Sexual Beliefs Research Articles

An investigation of Jezebel stereotype awareness, gendered racial identity and sexual beliefs and behaviours among Black adult women

Evidence suggests that the intersectional nature of Black women’s race and gender identities influence their awareness of sexual scripts such as the hypersexual, Jezebel stereotype. This study examined the role of the Jezebel stereotype and Black women’s identity beliefs on their sexual beliefs and behaviours. Specifically, we investigated the role of gendered racial identity beliefs on the relationship between Jezebel stereotype awareness and Black women’s sexual behaviours (sexual assertiveness, sexual satisfaction, sexual guilt and attachment avoidance in relationships). A diverse national sample of Black women completed measures of gendered racial identity beliefs, Jezebel stereotype awareness and sexual behaviours. Black women who felt more positively connected to their Black woman identity reported greater sexual assertiveness and satisfaction. Consistent with past research, more awareness of the Jezebel stereotype was associated with higher sexual guilt and attachment avoidance. We discuss the enduring legacy of the Jezebel stereotype in relation to Black women’s gendered racial identity beliefs, as well as the importance of promoting positive sexual beliefs and a sense of sexual agency among Black women in the USA.

Beliefs about sexuality and their associations with sexual passion

AbstractBeliefs that individuals bring into their relationships about sexuality can influence sexual passion. In the first study to comprehensively analyze this association, we assessed how sexual destiny and growth beliefs and sexual sanctification influenced harmonious, obsessive, and inhibited passion. Data were collected from a national sample of couples (N = 482 dyads). Utilizing actor/partner interdependence model, we found that men and women's sexual growth beliefs and sexual sanctification predicted their own and their partner's harmonious sexual passion. Men and women's sexual sanctification had a strong association with their own levels of obsessive passion. Sexual destiny beliefs of men and women predicted their own levels of obsessive passion.

Sexual Conservatism and Sexual Satisfaction in Older Women: A Cross-Sectional Mediation Analysis

ABSTRACT Objectives: The present study aims to assess the relationship between age and sexual satisfaction in older women and testing the potential mediating role of conservative sexual beliefs on this association. Methods: A total of 106 women (Mage = 68.71; SD = 6.31) completed measures of sexual beliefs (SDBQ), sexual functioning (FSFI), and sexual satisfaction (GMSEX). Bivariate correlation analyses were performed to assess the association between age, sexual conservatism, sexual satisfaction, and sexual function. Mediation analysis with bootstrap samples was performed to test the mediating effect of sexual conservatism. Results: Findings suggest a mediating effect of conservative sexual beliefs on the relationship between age and sexual satisfaction in a community-based sample of older women (F(3,102) = 9.31, p <.001, R 2 = .215). Conclusions: The negative association between sexual conservatism and sexual satisfaction of the participants, and the non-significance of the direct effect of age in sexual satisfaction when including sexual conservatism in the mediation model, highlight the relevance of cognitive factors in sexual health in later life. Clinical Implications: Results such as the mediating role of sexual conservatism on the relationship between age and sexual satisfaction provide opportunities for developing and testing sexual health programs based on the demystification of sexual beliefs.

Missing Piece of the Puzzle: Evaluating a General Meaning of Sex Measure.

The presence of and search for meaning has divergent and salient outcomes for individuals' physical, mental, and emotional well-being. Although numerous domains of meaning have been examined, the literature on the meaning of sex is sparse and lacks a quantitative measure. In this study, we evaluated a new general Meaning of Sex (MOS) Measure that captured the presence of (MOS-P) and search for (MOS-S) the meaning of sex by analyzing how these subscales were associated with important relational and sexual outcomes (i.e., relationship stability and satisfaction and sexual satisfaction) in two samples. For Sample 1, all participants (N = 865) reported engaging in what they considered to be sexual intercourse and were either single or in a relationship. For Sample 2, all participants (N = 884) reported being in a committed relationship for at least two years. With both samples, confirmatory factor analyses showed good construct validity as the two subscales were distinct from one another and had good reliability. The analyses also demonstrated divergent validity between both scales and meaning in life, sexual motivations, sexual beliefs, and religiosity. The MOS-S had a strong (and negative) association with relationship stability in both samples. The MOS-P had a strong (and positive) association with relationship satisfaction in both samples.

