Academic literature on the topic 'Sexual identity, sexual attraction and sexual behaviour'

Objective To describe prisoners’ sexual experiences and sexual practices while in the community, sexual identities, and sexual health (e.g. self-reported exposure to sexually transmissible infections (STIs) and female reproductive outcomes) using data from the Sexual Health and Attitudes of Australian Prisoners (SHAAP) survey. Methods: This study used a computer-assisted telephone interview to screen randomly selected prisoners using a questionnaire based on the Australian Study of Health and Relationships survey. Results: 2351 men and women prisoners from New South Wales and Queensland took part in the survey. Most men identified as heterosexual (95.7%) and reported sexual attraction (91.0%) and sexual experiences (86.6%) only with the opposite sex, but 28.5% of women prisoners identified as bisexual. Sexual attraction correlated with sexual experience (men: r = 0.63; women: r = 0.84) more than with sexual identity (men: r = 0.53; women: r = 0.54). Male prisoners reported more lifetime opposite-sex partners than women prisoners (median 24 v. 10). Women prisoners were more likely than men to report a prior STI (35.1% v. 20.0%). Conclusions: Prisoners are a high-risk group with regard to sexual health. There is a need for a better understanding of the sexual health of this population group so that education campaigns and interventions specific to this population group can be developed.

Abstract Social scientists struggle on how to best operationalize and measure sexual orientation. Depending on the survey, researchers can use self-reports of lesbian, gay, or bisexual (LGB) identity, same-sex partner cohabitation, same-sex sexual attraction, or same-sex sexual behavior. All measures come with their own limitations. To illuminate differences in these measures, this study examines the intersections between self-reported sexual identity, attraction, and behavior among a nationally representative sample of US men and women aged 15–45. I explore how and when the three measures align, examine the determinants of self-identifying as gay or bisexual based on sexual behavior and attraction, and assess gender differences in the patterns. I find that about 20% of women and 10% of men aged 15–45 would comprise the LGB community if it were defined to include those who report at least one of the following: gay or bisexual identity, any same-sex attraction, or same-sex sex in the last year. This is much higher than the 6.4% of women and 3.6% of men aged 15–45 who self-identify as LGB. I conclude with recommendations that can aid in measurement of the LGB population, and discuss implications for using certain measures over others when conducting research on the LGB community.

I conducted semi-structured interviews with ten American rural, white, straight-identified men who have sex with men to understand how they perceive their sexual identity and sexual behaviour. All ten tell other people that they identify as straight, and eight actually identify as straight. I detail three main themes: changes to sexual attractions, reasons for identifying as straight, and the meanings attached to sexual behaviour with other men. Half of the participants reported experiencing major changes to their sexual attractions, challenging the assumption that male sexuality is static. They described several reasons for identifying as straight, demonstrating that attractions and behaviour are not the only bases for sexual identity. The participants also explained that they experience sex with men in a variety of ways, many of which reinforce their straight identity. The results indicate that heterosexuality is a performance, rather than a natural expression of sexuality, and that interpretations – not just attractions and behaviour – are central to being straight.

The greatest attention in the article is paid to people with abnormal sexual attraction in the form of pedophilia. A special role is assigned to different types of relations to sexual attraction (ego-synthonic and ego-dystonic). We considered peculiarities of gender identity through the prism of the «I-concept» of the individual, that allows you to come closer to understanding their role in the realization of sexual desire. Materials for the research were provided by the forensic sexology laboratory FSBA «V.P.Serbskiy State Research Center of Social and Forensic Psychiatry» at the Ministry of Health of Russian Federation. The sample include 43 persons - 27 with a disorder of sexual desire in the form of pedophilia and 26 people who committed sexual acts against children, in the absence of a sexual attraction. In the comparison group were 27 people of the statistical norm. The results of the study demonstrate for persons with pedophilia such gender identity features as expressed femininity of the I-image, androgynous type of the «I-ideal» image, as well as feminine behavior models in interaction and communication. Depersonification of sexual preference object is detected for persons with aggressive tendencies. The obtained data could be used for profiling a prospective criminal portraits and solving expert questions.

