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Dennis J Fortenberry - One of the best experts on this subject based on the ideXlab platform.

  • relationships among sexual identity sexual attraction and sexual behavior results from a nationally representative Probability Sample of adults in the united states
    Archives of Sexual Behavior, 2019
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Brian Dodge, Michael Reece, Christopher L Owens, Dennis J Fortenberry
    Abstract:

    Sexual orientation is a multi-dimensional concept, at a minimum comprised of sexual identity, sexual attraction, and sexual behavior. Our study aimed to assess relationships among self-identified sexual identity, sexual attraction, and sexual behaviors in a Probability Sample of adults in the U.S. and to identify associated factors with diverse patterns. We collected data from adults in the 2015 National Survey of Sexual Health and Behavior, an Internet-based nationally representative Probability survey of the general U.S. population. Concordance between sexual identity versus sexual attraction and sexual behaviors was assessed using percent agreement. We identified correlates of discordance using logistic regression. Concordance between sexual identity versus sexual attraction and past-year sexual behaviors was 94% and 96%, respectively, though our Sample was predominately composed of heterosexual individuals. Women and sexual minority individuals reported greater discordance across sexuality-related measures than men and heterosexual individuals. Younger adults (aged 18–24 years) were more likely to report sexual behaviors discordant with sexual identity compared with older adults (including those ages 25–34 years). Higher levels of educational attainment were significantly associated with less discordance of reported recent sexual activity and sexual identity. Measures of sexual identity, attraction, and behaviors are not interchangeable. Future research should consider multiple sexuality-related measures in order to capture the complexity and variability of sexualities.

  • the development and validation of the male genital self image scale results from a nationally representative Probability Sample of men in the united states
    The Journal of Sexual Medicine, 2013
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Vanessa Schick, Michael Reece, Dennis J Fortenberry
    Abstract:

    Abstract Introduction Numerous factors may affect men's sexual experiences, including their health status, past trauma or abuse, medication use, relationships, mood, anxiety, and body image. Little research has assessed the influence of men's genital self‐image on their sexual function or behaviors and none has done so in a nationally representative Sample. Aims The purpose of this study was to, in a nationally representative Probability Sample of men ages 18 to 60, assess the reliability and validity of the Male Genital Self‐Image Scale (MGSIS), and to examine the relationship between scores on the MGSIS and men's scores on the International Index of Erectile Function (IIEF). Methods The MGSIS was developed in two stages. Phase One involved a review of the literature and an analysis of cross‐sectional survey data. Phase Two involved an administration of the scale items to a nationally representative Sample of men in the United States ages 18 to 60. Main Outcome Measures Measures include demographic items, the IIEF, and the MGSIS. Results Overall, most men felt positively about their genitals. However, 24.6% of men expressed some discomfort letting a healthcare provider examine their genitals and about 20% reported dissatisfaction with their genital size. The MGSIS was found to be reliable and valid, with the MGSIS‐5 (consisting of five items) being the best fit to the data. Conclusion The MGSIS was found to be a reliable and valid measure. In addition, men's scores on the MGSIS‐5 were found to be positively related to men's scores on the IIEF.

  • characteristics of condom and lubricant use among a nationally representative Probability Sample of adults ages 18 59 in the united states
    The Journal of Sexual Medicine, 2013
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Brian Dodge, Vanessa Schick, Michael Reece, Nicole K Smith, Dennis J Fortenberry
    Abstract:

    ABSTRACT Introduction Although most Americans have used condoms and/or lubricant during sex, little is known about the context of sexual events that involve the use of such products outside of experimentally manipulated studies. Aims To assess, in a nationally representative study of men and women in the United States ages 18–59, the characteristics of condom and lubricant use during participants' most recent sexual event and the relationship of their condom and lubricant use to event‐level ratings of sexual quality. Methods Data are from the National Survey of Sexual Health and Behavior, which involved the administration of an online questionnaire to a nationally representative Probability Sample of the U.S. adults. Main Outcome Measures Sociodemographic items: event‐level items related to sexual behavior, condom use, lubricant use, and participants' perceptions of their arousal, pleasure, ease of erection or lubrication, and pain associated with sex. Results During their most recent sexual experience, 27.5% of men (N = 237) and 22.3% of women (N = 175) reported using a condom. More than twice as many women as men were unsure whether the condom was lubricated (26.6% vs. 11.4%) and the material it was made of (23.6% vs. 8.9%). Participants consistently rated sex to be arousing and pleasurable whether or not they used condoms or lubricant. No significant differences were found in regard to men's ratings of the ease of their erections based on condom and lubricant use. Conclusions Although some have concerns about how condoms or lubricants may impact their enjoyment of sex, in a nationally representative Sample of men and women ages 18–59, ratings of sex were largely quite high, with few differences based on condom and lubricant use. Women, more often than men, reported being unsure about the type of condom and lubricant used, which has implications for patient education. Herbenick D, Schick V, Reece M, Sanders SA, Smith N, Dodge B, and Fortenberry JD. Characteristics of condom and lubricant use among a nationally representative Probability Sample of adults ages 18–59 in the United States. J Sex Med **;**:**–**.

