Unwanted early sexual experiences among Belgian and South African university women students

This study examined the unwanted early sexual experiences of 736 South African and 1,587 Belgian women students. The Early Sexual Experiences Checklist was administered to all consenting women students attending orientation programmes at a Belgian and a South African university. Respondents were Belgians (M age = 18.2 yr., SD = 1.0) and South Africans (M age = 19.6 yr., SD = 4.1). Such experiences were found for 31.3% (231) of South African respondents and 14.2% (226) of Belgian respondents. 64% of South African women indicated that such an experience occurred only once, and 65% of Belgian women reported this also. 34% of Belgian and 32% of South African respondents reported not being bothered at all by the unwanted experience at the time the event took place; 23% of Belgian and 36% of South African respondents were extremely bothered by the experience.     

A Needs Assessment of Transgendered People of Color Living in Washington,DC

SUMMARY

A needs assessment (N = 248) conducted in Washington, DC, revealed that trans-gendered people of color are at high risk for HIV/AIDS, substance abuse, suicide and violence/crime victimization. Overall HIV prevalence was 25%, with 32% in natal males (MTFs, i.e., male-to-females). Four predictors for HIV positive status were identified through logistic regression-male sex at birth, a history of substance abuse, sexual assault, and unemployment. Substance abuse was found in nearly half the sample (48%) but only half of those (51%) had sought treatment for it. Thirty-eight percent reported experiencing suicidal ideation, with 63% of those attributing it to their gender issues. Of those with suicidal ideation, nearly half (49%, or 16% of the entire sample), went on to make attempt(s) to kill themselves. Forty-three percent had been victims of violence or crime, including 13% who had been sexually assaulted.

Knowledge of the Standards of Care of the Harry Benjamin International Gender Dysphoria Association was quite low (9%) and associated with white race, any higher education beyond high school, and access to sex reassignment surgery (SRS). Access to SRS, defined as obtaining vaginoplasties for natal males and chest surgeries for natal females, was just 4%. White race (versus all other races, p < .001) and female at birth (versus male, p < .01) were significantly associated with access to SRS.

Use of hormones at some point during their lives was reported by 51% of participants. Thirty-five percent were currently taking hormones, with 72% acquiring their hormones from friends or on the street. Among natal males, 25% had injected silicone.

Nineteen percent did not have their own living space, and employment, housing and job training were the most commonly-reported immediate needs of the sample. The results of this needs assessment provide evidence of an urgent need for increased medical and social services specific to transgendered people of color living in the District of Columbia.     

Don't ask,don't tell: a systematic review of the extent to which participant characteristics are reported in social anxiety treatment studies

Background and Objectives: This study examined the extent to which social anxiety treatment studies report the demographic characteristics of their participants. One hundred and 56 treatment studies published in English between 2001 and 2012 articles were collected. Methods: Each study was evaluated on whether or not it reported information on gender, age, race, relationship status, education, socioeconomic status, sexual orientation, and disability and also the extent to which the racial composition of the sample was described. Results: The majority of studies reported information on age (96.2%) and gender (94.2%), but the percentage of studies that reported anything else is much lower: race (50.0%), education (42.3%), relationship status (37.8%), socioeconomic status (5.1%), disability (2.6%), and sexual orientation (1.3%). One third (34.0%) of studies reported the race of all participants in their samples, while the remaining reported no information or information for only a subset of participants (e.g. “mostly white”). Conclusions: Participants of social anxiety disorder treatment studies generally are not described beyond their age and gender. Standards for reporting participant characteristics of treatment studies (similar to standards for reporting the methodology of treatment studies) could improve clinical researchers’ and clinicians’ ability to evaluate the external validity of this body of work.     