This study was undertaken to explore patterns of sexual orientation in a representative sample of Minnesota junior and senior high school students. The sample included 34 706 students (grades 7 through 12) from diverse ethnic, geographic, and socioeconomic strata. Five Items pertaining to sexual attraction, fantasy, behavior, and affiliation were embedded in a self-administered survey of adolescent health. Overall, 10.7% of students were "unsure" of their sexual orientation; 88.2% described themselves as predominantly heterosexual and 1.1% described themselves as bisexual or predominantly homosexual. The reported prevalence of homosexual attractions (4.5%) exceeded homosexual fantasies (2.6%), sexual behavior (1%), or affiliation (0.4%). Gender differences were minor; but responses to Individual sexual orientation items varied with age, religiosity, ethnicity, and socioeconomic status. Uncertainty about sexual orientation diminished in successively older age groups, with corresponding increases in heterosexual and homosexual affiliation. The findings suggest an unfolding of sexual identity during adolescence, influenced by sexual experience and demographic factors.

ABSTRACT Background: Sexual orientation is comprised of distinct components, including sexual identity, sexual attraction and sexual behavior. Lesbian, gay and bisexual adolescents are at an increased risk of experiencing poor health outcomes compared to non-sexual minority youth. Health care professional organizations recommend that health care providers discuss each component of sexual orientation at every adolescent health supervision visits in order to best assess the adolescent's health risks and needs for intervention and education. Objective: This survey assessed the frequency with which nurse practitioners (NPs) in the state of Vermont discussed sexual identity, attraction and behavior with adolescents during annual health supervision visits. Design: A cross sectional study that analyzed descriptive statistics of a small convenience sample of Vermont NPs. Setting and Participants: Attendees of the Vermont Nurse Practitioner Association 2015 annual conference. Participants in the study were licensed, practicing NPs in the state of Vermont responsible for the health supervision of adolescents. Results: Participants were overwhelmingly female (93%), with a median age between 40-49 years old, and a median length of years in practice of six to ten years. Sixty-two percent of respondents specialized in family practice. Respondents reported that they always asked adolescents about the sex of sexual partners at 49% of health supervision visits. Respondents always discussed sexual attraction and sexual identity at 31% and 24% of health supervision visits, respectively. Twenty percent of respondents reported rarely or never discussing sexual attraction, and 38% reported rarely or never discussing sexual identity. Conclusions: The Vermont NPs who participated in this survey were demographically similar to national NP cohorts. Vermont NPs discussed the adolescent's sexual behavior at health supervision visits as frequently as health care providers nationally, and Vermont NPs discussed sexual attraction and sexual identity more frequently than providers nationally. However, Vermont NPs discussed sexual attraction and identity much less frequently than they discussed sexual behavior. Results of this survey illustrate that there is substantial room for improvement regarding the frequency with which Vermont NPs discuss the three components of sexual orientation with adolescents, particularly the components of sexual identity and attraction.

Sexual orientation is a multi-dimensional construct, including sexual identity, attraction, and behavior. Adopting this multidimensional perspective, this thesis is structured in two manuscripts that investigate adolescent sexual orientation among a community sample of students from 14 high schools in Montréal, Québec. Study I examined sexual orientation and youth suicidality. Study II assessed factors related to concordance versus discordance of sexual identity, attraction and behavior. Students were surveyed anonymously. The survey included items assessing sexual orientation, health risk behaviors, suicidality, demographics, and social attitudes towards homosexuality. Multiple logistic regression models were used in both studies. Study I found that compared to youth with heterosexual identity, attraction and behavior, adolescents with GLB and “unsure” identities were at greater risk of suicidality. However, youth who reported same-sex attraction or behavior, but a heterosexual identity, were not at elevated risk. Study II found that compared with heterosexual-identified students, students with GLB identities were more likely to be older and to report that school homosexual attitudes were ridiculed, accepted, or appreciated versus tolerated or ignored. Overall, results highlighted the potential importance of social environment in sexual minority youth mental health outcomes and identity development.
L'orientation sexuelle est une construction mentale multidimensionnelle qui inclut l'identité sexuelle, l'attirance physique et le comportement sexuel. Cette thèse adopte la perspective multidimensionnelle et étudie l'orientation sexuelle chez un échantillon d'étudiants adolescents dans 14 écoles secondaires à Montréal, Québec. La thèse est divisée en deux manuscrits. La première étude examine l'orientation sexuelle et la suicidalité chez les jeunes. La deuxième étude examine les facteurs reliés à la concordance ou discordance de l'identité sexuelle, l'attirance physique et le comportement sexuel. Des étudiants étaient interrogés anonymement. Le questionnaire incluait des points qui évaluaient l'orientation sexuelle, les comportements de santé à risques, la suicidalité, les données démographiques et les attitudes sociales envers l'homosexualité. Les deux études ont utilisé des modèles de régression logistiques multiples. La première étude a trouvé que les jeunes avec une identité Gay-lesbienne-bisexuel(le)s (GLB) et « incertaines » étaient plus à risque pour la suicidalité comparer aux jeunes avec une identité, une attirance et un comportement hétérosexuel. Cependant, les jeunes qui ont mentionné avoir des attirances physiques ou des comportements sexuels avec le même sexe mais une identité hétérosexuelles n'étaient pas plus à risque. La deuxième étude a trouvé que, comparé aux étudiants avec une identité hétérosexuelle, les étudiants avec une identité GLB étaient plus vieux et plus porté à mentionné que l'attitude de leur école envers l'homosexualité était ridiculisé, accepté, ou apprécié au lieu de toléré ou ignoré. En tout, les résultats soulignent l'importance de l'environnement sociale pour la santé mentale et le développement de l'identité sexuelle chez les jeunes minorités sexuelles.

