How do Iranian women from Rafsanjan conceptualize their sexual behaviors?

In Iran, women’s sexual behaviors have not been studied in detail. The aim of this study was to explore the sexual meanings generated through the lived experience of women residing in Rafsanjan, a city in the Kerman province, where interviews and focus group discussions were conducted with 51 Iranian women. Content analysis was adopted to extract the meanings and perceptions. We categorized the findings into three aspects: sexual capacity, motivation, and performance. Sexual desire was the most important concept that women used when they were referring to their sexual capacity. Marriage was the main institution in which women’s motivation for sexual relationships and encounters resided, and “the priority of men’s sexual needs and characteristics” was identified as the core principle of marriage. The concept of sexual performance was more salient and tied to the husband’s sexual initiation. Analyzing the women’s narratives revealed that women’s sexual self-understandings and their sexual behaviors are strongly determined by “androcentricity”, this being relevant both to sexuality education and reproductive health. Recognition of this issue will facilitate understanding of the cultural foundations of sexuality among Iranians and help health providers in suggesting culturally appropriate and compatible forms of health care.     

Challenging the myth of the happy celibate: Muslim women negotiating contemporary relationships

In recent decades, the age of marriage in many minority Muslim communities has risen so that significant numbers of Muslims in these contexts are remaining unmarried into their late 20 s and beyond. As with other communities in Western contexts, Muslim communities have also experienced a rising divorce rate, leading to many more single women. These social and demographic changes, combined with traditional attitudes towards female sexuality and virginity, have led to a rise in the number of women who have either never had a sexual encounter or who no longer have sexual encounters. Cultural discourses surrounding virginity and female celibacy frequently conflate the virtue of refusing sexual encounters outside of marriage with happiness and satisfaction at ‘choosing the right path’. However, these discourses negate or downplay women’s sexual desires and result in women often feeling trapped into having to perform the ‘myth of the happy celibate’. To disrupt this myth is to unleash the potentially destructive power of female sexuality, while to openly challenge it is to risk being positioned as a ‘slut’.

Changing family formation in Nepal: marriage, cohabitation and first sexual intercourse

CONTEXT: In Nepal, marriage occurs at a relatively young age and arranged weddings are widespread. However, recent changes in the family formation process and the timing of first sexual intercourse suggest that a transformation may be under way. METHODS: Data on marriage, cohabitation and first sexual intercourse from the 2001 Nepalese Demographic and Health Survey were used to describe the family formation process. The sequence of these events and the intervals between them were explored for currently married men and women. Hazard models were used to identify factors associated with behavioral changes over time. RESULTS: The average age at marriage among women married before age 20 increased from 13.7 years for those born in 1952-1956 to 15.6 years for those born in 1977-1981, while remaining relatively stable for men married before age 25 (17.3 years for the 1942-1946 birth cohort to 17.7 for the 1972-1976 birth cohort). After individual and couple characteristics were controlled for, younger age at interview was associated with greater odds of simultaneous marriage and cohabitation for both genders (odds ratios, 1.3-1.7). Younger age at interview was also associated with premarital sex among men--those aged 39 or younger had significantly higher risks than older men of having had premarital sex, with odds ratios rising from 1.6 among those aged 35-39 to 1.8 among those aged 15-24. CONCLUSIONS: It is important not only to promote education as a means of delaying marriage and childbearing, but also to implement programs and services that prevent reproductive health problems for young married couples.     

Invisible “Others”: Sexual Health Vulnerabilities of Wives of Men who Have Sex with Men

The recent trend in the feminization of the HIV epidemic poses great risk to women, especially to the wives of men who have sex with men (MSM). The objective of the present study was to explore wives’ responses to their husbands’ sexual orientation as well as the factors that influence their sexual health in India. For this research, 15 wives who were aware of their husbands’ sexual orientation and their husbands were interviewed separately using semi-structured in-depth interviews and focus groups. The study explored the social and cultural structures that create gender inequality, which put women married to MSM at sexual health risk. These factors need to be addressed carefully through existing MSM targeted interventions, without breaching the confidentiality of either partner.     

Midlife Sexuality Among Thai Adults: Adjustment to Aging in the Thai Family Context

The objective of the study is to assess views of age related changes in sexual behavior among married Thai adults age 53–57. Results are viewed in the context of life course theory. In-depth interviews were conducted with 44 Thai adults in Bangkok and the four regions of Thailand. Topics covered include changing sexual behavior with age, adjustment to this change, gender differences in behavior, attitudes toward commercial sex and other non-marital sexual partners, and condom use. Most respondents were aware of this change and saw a decrease in sexual activity and desire more often among women compared to men. At the same time, many respondents viewed sexuality as important to a marriage. Some respondents accepted the decrease in sexual activity and focused more on work, family and temple activities. Thai Buddhism was seen as an important resource for people who were dealing with changes due to aging. Other persons turned to other partners including both commercial and non-commercial partners. The influence of the HIV epidemic that began in the 1990s was seen in concerns about disease transmission with extramarital partners and consequent attitudes toward condom use. The acceptability of extramarital partners in the family and community ranged from acceptance to strong disapproval of extramarital relationships.     

