired by men.
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Open AccessArticle
Attitudes towards Homosexuality in Europe: Analysis of the European Values Study
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María Silvestre Cabrera, Raquel Royo Prieto and Iratxe Aristegui Fradua
Sexes 2024, 5(2), 148-162; https://doi.org/10.3390/sexes5020011 - 20 Jun 2024
Abstract
The aim of the article is to determine which countries show the most homophobic attitudes and understand the profile of homophobia in Europe. This article analyses data from the survey “European Values Study” and focuses on three of its questions: “Do you think
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The aim of the article is to determine which countries show the most homophobic attitudes and understand the profile of homophobia in Europe. This article analyses data from the survey “European Values Study” and focuses on three of its questions: “Do you think homosexual people can be good parents”; “the degree of justification of homosexuality”, and “the attitude towards the possibility of having a homosexual neighbour”. For this, we have used a quantitative methodology (mean comparison analysis and multiple correspondences. The sample consists of 56,451 people from 34 European countries. One of the main conclusions is that homophobic attitudes are highest in the eastern countries, former Soviet republics, and, on the contrary, residents in Nordic countries have more inclusive attitudes.
Full article
(This article belongs to the Section Sexual Behavior and Attitudes)
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Open AccessReview
Review and Critique of the Quantitative Literature Regarding Attitudes toward Consensual Non-Monogamy (CNM)
by
B. J. Rye
Sexes 2024, 5(2), 120-147; https://doi.org/10.3390/sexes5020010 - 17 Jun 2024
Abstract
This paper is a review of the recent literature on attitudes toward consensual non-monogamy (CNM). These attitudes are constrained to evaluations of people who practice CNM, CNM relationships, and CNM concepts; willingness to engage in or personal interest in practicing CNM is not
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This paper is a review of the recent literature on attitudes toward consensual non-monogamy (CNM). These attitudes are constrained to evaluations of people who practice CNM, CNM relationships, and CNM concepts; willingness to engage in or personal interest in practicing CNM is not included in this review. Relevant published research was located through database searches, as well as by perusing references and citations. Based on over two dozen investigations, it is concluded that average attitudes toward CNM are around neutral, with some slightly negative and some slightly positive. Studies taking a comparative perspective—whereby monogamous couples are pitted against CNM couples—overwhelmingly find more favorable attitudes toward monogamy. This literature supports assertions of the prevalence of monocentrism/compulsory monogamy. Further, some researchers investigated sociodemographic and psychological variables as predictors of CNM attitudes. Considering demographic characteristics, those who identify as monogamous and heterosexual tend to be more negative toward CNM relative to their counterparts, and most of the research suggests there are no gender differences in CNM attitudes. In terms of psychological variables, those reflecting authoritarian ideological values tended to predict CNM attitudes the best. The psychological variables are interpreted within the broader dual-process motivational model of prejudice with attention to authoritarianism and social dominance. To conclude, measurement issues are discussed, existing instruments are critiqued, and recommendations are made for which instruments are appropriate for different research goals. Specifically, the Attitudes towards Polyamory scale is a concise, unidimensional instrument with sound psychometric properties, making it a good general assessment of polyamory or CNM. Created using excellent test construction techniques, the Multidimensional Measurement of Attitudes toward Consensual Non-Monogamy (MACS) is a very promising belief-based CNM attitudes scale with three factors. Finally, directions for future research are discussed with an emphasis on differentiating between beliefs and attitudes as suggested by attitude theory, with most CNM attitude scales conflating the former with the latter.