Background: Sexual behaviour among schoolchildren and adolescents is a sparsely researched area and there are delicate methodological obstacles and ethical concerns when conducting such research. Still it is a subject that engages both parents and professionals. A sexualized behaviour or an early sexual debut (younger than 14 years) can be a sign of sexual abuse. It is therefore of importance to describe what is common and what is uncommon sexual behaviour among children and what the consequences of an early or a late sexual debut may be for the individual upon reaching late adolescence. Adolescents who identify themselves as lesbian, gay or bisexual (LGB) are also a group that needs further attention and research since they are often described as having a lower quality of life and more often experience child abuse than heterosexual teens. Aims: The research leading to this thesis had four goals: 1) to elucidate the sexual behaviour of children between the ages of 7 and 13 as observed by their parents, 2) to investigate the relationship between an early sexual debut (before 14 years of age) and socio-demographic data, sexual experience, health, experience of child abuse and behaviour at 18-years-of-age, 3) to explore associations with no sexual debut (no oral, vaginal or anal sex) at the age of 18, and 4) to describe the relationship between sexual identification and socio-demographic background data, sexual behaviour, health and health behaviour, experiences of child sexual and/or physical abuse and present behaviour among Swedish adolescents. Methods: The parents of 418 children answered questionnaires about their child’s behaviour, both general and sexual, and a sample of 3432 Swedish high school students completed a survey about sexuality, health and abuse at the age of 18. In addition, 362 members of the Swedish Federation for Lesbian, Gay, Bisexual and Transgender Rights (RFSL) completed the same survey at a mean age of 21.4 years. Results: Most of the sexual behaviours among the schoolchildren were common, and in part related to, or varied with, age and gender. A small number of sexual behaviours often referred to as sexualised or problematic behaviours (for example, kissing adults with the tongue, imitating intercourse, masturbating in public, and touching other children’s genitals with the mouth) were found to be very unusual or not reported by any parent in this normative group of Swedish children. Among the adolescents, an early debut (younger than 14 years of age) correlated positively with number of partners, experience of oral and anal sex, smoking, drug and alcohol use and antisocial behaviour, such as being violent, lying, stealing and running away from home. Girls with an early sexual debut had significantly more experience of sexual abuse while boys with an early sexual debut were more likely to have a weak sense of coherence, low self-esteem and poor mental health, together with experience of sexual abuse, selling sex and physical abuse. A multiple logistic regression model showed that a number of antisocial acts and health behaviours remained significant, but early sexual debut did not increase the risk of psychiatric symptoms, low self-esteem or low sense of coherence at 18-years-of-age. Just under a quarter (24.6%) of the 3,380 adolescents had not had their sexual debut (no oral, anal or vaginal sex by the age of 18). There was a positive correlation between not debuting sexually at age 18 and a number of factors such as: being more likely to have caring fathers; parents born outside Europe; low sexual desire; lower pornography consumption; lower alcohol and tobacco consumption; less antisocial behavior and fewer experiences of sexual abuse than 18 year olds who had already made their sexua  debut. Adolescents with a minority sexual identity more often described their relationship with their parents as based on low care and high overprotection than did their heterosexual peers. The minority adolescents used alcohol and drugs to a significantly higher degree than the heterosexual adolescents. Multivariate analysis showed a positive correlation between a minority sexual identity and experience of anal sex, higher sexual lust, experience of sexual abuse, physical abuse and sexual exploitation. It was more than twice as common to have experience of penetrating sexual abuse and physical abuse with a sexual minority identity. Conclusions: Behaviours usually referred to as sexualised and problematic are uncommon among children at 7-13 years of age. Professionals and should give a child showing a sexualised behaviour special attention and investigate the reasons for the behaviour. Early sexual debut seems to be associated with problematic behaviours during later adolescence, indicating the fact that the early debut for some children is associated with an increased vulnerability, which has to be addressed. Family socio-demographics such as family stability and/or cultural status matter when it comes to time of sexual debut. Personality also seems to matter and further studies are needed to investigate if there is any correlation between personality traits and late sexual debut. Adolescents with no sexual debut at 18 years of age reported fewer antisocial acts, were less likely to smoke and drink alcohol, had less sexual desire and less experience of sexual abuse. Young people with a sexual minority identity (homo- and bisexual) could be seen to have a lower quality of life compared to heterosexual peers and studies need to be done to further explore possible reasons. They have a higher risk of having experience of sexual and physical abuse compared to heterosexual adolescents. Professionals need to be more aware of this group’s additional vulnerability including the increased risk of child abuse and offer different forms of support.
