An Exploration of Psychosocial Factors Associated with Female Genital Self-Image

Abstract

Negative genital self-perceptions or female genital self-image (FGSI) is a prevalent concern for women. This is a significant problem in and of itself but also because it is associated with a variety of negative outcomes including less frequent sexual behavior, more negative cognitive-affective sexual responses, and poorer decision-making about genital health. This study examined the extent to which various psychosocial factors are associated with more negative FGSI. Two hundred cisgender women with diverse ages and relationship statuses completed an online survey that included measures of sexual health education (quality of school-based sexual health education (SHE), female genital knowledge), pornography use, sexual experiences (positive and negative partner genital feedback, frequency of sexual activity), and cognitive-affect appraisals (body image, sexual comfort). Social desirability, cognitive-affective appraisals, sexual experiences, and SHE were associated with FGSI at the bivariate level. The results of a multiple regression analysis indicated that only sexual comfort, body image, and positive genital feedback contributed uniquely to the prediction of FGSI. The results are interpreted in terms of the importance of the psychosocial context for understanding women’s genital self-perceptions as well as their implications for prevention and intervention strategies aimed at addressing the problem.