Prevalence and factors of sexual problems in Chinese males and females having sex with the same-sex partner in Hong Kong: a population-based study

Abstract

A cross-sectional, anonymous telephone survey was conducted to examine sexual problem (SP) among sexually active, Chinese homosexual adults in Hong Kong. Of the homosexual respondents, 49.1% of males and 75.6% of females reported at least one SP, of whom 36.0 and 65.7% of the males and females, respectively, felt very bothered by the SP. The prevalence of SP ranged from 3.6% (pain) to 21.8% (premature orgasm) for men and from 16.9% (anxiety) to 39.3% (lubrication problems) for females. Female homosexuals were less likely to be satisfied with their sex life and more bothered by an SP than heterosexual females and homosexual males. There were few significant differences between homosexual and heterosexual males. Female homosexuals were also more likely than male homosexuals to experience lack of orgasm and pain during intercourse. Being bothered by SP was associated with erectile dysfunction among homosexual men and lubrication problems and lack of pleasure among the homosexual women. As most of the available services related to sexual health have been directed towards heterosexuals, a service gap may exist for homosexuals. A population-based study estimated that about 4.6% of the Hong Kong male general population had had homosexual behaviors with another man in their lifetime (2.0% in the last six months).20 These estimates are comparable to those obtained in the US and UK. [21][22][23][24][25] Prevalence of homosexual behaviors among females has been reported in western countries but not in Chinese populations.The study investigated the prevalence of various types of SP and sexual satisfaction in the Chinese male and female homosexual populations in Hong Kong and compared these prevalence with those obtained from the heterosexual populations in Hong Kong. To the authors' knowledge, such comparative studies have not been reported. Factors predicting SP and sexual satisfaction were also identified; similar studies have not been reported in the Chinese population. MethodsA random telephone survey was conducted from January to April 2002. Almost 100% of the Hong Kong households have telephones. 26 All interviews were conducted between 1800 and 2230 to avoid undersampling of employed household members. Unanswered telephone calls were given at least three attempts before being classified as invalid. Initially, a total of 1571 men and 3257 women of age 18-59 years were interviewed (half of the male sample was used for an HIV study unrelated to this study); 1281 men and 2130 women were sexually active (had a sex partner in the last 12 months), out of which 55 and 95 sexually active men and women reported a same-sex partner in the last 12 months were identified and their data were analyzed in this study. We are using the term homosexual men and women in this paper to allow for easier reading, though some may argue that the adjective 'homosexual' may have other meanings. Data obtained from the heterosexual men and women were reported elsewhere. 27The interviewer first asked some nonsensitive questions (Part I) to facilita...

Cognitive Schemas Activated in Sexual Context: A Comparative Study with Homosexual and Heterosexual Men and Women, With and Without Sexual Problems

“…Self-perceived distress plays a major role in sexual dysfunction clinical diagnosis (APA 2013), suggesting that only a subgroup of men and women experience moderate to extreme distress associated with their sexual difficulties, regardless of sexual orientation (Lau et al 2006;Mitchell et al 2013;Peixoto and Nobre 2015). Feeling distress about sexual difficulties could be more relevant then the sexual difficulties per se (Stephenson and Meston 2012).…”

“…However, studies have shown that sexual dysfunction is highly prevalent among gay men and lesbian women. Recent findings indicated that 42.5 % of gay men (Lau et al 2008) and 75.6 % of lesbian women (Lau et al 2006) reported at least one sexual problem during their lifetime. These prevalence rates are similar to those found in heterosexual men (41.6 %; Mitchell et al 2013), but higher than those usually reported in studies conducted with heterosexual women (51.2 %; Mitchell et al 2013).…”

Women Who Have Sex with Women Living in Low- and Middle-Income Countries: A Systematic Review of Sexual Health and Risk Behaviors

“…12 In another Chinese study, 79.5% of WSW reported alcohol consumption in the past year, of whom 46.6% drank alcohol before engaging in sex. 17 In two Thai studies, 31.2%-32.0% of WSW reported ever using methamphetamine, versus 13.0%-16.7% of heterosexual women.…”

“…[12][13][14][15][16][17][18][19] From 1.8%-76.6% of WSW were married to men. [12][13][14]17,18 In two Chinese studies, 10.7% 17 contact with a man in the past year. In another from Thailand, 81.8% had had their first sexual contact with men and 32.2% had ever experienced sexual coercion.…”

A disfunção sexual em homossexuais masculinos: Potencialidades e desafios

“…Noutros estudos as disfunções sexuais apresentam uma prevalência entre 42.5% (Lau et al, 2008) e 49.1% (Lau, Kim, & Tsui, 2006). A literatura sugere que a ordem da prevalência das disfunções sexuais ocorre em primeiro lugar com a disfunção eréctil, a aversão à penetração anal, a disfunção orgástica, a ejaculação prematura e a perturbação do desejo sexual hipoactivo, sendo esta última a menos comum (Rosser, Metz, Bockting, & Buroker, 1997).…”