Barns och ungdomars sexuella beteenden är ett område som engagerar både föräldrar och professionella men det är ett förhållandevis outforskat område. Kanske mycket på grund av att det är ett tabubelagt område och att finns en hel del metodologiska hinder och etiska betänkligheter vid sådan forskning. Ett sexualiserat beteende kan vara tecken på sexuella övergrepp och det är därför viktigt att beskriva vad som är vanligt förekommande och förväntade sexuella beteenden hos barn och unga tillika vilka beteenden som är ovanliga och som kanske behöver utredas vidare. En tidig sexuell debut (debut före 14 års ålder) kan ses som ett riskbeteende i sig men även ett beteende kopplat till andra riskbeteenden som alkoholkonsumtion eller antisociala beteenden. Att vänta med den sexuella debuten beskrivs ibland som något önskvärt men det är inte särskilt väl utforskat. Därför är det viktigt att ta reda på vilka konsekvenser en tidig eller sen sexuell debut får för individen och vilka andra beteenden som är kopplade till en tidig eller sen sexuell debut. Ett annat viktigt område när det gäller ungdomar och sexualitet är sexuell identitet och dess konsekvenser. Ungdomar med en sexuell identitet som homo-, bisexuell eller transperson (HBT) beskrivs i tidigare forskning ofta uppleva en lägre livskvalitet samt oftare ha erfarenhet av barnmisshandel än jämnåriga med heterosexual identitet. Studierna i denna avhandling hade fyra huvudsyften: 1), att undersöka sexuella beteenden hos barn i åldrarna 7 till 13 år 2,) att undersöka sambanden mellan en tidig sexuell debut (yngre än 14 år) och sociodemografi, sexuella erfarenheter, hälsa, erfarenhet av barnmisshandel och beteende vid 18 års ålder 3), sen sexuell debut (ingen frivillig erfarenhet av oral-, vaginaleller analsex vid 18 års ålder) och sociodemografi, sexuella erfarenheter, hälsa, erfarenhet av barnmisshandel och beteende vid 18 års ålder samt 4), att beskriva relationen mellan sexuell identitet och sociodemografi, sexuellt beteende, hälsa, erfarenheter av barnmisshandel och nuvarande beteenden hos svenska 18-åringar. Föräldrarna till 418 barn i åldern 7 till 13 år svarade på en enkät angående deras barns generella och sexuella beteenden. För att undersöka ungdomars sexuella beteenden, debut och identitet genomfördes en undersökning bland 3432 svenska gymnasieelever i 18-års ålder. Dessutom svarade 362 medlemmar i Svenska Förbundet för homosexuellas, bisexuellas och transpersoners rättigheter (RFSL), med en medelåder på 21.4 år, på samma enkät. Det visade sig att många sexuella beteenden bland 7 till 13-åringarna var vanligt förekommande och att de varierade i frekvens med ålder och kön. Problematiska eller oroväckande sexuella beteenden (som till exempel att kyssa vuxna med tungan, imitera samlag, onanera inför andra, röra andras könsorgan med munnen och så vidare) rapporterades inte av några föräldrar eller var mycket ovanliga. En tidig sexuell debut (yngre än 14 år) korrelerade positivt med högre antal sex partner, erfarenhet av oral- och analsex, rökning, drog- och alkoholanvändning och antisocialt beteende, såsom våldsbenägenhet, att ljuga, stjäla och sova borta utan att föräldrarna vet om det. Flickor med en tidig sexuell debut hade större erfarenhet av sexuella övergrepp än flickor med senare debut. Pojkar med en tidig sexuell debut hade oftare en svag känsla av sammanhang, låg självkänsla, psykisk ohälsa, erfarenhet av sexuella övergrepp, att sälja sex eller fysisk misshandel jämfört med pojkar med en senare debut. Knappt en fjärdedel (24,6%) av de 3380 ungdomarna hade inte haft frivillig sexuell debut (oral-, anal- eller vaginalsex) vid 18 års ålder. Ungdomar med sen sexuell debut hade oftare en pappa-barn relation som byggde på en hög grad av omsorg. De hade oftare föräldrar födda utanför Europa, låg sexuell lust, låg pornografikonsumtion, låg alkohol- och tobakskonsumtion, få antisociala beteenden och mer sällan erfarenhet av sexuella övergrepp än 18-åringar som redan debuterat sexuellt. Ungdomarna med sexuell identitet som homo- eller bisexuella hade oftare en föräldra-barn relation som byggde på låg omsorg och hög kontroll än sina heterosexuella kamrater. De homo-och bisexuella ungdomarna använde också mer alkohol och droger jämfört med de heterosexuella ungdomarna. Multivariat analys visade ett positivt samband mellan homo- och bisexualitet och erfarenhet av analsex, sexuell lust, erfarenhet av sexuella övergrepp, misshandel och erfarenhet att sälja sex. Det var mer än dubbelt så vanligt att ha erfarenhet av sexuella övergrepp och fysisk misshandel hos de med en sexuell minoritets identitet. En av slutsatserna blev att översexualiserade eller problematiska sexuella beteenden är sällsynta hos barn i 7-13 års ålder. Det är viktig kunskap för professionella som arbetar med barn och som ofta får frågor kring barns olika beteenden och måste avgöra om det är förväntade och vanligt förekommande beteenden eller beteenden som ska leda till någon form av utredning, Om ett barn visar ett översexualiserat eller annorlunda sexuellt beteende ska det observeras och undersökas vidare av professionella med kunskap om barn och dess utveckling. Tidig sexuell debut verkar vara förknippad med andra problematiska beteenden under senare tonåren. Detta kan också tyda på att den tidiga debuten för vissa barn är associerat med en ökad sårbarhet, som också måste identifieras och tillgodoses av olika yrkeskategorier som arbetar med barn och ungdomar. Det finns olika anledningar till varför vissa ungdomar inte haft sexuell debut vid 18 års ålder. Faktorer som familjestabilitet och kulturell bakgrund spelade roll. Ungdomar med sen sexuell debut rapporterade färre antisociala handlingar, var mindre benägna att röka och dricka alkohol, hade mindre sexuell lust och mindre erfarenhet av sexuella övergrepp. Ytterligare studier behövs för att undersöka om det finns något samband mellan personlighetsdrag och sen sexuell debut. Ungdomar med en sexuell identitet som homo- eller bisexuell skulle kunna anses ha en lägre livskvalitet jämfört med heterosexuella kamrater men ytterligare studier måste göras för att ytterligare utforska möjliga orsaker. Det visade sig vara mycket vanligare med erfarenhet av såväl fysisk misshandel som sexuella övergrepp bland dessa ungdomar. Vuxna och framför allt professionella behöver bli mer medvetna om denna grupps sårbarhet, den ökade risken för erfarenhet av barnmisshandel och kunna erbjuda olika former av stöd.

