Which factors contribute to sexual well-being? A comparative study among 17 to 20 year old boys and girls in Belgium and Ecuador

Meyer, Sara De; Jerves, Elena; Cevallos-Neira, Ana; Arpi-Becerra, Nancy; Bossche, Rani Van den; Lecompte, Margaux; Vega, Bernardo; Michielsen, Kristien

doi:10.1080/13691058.2021.1928288

Cited by 3 publications

(1 citation statement)

References 31 publications

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“…Adherence to sexual roles remained similar to that reported in previous studies, which suggests further research on these topics is warranted with a focus on measuring subtle prejudice predispositions. The most important factors in this study are sociocultural variables such as nationality and religion, which are acquired and developed in the individual's environment, and which have been argued to have the greatest influence on negative attitudes and behaviors (De Meyer et al, 2021). Greater sexism can be seen in Hispanic settings than in Anglo-Saxon, although Hispanic settings show more positive attitudes towards liberalism and sexual diversity than in Anglo-Saxon.…”

Section: Discussionmentioning

confidence: 98%

Sexual Risk Behavior, Sexism, and Prejudices Towards Sexual Openness, Homosexuality, and Trans Individuals Among Young People in Spain and the UK

et al. 2022

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Introduction Sexism, lack of sexual freedom, and negative attitudes towards minorities are related to risky and discriminatory sexual behaviors. To date, no cross-cultural comparisons have been made regarding these sexual behaviors and attitudes. The study also explores the sexuality competencies of young adults undertaking vocational courses in higher education before their transition to professional practice. Methods The sample comprised 1235 university students (670 Spanish and 565 British) aged between 18 and 52 years (M = 22.06, SD = 4.38). During the years 2020 and 2021, respondents completed a survey structured in six standardized scales (HPSC, DSS, SOS, HATH, EANT, and TIBS). Results Results report that British students show less gender adherence (DSS) while the Spanish ones show more positive attitudes towards trans individuals (EANT) and pleasure (SOS). These findings indicate that students in this research engage in more sexual risk behaviors (HPSC), display similar rigid gender adherences (DSS), and more positive erotophilic (SOS), homophilic (HATH), and trans-friendly attitudes (EANT and TIBS) than those in previous studies. There were, however, significant differences by gender, religion, and program of study. Conclusions The research demonstrates the relevance of measuring cultural factors related to sexual behaviors and attitudes in youth and reflects a lack of attention to these issues in educational and healthcare settings. This is despite its broad impact on people’s health, as young people are more likely to display increased risky sexual behaviors. Policy Implications These findings emphasize the importance of the development of updated strategies in sex education among young people. The added importance of doing so with students in higher education who are likely to enter professions where they will educate or influence others on these matters is identified.

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Section: Discussionmentioning

confidence: 98%

Sexual Risk Behavior, Sexism, and Prejudices Towards Sexual Openness, Homosexuality, and Trans Individuals Among Young People in Spain and the UK

et al. 2022

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The More You Know: Sexual Knowledge as a Predictor of Sexual Well-Being

Seifen

Shaw

Smith

et al. 2022

Journal of Sex & Marital Therapy

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Timing of puberty suppression in transgender adolescents and sexual functioning after vaginoplasty

van der Meulen,

Bungener,

van der Miesen

et al. 2024

The Journal of Sexual Medicine

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Background Sexual function in transgender adolescents after puberty suppression has been a topic of recent clinical and scientific questions. Aim This study aimed to explore the long-term effects of early treatment with puberty suppression on sexual functioning of transfeminine individuals after vaginoplasty. Methods This retrospective cohort study included 37 transfeminine individuals treated with a gonadotropin-releasing hormone agonist (puberty suppression), estrogen, and vaginoplasty (penile inversion technique or intestinal vaginoplasty) at the Center of Expertise on Gender Dysphoria in Amsterdam, the Netherlands, between 2000 and 2016. Outcomes Experiences regarding sexual functioning and difficulties were assessed with a self-developed questionnaire ~1.5 years after genital gender-affirming surgery and compared between early (Tanner stage G2-3) and late (Tanner stage G4-5) treatment with puberty suppression. Results Following surgery, 91% of transfeminine individuals was able to experience sexual desire, 86% experienced arousal, and 78% could attain an orgasm. Seventy-five percent of transfeminine individuals who had not experienced an orgasm pre-surgery were able to experience one post-surgery. Of all participants, 62% reported having tried penile-vaginal intercourse post-surgery. The majority reported the presence of one or multiple sexual challenges. There were no significant differences in postoperative sexual function or sexual difficulties between groups treated with early versus late puberty suppression. Clinical Implications With these findings, more adequate and tailored information on the expected effects of early endocrine gender-affirming treatment (including puberty suppression) can be given by healthcare professionals. Strengths and Limitations This is the first study that has assessed sexual functioning of transgender individuals treated with puberty suppression, and has differentiated between the pubertal stage at treatment initiation. Limitations were the small cohort size and retrospective study design. This study focuses on sexual functioning, however, it is important to realize sexual wellbeing is multifactorial and encompasses more than genital functioning or the ability to have certain sexual experiences. Conclusion This study found that post-vaginoplasty transfeminine individuals after both early and late suppression of puberty have the ability to experience sexual desire and arousal, and to achieve orgasms. Outcomes are comparable to previous findings in those who started treatment in adulthood.

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Which factors contribute to sexual well-being? A comparative study among 17 to 20 year old boys and girls in Belgium and Ecuador

Cited by 3 publications

References 31 publications

Sexual Risk Behavior, Sexism, and Prejudices Towards Sexual Openness, Homosexuality, and Trans Individuals Among Young People in Spain and the UK

Sexual Risk Behavior, Sexism, and Prejudices Towards Sexual Openness, Homosexuality, and Trans Individuals Among Young People in Spain and the UK

The More You Know: Sexual Knowledge as a Predictor of Sexual Well-Being

Timing of puberty suppression in transgender adolescents and sexual functioning after vaginoplasty

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