Sex as self-injury: The appearance of a new diagnostic category in Sweden

Wall, Ingrid; Johnsdotter, Sara

doi:10.1177/13634607221077554

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…It is also possible that certain risky sexual behaviors, such as condomless casual sex, could be acts of self-harm. Studies in Taiwan and Sweden have indicated that risky sexual behaviors can be self-destructive acts [52,53]. Nonetheless, further studies are necessary to ascertain such hypotheses.…”

Section: Discussionmentioning

confidence: 99%

Risky sexual behavior and self-rated mental health among young adults in Skåne, Sweden – a cross-sectional study

et al. 2023

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Background Risky sexual behavior is a public health challenge that significantly affects young people’s health and well-being in Sweden and throughout the world. Moreover, poor mental health, anxiety and depression among adolescents and young adults have increased in recent years. However, although hypothesized, the associations between general mental health and risky sexual behavior among young adults are less established. Thus, this study aimed to examine the association between self-rated mental health and risky sexual behavior among young adults in southern Sweden. Methods Population-based, cross-sectional survey data from 2968 participants aged 18–30 years old residing in southern Sweden was used (response rate 42%). The survey included questions on sexual behavior, alcohol habits, sociodemographic background, and mental health. Logistic regression was used to examine the associations between mental health, depression, anxiety, and risky sexual behavior, stratified by sex (gender). Indicators for risky sexual behavior included not using a condom, non-condom use with casual partner, and multiple (≥2) sexual partners during the last year. Results Generally, male participants rated their depression and anxiety levels considerably lower than their female counterparts. Poor mental health, high depression, and high anxiety scores (levels) were significantly associated with having multiple sexual partners among among female participants; adjusted odds ratios (aOR) was 1.3 (95% CI 1.01 to 1.71). However, findings among males were not statistically significant. Furthermore, overall results indicated that higher depression and anxiety scores were associated with 1.4 and 1.6 higher odds, respectively, of not using condom with a casual partner in the most recent sexual encounter. Similarly, higher anxiety scores were associated with non-condom use in the latest sexual encounter, aOR 1.4 (1.1–1.7), but no significant gender-specific associations were found. Conclusion The associations found between poor mental health factors and multiple sex partners among females warrant consideration in future public health interventions. Further research to increase the understanding of the causal mechanisms that link mental health factors and risky sexual behavior, especially multiple sex partners, among young adult females is needed to support evidence-based interventions.

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Section: Discussionmentioning

confidence: 99%

Risky sexual behavior and self-rated mental health among young adults in Skåne, Sweden – a cross-sectional study

et al. 2023

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“…Females who engage in sexual risky behaviours are more likely to experience forced sex [18], and be physically assaulted and sexually victimized by their intimate partners [19]. In addition, sexual risky behaviours were found to be positively correlated with several negative mental health consequences, including poor self-rated mental health, high depression and high anxiety [20,21], and were regarded by some researchers as self-destructive acts [22,23]. Due to their detrimental outcomes, practicing risky sex constitute a major cause of burden of disease [3], and a signi cant and growing public health concern that is likely to continue to be challenging in future [24].…”

Section: Introductionmentioning

confidence: 99%

Translation and psychometric validation of the Arabic version of the Sexual Risky Behaviours Scale (SRBS)

Fekih-Romdhane,

Maalej,

Hakiri

et al. 2024

Preprint

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Background Providing an accurate, simple and quick-to-administer Arabic-language measure of sexual risky behaviour may help provide a clear overview of the prevalence and risk factors of this issues among Arabic-speaking communities, and implement evidence-informed strategies aiming at promoting health, providing relevant information about STIs, and facilitating access to health services in Arab countries. To this end, the present study proposes to validate the Arabic-language version of the Sexual Risky Behaviours Scale (SRBS) in a sample of native Arabic-speaking young adults from the general population of Tunisia. Methods A cross-sectional survey was conducted during the period from January 1st 2024 to March 1st 2024. The data were collected using a self-administered online questionnaire, which was distributed to potential participants using the snowball sampling technique. Results Confirmatory Factor Analysis (CFA) supported a one-factor solution. The SRBS total scores exhibited robust internal consistency, with McDonald omega coefficient of .84 and a Cronbach alpha coefficient of .83. Furthermore, multi-group CFA analyses examining the sex-based measurement invariance of the SRBS showed that the Arabic version of the scale holds similar factor structure between male and female respondents. Males displayed significantly higher SRBS scores that females. Finally, our findings supported good convergent and concurrent validity of the Arabic SRBS based on significant positive correlations with measures of proneness to risk-taking, impulsivity, and depression. Conclusion Clinicians, counsellors and researchers working in Arab settings are now encouraged to use the Arabic-language SRBS in their routine practices and for conducting more research on the topic, so that prevention activities can be more effectively implemented.

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