Full article
(This article belongs to the Section Sexual Behavior and Attitudes)
Open AccessArticle
Ace and Poly: The Motivations and Experiences of People on the Ace Spectrum in Polyamorous Relationships
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Jessica J. Hille, Lucy Bhuyan and Heather Tillewein
Sexes 2024, 5(2), 111-119; https://doi.org/10.3390/sexes5020009 - 13 Jun 2024
Abstract
While the past two decades have seen an increase in research into both asexuality and polyamory, little is known about their intersection, that is, people who identify as asexual and engage in polyamorous relationships. Using an online survey, we explored the experiences of
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While the past two decades have seen an increase in research into both asexuality and polyamory, little is known about their intersection, that is, people who identify as asexual and engage in polyamorous relationships. Using an online survey, we explored the experiences of participants who identify as asexual or on the ace spectrum (e.g., demisexual, gray-asexual) and were in a polyamorous relationship at the time of the survey (N = 321). The majority of our participants identified as White (79.02%), a plurality identified as women (27.1%), and ages ranged from 18 to 53 years old (M = 29.55, SD = 6.77). Two qualitative questions related to motivations for engaging in polyamory were analyzed for this study (N = 224). The first question asked about personal motivations, and the second asked about partner(s)’s influence. Eight codes emerged across the two questions: Needs fulfillment, Exploration/contemplation, Solution to relationship conflict/personal insecurity, a Desire to connect with multiple people, Personal/relationship growth, Rejecting monogamy, Introduced by partner, and Other/no additional context. One additional code was found in Q2: Reluctance/jealousy/distrust. The most common code overall was Exploration/contemplation. Our findings indicate that fulfilling a partner’s sexual needs was not a primary motivating factor for ace individuals engaged in polyamory. Ace individuals were more likely to describe experiences as exploring their identity and fulfilling personal needs for connection and intimacy. These findings indicate that motivations for engaging in polyamory are not solely centered in fulfilling sexual desires, and they may have larger implications for the what the scope of romantic and sexual relationships can look at outside of a monogamous and heteronormative context.
Full article
(This article belongs to the Section Sexual Diversity: Orientation, Gender, Identity, and Attraction)
Open AccessArticle
The Relationship between Adult Attachment Style and Perceived Knowledge of Partner Sex History among University Students
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Victoria Martins Mendonca, Jennifer Lasenby-Lessard and Adam Davies
Sexes 2024, 5(2), 101-110; https://doi.org/10.3390/sexes5020008 - 13 Jun 2024
Abstract
Research has extensively studied adult attachment theory, a fundamental psychological framework, particularly regarding its implications for adult attachment and sexual dynamics. The previous literature has established relationships between adult attachment and various sexual behaviours as well as communication patterns. Specifically, individuals with secure
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Research has extensively studied adult attachment theory, a fundamental psychological framework, particularly regarding its implications for adult attachment and sexual dynamics. The previous literature has established relationships between adult attachment and various sexual behaviours as well as communication patterns. Specifically, individuals with secure attachment styles typically engage in open communication and cautious sexual behaviours, whereas individuals with anxious or avoidant attachment styles exhibit less sexual communication and engage in riskier sexual activities. That said, limited research has explored the relationship between adult attachment style and perceived knowledge regarding partner sex history. This study aimed to fill this gap by investigating how adult attachment style relates to perceived knowledge about partner sexual experiences. A sample of 237 undergraduate students completed surveys assessing attachment style and their perceived awareness of their partner’s sexual past. Attachment style was evaluated using the Revised Adult Attachment Scale (RAAS) and perceived knowledge was measured using the Partner Sexual History Scale (PSHS). The results indicated a significant correlation between adult attachment style and perceived knowledge of a partner’s sexual history. Specifically, individuals with secure and avoidant attachment styles demonstrated greater perceived awareness of their partner’s sexual experiences compared to those with an anxious attachment style. This research contributes to our comprehension of the complex interplay among adult attachment, sexual knowledge, sexual communication, and relationship dynamics in young adult populations.