Purity, Privacy and Procreation: Constructions and Experiences of Sexual and Reproductive Health in Assyrian and Karen Women Living in Australia

It is widely recognised that sexual and reproductive health services are underutilised by culturally and linguistically diverse migrant communities, leading to risk of poor health outcomes. This study examined the constructions and experiences of reproductive and sexual health, and associated services, in Assyrian and Karen women who had arrived in Australia as refugees. Forty two women, across a range of age groups and marital status, participated in five focus groups, with thematic analysis and positioning theory used to analyse the results. Two major themes were identified. The first, the ??Premarital Chastity Imperative?? centres on the cultural prohibition of coital hetero-sex before marriage, and taboos associated with same-sex relationships. This has implications for unmarried women??s access to sexual health services, such as contraception, cervical screening, and abortion; prohibition of sex education and communication about sex; and lack of recognition of non-heterosexual identities. The second theme, ??Marital Sex and Reproductive Imperative??, positioned coital sex and motherhood as mandatory within marriage, and was associated with women??s inability to refuse marital sex, limited knowledge about contraception and sexual pain, acceptance of fertility services, as well as lack of recognition of post-natal depression. It is concluded that health care workers need to be aware of cultural constructions of sex and sexuality, as well as the construction of gendered roles within heterosexual relationships, when designing and offering sexual health services to non English speaking or migrant communities.     

Effect of Pre-Marriage Counseling on Marital Satisfaction of Iranian Newlywed Couples: A Randomized Controlled Trial

This study examined the effect of selected sexual and nonsexual aspects of pre-marriage counseling on the marital satisfaction of Iranian newlywed couples. A sample of 200 couples was divided randomly into two groups, one group receiving ordinary education (the no intervention group, NIG), the other group receiving special education (the intervention group, IG). IG couples attended four lecture sessions given by the researchers consisting of family planning, personal health, different aspects of sexuality, communication and conflict resolution skills. NIG couples attended lectures presented in the normal preparation program, based on just family planning and personal health. All lectures were given a few months prior to marriage, and then marital satisfaction was assessed 4 months after marriage with 40 questions of the ENRICH questionnaire. Final analysis was based on 64 completed questionnaires. The results indicated that, 4 months after marriage, sexual, nonsexual and marital satisfaction in IG was significantly higher than in the control group.     

What Good is a Feminist Identity?: Women’s Feminist Identification and Role Expectations for Intimate and Sexual Relationships

Women’s feminist identification is associated with a growing list of favorable outcomes, predicting that these correlations will extend to egalitarian and assertive role expectations for committed and sexual partnerships, respectively. Surveying 165 undergraduate US women, nonfeminist passive acceptance was linked to low egalitarian expectations overall and across all seven subscales of the marriage role expectation inventory. It also was related to depressed sexual assertiveness overall and specifically in initiating sexual encounters and engaging in safe sexual practices. These negative associations were nonsignificant or positive for women with stronger feminist identification. When endorsement of passive acceptance was controlled for, the positive correlation between egalitarian and assertive expectations fell to nonsignificance, consistent with regarding nonfeminist attitudes as a confounded third common factor.     

青少年的性节制：生活史的观点

生活史是研究身体发育与后代繁衍时间表的一种进化方法。本研究根据生活史理论调查与分析了13000余名“婚前节欲”性教育规划中青少年的性态度、性信念与性行为关系。因子分析结果显示,多种性信念和性态度可以整合成一个一般因子,性节制。可以假设,性节制是生活史策略的一个维度。性节制的表现主要包括：性自我克制的意愿、承认性抑制的个人和社会原因、积极肯定青少年的节欲行为、否认性行为的积极影响、回绝性行为的技能、以健康为由赞同性抑制,以及对宗教的虔诚与笃信等。研究结果显示,性节制因子上的低分与更频繁性行为有关,年龄与性别变量对二者关系没有影响。本文还探讨了性态度、性行为以及人类生活史间的关系     

Protected or Unprotected Sex: The Conceptions and Attitudes of the Youth in Bolgatanga Municipality,Ghana