  • the female genital self image scale fgsis results from a nationally representative Probability Sample of women in the united states
    The Journal of Sexual Medicine, 2011
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Brian Dodge, Vanessa Schick, Michael Reece, Dennis J Fortenberry
    Abstract:

    ABSTRACT Introduction Over the past two decades, an expanding body of research has examined women's and men's genital self‐image. Support for the reliability and validity of the 7‐item Female Genital Self‐Image Scale (FGSIS) has been found in a convenience Sample of women. Aims The purpose of this study was to assess the reliability and validity of the FGSIS, its model of fit, and its association with women's scores on the Female Sexual Function Index (FSFI) in a nationally representative Probability Sample of women in the United States ages 18 to 60. A second purpose was to assess the temporal stability of the scale in a subset of this Sample. Methods A nationally representative Sample of 3,800 women ages 18 to 60 were invited to participate in a cross‐sectional Internet‐based survey; 2,056 (54.1%) participated. Main Outcome Measures Demographic items (e.g., age, race/ethnicity, marital status, sexual orientation, geographic region), having had a gynecological examination in the past year, having performed a genital self‐examination in the past month, frequency of masturbation in the past month, vibrator use in the past month, the FGSIS, and the FSFI. Results An abbreviated 4‐item version of the scale, the FGSIS‐4, was a better fit to the data than the original 7‐item scale. Women's scores on the FGSIS‐4 were significantly related to vibrator use, frequency of masturbation, having had a gynecological exam in the past year, having performed genital self examination in the past month, and all FSFI subscales. Conclusion Most of the participants felt generally positively about their genitals and female genital self‐image was significantly related to female sexual function, women's sexual behavior and their sexual and genital healthcare behaviors. In addition, the FGSIS‐4 has evidence of reliability, validity, and temporal stability in a nationally representative Probability Sample of women in the United States. Herbenick D, Schick V, Reece M, Sanders S, Dodge B, and Fortenberry JD. The female genital self‐image scale (FGSIS): Results from a nationally representative Probability Sample of women in the United States.

  • an event level analysis of the sexual characteristics and composition among adults ages 18 to 59 results from a national Probability Sample in the united states
    The Journal of Sexual Medicine, 2010
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Brian Dodge, Vanessa Schick, Michael Reece, Dennis J Fortenberry
    Abstract:

    ABSTRACT Introduction Although studies of specific groups of individuals (e.g., adolescents, “high risk” Samples) have examined sexual repertoire, little is known, at the population level, about the sexual behaviors that comprise a given sexual encounter. Aim To assess the sexual behaviors that men and women report during their most recent sexual event; the age, partner and situational characteristics related to that event; and their association with participants' evaluation of the sexual event. Methods During March–May 2009, data from a United States Probability Sample related to the most recent partnered sexual event reported by 3990 adults (ages 18–59) were analyzed. Main Outcome Measures Measures included sexual behaviors during the most recent partnered sexual event, event characteristics (i.e., event location, alcohol use, marijuana use, and for men, erection medication use), and evaluations of the sexual experience (pleasure, arousal, erection/lubrication difficulty, orgasm). Results Great diversity exists in the behaviors that occur during a single sexual event by adults, with a total of 41 combinations of sexual behaviors represented across this Sample. Orgasm was positively related to the number of behaviors that occurred and age was related to greater difficulty with erections and lubrication. Men whose most recent event was with a relationship partner indicated greater arousal, greater pleasure, fewer problems with erectile function, orgasm, and less pain during the event compared with men whose last event was with a nonrelationship partner. Conclusion Findings demonstrate that adults ages 18 to 59 engage in a diverse range of behaviors during a sexual event and that greater behavior diversity is related to ease of orgasm for both women and men. Although both men and women experience sexual difficulties related to erectile function and lubrication with age, men's orgasm is facilitated by sex with a relationship partner whereas the likelihood of women's orgasm is related to varied sexual behaviors. Herbenick D, Reece M, Schick V, Sanders SA, Dodge B, and Fortenberry JD. An event-level analysis of the sexual characteristics and composition among adults ages 18 to 59: Results from a national Probability Sample in the United States. J Sex Med 2010;7(suppl 5):346–361.

Debby Herbenick - One of the best experts on this subject based on the ideXlab platform.

  • relationships among sexual identity sexual attraction and sexual behavior results from a nationally representative Probability Sample of adults in the united states
    Archives of Sexual Behavior, 2019
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Brian Dodge, Michael Reece, Christopher L Owens, Dennis J Fortenberry
    Abstract:

    Sexual orientation is a multi-dimensional concept, at a minimum comprised of sexual identity, sexual attraction, and sexual behavior. Our study aimed to assess relationships among self-identified sexual identity, sexual attraction, and sexual behaviors in a Probability Sample of adults in the U.S. and to identify associated factors with diverse patterns. We collected data from adults in the 2015 National Survey of Sexual Health and Behavior, an Internet-based nationally representative Probability survey of the general U.S. population. Concordance between sexual identity versus sexual attraction and sexual behaviors was assessed using percent agreement. We identified correlates of discordance using logistic regression. Concordance between sexual identity versus sexual attraction and past-year sexual behaviors was 94% and 96%, respectively, though our Sample was predominately composed of heterosexual individuals. Women and sexual minority individuals reported greater discordance across sexuality-related measures than men and heterosexual individuals. Younger adults (aged 18–24 years) were more likely to report sexual behaviors discordant with sexual identity compared with older adults (including those ages 25–34 years). Higher levels of educational attainment were significantly associated with less discordance of reported recent sexual activity and sexual identity. Measures of sexual identity, attraction, and behaviors are not interchangeable. Future research should consider multiple sexuality-related measures in order to capture the complexity and variability of sexualities.