Full article
(This article belongs to the Section Sexual Behavior and Attitudes)
Open AccessArticle
Sexual Compulsivity and Gender Stereotypes in Men Who Have Sex with Men: A Cross-Sectional Study in Spain
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Eduardo Ibáñez-Tomás and Ángel Gasch-Gallén
Sexes 2024, 5(2), 85-100; https://doi.org/10.3390/sexes5020007 - 5 Jun 2024
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Men who have sex with men are at increased risk of acquiring sexually transmitted infections. Although behavioral and contextual interventions have improved, infections are still spreading. A new focus is needed regarding the influence of sexual compulsivity and gender self-identification. The objective was
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Men who have sex with men are at increased risk of acquiring sexually transmitted infections. Although behavioral and contextual interventions have improved, infections are still spreading. A new focus is needed regarding the influence of sexual compulsivity and gender self-identification. The objective was to explore the relationship between SC and gender stereotype self-identification in MSM in Spain. A cross-sectional study based on an anonymous online survey of a sample of 881 MSM in Spain was performed. A validated Sexual Compulsivity Scale was applied as well as the Bem Sex Role Inventory to identify gender stereotype self-identification. A total of 87.5% of participants identified as gay, while 106 (12%) were sexually compulsive. The Bem Sex Role Inventory showed excellent reliability (0.92 Cronbach’s alpha). Gender stereotype classification showed the undifferentiated category as predominant (n = 325; 36.9%). The androgynous category had higher scores on the Sexual Compulsivity Scale, while the feminine category had lower scores (p < 0.007). Those identifying as androgynous scored higher overall on the Sexual Compulsivity Scale (15; p < 0.001; [12–20]) and subscales (“Interference of sexual behavior” (5; p < 0.001; [4–7]) and “Failure to control sexual impulses” (9; p = 0.014; [7–12])). Education level, cohabitation, sexual role, and unprotected sexual practices are related to sexual compulsivity according to different gender stereotypes. Sexual compulsivity is related to gender stereotype self-identification in men who have sex with men. Specific sociodemographic, behavior, and sexual profiles exist for those at greater risk of sexually transmitted infection dissemination. The undifferentiated category is at greater risk of engaging in unprotected practices. New avenues of prevention that include these findings could shift heteronormative standards to better understand current trends in the sexual health of men who have sex with men.
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Open AccessReview
Theorizing Interpersonal and Technological Dimensions of Privacy in the Exchange of Sexual Communication
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Kathryn D. Coduto
Sexes 2024, 5(2), 71-84; https://doi.org/10.3390/sexes5020006 - 9 May 2024
Abstract
As technology continues to evolve, so too do privacy concerns individuals have about technology. This is especially true when individuals share highly sensitive, personal content through technology. When individuals sext, they are sharing sexually explicit messages, photos, and videos with another person. Two
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As technology continues to evolve, so too do privacy concerns individuals have about technology. This is especially true when individuals share highly sensitive, personal content through technology. When individuals sext, they are sharing sexually explicit messages, photos, and videos with another person. Two theories are interrogated in how they may apply to sexting and privacy: communication privacy management theory and privacy calculus. Utilizing these theories, privacy is highlighted in this article as a negotiation process between partners and technologies. Individuals must consider who they share material with and the channels they use, and these theories can help in developing a better understanding of these processes. Sexting can be a positive influence on adults’ romantic relationships, whether serious or casual; yet, they need to be able to engage in these behaviors in ways that encourage trust both interpersonally and with their technology.
Full article
Open AccessArticle
How Italians Transgress: A Survey on Rough Sexual Behaviors in a Sample of Italians
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Luca Daminato, Greta Riboli, Mattia Nese, Gianni Brighetti, Daniel Giunti and Rosita Borlimi
Sexes 2024, 5(2), 58-70; https://doi.org/10.3390/sexes5020005 - 25 Apr 2024
Abstract
Surveys of the Italian population typically assess general sexual behaviors (e.g., oral, vaginal and anal intercourse). However, little is known about other sexual behavior such as rough sexual behaviors, choking and slapping. Thus, an online cross-sectional survey of 4618 Italian participants was conducted.