The youth in Bolgatanga municipality in Ghana have relatively less knowledge of sexual and reproductive health (SRH) compared to the youth in other parts of Ghana. More fundamental knowledge is needed of the factors that influence young people to have protected and unprotected sex in specific social and cultural contexts, in order to protect them from adverse consequences, such as sexually transmitted diseases (STIs), HIV/AIDS and unintended pregnancies. This study therefore analyzed the conceptions and attitudes of the youth toward protected and unprotected sex, and particularly condom use, in Bolgatanga municipality. Semi-structured and focus group interviews were held with 71 young males and females and 17 adults. The results indicated that many of them lack a comprehensive knowledge of STIs, contraceptives and pregnancy, while a group of them had a negative attitude towards contraceptives. Not all parents, schools and organisations provide young people with a comprehensive education about SRH, and some even discourage such education because they believe it would encourage young people to have sex before marriage. In addition, young people also inform each other about SRH issues, sharing stories and personal experiences with their peers. The information they exchange is not always correct, however; sometimes it merely reflects their own personal preferences. The unequal power in the sexual relationships of young people—related to the traditional value system that gives men, but not women, “sexual freedom, both in and outside marriage”—is another determining factor for unprotected sex.     

Silence, pleasure and agency: sexuality of unmarried girls in Dakar, Senegal

The article investigates the way unmarried Muslim girls in contemporary Dakar construct their sexuality. It explores in what way and to what extent female sexuality is being silenced, and if any, in what way pleasure and sexual agency are present in the narratives of those girls about their intimate lives. Such an analysis is called for in relation to understanding young people’s safe sex practices and concerns about reproductive health and HIV/AIDS. Women’s own experiences and understandings are often downplayed in studies that focus on and reproduce the dominant discourse of patriarchal control. This article shows the silencing in a male-centered construction of pre-marital sexuality in Dakar, but also reveals female pleasure and sexual agency. This multi-dimensional understanding of female sexuality of Muslim girls in Senegal provides a more dynamic insight of the power processes surrounding safe sex practices.     

Sexual Fantasy,Masturbation and Pornography Among Egyptians

Sexual behavior is subjected to varying degrees of social, cultural, religious and moral constraints. With the lack of Egyptian studies addressing the prevalence of sexual fantasy, masturbation and pornography consumption, the aim of this study was to assess the prevalence of these behaviors among Egyptians, and its relation to socio-demographic characteristics. A cross-sectional study was carried out on 1532 patients who attended four outpatient clinics of Menoufia University Hospital in the time from January to March 2015. A significant higher prevalence of sexual fantasy was found among female participants, whereas unmarried males showed a higher prevalence compared to married ones. The prevalence of masturbation and pornography was significantly higher among males and among participants with higher educational level. Higher masturbation and pornography prevalence was found among married males with a marriage duration of >10–20 years, where a higher prevalence was found among married females with a marriage duration of ≤10 years. The study showed a considerably high prevalence of sexual fantasy, masturbation and pornography among the participants. Future studies are needed to assess the risk factors that contribute to this high prevalence. This should be followed by a comprehensive and effective intervention program to ensure optimum reproductive and sexual health among Egyptians.     

Semen Loss and Sexual Anxiety Among Young Unmarried Men: Being Young and Vulnerable in Rural India

Premarital sex remains stigmatized even as the unmarried period of life is lengthening in India. This paper examines how young unmarried men in rural central India conceptualize and understand their sexual health and vulnerability. The data is qualitative, derived from four focus group discussions (N = 38 persons) of young unmarried males that were carried out in conjunction with a larger study on male involvement in reproductive health in the central Indian state of Madhya Pradesh in 2005. Young, unmarried rural men experience a wide range of functional situations which are culturally defined as health problems, such as “weakness,” thought to be caused by masturbation, nocturnal ejaculations, and the loss of semen. Despite constraints on communication on sexuality with married men, young unmarried men largely share with them the culturally hegemonic notion of semen loss as a health hazard. All four discussions pointed to the negative image of psycho-physiological changes related to maturation and further, to the belief that the reproductive functions of men can render them vulnerable and even harm them. Sexual anxiety in young men may in part reflect young men’s socially dependent and insecure life situation and social suffering. Young, unmarried rural men see marriage as the only release from sexual health problems although temporary relief is sought from private health care providers. In the future, men’s unmarried life stage is bound to lengthen in rural India, and consequently sexual health prior to the commencement of active intercourse should receive more attention in public health services and sex education.     