Ethnic differences in female sexual victimization

This study examined the link between ethnicity, early sexual victimization experiences and college sesual assault in a sample of 383 undergraduate women. One third of the sample (32.9%) had experienced some form of sexual assault during college (22% of whom reported that they had been raped), and 52 percent had experienced unwanted sexual activity before the age of 18 (17.5% of whom reported that a family member or trusted family friend asked for or forced sexual activities). There were substantial differences among the Black, White, Hispanic and Asian women on two of four measures of college sexual assault. Black women had the highest and Asian women the lowest incidence of forced intercourse through verbal threats or pressure. Hispanic women had the highest and Black women the lowest incidence of attempted rape. Black and White women were almost three times as likely as Hispanic women to have had experiences that meet the legal definition of rape, but do not consider themselves rape victims. There were significant differences in college victimization experiences as a result of experiencing incest before age 18, experiencing extrafamilial sesual abuse before age 18, and the use of alcohol. Ethnicity interacted with alcohol use and early experiences with extrafamilial sexual abuse. However, the effect of incest on college victimization was similar for the women in the study, regardless of ethnicity.     

Use of Erectile Prostheses in Patients with Free Forearm Flap Phalloplasty

ABSTRACT

Today, the free radial forearm flap phalloplasty is the method of choice for most surgeons engaged in female to male sex reassignment surgery. However, one of the main disadvantages of this procedure is the patients' inability to have sexual intercourse, due to their missing ability to have an erection. In this paper, we present our experiences with more than 100 patients that we provided with erectile prostheses that were originally designed for the use in biological males suffering from erectile dysfunction. We will show that the complication rate in transsexual patients is not significantly higher than in biological males. We therefore recommend the use of erectile prostheses in transsexual patients as a safe, reliable and successful way of obtaining the ability to have sexual intercourse.     

Development of a measure of unwanted sexual contact in childhood, for use in community mental health surveys

Development of a measure of child sexual abuse, operationalized as unwanted sexual contact before age 17, is described. In a community mental health survey of 750 women aged 18 to 27 yr., 32% recalled unwanted sexual contact. 7% experienced prolonged sexual assault before age 17 and had significantly higher scores as adults on the CESD Depression scale.     

Operating within the mainstream: Coping and adjustment among a sample of homosexual youths

A sample (N = 37) of African American adolescent homosexual males was administered a questionnaire that focused on four areas of social psychological functioning (self‐identity, family relation, school‐work relations, and social adjustment). The findings contradicted several past studies that reported in general that homosexual males experience crippling cognitive dissonance. Even with the existence of homophobia in the society, the adolescents were found to possess an adequate social psychological attitude and survival skills. The sampled adolescents reported being comfortable with their sexual orientation even though the majority of them had not disclosed their homosexuality. The respondents reported how they managed self‐presentation among heterosexual persons. The adolescents appeared well‐adjusted and stable in their social functioning and disagreed with the idea that they needed professional counseling.     

Sexual Harassment of Adolescents Perpetrated by Teachers and by Peers: An Exploration of the Dynamics of Power, Culture, and Gender in Secondary Schools

The purpose of this study was to explore and compare the similarities and disparities between sexual harassment of students that is perpetrated by teachers and by peers. The study involved 2,808 randomly selected adolescents at 22 secondary schools from two regions in the Netherlands. The sample comprised 14- and 15-year-old students (55% girls and 45% boys). The majority of the students' parents were born in the Netherlands (86%); 14% were born outside the Netherlands (Morocco, Turkey, and Surinam). The data revealed important differences between peer sexual harassment and sexual harassment perpetrated by teachers. Unwanted sexual behavior by peers is a cultural phenomenon that occurs in public areas. The relatively low incidence of unwanted sexual behavior (18%), however, does not fully reflect the Culture Model. Sexual harassment by teachers is a particularly detrimental experience for adolescents, and health-related problems are therefore reported in higher numbers. Contrary to the assumptions of the Power Model, sexual harassment perpetrated by teachers is not incidental (27%) and does not only occur in secluded places.     