Evaluating the impact of a medical school cohort sexual health course on knowledge, counseling skills and sexual attitude change

BackgroundSexual health is generally considered an integral part of medical and allied healthcare professional training. However, many medical schools do not offer this as a mandatory curriculum, or minimize it. Sexual health as an academic area was introduced in the 1970s, but there have been few cohort evaluations of its impact. This was limited by the availability of few psychometric scales for evaluation. We evaluated the full, mandatory, sexual health course in year 1 medicine at a large state university in the Midwest US, including the course with lectures; panels and tutorials; a video app to give students feedback on their sexual history taking skills; and a 3-station sexual history OSCE at the end of the course.ResultsSeventy-four medical students (43% of the course cohort) volunteered, for an incentive, to complete evaluation materials pre- and post-course. We used the Sexual Health Education for Professionals Scale (SHEPS), designed and with appropriate psychometric standardization for such evaluation. The SHEPS data covers 7-point Likert scale ratings of 37 patient situations, asking first how well the student could communicate with such a patient, and on the second part how much knowledge they have to care for such a patient. The third subscale examines personal sexual attitudes and beliefs. Data indicated that the matched pretest-posttest ratings for skills and knowledge were all statistically significant and with very large effect sizes. Few of the attitude subscale items were significant and if so, had small effect sizes. Sexual attitudes and beliefs may be well-formed before entry into medical school, and sexual health teaching and learning has minimal effect on sexual attitudes in this US sample. However, using the 3 sexuality OSCE cases scores as outcomes, two of the 26 attitude-belief items predicted > 24% of the variance.ConclusionsThe sexual health course produced major changes in Communications with patients sexual health skills and Knowledge of sexual health, but little change in personal Attitudes about sexuality. These data suggest that personal attitude change is not essential for teaching US medical students to learn about sexual health and sexual function and dysfunction, and comfortably take a comprehensive sexual history.

STI testing among young people attending music festivals in New South Wales, Australia: exploring the client segmentation concept in the 'Down to Test' program.

Background The 'Down to Test (DTT)' campaign is a sexually transmissible infection (STI) social marketing intervention delivered through outdoor music festival activations and supported by digital media communications in New South Wales, Australia. This paper investigates whether and how the tailored messages reached the intended audience. Methods Data was collected through three annual rounds of online surveys post campaign exposure, targeting young people (aged 15-29years) attending 14 music festivals in NSW from October 2017 to March 2020. Descriptive statistics, principal component analysis and multivariable logic regression were applied to identify the key client segment and factors associated with a strong intention for future STI screening. Results Of the 10044 participants with a valid urine specimen submitted, 261 (2.8%) tested positive for chlamydia. Altogether, 1776 participants (median age=22) self-completed the evaluation surveys online with more being female (73.4%) than male (26.2%). Participants were mostly Australian-born (89.5%), heterosexual (82.6%) and the majority being sexually active (96.7%). Rates of self-reported lifetime STI testing (70.4%) and intention for future STI screening ('definitely yes' in the next 12months, 39.0%) were also high. The most significant factor associated with future intention for STI testing is the Sexual Experience and Perception Factor (adjusted odds ratio [AOR]=2.02; 95%CI 1.76-2.32; P<0.001), followed by the Sexual Beliefs and Attitudes Factor (AOR=1.14; 95% CI 1.01-1.30; P<0.05). Conclusions The NSW state-wide DTT campaign has largely reached sexually active youth who are attentive to sexual health promotion messages and contributed to enhanced STI screening in a fun and peer-supportive environment.

Is Homosexuality in the Priesthood Diminishing? Evidence from Sexual Attitudes, Behaviors, and Contexts of Catholic Clergy in the United States

This study explores the results of the 2021 Survey of American Catholic Priests, an effort to replicate the 2002 Los Angeles Times survey of priests, in evaluating stability and change in the sexual beliefs, dispositions, and behaviors of Catholic priests in the United States. Reinforcing widespread perceptions, we find that younger priests hold more conservative sexual attitudes than their older counterparts. We also find them to be less likely to report homosexual attraction, and we perform a very basic projection of the future sexual orientation composition of the US clergy using baseline assumptions and a cohort replacement model. We find that orientation and orthodoxy are intertwined, with heterosexual priests reporting higher celibacy adherence and belief that behaviors identified by the Church as sins are in fact sins. Our analyses further suggest that the present lower clergy supply is largely explicable by a decline in progressive priests.