  • sexual diversity in the united states results from a nationally representative Probability Sample of adult women and men
    PLOS ONE, 2017
    Co-Authors: Debby Herbenick, Brian Dodge, Jessamyn Bowling, Lucia Guerrareyes, Stephanie A Sanders
    Abstract:

    In 2015, we conducted a cross-sectional, Internet-based, U.S. nationally representative Probability survey of 2,021 adults (975 men, 1,046 women) focused on a broad range of sexual behaviors. Individuals invited to participate were from the GfK KnowledgePanel®. The survey was titled the 2015 Sexual Exploration in America Study and survey completion took about 12 to 15 minutes. The survey was confidential and the researchers never had access to respondents' identifiers. Respondents reported on demographic items, lifetime and recent sexual behaviors, and the appeal of 50+ sexual behaviors. Most (>80%) reported lifetime masturbation, vaginal sex, and oral sex. Lifetime anal sex was reported by 43% of men (insertive) and 37% of women (receptive). Common lifetime sexual behaviors included wearing sexy lingerie/underwear (75% women, 26% men), sending/receiving digital nude/semi-nude photos (54% women, 65% men), reading erotic stories (57% of participants), public sex (≥43%), role-playing (≥22%), tying/being tied up (≥20%), spanking (≥30%), and watching sexually explicit videos/DVDs (60% women, 82% men). Having engaged in threesomes (10% women, 18% men) and playful whipping (≥13%) were less common. Lifetime group sex, sex parties, taking a sexuality class/workshop, and going to BDSM parties were uncommon (each <8%). More Americans identified behaviors as "appealing" than had engaged in them. Romantic/affectionate behaviors were among those most commonly identified as appealing for both men and women. The appeal of particular behaviors was associated with greater odds that the individual had ever engaged in the behavior. This study contributes to our understanding of more diverse adult sexual behaviors than has previously been captured in U.S. nationally representative Probability surveys. Implications for sexuality educators, clinicians, and individuals in the general population are discussed.

  • attitudes toward bisexual men and women among a nationally representative Probability Sample of adults in the united states
    PLOS ONE, 2016
    Co-Authors: Brian Dodge, Debby Herbenick, Vanessa Schick, Michael Reece, Reuel M Friedman, Wendy Bostwick, Elizabeth Bartelt, Miguel Munozlaboy, David R Pletta, Theo G M Sandfort
    Abstract:

    As bisexual individuals in the United States (U.S.) face significant health disparities, researchers have posited that these differences may be fueled, at least in part, by negative attitudes, prejudice, stigma, and discrimination toward bisexual individuals from heterosexual and gay/lesbian individuals. Previous studies of individual and social attitudes toward bisexual men and women have been conducted almost exclusively with convenience Samples, with limited generalizability to the broader U.S. population. Our study provides an assessment of attitudes toward bisexual men and women among a nationally representative Probability Sample of heterosexual, gay, lesbian, and other-identified adults in the U.S. Data were collected from the 2015 National Survey of Sexual Health and Behavior (NSSHB), via an online questionnaire with a Probability Sample of adults (18 years and over) from throughout the U.S. We included two modified 5-item versions of the Bisexualities: Indiana Attitudes Scale (BIAS), validated sub-scales that were developed to measure attitudes toward bisexual men and women. Data were analyzed using descriptive statistics, gamma regression, and paired t-tests. Gender, sexual identity, age, race/ethnicity, income, and educational attainment were all significantly associated with participants' attitudes toward bisexual individuals. In terms of responses to individual scale items, participants were most likely to “neither agree nor disagree” with all attitudinal statements. Across sexual identities, self-identified other participants reported the most positive attitudes, while heterosexual male participants reported the least positive attitudes. As in previous research on convenience Samples, we found a wide range of demographic characteristics were related with attitudes toward bisexual individuals in our nationally-representative study of heterosexual, gay/lesbian, and other-identified adults in the U.S. In particular, gender emerged as a significant characteristic; female participants’ attitudes were more positive than male participants’ attitudes, and all participants’ attitudes were generally more positive toward bisexual women than bisexual men. While recent population data suggest a marked shift in more positive attitudes toward gay men and lesbian women in the general population of the U.S., the largest proportions of participants in our study reported a relative lack of agreement or disagreement with all affective-evaluative statements in the BIAS scales. Findings document the relative lack of positive attitudes toward bisexual individuals among the general population of adults in the U.S. and highlight the need for developing intervention approaches to promote more positive attitudes toward bisexual individuals, targeted toward not only heterosexual but also gay/lesbian individuals and communities.

  • the development and validation of the male genital self image scale results from a nationally representative Probability Sample of men in the united states
    The Journal of Sexual Medicine, 2013
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Vanessa Schick, Michael Reece, Dennis J Fortenberry
    Abstract:

    Abstract Introduction Numerous factors may affect men's sexual experiences, including their health status, past trauma or abuse, medication use, relationships, mood, anxiety, and body image. Little research has assessed the influence of men's genital self‐image on their sexual function or behaviors and none has done so in a nationally representative Sample. Aims The purpose of this study was to, in a nationally representative Probability Sample of men ages 18 to 60, assess the reliability and validity of the Male Genital Self‐Image Scale (MGSIS), and to examine the relationship between scores on the MGSIS and men's scores on the International Index of Erectile Function (IIEF). Methods The MGSIS was developed in two stages. Phase One involved a review of the literature and an analysis of cross‐sectional survey data. Phase Two involved an administration of the scale items to a nationally representative Sample of men in the United States ages 18 to 60. Main Outcome Measures Measures include demographic items, the IIEF, and the MGSIS. Results Overall, most men felt positively about their genitals. However, 24.6% of men expressed some discomfort letting a healthcare provider examine their genitals and about 20% reported dissatisfaction with their genital size. The MGSIS was found to be reliable and valid, with the MGSIS‐5 (consisting of five items) being the best fit to the data. Conclusion The MGSIS was found to be a reliable and valid measure. In addition, men's scores on the MGSIS‐5 were found to be positively related to men's scores on the IIEF.