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Surveys of the Italian population typically assess general sexual behaviors (e.g., oral, vaginal and anal intercourse). However, little is known about other sexual behavior such as rough sexual behaviors, choking and slapping. Thus, an online cross-sectional survey of 4618 Italian participants was conducted. In the past month, the most prevalent sexual behaviors were solo masturbation (93.6%), partner masturbation (80.0%), oral sex (71.4% received, 75.9% performed), penile–vaginal intercourse (75.7%) and anal intercourse (12.5% received, 7.1% performed). Regarding rough sexual behaviors, the most common behaviors performed were spanking (23.3% received, 55.5% performed), choking (13.2% receive, 60.0% performed), slapping (30.1% received, 20.9% performed) and name calling (44.5% received, 37.0% performed). Our results suggest a gender difference where men and transgender/non-binary individuals perform more rough sexual behaviors compared to women. Moreover, regarding the role of consent in behaviors such as choking and slapping, our results highlight the importance of sexual and affective education to implement sexual assertiveness. In conclusion, this study adds knowledge to the limited literature on this topic, especially with respect to the Italian population.
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Open AccessArticle
Comparing Attitudes toward Sexual Consent between Japan and Canada
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Tomoya Mukai, Chantal Pioch, Masahiro Sadamura, Karin Tozuka, Yui Fukushima and Ikuo Aizawa
Sexes 2024, 5(2), 46-57; https://doi.org/10.3390/sexes5020004 - 27 Mar 2024
Abstract
Japanese and Canadian laws regarding sexual assault vary in the degree to which they incorporate the concept of sexual consent, with Japanese law being less consent-oriented than Canadian law. Although the Japanese law has incorporated the concept of sexual consent in the 2023
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Japanese and Canadian laws regarding sexual assault vary in the degree to which they incorporate the concept of sexual consent, with Japanese law being less consent-oriented than Canadian law. Although the Japanese law has incorporated the concept of sexual consent in the 2023 amendment, the public understanding of the concept is still limited. Reflecting such difference, it could be expected that the general public in both countries also differ in their perceptions and attitudes regarding punishment of sexual crime and sexual consent. The present study aimed to test these expectations and further examine the mediational mechanism that explains the national difference between Japan and Canada. The data from 1125 Japanese and 1125 Canadian respondents showed that Japanese respondents were less likely to perceive the imposition of punishment on an alleged perpetrator described in scenarios as appropriate. In contrast, the difference in the perceived victim’s consent was significant only in three out of seven scenarios. The relation between nations (Japan vs. Canada) and perceived appropriateness of punishment was mediated by the perceived victim’s consent.
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(This article belongs to the Section Sexual Behavior and Attitudes)
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Open AccessArticle
French Validation of the New Sexual Satisfaction Scale Short Form (NSSS-SF Fr)
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Brice Gouvernet
Sexes 2024, 5(1), 31-45; https://doi.org/10.3390/sexes5010003 - 28 Feb 2024
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This study addresses the critical need for French-language tools in assessing sexual satisfaction, an important aspect of global health, sexual health, and mental health. Its main aim is to validate the French version of the NSSS-SF scale (NSSS-SF Fr, Fr for French). The
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This study addresses the critical need for French-language tools in assessing sexual satisfaction, an important aspect of global health, sexual health, and mental health. Its main aim is to validate the French version of the NSSS-SF scale (NSSS-SF Fr, Fr for French). The research was conducted in two phases. The first study involved 253 participants, predominantly female (77.75%), with a focus on examining the tool’s psychometric properties (factorial structure, internal consistency, convergent validity). The second study included 855 participants, with a similar gender distribution, aimed at further validation and analysis, studying links between NSSS-SF Fr and anxiety and depressive symptoms (assessed with GAD7 and MDI), and attachment style (ECR-RS). The NSSS-SF Fr demonstrated robust psychometric properties. Key findings included its strong correlation with sexual health indicators, anxiety, depression, and attachment styles confirming its effectiveness as a reliable tool for evaluating sexual satisfaction in French-speaking populations. Comparisons with international studies highlighted its universal applicability and cultural sensitivity. The NSSS-SF French version stands as a critical tool for future research and clinical practice, bridging a vital gap in the assessment of sexual satisfaction among French-speaking individuals.
