Dangerous data: Seeing social surveys through the sexuality prism

Sexualities ◽  
2021 ◽  
pp. 136346072098692
Author(s):  
Laurel Westbrook ◽  
Jamie Budnick ◽  
Aliya Saperstein

Social surveys both reflect and shape beliefs about sexuality. Social norms construct the “authorized vocabulary” of surveys and the resulting data influence the research questions that can be answered and the policies likely to be inspired by study findings. Scholars have called for balancing attention to pleasure vs. danger and normative vs. non-normative practices in studies of sexuality as well as for collection of data on sexual desires, behaviors, and identities. We combine these calls into what we term the sexuality prism. To better understand how data about sexuality are typically collected and what research they facilitate or constrain, we analyze six decades of materials from four of the largest social surveys in the United States and five national surveys focused on sexuality, health, and family formation. We find that these surveys do not allow for investigations of the full sexuality prism. Instead, they tend to assume and narrowly investigate the “charmed circle” of sexuality: heterosexual, married, monogamous, and potentially procreative couplings. When surveys ask about non-normative practices, they do so primarily in the context of risk (e.g. sexually transmitted diseases) and ignore non-normative practices that are not deemed “risky.” The focus on risk likely explains the greater attention to sexual behaviors and the shortage of questions about sexual desires and identities. Moreover, most questions about sexual practices highlight the dangers of sex, rather than the pleasures. Not only does this severely limit the scope of U.S. sexuality research, it also means that, individually and collectively, these surveys reify “sex negativity.”

2020 ◽  
Vol 31 (2) ◽  
pp. 127-135 ◽  
Author(s):  
Ronnie M Gravett ◽  
Andrew O Westfall ◽  
Edgar T Overton ◽  
Kachina Kudroff ◽  
Christina A Muzny ◽  
...  

HIV pre-exposure prophylaxis (PrEP) effectively prevents HIV acquisition among men who have sex with men (MSM), but PrEP uptake has been associated with sexually transmitted infections (STIs). The effect of PrEP on STIs in MSM in the Deep South of the United States is unknown. We performed a retrospective analysis of adult MSM at an American Deep South PrEP clinic to calculate the prevalence and incidence rate of bacterial STIs (chlamydia, gonorrhea, and syphilis) and identify associated risk factors by linking incident STI to patient-reported outcomes; 139 MSM accessed the clinic between 2014 and 2018 with baseline bacterial STI prevalence of 11%. Twenty-six of 81 eligible MSM on PrEP had incident STIs with an incidence rate of 33.1 cases per 100 person-years. Significantly higher proportions of high PrEP adherence, multiple sexual partners, and inconsistent condom use were seen in those with incident STI, and we identified MSM with both high PrEP adherence and multiple sexual partners as being at especially high risk for bacterial STIs (hazard ratio: 7.57, 95% confidence interval: 1.75–32.74). Bacterial STIs are common after initiating PrEP in this clinic, and MSM reporting high PrEP adherence and multiple sexual partners have a significant risk for incident STI. High-risk sexual behaviors persisted after starting PrEP, highlighting the importance of ongoing, intensive sexual health screening and interventions.


2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Anna Coluccia ◽  
Mario Gabbrielli ◽  
Giacomo Gualtieri ◽  
Fabio Ferretti ◽  
Andrea Pozza ◽  
...  

DSM-5 distinguishes between paraphilias and paraphilic disorders. Paraphilias are defined as atypical, yet not necessarily disordered, sexual practices. Paraphilic disorders are instead diseases, which include distress, impairment in functioning, or entail risk of harm one’s self or others. Hence, DSM-5 new approach to paraphilias demedicalizes and destigmatizes unusual sexual behaviors, provided they are not distressing or detrimental to self or others. Asphyxiophilia, a dangerous and potentially deadly form of sexual masochism involving sexual arousal by oxygen deprivation, are clearly described as disorders. Although autoerotic asphyxia has been associated with estimated mortality rates ranging from 250 to 1000 deaths per year in the United States, in Italy, knowledge on this condition is very poor. Episodes of death caused by autoerotic asphyxia seem to be underestimated because it often can be confounded with suicide cases, particularly in the Italian context where family members of the victim often try to disguise autoerotic behaviors of the victims. The current paper provides a review on sexual masochism disorder with asphyxiophilia and discusses one specific case as an example to examine those conditions that may or may not influence the likelihood that death from autoerotic asphyxia be erroneously reported as suicide or accidental injury.