  • characteristics of condom and lubricant use among a nationally representative Probability Sample of adults ages 18 59 in the united states
    The Journal of Sexual Medicine, 2013
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Brian Dodge, Vanessa Schick, Michael Reece, Nicole K Smith, Dennis J Fortenberry
    Abstract:

    ABSTRACT Introduction Although most Americans have used condoms and/or lubricant during sex, little is known about the context of sexual events that involve the use of such products outside of experimentally manipulated studies. Aims To assess, in a nationally representative study of men and women in the United States ages 18–59, the characteristics of condom and lubricant use during participants' most recent sexual event and the relationship of their condom and lubricant use to event‐level ratings of sexual quality. Methods Data are from the National Survey of Sexual Health and Behavior, which involved the administration of an online questionnaire to a nationally representative Probability Sample of the U.S. adults. Main Outcome Measures Sociodemographic items: event‐level items related to sexual behavior, condom use, lubricant use, and participants' perceptions of their arousal, pleasure, ease of erection or lubrication, and pain associated with sex. Results During their most recent sexual experience, 27.5% of men (N = 237) and 22.3% of women (N = 175) reported using a condom. More than twice as many women as men were unsure whether the condom was lubricated (26.6% vs. 11.4%) and the material it was made of (23.6% vs. 8.9%). Participants consistently rated sex to be arousing and pleasurable whether or not they used condoms or lubricant. No significant differences were found in regard to men's ratings of the ease of their erections based on condom and lubricant use. Conclusions Although some have concerns about how condoms or lubricants may impact their enjoyment of sex, in a nationally representative Sample of men and women ages 18–59, ratings of sex were largely quite high, with few differences based on condom and lubricant use. Women, more often than men, reported being unsure about the type of condom and lubricant used, which has implications for patient education. Herbenick D, Schick V, Reece M, Sanders SA, Smith N, Dodge B, and Fortenberry JD. Characteristics of condom and lubricant use among a nationally representative Probability Sample of adults ages 18–59 in the United States. J Sex Med **;**:**–**.

Ilan H Meyer - One of the best experts on this subject based on the ideXlab platform.

  • minority stress distress and suicide attempts in three cohorts of sexual minority adults a u s Probability Sample
    PLOS ONE, 2021
    Co-Authors: Ilan H Meyer, Stephen T Russell, David M Frost, Phillip L Hammack, Bianca D M Wilson
    Abstract:

    During the past 50 years, there have been marked improvement in the social and legal environment of sexual minorities in the United States. Minority stress theory predicts that health of sexual minorities is predicated on the social environment. As the social environment improves, exposure to stress would decline and health outcomes would improve. We assessed how stress, identity, connectedness with the LGBT community, and psychological distress and suicide behavior varied across three distinct cohorts of sexual minority people in the United States. Using a national Probability Sample recruited in 2016 and 2017, we assessed three a priori defined cohorts of sexual minorities we labeled the pride (born 1956-1963), visibility (born 1974-1981), and equality (born 1990-1997) cohorts. We found significant and impressive cohort differences in coming out milestones, with members of the younger cohort coming out much earlier than members of the two older cohorts. But we found no signs that the improved social environment attenuated their exposure to minority stressors-both distal stressors, such as violence and discrimination, and proximal stressors, such as internalized homophobia and expectations of rejection. Psychological distress and suicide behavior also were not improved, and indeed were worse for the younger than the older cohorts. These findings suggest that changes in the social environment had limited impact on stress processes and mental health for sexual minority people. They speak to the endurance of cultural ideologies such as homophobia and heterosexism and accompanying rejection of and violence toward sexual minorities.

  • longitudinal trends in prep familiarity attitudes use and discontinuation among a national Probability Sample of gay and bisexual men 2016 2018
    PLOS ONE, 2020
    Co-Authors: Ian W Holloway, Ilan H Meyer, David M Frost, Evan A Krueger, Marguerita Lightfoot, Phillip L Hammack
    Abstract:

    This study explored familiarity with, attitudes toward, uptake and discontinuation of PrEP (Pre-exposure prophylaxis) among a national Probability Sample of gay and bisexual men. PrEP is one of the most effective biomedical HIV prevention strategies; however, use among gay and bisexual men remains low within the United States. This study used a national Probability Sample of gay and bisexual men from three age cohorts of men (18–25, 34–41, and 52–59 years at wave 1) who completed three annual surveys between March 2016 and March 2018 (N at wave 1 = 624). Recruitment occurred through a Gallup dual-frame sampling procedure; results for this study came from eligible individuals who consented to be part of the self-administered online or mailed survey questionnaire. We used descriptive data with sampling weights to understand trends in PrEP familiarity, PrEP attitudes and PrEP use across all three time points. Next, PrEP uptake and discontinuation were assessed among men completing all three surveys and who remained eligible for PrEP at all three time points (N = 181). PrEP familiarity increased considerably between 2016 and 2018 among those eligible for PrEP (from 59.8% from wave 1 to 92.0% at wave 3). Favorable attitudes toward PrEP increased more modestly (from 68.3% at wave 1 to 72.7% at wave 3). While PrEP use increased by 90% between the two time points (from 4.1% in 2016 to 7.8% in 2018), this represented a small percentage of overall uptake among eligible participants across time (6.6%). Among respondents who reported PrEP use at wave 1 or wave 2, 33.3% subsequently discontinued PrEP use at a later wave. Findings indicate modest increases in PrEP use between 2016 and 2018 in a national Probability Sample of sexually-active gay and bisexual men. PrEP discontinuation was high and suggests the need for further research into gay and bisexual men’s PrEP discontinuation and persistence.

  • hiv testing and prep use in a national Probability Sample of sexually active transgender people in the united states
    Journal of Acquired Immune Deficiency Syndromes, 2020
    Co-Authors: Jae Sevelius, Sari L Reisner, Tonia Poteat, Winston Luhur, Ilan H Meyer
    Abstract:

    Author(s): Sevelius, Jeanne; Poteat, Tonia; Luhur, Winston; Reisner, Sari; Meyer, Ilan | Abstract: BACKGROUND: HIV testing and pre-exposure prophylaxis (PrEP) are effective HIV prevention strategies often underused by transgender people. METHODS: Recruitment occurred in 2 phases to identify transgender respondents in a Probability Sample of adults in the United States. Transgender respondents completed a self-administered paper or web-based survey designed to assess transgender population health. Sexually active respondents (HIV-negative and had sex in the 5 years previously, N = 190) and a subSample of those at risk for sexual HIV acquisition (sex with cisgender men or transgender women, n = 120) were included in analyses. RESULTS: Of the full Sample of sexually active respondents, those who were transfeminine were less likely to be familiar with PrEP; most (72%) reported favorable attitudes toward PrEP. Of those at risk for HIV acquisition, 23% had never tested for HIV. Respondents of color were more likely than white respondents to meet Centers for Disease Control and Prevention recommendations for HIV testing. Respondents who met Centers for Disease Control and Prevention recommendations for HIV testing were more likely to report looking online for lesbian, gay, bisexual, and transgender or transgender-specific health information. Few respondents reported currently taking PrEP (3%); those who reported higher levels of nonaffirmation of their gender identity were less likely to currently use PrEP. DISCUSSION: These findings may indicate some success of HIV testing outreach programs that prioritize people at higher risk for acquiring HIV, focusing on those who are vulnerable to structural marginalization. Ongoing public health efforts are needed to increase HIV testing and PrEP awareness among transgender adults, who are disproportionately impacted by HIV.

  • psychological distress felt stigma and hiv prevention in a national Probability Sample of sexual minority men
    LGBT health, 2020
    Co-Authors: Evan A Krueger, Ian W Holloway, Marguerita Lightfoot, Phillip L Hammack, Andy Lin, Ilan H Meyer
    Abstract:

    Purpose: We assessed how psychological distress and felt stigma (perceived sexual minority stigma in one's community) are associated with key HIV prevention outcomes in a U.S. national Probability ...

  • an innovative approach to the design of a national Probability Sample of sexual minority adults
    LGBT health, 2020
    Co-Authors: Ilan H Meyer, Stephanie Marken Marken, Stephen T Russell, David M Frost, Bianca D M Wilson
    Abstract:

    Purpose: Sampling lesbian, gay, and bisexual (LGB) people to recruit a national Probability Sample is challenging for many reasons, including the low base rate of LGB people in the population. To a...

Stephanie A Sanders - One of the best experts on this subject based on the ideXlab platform.

  • relationships among sexual identity sexual attraction and sexual behavior results from a nationally representative Probability Sample of adults in the united states
    Archives of Sexual Behavior, 2019
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Brian Dodge, Michael Reece, Christopher L Owens, Dennis J Fortenberry
    Abstract:

    Sexual orientation is a multi-dimensional concept, at a minimum comprised of sexual identity, sexual attraction, and sexual behavior. Our study aimed to assess relationships among self-identified sexual identity, sexual attraction, and sexual behaviors in a Probability Sample of adults in the U.S. and to identify associated factors with diverse patterns. We collected data from adults in the 2015 National Survey of Sexual Health and Behavior, an Internet-based nationally representative Probability survey of the general U.S. population. Concordance between sexual identity versus sexual attraction and sexual behaviors was assessed using percent agreement. We identified correlates of discordance using logistic regression. Concordance between sexual identity versus sexual attraction and past-year sexual behaviors was 94% and 96%, respectively, though our Sample was predominately composed of heterosexual individuals. Women and sexual minority individuals reported greater discordance across sexuality-related measures than men and heterosexual individuals. Younger adults (aged 18–24 years) were more likely to report sexual behaviors discordant with sexual identity compared with older adults (including those ages 25–34 years). Higher levels of educational attainment were significantly associated with less discordance of reported recent sexual activity and sexual identity. Measures of sexual identity, attraction, and behaviors are not interchangeable. Future research should consider multiple sexuality-related measures in order to capture the complexity and variability of sexualities.