In this thesis I propose that the representation of the prison is an untapped and valuable resource for non-traditional representations of the queered male, homo-sex and sexualities. I draw together texts on prison and sexuality from the 1800s to the 2000s in order to discuss the representation of prison in light of what it adds to a wider historical understanding of sexuality. The thesis is broadly chronological in form, analysing academic and theoretical texts in context alongside popular cultural representations. I reassess the ways in which sexuality is viewed and understood over time, and place homosexuality within the framework of wider male sexuality as represented in the prison. I theorise a re-imagining of homosexuality within normative male sexuality and I challenge the concept of ‘situational sex' through the complex issues behind understandings of sex in prison. My research methodology includes close textual analysis of representations of prison in literature, film and television alongside academic and theoretical texts on sexuality, gender and queer theory. Each chapter focuses on specific cultural texts, including Against the Law (1957), Birdman of Alcatraz (1962) Short Eyes (1977), Scum (1977, 1979) and Oz (1997-2003). By drawing the representations and the theories together I am able to provide a re-reading of the texts within a recognition of sexual fluidity and the reclassification of heterosexual males and gender hierarchies. In my research I argue that the representation of sex in prison re-writes sexuality and contributes to a reading of the queering potential of the cultural representation of prison. With this method I challenge conventional understandings of sexuality as well as perceptions of how male sexuality is viewed in popular culture. I argue that the cultural representation of the prison is a site of queer potentiality in form, idea and context and is a means to re-imagine male sexuality.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Esse estudo abarca o período entre os anos de 1978-1981. Nesses anos no Brasil encontramos reflexos da revolução sexual, movimento que gerou profundas transformações na sexualidade e nas relações entre os gêneros, modificando os conceitos de “homem e mulher”. Dessa forma, a Revista Playboy em sua versão brasileira produziu em suas paginas discursos que teceram representações sobre a prática masculina, discursos que ressoaram diretamente no dispositivo da sexualidade. Criou uma norma, um modelo, um discurso-verdade sobre “qual” é a masculinidade perfeita. Essa dissertação visa contribuir para a escrita de uma história do homem, enquanto “ser” construído por seu meio cultural e sujeito de uma sexualidade construída e modelada.
The present study encompasses the period between the years of 1979-1981. During this time in Brazil, it was possible to verify the reflex of the Sexual Revolution, a movement that generated profound transformations in the sexuality and in the relationships between genders, modifying the concepts of “men and women”. Thus, the Brazilian issue of Playboy Magazine produced in its pages discourses that generated representations of the masculine practice, which reverberated directly in the mechanism of sexuality. Playboy Magazine established a norm, a guideline and a single truthful discourse about a particular ideal model of masculinity. This dissertation aims at contributing to the writing of a narrative of what it is to be a man, as a social construction by its social environment and subject of a constructed, modelled sexuality.