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Open AccessArticle
“Just lmk When You Want to Have Sex”: An Exploratory–Descriptive Qualitative Analysis of Sexting in Emerging Adult Couples
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Erika Montanaro, Jasmine Temple, Mia Ersoff, Bridget Jules, Mariam Jaliawala, Dara Kinkopf, Samantha Webb and Jessamyn Moxie
Sexes 2024, 5(1), 9-30; https://doi.org/10.3390/sexes5010002 - 1 Feb 2024
Abstract
Background: An essential component of new relationship development is sexual communication between partners. The rise of technology has allowed couples to use text messaging to facilitate these conversations. The current study examines how emerging adults (18–25 years) in new relationships communicate about sex
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Background: An essential component of new relationship development is sexual communication between partners. The rise of technology has allowed couples to use text messaging to facilitate these conversations. The current study examines how emerging adults (18–25 years) in new relationships communicate about sex through text messages. Methods: We conducted inductive thematic analyses of text messages between different-gender couples in the first six months of their relationship (20 couples, N = 40) in which the women were between 18 and 25 years of age. We used the Dedoose qualitative analysis software and a coding team of 16 coders. Reliability was established through the “test” function of Dedoose, with codes of Kappas less than 0.70 discussed and refined in the codebook. Results: Primary themes of how couples communicate about sex emerged, which included the use of humor, discussing previous sexual experiences and partners, and sharing interests around future sexual encounters. During thematic analyses, secondary themes of motivations for sexual communication emerged, including learning, bonding, and enhancement. Conclusions: Addressing the varied motivations emerging adult couples may use in text messages can be leveraged for improving sexual health. Theories related to relationship development may not fully capture how couples discuss sex, particularly via text messages.
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(This article belongs to the Section Sexual Behavior and Attitudes)
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Open AccessCase Report
“You Shall Make Lake Victoria, and Become a Goddess of Love”: A Case Report about Traditional Female Ejaculation Techniques in Kenya
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Fiorenza Pesce, Elena Colonnello, Andrea Sansone, Elisa Maseroli, Linda Vignozzi, Susanna Dolci and Emmanuele A. Jannini
Sexes 2024, 5(1), 1-8; https://doi.org/10.3390/sexes5010001 - 15 Jan 2024
Abstract
Kunyaza is a traditional sexual technique reported in some regions of Central Africa that aims to trigger peri-orgasmic fluid production. A personal narrative experience of a 29-year-old unmarried woman from Kenya suggested that this particular technique may have also been practiced in Kenya
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Kunyaza is a traditional sexual technique reported in some regions of Central Africa that aims to trigger peri-orgasmic fluid production. A personal narrative experience of a 29-year-old unmarried woman from Kenya suggested that this particular technique may have also been practiced in Kenya for a long time. Indeed, an oral tradition about “how to make Lake Victoria”, a peculiar local expression used to indicate peri-orgasmic fluid production, is reported here. This tradition is transmitted from grandmothers to granddaughters and concerns not only fluid emission but also teachings on personal hygiene, sexual interactions with a partner, and, interestingly, the importance of the woman’s sexual pleasure. In this narrative case report, we compared anecdotes and personal experiences with literature evidence about herbal medicine and traditional practices, suggesting the presence of a particularly woman-centered sexual culture in some more sex-positive ethnic groups in Kenya.