  • women s experiences with genital touching sexual pleasure and orgasm results from a u s Probability Sample of women ages 18 to 94
    Journal of Sex & Marital Therapy, 2017
    Co-Authors: Tsungchieh Jane Fu, Jennifer Arter, Stephanie A Sanders, Brian Dodge
    Abstract:

    The study purpose was to assess, in a U.S. Probability Sample of women, experiences related to orgasm, sexual pleasure, and genital touching. In June 2015, 1,055 women ages 18 to 94 from the nationally representative GfK KnowledgePanel® completed a confidential, Internet-based survey. While 18.4% of women reported that intercourse alone was sufficient for orgasm, 36.6% reported clitoral stimulation was necessary for orgasm during intercourse, and an additional 36% indicated that, while clitoral stimulation was not needed, their orgasms feel better if their clitoris is stimulated during intercourse. Women reported diverse preferences for genital touch location, pressure, shape, and pattern. Clinical, therapeutic, and educational implications are discussed.

  • sexual diversity in the united states results from a nationally representative Probability Sample of adult women and men
    PLOS ONE, 2017
    Co-Authors: Debby Herbenick, Brian Dodge, Jessamyn Bowling, Lucia Guerrareyes, Stephanie A Sanders
    Abstract:

    In 2015, we conducted a cross-sectional, Internet-based, U.S. nationally representative Probability survey of 2,021 adults (975 men, 1,046 women) focused on a broad range of sexual behaviors. Individuals invited to participate were from the GfK KnowledgePanel®. The survey was titled the 2015 Sexual Exploration in America Study and survey completion took about 12 to 15 minutes. The survey was confidential and the researchers never had access to respondents' identifiers. Respondents reported on demographic items, lifetime and recent sexual behaviors, and the appeal of 50+ sexual behaviors. Most (>80%) reported lifetime masturbation, vaginal sex, and oral sex. Lifetime anal sex was reported by 43% of men (insertive) and 37% of women (receptive). Common lifetime sexual behaviors included wearing sexy lingerie/underwear (75% women, 26% men), sending/receiving digital nude/semi-nude photos (54% women, 65% men), reading erotic stories (57% of participants), public sex (≥43%), role-playing (≥22%), tying/being tied up (≥20%), spanking (≥30%), and watching sexually explicit videos/DVDs (60% women, 82% men). Having engaged in threesomes (10% women, 18% men) and playful whipping (≥13%) were less common. Lifetime group sex, sex parties, taking a sexuality class/workshop, and going to BDSM parties were uncommon (each <8%). More Americans identified behaviors as "appealing" than had engaged in them. Romantic/affectionate behaviors were among those most commonly identified as appealing for both men and women. The appeal of particular behaviors was associated with greater odds that the individual had ever engaged in the behavior. This study contributes to our understanding of more diverse adult sexual behaviors than has previously been captured in U.S. nationally representative Probability surveys. Implications for sexuality educators, clinicians, and individuals in the general population are discussed.

  • the development and validation of the male genital self image scale results from a nationally representative Probability Sample of men in the united states
    The Journal of Sexual Medicine, 2013
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Vanessa Schick, Michael Reece, Dennis J Fortenberry
    Abstract:

    Abstract Introduction Numerous factors may affect men's sexual experiences, including their health status, past trauma or abuse, medication use, relationships, mood, anxiety, and body image. Little research has assessed the influence of men's genital self‐image on their sexual function or behaviors and none has done so in a nationally representative Sample. Aims The purpose of this study was to, in a nationally representative Probability Sample of men ages 18 to 60, assess the reliability and validity of the Male Genital Self‐Image Scale (MGSIS), and to examine the relationship between scores on the MGSIS and men's scores on the International Index of Erectile Function (IIEF). Methods The MGSIS was developed in two stages. Phase One involved a review of the literature and an analysis of cross‐sectional survey data. Phase Two involved an administration of the scale items to a nationally representative Sample of men in the United States ages 18 to 60. Main Outcome Measures Measures include demographic items, the IIEF, and the MGSIS. Results Overall, most men felt positively about their genitals. However, 24.6% of men expressed some discomfort letting a healthcare provider examine their genitals and about 20% reported dissatisfaction with their genital size. The MGSIS was found to be reliable and valid, with the MGSIS‐5 (consisting of five items) being the best fit to the data. Conclusion The MGSIS was found to be a reliable and valid measure. In addition, men's scores on the MGSIS‐5 were found to be positively related to men's scores on the IIEF.

  • characteristics of condom and lubricant use among a nationally representative Probability Sample of adults ages 18 59 in the united states
    The Journal of Sexual Medicine, 2013
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Brian Dodge, Vanessa Schick, Michael Reece, Nicole K Smith, Dennis J Fortenberry
    Abstract:

    ABSTRACT Introduction Although most Americans have used condoms and/or lubricant during sex, little is known about the context of sexual events that involve the use of such products outside of experimentally manipulated studies. Aims To assess, in a nationally representative study of men and women in the United States ages 18–59, the characteristics of condom and lubricant use during participants' most recent sexual event and the relationship of their condom and lubricant use to event‐level ratings of sexual quality. Methods Data are from the National Survey of Sexual Health and Behavior, which involved the administration of an online questionnaire to a nationally representative Probability Sample of the U.S. adults. Main Outcome Measures Sociodemographic items: event‐level items related to sexual behavior, condom use, lubricant use, and participants' perceptions of their arousal, pleasure, ease of erection or lubrication, and pain associated with sex. Results During their most recent sexual experience, 27.5% of men (N = 237) and 22.3% of women (N = 175) reported using a condom. More than twice as many women as men were unsure whether the condom was lubricated (26.6% vs. 11.4%) and the material it was made of (23.6% vs. 8.9%). Participants consistently rated sex to be arousing and pleasurable whether or not they used condoms or lubricant. No significant differences were found in regard to men's ratings of the ease of their erections based on condom and lubricant use. Conclusions Although some have concerns about how condoms or lubricants may impact their enjoyment of sex, in a nationally representative Sample of men and women ages 18–59, ratings of sex were largely quite high, with few differences based on condom and lubricant use. Women, more often than men, reported being unsure about the type of condom and lubricant used, which has implications for patient education. Herbenick D, Schick V, Reece M, Sanders SA, Smith N, Dodge B, and Fortenberry JD. Characteristics of condom and lubricant use among a nationally representative Probability Sample of adults ages 18–59 in the United States. J Sex Med **;**:**–**.

Michael Reece - One of the best experts on this subject based on the ideXlab platform.

  • relationships among sexual identity sexual attraction and sexual behavior results from a nationally representative Probability Sample of adults in the united states
    Archives of Sexual Behavior, 2019
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Brian Dodge, Michael Reece, Christopher L Owens, Dennis J Fortenberry
    Abstract:

    Sexual orientation is a multi-dimensional concept, at a minimum comprised of sexual identity, sexual attraction, and sexual behavior. Our study aimed to assess relationships among self-identified sexual identity, sexual attraction, and sexual behaviors in a Probability Sample of adults in the U.S. and to identify associated factors with diverse patterns. We collected data from adults in the 2015 National Survey of Sexual Health and Behavior, an Internet-based nationally representative Probability survey of the general U.S. population. Concordance between sexual identity versus sexual attraction and sexual behaviors was assessed using percent agreement. We identified correlates of discordance using logistic regression. Concordance between sexual identity versus sexual attraction and past-year sexual behaviors was 94% and 96%, respectively, though our Sample was predominately composed of heterosexual individuals. Women and sexual minority individuals reported greater discordance across sexuality-related measures than men and heterosexual individuals. Younger adults (aged 18–24 years) were more likely to report sexual behaviors discordant with sexual identity compared with older adults (including those ages 25–34 years). Higher levels of educational attainment were significantly associated with less discordance of reported recent sexual activity and sexual identity. Measures of sexual identity, attraction, and behaviors are not interchangeable. Future research should consider multiple sexuality-related measures in order to capture the complexity and variability of sexualities.

  • attitudes toward bisexual men and women among a nationally representative Probability Sample of adults in the united states
    PLOS ONE, 2016
    Co-Authors: Brian Dodge, Debby Herbenick, Vanessa Schick, Michael Reece, Reuel M Friedman, Wendy Bostwick, Elizabeth Bartelt, Miguel Munozlaboy, David R Pletta, Theo G M Sandfort
    Abstract:

    As bisexual individuals in the United States (U.S.) face significant health disparities, researchers have posited that these differences may be fueled, at least in part, by negative attitudes, prejudice, stigma, and discrimination toward bisexual individuals from heterosexual and gay/lesbian individuals. Previous studies of individual and social attitudes toward bisexual men and women have been conducted almost exclusively with convenience Samples, with limited generalizability to the broader U.S. population. Our study provides an assessment of attitudes toward bisexual men and women among a nationally representative Probability Sample of heterosexual, gay, lesbian, and other-identified adults in the U.S. Data were collected from the 2015 National Survey of Sexual Health and Behavior (NSSHB), via an online questionnaire with a Probability Sample of adults (18 years and over) from throughout the U.S. We included two modified 5-item versions of the Bisexualities: Indiana Attitudes Scale (BIAS), validated sub-scales that were developed to measure attitudes toward bisexual men and women. Data were analyzed using descriptive statistics, gamma regression, and paired t-tests. Gender, sexual identity, age, race/ethnicity, income, and educational attainment were all significantly associated with participants' attitudes toward bisexual individuals. In terms of responses to individual scale items, participants were most likely to “neither agree nor disagree” with all attitudinal statements. Across sexual identities, self-identified other participants reported the most positive attitudes, while heterosexual male participants reported the least positive attitudes. As in previous research on convenience Samples, we found a wide range of demographic characteristics were related with attitudes toward bisexual individuals in our nationally-representative study of heterosexual, gay/lesbian, and other-identified adults in the U.S. In particular, gender emerged as a significant characteristic; female participants’ attitudes were more positive than male participants’ attitudes, and all participants’ attitudes were generally more positive toward bisexual women than bisexual men. While recent population data suggest a marked shift in more positive attitudes toward gay men and lesbian women in the general population of the U.S., the largest proportions of participants in our study reported a relative lack of agreement or disagreement with all affective-evaluative statements in the BIAS scales. Findings document the relative lack of positive attitudes toward bisexual individuals among the general population of adults in the U.S. and highlight the need for developing intervention approaches to promote more positive attitudes toward bisexual individuals, targeted toward not only heterosexual but also gay/lesbian individuals and communities.