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Eshan U. Patel ◽  
Jodie L. White ◽  
Charlotte A. Gaydos ◽  
Thomas C. Quinn ◽  
Shruti H. Mehta ◽  
...  

Author(s):  
Karen J. Vigil

Sexually transmitted diseases (STDs) are common in HIV-infected patients. Education and counseling on changes in sexual behaviors of patients with STDs and their sexual partners, identification of asymptomatic infection, and effective diagnosis and treatment are the cornerstone for prevention. HIV-infected patients with syphilis should have a detailed neurologic examination. Penicillin is the treatment of choice for syphilis. Gonococcal infection is an important cause of urethritis, cervicitis, pharyngitis, and proctitis in HIV-infected sexually active patients. Dual therapy for gonorrhea and chlamydia is recommended. Most Chlamydia trachomatis infections are asymptomatic and thus detected only by routine, periodic screening. Human papillomavirus is the most common STD in the United States.


2020 ◽  
Vol 14 ◽  
Author(s):  
Hélène Donnadieu-Rigole ◽  
Hélène Peyrière ◽  
Amine Benyamina ◽  
Laurent Karila

Chemsex is described as the use of specific psychoactive substances (PS) during sexual activity to sustain, enhance, disinhibit or facilitate the sexual experience. It preferentially concerns men who have sex with men (MSM). They use new synthetic substances like cathinones, methamphetamines, gamma-butyrolactone/gamma-hydroxybutyrate (GBL/GHB), ketamine, and cocaine. The prevalence of chemsex varies from 3 to 31% during lifetime. The Internet has participated significantly in the evolution of sexual behaviors, both in terms of sexual dating and the availability of new synthetic substances. The advent of geolocation applications contributed to the development of chemsex. The literature describes many complications linked to these sexual practices; the main clinical effects related to cathinones consumption were psychiatric symptoms; agitation, hallucinations, anxiety, suicidal ideation, paranoia, and confusion. Regular GBL/GHB consumption alter cognitive functions, particularly memory and emotion management. Use of these drugs in party and play is dramatically associated with high-risk sexual behaviors. The prevalence of hepatitis B, hepatitis C syphilis, and HIV is higher in men who use methamphetamine and Viagra and/or who declared they practiced slamming, chemsex, and fisting. Other sexually transmitted infections (STIs) such as gonorrhea have increased with methamphetamine and GHB/GBL use. Actually, the care of individuals who practice Chemsex in a problematic way is currently not codified, but the use of integrative and specific interventions is necessary.


2001 ◽  
Author(s):  

Zambian adolescents are at high risk of unwanted pregnancy, sexually transmitted infections (STIs), and HIV infection due to early sexual initiation, low use of contraceptives and condoms, and other high-risk sexual behaviors. During 1996–1998, CARE Zambia and the Population Council conducted a study to test community-based approaches to improve adolescent sexual and reproductive health. CARE Zambia talked to adolescents in four communities outside Lusaka. Using participatory learning and action techniques, researchers identified factors leading to high-risk sexual behaviors, including lack of economic, recreational, and educational opportunities for youth. This information helped to design the study. Two interventions—condom distribution by peer educators and small business loans to youth—led to safer sexual practices among adolescents in peri-urban communities. Both program participants and their peers reported an increase in abstinence and monogamy and a decrease in STIs. As noted in this brief, youth in the intervention areas were better informed about ways to prevent HIV/AIDS than those in the control group, however the interventions did not lead to greater use of contraception or condoms for dual protection.


2012 ◽  
Vol 5 (1) ◽  
pp. 79-87 ◽  
Author(s):  
Elena Garcia-Vega ◽  
Elena Menendez Robledo ◽  
Paula Fernández García ◽  
Marcelino Cuesta Izquierdo

In recent years there has been further liberalization of sexual behavior in the Western world, this tendency manifests itself especially in adolescents. The aim of the present study is of knowing the sexual behaviors of our young persons, as well as the unsafe sexual behaviors, in order to know those variables that could be involved in these behaviors. The study was carried out by 815 students (54,6 % girls and 45,4 % boys), through  of an auto-report. Were observed few differences between the sexual practices and the age of beginning between boys and girls. The condom was the method of the first choice in the first sexual relation coital. The consumption of alcohol and the quantity of sexual pairs are risk conducts exercised in major measure for the boys. On the other hand, the girls are protected from sexually transmitted diseases, but there is increase of abortions, for what it would be necessary to affect in a better protection.


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