The Prevalence and Co-Occurrence of the Forms of Violence Against Women

ABSTRACT

To examine the relative risk of the multiple forms of violence against women as well as the incidence and co-occurrence rates of self-reported childhood sexual assault (CSA), childhood physical assault (CPA), intimate partner violence (IPV), and witnessing family violence. The sample included 1,069 female undergraduates who completed measures of childhood trauma exposure (CPA, CSA, and exposure to family violence) and IPV victimization. Fifty-four percent of women in the sample experienced one or more forms of violence. Nearly 30% of participants reported IPV, 23% reported witnessing violence as a child, 13% reported experiencing CPA, and 11% reported experiencing CSA. Regarding co-occurrence, 31% experienced only one form of violence, 16% reported two forms, 6% reported three forms, and just over 1% of the sample reported experiencing all four forms of violence. For all forms of violence, the relative risk of experiencing another form of violence was significant at p < .0001, with witnessing violence and CPA being associated with the highest risks. This study highlights the importance of more carefully describing the violence experiences of participants used in violence research and accounting for poly-victimization in explanatory models of these forms of aggression and abuse.     

Asian American Women Sexual Assault Survivors’ Choice of Coping Strategies: The Role of Post-Assault Cognitive Responses

ABSTRACT

Even though approximately one in three Asian American (AA) and Pacific Islander women experience sexual assault victimization, there is a dearth of literature examining how AA women sexual assault survivors cope with this traumatic experience. This study examined AA female sexual assault survivors’ choice of coping strategies post-assault and how their cognitive responses toward sexual assault victimization (e.g., attributions of self-blame, perceived control over the recovery process) relate to their use of coping strategies. Using the AA subsets of two large community studies, a total of 64 AA women ages 18 to 58 with unwanted sexual experiences after the age of 14 years were included in the analyses. Results indicated that AA survivors used Acceptance and Self-Distraction the most to cope with sexual assault. In addition, those who perceived they had less control over their recovery process tended to use more maladaptive coping strategies, such as substance abuse and behavioral disengagement (e.g., giving up). The discussion includes clinical implications and recommendations for using language, modalities, and foci of interventions that are consistent with clients’ and their families’ worldviews (e.g., indirect inquiries, solution-focused).     

Validity for an Integrated Laboratory Analogue of Sexual Aggression and Bystander Intervention

This study sought to develop and validate an integrated laboratory paradigm of sexual aggression and bystander intervention. Participants were a diverse community sample (54% African American) of heterosexual males (N = 156) between 21 and 35 years of age who were recruited to complete the study with a male friend and an ostensibly single, heterosexual female who reported a strong dislike of sexual content in the media. Participants viewed a sexually explicit or nonsexually explicit film clip as part of contrived media rating task and made individual choices of which film clip to show the female confederate. Immediately thereafter, participants were required to reach consensus on a group decision of which film clip to show the female confederate. Subjecting a target to an unwanted experience with a sexual connotation was operationalized as selection of the sexually explicit video, whereas successful bystander intervention was operationalized as the event of one partner individually selecting the sexually explicit video but then selecting the nonsexually explicit video for the group choice. Results demonstrated that a 1‐year history of sexual aggression and endorsement of pertinent misogynistic attitudes significantly predicted selection of the sexually‐explicit video. In addition, bystander efficacy significantly predicted men's successful prevention of their male peer's intent to show the female confederate a sexually explicit video. Discussion focused on how these data inform future research and bystander intervention programming for sexual aggression. Aggr. Behav. 38:309–321, 2012. © 2012 Wiley Periodicals, Inc.     