  • the development and validation of the male genital self image scale results from a nationally representative Probability Sample of men in the united states
    The Journal of Sexual Medicine, 2013
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Vanessa Schick, Michael Reece, Dennis J Fortenberry
    Abstract:

    Abstract Introduction Numerous factors may affect men's sexual experiences, including their health status, past trauma or abuse, medication use, relationships, mood, anxiety, and body image. Little research has assessed the influence of men's genital self‐image on their sexual function or behaviors and none has done so in a nationally representative Sample. Aims The purpose of this study was to, in a nationally representative Probability Sample of men ages 18 to 60, assess the reliability and validity of the Male Genital Self‐Image Scale (MGSIS), and to examine the relationship between scores on the MGSIS and men's scores on the International Index of Erectile Function (IIEF). Methods The MGSIS was developed in two stages. Phase One involved a review of the literature and an analysis of cross‐sectional survey data. Phase Two involved an administration of the scale items to a nationally representative Sample of men in the United States ages 18 to 60. Main Outcome Measures Measures include demographic items, the IIEF, and the MGSIS. Results Overall, most men felt positively about their genitals. However, 24.6% of men expressed some discomfort letting a healthcare provider examine their genitals and about 20% reported dissatisfaction with their genital size. The MGSIS was found to be reliable and valid, with the MGSIS‐5 (consisting of five items) being the best fit to the data. Conclusion The MGSIS was found to be a reliable and valid measure. In addition, men's scores on the MGSIS‐5 were found to be positively related to men's scores on the IIEF.

  • characteristics of condom and lubricant use among a nationally representative Probability Sample of adults ages 18 59 in the united states
    The Journal of Sexual Medicine, 2013
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Brian Dodge, Vanessa Schick, Michael Reece, Nicole K Smith, Dennis J Fortenberry
    Abstract:

    ABSTRACT Introduction Although most Americans have used condoms and/or lubricant during sex, little is known about the context of sexual events that involve the use of such products outside of experimentally manipulated studies. Aims To assess, in a nationally representative study of men and women in the United States ages 18–59, the characteristics of condom and lubricant use during participants' most recent sexual event and the relationship of their condom and lubricant use to event‐level ratings of sexual quality. Methods Data are from the National Survey of Sexual Health and Behavior, which involved the administration of an online questionnaire to a nationally representative Probability Sample of the U.S. adults. Main Outcome Measures Sociodemographic items: event‐level items related to sexual behavior, condom use, lubricant use, and participants' perceptions of their arousal, pleasure, ease of erection or lubrication, and pain associated with sex. Results During their most recent sexual experience, 27.5% of men (N = 237) and 22.3% of women (N = 175) reported using a condom. More than twice as many women as men were unsure whether the condom was lubricated (26.6% vs. 11.4%) and the material it was made of (23.6% vs. 8.9%). Participants consistently rated sex to be arousing and pleasurable whether or not they used condoms or lubricant. No significant differences were found in regard to men's ratings of the ease of their erections based on condom and lubricant use. Conclusions Although some have concerns about how condoms or lubricants may impact their enjoyment of sex, in a nationally representative Sample of men and women ages 18–59, ratings of sex were largely quite high, with few differences based on condom and lubricant use. Women, more often than men, reported being unsure about the type of condom and lubricant used, which has implications for patient education. Herbenick D, Schick V, Reece M, Sanders SA, Smith N, Dodge B, and Fortenberry JD. Characteristics of condom and lubricant use among a nationally representative Probability Sample of adults ages 18–59 in the United States. J Sex Med **;**:**–**.

  • the female genital self image scale fgsis results from a nationally representative Probability Sample of women in the united states
    The Journal of Sexual Medicine, 2011
    Co-Authors: Debby Herbenick, Stephanie A Sanders, Brian Dodge, Vanessa Schick, Michael Reece, Dennis J Fortenberry
    Abstract:

    ABSTRACT Introduction Over the past two decades, an expanding body of research has examined women's and men's genital self‐image. Support for the reliability and validity of the 7‐item Female Genital Self‐Image Scale (FGSIS) has been found in a convenience Sample of women. Aims The purpose of this study was to assess the reliability and validity of the FGSIS, its model of fit, and its association with women's scores on the Female Sexual Function Index (FSFI) in a nationally representative Probability Sample of women in the United States ages 18 to 60. A second purpose was to assess the temporal stability of the scale in a subset of this Sample. Methods A nationally representative Sample of 3,800 women ages 18 to 60 were invited to participate in a cross‐sectional Internet‐based survey; 2,056 (54.1%) participated. Main Outcome Measures Demographic items (e.g., age, race/ethnicity, marital status, sexual orientation, geographic region), having had a gynecological examination in the past year, having performed a genital self‐examination in the past month, frequency of masturbation in the past month, vibrator use in the past month, the FGSIS, and the FSFI. Results An abbreviated 4‐item version of the scale, the FGSIS‐4, was a better fit to the data than the original 7‐item scale. Women's scores on the FGSIS‐4 were significantly related to vibrator use, frequency of masturbation, having had a gynecological exam in the past year, having performed genital self examination in the past month, and all FSFI subscales. Conclusion Most of the participants felt generally positively about their genitals and female genital self‐image was significantly related to female sexual function, women's sexual behavior and their sexual and genital healthcare behaviors. In addition, the FGSIS‐4 has evidence of reliability, validity, and temporal stability in a nationally representative Probability Sample of women in the United States. Herbenick D, Schick V, Reece M, Sanders S, Dodge B, and Fortenberry JD. The female genital self‐image scale (FGSIS): Results from a nationally representative Probability Sample of women in the United States.