Orientador: Hélio Rebello Cardoso Júnior
Resumo: Esse estudo abarca o período entre os anos de 1978-1981. Nesses anos no Brasil encontramos reflexos da revolução sexual, movimento que gerou profundas transformações na sexualidade e nas relações entre os gêneros, modificando os conceitos de “homem e mulher”. Dessa forma, a Revista Playboy em sua versão brasileira produziu em suas paginas discursos que teceram representações sobre a prática masculina, discursos que ressoaram diretamente no dispositivo da sexualidade. Criou uma norma, um modelo, um discurso-verdade sobre “qual” é a masculinidade perfeita. Essa dissertação visa contribuir para a escrita de uma história do homem, enquanto “ser” construído por seu meio cultural e sujeito de uma sexualidade construída e modelada.
Mestre

Dissertação de Mestrado em Psicologia da Saúde
Este trabalho procura investigar o conceito de Homofobia Internalizada quer teoricamente, quer na prática, nomeadamente em relação à adopção de comportamentos para a saúde entre homens homossexuais. Pretendeu-se saber se existiam diferenças significativas na adopção desses comportamentos entre homens com maiores e menores níveis de homofobia internalizada e, se sim, de que maneira é que essas diferenças se manifestavam. Para tal, delineou-se uma investigação numa perspectiva comparativa recorrendo a um número significativo de participantes (n=304). Os questionários utilizados foram o Questionário de Avaliação da Homofobia Internalizada (também validado no presente estudo - α=0.74) e o Questionário de Comportamentos para a Saúde. Da investigação concluiu-se que existem diferenças significativas entre os dois grupos que se manifestam de maneira divergente, consoante se considerava a homofobia internalizada em função da dimensão interna da percepção do estigma (quanto maiores níveis de homofobia internalizada, maiores comportamentos para a Saúde na Dimensão - Comportamento Sexual de Risco); em função da dimensão externa da percepção do estigma (quanto maiores níveis de homofobia internalizada, menores comportamentos para a Saúde na Dimensão - Dieta e Hábitos Alimentares); ou ainda, em função da dimesão global (interna e externa) de percepção do estigma (quanto maiores níveis de homofobia internalizada, maiores comportamentos para a Saúde nas Dimensões: Dieta e Hábitos Alimentares, Problemas de Saúde e Cuidados Primários e Comportamento Sexual de Risco).