Minority Stress and the Risk of Unwanted Sexual Experiences in LGBQ Undergraduates

Sexual assault is prevalent among lesbian, gay, bisexual, and queer (LGBQ) college students, but its relationship to anti-LGBQ stigma has not been established. The goal of the present study was to determine whether minority stress, specifically internalized homophobia, predicted unwanted sexual experiences among LGBQ undergraduates (N = 763), whether routine behaviors (number of consensual sexual partners and alcohol use) mediated this relationship, and whether sense of LGBTQ community was a protective factor. Significant proportions of sexual minority men (10 %), women (18 %), and non-binary or transitioning students (19 %) reported an unwanted sexual experience since entering college. Internalized homophobia was associated with greater risk of unwanted sexual experiences. It also had a negative indirect effect on unwanted sexual experience risk through a negative association with number of sexual partners. Alcohol use did not mediate the relationship between internalized homophobia and unwanted sexual experiences. Sense of LGBTQ community was associated with lower risk, mediated by lower levels of internalized homophobia. The relationships between internalized homophobia and unwanted sexual experience risk were similar for women and men. These findings demonstrate that minority stress increases LGBQ students’ risk of sexual victimization and that in-group social relationships can mitigate this risk. We argue that minority stress is an important risk factor for sexual violence. Violence prevention interventions should attempt to reduce internalized homophobia, and colleges and high schools should establish LGBQ-affirming social climates and provide resources for LGBQ students, including targeted violence prevention efforts and programs that foster a sense of supportive community.     

Acknowledging Sexual Harassment: A Test of Alternative Models

Few victims of sexual harassment acknowledge that their experience constitutes sexual harassment. In this study, we examined five general models gleaned from the literature on observers' or laypersons' perceptions of sexual harassment to examine their efficacy in explaining victims' acknowledgment processes: type-of-harassing experience; personal characteristics of the target/observer; and affective consequences of the event(s), attributions, and power (status) of the offender. Data were collected in a campus-wide survey of students, faculty, and staff at a large midwestern university (N = 1,147), which measured incidence rates of eight forms of sexual harassment and the situational characteristics of, responses to, and consequences of the most dramatic experience. Results from single-model and multiple-model hierarchical logistic regression analyses partially support each of the models. The following general model emerged: Individuals who experience unwanted sexual attention are more likely than others to acknowledge being sexually harassed if (a) they perceived their experience as part of a larger problem in their environment, (b) they had a strong emotional reaction to it, (c) the perpetrator was a superior, (d) they were sensitive to the issue of sexual harassment (e.g., they were women instead of men). However, differences in this pattern emerged across various subsamples. This research warrants further theoretical development on victimization acknowledgment processes.     

The First Man in Her Life: Father Emotional Responsiveness During Adolescence and College Women's Sexual Refusal Behaviors

Few empirical studies have examined how fathers influence daughters’ sexual interactions with male peers. We hypothesized that paternal emotional responsiveness would empower daughters to refuse unwanted sex. Female undergraduates (N = 144) and their fathers completed measures of paternal responsiveness during adolescence; daughters also reported their global self-worth, acceptance of male partner dominance, and sexual refusal behaviors. As expected, paternal responsiveness promoted daughters’ refusals of unwanted sex. Paternal responsiveness predicted daughters’ self-worth, partially explaining daughters’ increased sexual assertiveness. Perceived paternal responsiveness also negatively predicted daughters’ acceptance of male dominance. These results suggest that positive paternal relationships promote daughters’ sexual agency.     

Confirmatory Factor Analysis of U.S. Merit Systems Protection Board's Survey of Sexual Harassment: The Fit of a Three-Factor Model

Research over the past decade and a half exploring the psychological dimensions of the definition of sexual harassment has converged on a three-factor model: gender harassment, unwanted sexual attention, and sexual coercion. The current study used confirmatory factor analysis to determine whether the most widely used sexual harassment survey, the U.S. Merit Systems Protection Board (USMSPB; 1981) survey, measures this three-factor structure. Data from a sample of the USMSPB's 1988 survey of Federal employees (n= 1070) and from a midwestern university's survey of undergraduates (n= 572) and graduate students, faculty, and staff (n= 575) were analyzed. The three-factor model fit reasonably well in all samples, but two survey items, measuring sexual assault and sexual favors, were weakly related to their respective factors. This model, however, was only marginally stable across female and male subsamples, and gender harassment and unwanted sexual attention had low discriminant validity. Both practical and theoretical implications are discussed.     