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Open AccessArticle
Adaptation of the Information, Motivation, and Behavioral Skills Framework for Understanding COVID-19 Prevention Behaviors among Youth and Young Adults by Sexual Identity, Gender Identity and Race/Ethnicity
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Gregory Phillips II, Jiayi Xu, Michael G. Curtis, Megan M. Ruprecht, Shahin Davoudpour, Joseph Choi, Kay Quiballo, Sophia Huang and Kathryn Macapagal
Sexes 2023, 4(4), 656-676; https://doi.org/10.3390/sexes4040042 - 12 Dec 2023
Cited by 1
Abstract
Youth and young adults (YYA) have been uniquely affected by COVID-19. Behavioral models have not yet been applied to understand YYA’s preventive behavior, though the Information–Motivation–Behavior (IMB) model may be appropriate. We used data from a national, diverse survey of COVID-19 effects and
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Youth and young adults (YYA) have been uniquely affected by COVID-19. Behavioral models have not yet been applied to understand YYA’s preventive behavior, though the Information–Motivation–Behavior (IMB) model may be appropriate. We used data from a national, diverse survey of COVID-19 effects and prevention behaviors in YYA ages 14–24 (n = 1026) and conducted an exploratory factor analysis and bivariate linear regressions to assess the association between demographics and IMB measures. Significant differences by sexual identity were identified, with bisexual/pansexual, gay/lesbian, and queer populations reporting significantly lower prevention stigma, in comparison to their straight respondents. Non-binary respondents (vs. women/girls) and transgender and gender diverse individuals (vs. cisgender) had significantly higher intentions to social distance. Racial/ethnicity differences were also found in lower prevention efficacy beliefs (Latinx and multiracial vs. white), and lower motivation norms (Black and Latinx vs. white). Our findings about critical disparities in IMB measures provide recommendations for future prevention research, practice, and policy development in response to the pandemic, particularly related to highly marginalized communities.
Full article
(This article belongs to the Section Sexual Behavior and Attitudes)
Open AccessReview
Sex, Age, and Risk Group Variations among Individuals Infected with HIV, HTLV-1, and HTLV-2: Review of Data Records (1983–2017) from a Public Health Laboratory in São Paulo, Brazil
by
Adele Caterino-de-Araujo
Sexes 2023, 4(4), 638-655; https://doi.org/10.3390/sexes4040041 - 8 Dec 2023
Cited by 1
Abstract
The inaugural AIDS Program in Brazil was established in São Paulo in 1983, with the Instituto Adolfo Lutz appointed for laboratory assistance. Subsequently, research on HIV infections and HIV/HTLV (HIV/HTLV-1 and HIV/HTLV-2) co-infections was conducted. This narrative review focuses on studies from the
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The inaugural AIDS Program in Brazil was established in São Paulo in 1983, with the Instituto Adolfo Lutz appointed for laboratory assistance. Subsequently, research on HIV infections and HIV/HTLV (HIV/HTLV-1 and HIV/HTLV-2) co-infections was conducted. This narrative review focuses on studies from the Immunology Department (1983–2017) that significantly influenced AIDS diagnosis or provided epidemiological data such as prevalence rates, sex, age, and risk factors. Twelve studies, encompassing over 8000 individuals, are discussed. During 1983–1985, nearly all AIDS cases were attributed to homosexual/bisexual men aged 31 years old. Subsequently, heterosexual men and women emerged as risk groups owing to intravenous drug use (IDU) and/or unprotected sexual intercourse with AIDS patients or multiple partners per year. From 1985 onwards, vertical transmission led to child infections. HIV/HTLV co-infection rates decreased over time, initially associated with male IDU, and in the 2010s with female IDU, and individuals aged >40 years. Trends in HIV and HIV/HTLV co-infections among younger men and women (<30 years of age) were observed from 2015 to 2017. The changing characteristics and risk groups for HIV and HIV/HTLV co-infections over the years underscore the necessity for ongoing public policies to prevent retrovirus transmission, particularly among adolescents and young adults.