Therapist-client sexual involvement has been shown to have damaging effects on clients, therapists and the mental health professions. As sexual attraction necessarily precedes sexual involvement, the incidence, experience and management of sexual attraction to clients was investigated in a sample of 485 South African clinical psychologists (return rate 23%). Evaluation of training and attitudes to sexual involvement with current and former clients and to other forms of touch in therapy were also investigated. Survey data from 111 psychologists reveal that 63.1% (79.1% of men and 52.9% of women) have been sexually attracted to clients, at least on occasion, while 97.1% have never become sexually involved with a client. Most (61.4%) do not feel anxious, guilty or uncomfortable about the attraction, although more women (50%) than men (26.5%) do. More than half (58.2%) felt that their sexual attraction had benefited the therapy process, while 76.1% believed that it had never been harmful. Men reported significantly more frequent benefit than women. In managing their sexual attraction, 60.8% sought support from supervisors, peers and their own therapists, while 31.9% worked through the feelings on their own. Ethical practice and welfare of clients were more important reasons for refraining from acting on sexual attraction than fear of legal or professional censure. Ethics codes consulted reflect the lack of nationally endorsed guidelines. Almost half (45.7%) had received no education about therapists' sexual attraction to clients, while only 10.6% had received adequate education. Education about the ethics of therapist-client sexual involvement was rated as significantly more adequate than training about therapists' sexual attraction to clients. Most (74.2%) said that their training was useful in helping them to make informed decisions about sexual involvement with clients. The majority (92.5%) felt that education on these issues should be a required part of training for clinical psychologists. Sexual involvement with former clients was considered less unethical than with current clients (65.2% vs 98.9%). 55.9% believe that there are circumstances in which sexual involvement with former clients might not be unethical, particularly depending on time since termination. Appropriate time between termination of therapy and sexual involvement ranged from immediately (1.8%) to never (44.1 %). Certain forms of touch are considered ethical, although attitudes varied depending on context and form. A handshake was rated to be always ethical by 66.3%, while 83.2% believe kissing is never ethical. There was lack of consensus about hugging and holding hands. Implications of findings and directions for future research are discussed.
Thesis (M.A.)-University of Natal, Pietermaritzburg, 1999.

This trend study analyzed 9 years (2011–2019) of cross-sectional survey responses to Klein’s Sexual Orientation Grid to explore changes in sexual orientation among emerging adult college students. Categorical regression models based on ordinal responses revealed that participants were moving away from exclusive heterosexuality on attraction, behavior, and identity subscales at a rate of approximately 6% per year. This trend augments for women after 2014, coinciding with increased advocacy efforts related to U.S. marriage equality, but attenuates for men. Participants’ race also related to variations in sexual orientation: Black participants were less likely than White participants to identify as exclusively heterosexual, whereas the pattern reversed for Asian participants relative to White participants. These findings suggest that changes in sexual orientation are occurring among emerging adults in the United States, potentially in response to changing social and political contexts, but these changes are more pronounced in women and Black emerging adults.

Sexual and gender minority (SGM) patients are often assumed to be cisgender and heterosexual by healthcare professionals, resulting in missed opportunities for a patient-centered experience. Although lesbian, gay, bisexual, and transgender (LGBT) is the common parlance, SGM is the preferred terminology in science-based settings (e.g., the National Institutes of Health and the Centers for Disease Control and Prevention) because it includes individuals with minority sexual attraction, sexual behavior or gender identity whose sexual or gender identity is something other than LGBT. Despite bioethics placing anti-LGBT bias below professional standards, disclosure places SGM patients at risk of bias and discrimination, such as refusal to treat, stereotyping, and explicit and implicit bias. SGM patient disclosure is frequently inhibited by the anticipation of bias and discrimination from healthcare workers. By establishing a patient-centered practice, informed by the needs of SGM patients and their support network, physician assistants in palliative care medicine can enhance the end-of-life experience of their SGM patient population while optimizing community and individual resilience.

Sexual problems are encountered commonly in med­ical practice. It is an area in which accurate epidemio­logical data is hard to gather, but recent systematic reviews have stated that 40– 50 per cent of women and 10– 20 per cent of men report ‘a sexual difficulty’ within the past year. Gender- related issues are classified alongside sexual problems in the ICD and DSM clas­sification systems, and are presenting with increasing frequency to mental health services. A working know­ledge of how to manage these patients is therefore in­creasingly important for clinicians. It is helpful to think of sexual- and gender- related problems in three areas (Table 30.1): … 1 Disorders of sexual function. 2 Disorders of sexual preference. 3 Gender identity disorders. These are discussed in detail in Chapter 32, p. 480 as they tend to present in childhood or adolescence…. Some knowledge of normal sexual behaviour may help you to assess a patient’s presenting problem. Always remember there is enormous variation in the quantity and type of sexual behaviour considered ‘normal’ within a population, and a diverse range of views about the importance of sexual activity among individuals. Cultural norms and religious views are the greatest influences on an individual’s sexual behav­iour: it is helpful to get an idea of what is important to a patient when taking the history. The age of first intercourse dropped steadily in the second half of the last century but has since stabilized. This was probably due to the relaxation of social atti­tudes towards sexuality that occurred in the post- war decades. At present, about 20 per cent of females and about 30 per cent of males experience heterosexual intercourse before the age of 16. More than 80 per cent of both sexes have experienced sexual intercourse by the age of 20 years. Earlier age of first intercourse is associated with lower social class, lower levels of edu­cation, and lack of religious affiliation. The earlier first intercourse occurs, the less likely it is to be accom­panied by adequate contraceptive use and the more it is felt by the subject, in retrospect, to have been too early. Data from the UK and USA in 2015 reported that 94 per cent of adults report mostly or exclu­sively heterosexual (erotic thoughts and feelings are directed towards a person of the opposite sex) experience and attraction.