Sexual Risk-Taking Behaviors Among Adolescents with Severe Emotional Disturbance

We investigated the sexual risk-taking behaviors of adolescents with severe emotional disturbance (SED). Subjects (N = 70) were clients of the South Carolina Continuum of Care. Information on sexual intercourse, sexual risk-taking, aggressive behaviors, substance use, and suicidal behavior was gathered using a modified version of the US Centers for Disease Control and Prevention self-report Youth Risk Behavior Survey. Forty-two percent of each race-gender group reported first intercourse before age 13, except for African American females at 63%. Seventy-five to 79% of all race-gender groups reported first sexual intercourse by age 18. Drinking alcohol before age 13 and carrying a weapon in the past 30 days were associated with first intercourse before age 13. Youth reporting first intercourse between ages 13 and 18 were about 12 times more likely to report suicide ideation than those youth who reported never having sexual intercourse. Youth with SED reporting first intercourse before age 13 appear to have an increased risk for unintended pregnancy and for contracting a sexually transmitted disease compared to youth with SED reporting first intercourse after age 13.     

Male and Female Recipients of Unwanted Sexual Contact in a College Student Sample: Prevalence Rates,Alcohol Use,and Depression Symptoms

It is typically assumed that acquaintance rapeand other forms of unwanted sexual contact involve malesas perpetrators and females as victims. The currentstudyinvestigated prevalence rates of experiencing as well as instigating sexual coercion, force,and other types of unwanted sexual contact for both menand women in a college Greek system. 165 men and 131women (82% Caucasian) completed 2 gender neutral measures of unwanted sexual contact, as well asassessments of alcohol use, alcohol related negativeconsequences, and depressive symptoms. Results indicatedmen were as likely to report being the recipients of sexual coercion as were women in thissample, although women were more likely to be thevictims of physical force. In addition, both men andwomen in this sample who had been the recipientsofunwanted sexual contactreported heavier alcoholconsumption and related negative consequences than didtheir peers who had nothad these experiences. Men whohad been the recipients of unwanted sexual contactreported more symptoms of depression than other men inthis sample, but there were no differences in depressionsymptoms for women who did or did not report theseexperiences.     

Sexual Violence Victimization and Associations with Health in a Community Sample of African American Women

Limited information exists on the relationship between sexual violence victimization and health among African American women. Using data from a community sample of African American women, we examine the association between current health and lifetime experiences of sexual violence. In-person interviews were completed in 2010. Among interviewees, 53.7% of women reported rape victimization and 44.8% reported sexual coercion in their lifetime. Victims of rape or sexual coercion were significantly more likely to report depression and posttraumatic stress disorder during their lifetime. Among victims whose first unwanted sexual experience was rape or sexual coercion, perpetrators were mostly acquaintances and intimate partners, and over one third were injured and needed services. More attention is needed on the health needs of African American women and their association to victimization status.     

Psychological and social consequences of HIV exposure: Homosexuals in southern california

Abstract

The purpose of this study was to identify the psychological and social consequences experienced by apparently healthy homosexual men who learn that they have positive results on the HIV antibody test, but who have not yet developed AIDS or ARC. Employing a census survey of the male membership of three homophile organizations in a Southern California county (n=1905), 30 HIV positives and 55 negatives completed a biographical questionnaire, the IPAT Anxiety Scale Questionnaire, the IPAT Depression Scale, and the Coping Strategies Inventory. Results indicate that HIV positives show considerable disorganization after hearing test results, have clinically high levels of anxiety (n=10), and clinically high levels of depression (n=14) when compared to the normative samples. Positives also reported pervasive changes in their sexual activity (n=30), and experienced negative consequences in social (n=15) and occupational functioning (n=10). Twelve subjects reported suicidal ideation after they heard the results of their testing, with one subject reporting a suicide attempt. The methodological limitations of the study were examined, with an emphasis on the limitations of the survey method. Speculations to account for the reported behaviors were discussed.