Full article
(This article belongs to the Section Sexually Transmitted Infections/Diseases)
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Open AccessArticle
Associations between Self-Reported Anatomical Characteristics of the Penis and Sexual Dysfunction in Men
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Caoyuan Niu, Daniel Ventus, Patrick Jern and Pekka Santtila
Sexes 2023, 4(4), 622-637; https://doi.org/10.3390/sexes4040040 - 8 Dec 2023
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Premature ejaculation and erectile dysfunction are common male sexual dysfunctions worldwide, causing substantial distress in men as well as their partners and decreasing the quality and stability of romantic relationships. We investigated the associations between the self-reported anatomical characteristics of penises and sexual
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Premature ejaculation and erectile dysfunction are common male sexual dysfunctions worldwide, causing substantial distress in men as well as their partners and decreasing the quality and stability of romantic relationships. We investigated the associations between the self-reported anatomical characteristics of penises and sexual dysfunctions in an urban sample of Chinese men. We recruited 1085 Chinese urban men aged from 18 to 50 (M = 31.37; SD = 5.52) to fill out an online questionnaire regarding the anatomical characteristics of their penis, as well as early ejaculation and erectile problems via two Chinese online survey platforms. The participants reported their age, height, weight, penile length, penile circumference, circumcision status, and foreskin characteristics as well as answered the International Index of Erectile Function-5 and Checklist for Early Ejaculation Symptoms. Both an increasing penile length (M = 14.49; SD = 2.22) and girth (M = 15.46; SD = 4.36) were associated with fewer early ejaculation problems, but only an increasing penile length was associated with fewer erectile problems. Less foreskin covering the glans of the penis was associated with fewer early ejaculation and erectile problems. Age was found to have a non-linear relationship with early ejaculation and erectile problems in this cross-sectional study. Specifically, early ejaculation problems decreased until a certain age (31), and then increased with further increases in age. The relationship between the anatomical characteristics of the penis and sexual function is complex. Also, the results suggest that there is a curvilinear non-monotonic relationship between age and sexual dysfunction.
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Open AccessArticle
Sexual Identity–Behavior Discordant Heterosexuals in Britain: Findings from the National Survey of Sexual Attitudes and Lifestyle 2010–2012 (Natsal-3)
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Maria Calatrava, D. Paul Sullins and Steph James
Sexes 2023, 4(4), 601-621; https://doi.org/10.3390/sexes4040039 - 29 Nov 2023
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This study delves into heterosexual identity–behavior discordance, exploring the interaction between sexual identification and behavior in the UK. Analyzing representative 2010 data from the British population (N = 12,472), this research categorizes participants into different groups: nonheterosexual, concordant heterosexual, and three discordant heterosexual
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This study delves into heterosexual identity–behavior discordance, exploring the interaction between sexual identification and behavior in the UK. Analyzing representative 2010 data from the British population (N = 12,472), this research categorizes participants into different groups: nonheterosexual, concordant heterosexual, and three discordant heterosexual categories (closeted, experimenters, and desisters). These groups were compared in terms of sociodemographics, attitudes toward sexuality, risk behaviors, and health indicators. Discordance was associated with permissive social attitudes, including behaviors such as adultery and one-night stands, and with increased substance abuse and risky sexual behaviors, especially among the closeted. Surprisingly, the physical and mental health of discordant heterosexuals was similar to concordant heterosexuals, in contrast to the poorer health of nonheterosexuals. Due to the significant variations in lifestyles and health indicators among different groups, this study highlights the importance of providing targeted services and interventions.