Sex symbols: The bachelorette party as a window to change in women’s sexual expression

The bachelorette party, a women’s version of the traditional men’s bachelor party is rooted in the idea that marriage requires monogamy. This implies that women sacrifice sexual freedom when they get married in a way that was previously considered to be the case only for men. Furthermore, the bachelorette party is a means for expressing oneself sexually and acknowledging the sexual element of one’s identity. Until recently, this aspect of women’s identity was assumed to be either nonexistent or inapropriate in public. Sexual expression at the bachelorette party comes in many forms, such as the use of sexual props or objects and intimate interaction with men strangers or men exotic dancers. In this paper, I describe the changes in society that led to the development of the bachelorette party at this time in society. I then discuss the sexual element of this ritual by exploring the meaning of women’s behavior at this party, the structure of the ritual itself, and the objects used to create a hyperexualized atmosphere. I conclude that the bachelorette party symbolizes the ambivalence that is characteristic of modern women’s sexuality.     

Gender Role Egalitarian Attitudes Among Chinese College Students

This study was designed to examine the relationships between gender role egalitarian attitudes and gender, age, parents’ education and occupations, anticipated age of marriage and child bearing, desired family size, career choices, and preference for sex of the children among 470 Chinese college students. Statistically significant relationships were observed between gender role egalitarian attitudes and gender, age, and anticipated age of marriage and childbearing. There were no relationships between gender role egalitarian attitudes and preference for sex of the children, desired family size, parents’ education and occupation, and Chinese students’ career choices.     

The impact of college‐level sex education on sexual knowledge,attitudes, and practices: The knowledge/sexual experimentation myth revisited

In recent years, many persons have opposed sex education believing that such courses will lead to increased participation in sexual intercourse by young people, but their fears are not supported by most previous research. The influence of sex education material integrated into functional marriage and family courses, however, has not been the subject of in‐depth, scientific investigations.

An anonymous questionnaire was administered to never‐married undergraduate students enrolled in a college‐level marriage and family course at a state university. A pretest and post‐test design was utilized with experimental groups of 50 women and 26 men and comparison groups of 60 women and 28 men.

The findings indicate that the sex education content had a significant impact on the experimental groups, especially for women. Substantial increases in knowledge regarding abortion and contraception, more favorable attitudes toward masturbation, and frequency of masturbation were reported by experimental group women as contrasted with comparison group women. Experimental group men indicated increased knowledge about female hygiene and contraception in contrast to comparison group men. From these findings, sex educators should be able to better meet the criticisms of sex education opponents given this greater understanding of the impact of sex education material on the sex lives of their students.     

Subjective Distress to Violations of Trust in Mexican American Close Relationships Conforms to Evolutionary Principles

Sex differences in subjective distress to violations of trust in a close relationship were observed among Mexican American men and women. Imagining a partner’s emotional infidelity and other female-linked violations (for example, a partner who no longer desires to work) distressed a larger percentage of women than men. In contrast, imagining a partner’s sexual infidelity and other male-linked violations (for example, a partner who no longer makes an effort to look physically attractive) distressed a larger percentage of men than women. The results from two studies provided compelling evidence against a social–cognitive explanation of the sex differences and for an evolutionary psychology explanation based on men and women responding to threats to their sex-linked mating strategies.     

Posttraumatic Stress Symptoms and Trajectories in Child Sexual Abuse Victims: An Analysis of Sex Differences Using the National Survey of Child and Adolescent Well-Being

Very few studies have prospectively examined sex differences in posttraumatic stress symptoms and symptom trajectories in youth victimized by childhood sexual abuse. This study addresses that question in a relatively large sample of children, drawn from the National Survey of Child and Adolescent Well-Being, who were between the ages of 8–16 years and who were reported to Child Protective Services for alleged sexual abuse. Sex differences were examined using t tests, logistic regression, and latent trajectory modeling. Results revealed that there were not sex differences in victims’ posttraumatic stress symptoms or trajectories. Whereas caseworkers substantiated girls’ abuse at higher rates than boys’ abuse and rated girls significantly higher than boys on level of harm, there were not sex differences in three more objective measures of abuse severity characteristics. Overall, higher caseworker ratings of harm predicted higher initial posttraumatic stress symptom levels, and substantiation status predicted shallower decreases in trauma symptoms over time. Implications for theory and intervention are discussed.     

Premarital Education: An Assessment of Program Efficacy*

The purpose of this study was to evaluate the efficacy of a premarital educational program, with the secondary goal of determining if the structure (conjoint versus group) and the participants’ gender influenced program effectiveness. Data were collected from 29 heterosexual couples. Couples were placed in one of three conditions: (1) premarital education in a group format, (2) premarital education as an individual couple, or (3) the comparison group (no premarital education). The goal of the 8-week intervention was to improve couples’ readiness and preparation for marriage as measured by the PREP-M. The findings suggested that the educational program achieved its stated goal. *The authors would like to acknowledge Aaron Mathney, Dr. Joe Turner, Dr. Kathy Rettig, Sarah DeJean, and Dena Wyum for their assistance with this project.