In chapter 9, “Tales from the Operating Theater: Medical Fetishism and the Taboo Performative Power of Erotic Medical Play,” London Brickley invites readers into a fetishist community revolving around medical practices and disability where participating individuals are acutely aware of the stigmas, boundaries, and taboos of the physically disabled and mentally ill. With special consideration placed upon the relationship between the subset of individuals who have experienced disability (and/or those that yearn to), with the nuances of their physical and erotic conditions, Brickley demonstrates that fetishes are not simply deviated sexual practices, but complex constructs of identity and chosen experience. By drawing attention to perceptions of what is sexually attractive, she also points out the bias that the disabled body is unattractive, demonstrating that this ability to either see beyond the disability or find it arousing is the primary reason for the label of deviant sexual behavior.

The introduction overviews the main themes of the book and explains relevant research for understanding the findings. Main takeaways of this research are that sexual attractions, behaviors, and identities are distinct; anti-LGBT discrimination is a major feature of American life; sexual identities are social and historical creations rather than natural expressions of sexuality; heterosexuality today is an identity, a culture, and a way of life; and masculinity is shaped by social contexts. It also argues that straight culture is a fundamental organizing force of American life, and that most straight cultures involve gender inequality, belief in the gender binary, and discrimination against LGBT people, in different ways and to varying extents. Additionally, the introduction explains that many of the sixty men in this book identified as straight both for generational reasons and because of the aging process. Many, in fact, turned to sex with other men largely because of the aging process itself.

The conclusion overviews the main themes of the book. It also argues that we need to eliminate prejudice and expectations of heterosexuality, not shame straight men who have sex with men for having an “incorrect” identity. Criticizing them for their identity makes it seem as though individuals are the problem when in fact it is larger structural forces that shape the way people identify and act. Heterosexuality is many things at once: an identity, an institution, a way of relating to the world, and a culture. Like all cultures, it has institutions that undergird it and communities that are connected to it. Most straight men do not have sex with other men, of course. Those who do, however, show how and why many men come to identify as straight and masculine. A key conclusion is this: heterosexuality should be considered less a reflection of attractions and sexual behaviors and more an indication of the way people live. This includes belonging to certain institutions, having relationships with particular people, feeling that it is necessary to identify as straight to be masculine, and of course enjoying being part of a socially dominant group. A shorthand for all these things is “straight culture.”

Phytophagous insects respond to chemicals from their host plants in a number of ways, including orientation or attraction in response to volatiles produced by plants. Orientation to odors from host plants may occur in order to locate food, mates, or oviposition sites. A detailed understanding of these behaviors are the chemical stimuli evoking them may provide useful means for attracting and trapping insect pests of crop plants. Heliothine moths (Helicoverpa and Heliothis herein) include a number of major pests of cultivated crop plants throughout the world. In North America, these include Heliothis virescens and Helicoverpa zea. In much of Eurasia (including Israel) Australia, and Africa, these include Helicoverpa armigera and Helicoverpa peltigera. These 4 species of concern all are attracted to odorants from host plants (Tingle and Mitchell 2992, Mitchell et al 1991, 1992 BARD feasibility study report). Host plant chemicals also play a role in the sexual behavior of Helicoverpa species. Synthesis and possibly release of sex pheromone in H. zea and H. phloxiphaga is stimulated by kairomones from hosts plants (Raina 1988, 1992). Pheromona scent marking on host plants also occurs in H. virescens and H. zea. Studies of several other insects, including the cabbage looper Trichoplusia ni, have a variety of other behaviors may occur in association with host plants, including the use of plants as sexual rendesvous sites and of direct involvement of plant chemicals in sexual behavior. Some pest species of moths also may use host plants as adult food sources. These studies were undertaken to develop a more thorough understanding of how Heliothis/Helicoverpa moths use host plant odorants to locate and select foods, mates, and oviposition sites. We used Heliothis virescens and Helicoverpa zea in Florida, and Helicoverpa armigera and Helicoverpa peltigera in Israel as objects of study because of their pest status. It is hoped that such an understanding will provide direction for work to discover and develop novel means to control these pests through behavioral manipulation. The specific objectives of the proposal were to 1) identify host odor affects on known Heliothine sexual behavior, 2) identify novel sexual behavior that is how dependent, 3) isolate and characterize host kairomones important to pest Heliothine host and mate-location behavior, and 4) investigate female attraction to males.