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Open AccessArticle
“As Long as It’s Not on the Face”: Pornography Viewers Discuss Male Ejaculation Perceptions and Preferences
by
Eran Shor
Sexes 2023, 4(4), 587-600; https://doi.org/10.3390/sexes4040038 - 15 Nov 2023
Abstract
Feminist scholars have suggested that male ejaculations in pornographic videos, particularly ejaculations on a sexual partner’s face or in their mouth, are often used to symbolically debase and humiliate women. However, no previous study has asked pornography viewers about their perceptions and preferences
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Feminist scholars have suggested that male ejaculations in pornographic videos, particularly ejaculations on a sexual partner’s face or in their mouth, are often used to symbolically debase and humiliate women. However, no previous study has asked pornography viewers about their perceptions and preferences regarding male ejaculation. In this article, I investigate these perceptions and preferences using a large sample of more than 300 pornography viewers representing diverse demographics and cultural backgrounds. I find that most viewers either did not care about the male ejaculation or its placement or preferred for it to be in the female partner’s vagina. In contrast to common assumptions found in the literature, very few viewers expressed a preference for ejaculation on a woman’s face or in her mouth and many of them found such practices disturbing.
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Open AccessEditor’s ChoiceArticle
Researching Homosexuality in Difficult Contexts
by
Frida Lyonga
Sexes 2023, 4(4), 569-586; https://doi.org/10.3390/sexes4040037 - 1 Nov 2023
Abstract
Homosexuality is a sensitive issue in Africa that inspires a great deal of public contention and controversy and attracts much social science research interest. Due to the sensitivity of the issue, conducting empirical research on homosexuality in Africa or within African population groups
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Homosexuality is a sensitive issue in Africa that inspires a great deal of public contention and controversy and attracts much social science research interest. Due to the sensitivity of the issue, conducting empirical research on homosexuality in Africa or within African population groups could be subject to several challenges. This article presents an autoethnographic account of my experiences conducting empirical research on attitudes towards homosexuality among Cameroonians based at home and those living in Switzerland. The paper highlights the key challenges, surprises, and lessons learned experienced in the different stages of the research process, from design to data collection, analysis, and publication of findings. Drawing on these experiences, the article calls attention to some aspects that young researchers embarking on research in sensitive topics should be aware of and should plan for upfront. It proposes practical coping approaches that can support young researchers to navigate the difficult waters of researching homosexuality in challenging settings so they can achieve their research goals within the timeframe and resources available to them.
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(This article belongs to the Section Sexual Behavior and Attitudes)
Open AccessArticle
Is Consumption of Ginger in Daily Life Associated with Sexual Response?
by
Guangju Wen, Yikang Zhang, Thomas J. Nyman, Patrick Jern and Pekka Santtila
Sexes 2023, 4(4), 555-568; https://doi.org/10.3390/sexes4040036 - 28 Oct 2023
Abstract
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Sexual dysfunction, a globally widespread concern, is associated with numerous negative outcomes. While some evidence indicates the potential of ginger supplementation to enhance sexual function, comprehensive research in this area remains scarce and the potential mechanism behind is unclear. The current study aimed
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Sexual dysfunction, a globally widespread concern, is associated with numerous negative outcomes. While some evidence indicates the potential of ginger supplementation to enhance sexual function, comprehensive research in this area remains scarce and the potential mechanism behind is unclear. The current study aimed to explore if and how consumption of ginger as part of a daily diet is associated with sexual desire, frequency of sexual behavior, as well as sexual arousal and disgust experienced during these behaviors. Chinese participants (N = 499; 250 women) from an online sample service (Credamo) answered a cross-sectional survey regarding their consumption of ginger, sexual behavior, and sexual desire. Ginger consumption was associated with higher sexual desire, and more frequent sexual behaviors, as well as feelings of sexual arousal during them. Sexual desire and feelings of sexual arousal during specific sexual activities mediated the association between the ginger consumption and the frequency of sexual behaviors, indicating potential pathways of the effects of ginger on sexual behavior. Interestingly, while ginger consumption showed no direct relationship with feelings of disgust during sexual behavior, sexual arousal during these behaviors did positively mediate the association between ginger consumption and feelings of disgust. The findings imply that ginger shows potential as an intervention for enhancing sexual behavior, but further experimental and longitudinal research is needed to fully understand the causal mechanisms underlying the effects of ginger on sexual health.
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