(110) Socioeconomic Factors Impacting Density of Certified Sex Therapists in the United States

Abstract

Abstract Introduction An exploratory study mapping sex therapists based on the top ten Google results in each state concluded that most sex therapists were located in larger metropolitan areas, and importantly, they found that only 18.2% of clinicians offering sex therapy services were certified by a national organization such as AASECT. Objective To map where certified sex therapists practice and what variables influence where they practice in the United States. Methods The American Association of Sexuality Educators, Counselors, and Therapists online directory was queried for certified sex therapists in each state. Univariable and multiple linear regression analyses were utilized to assess the relationship between the density of certified sex therapists in each state with various training and socioeconomic factors. Results Across all 50 states and the District of Columbia the median density of sex therapists per 500,000 people was 1.28 (IQR 0.82, 1.83). On univariable linear regression, median household income (p < .01, R2 = .20), percent of state population with a bachelor’s degree or higher (p < .01, R2 = .57), and percent of state population living in an urban setting (p < .01, R2 = .18) were significantly correlated with the density of certified sex therapists in each state. On multiple linear regression, percent of state population with a bachelor’s degree or higher (p < .01) and percent of population not in poverty (p < .01) remained significantly correlated with the density of certified sex therapists in each state. Conclusions Certified sex therapists are more likely to practice in urban settings with populations that have a higher median income and are more educated. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: Boston Scientific, Coloplast.