Assessing sexual practices and beliefs among university students in Khartoum, Sudan; a qualitative study

ABSTRACT University students in Sudan are more at risk of contracting HIV than the general population, due to a high rate of sexual activity and low uptake of preventive measures such as condoms. Hence, they are considered an important target for HIV prevention programmes. This study explored students` beliefs about abstinence and pre-marital sex. Thirty semi-structured individual interviews were conducted, based on constructs from the Integrated Change (I-Change) Model. The study sample included 16 (53%) male and 14 (47%) female university students. Their average age was 21.2 years (Range 18–27 and SD 2.5). Both sexual abstainers (N = 19) and sexually active students (N = 11) perceived HIV severity and susceptibility. Most of the participants had a positive attitude towards abstinence. However, sexually active students also perceived some advantages of engaging in sexual practices, such as sexual pleasure and proving adulthood. Sexually active students more often mentioned being influenced in their sexual practices by their peers than by their families. Sexually active students reported lower self-efficacy to refrain from sex than abstainers. Interventions that seek to promote abstinence among those willing to achieve this should stress the advantages of abstinence from sex until marriage, offer tools to resist peer pressure and enhance self-efficacy to abstain. These findings can be used to develop comprehensive HIV prevention programmes that primarily promote abstinence among university students who are not yet sexually active but also consider promoting condom use and other safer-sex practices among those who are sexually active. These interventions should also be gender-sensitive to address the needs of both male and female students.

Pornography use and sexting amongst children and young people: a systematic overview of reviews

BackgroundYoung people’s use of pornography and participation in sexting are commonly viewed as harmful behaviours. This paper reports findings from a ‘review of reviews’, which aimed to systematically identify and synthesise the evidence on pornography and sexting amongst young people. Here, we focus specifically on the evidence relating to young people’s use of pornography; involvement in sexting; and their beliefs, attitudes, behaviours and wellbeing to better understand potential harms and benefits, and identify where future research is required.MethodsWe searched five health and social science databases; searches for grey literature were also performed. Review quality was assessed and findings synthesised narratively.ResultsEleven reviews of quantitative and/or qualitative studies were included. A relationship was identified between pornography use and more permissive sexual attitudes. An association between pornography use and stronger gender-stereotypical sexual beliefs was also reported, but not consistently. Similarly, inconsistent evidence of an association between pornography use and sexting and sexual behaviour was identified. Pornography use has been associated with various forms of sexual violence, aggression and harassment, but the relationship appears complex. Girls, in particular, may experience coercion and pressure to engage in sexting and suffer more negative consequences than boys if sexts become public. Positive aspects to sexting were reported, particularly in relation to young people’s personal relationships.ConclusionsWe identified evidence from reviews of varying quality that linked pornography use and sexting amongst young people to specific beliefs, attitudes and behaviours. However, evidence was often inconsistent and mostly derived from observational studies using a cross-sectional design, which precludes establishing any causal relationship. Other methodological limitations and evidence gaps were identified. More rigorous quantitative studies and greater use of qualitative methods are required.

Confusing Stalking for Romance: Examining the Labeling and Acceptability of Men’s (Cyber)Stalking of Women

Evidence suggests that in the United States we live in a stalking culture— a culture in which stalking is normalized, minimized, and romanticized through various cultural institutions. We also live in an era when romantic interactions and dating are increasingly taking place online. Bringing together these ideas, the present study examines perceptions of lay observers of the cyberstalking of women with a focus on gender and stalking context. Drawing on data from an original vignette study via an Amazon Mechanical Turk (MTurk) survey (n = 727), we examine whether (a) observer’s gender, (b) four types of stalking contexts (ex-boyfriend, coworker, one-time date, and stranger), and (c) individual differences in observers’ attitudes regarding gender and sexuality beliefs (sexual double standards, benevolent sexism, and hostile sexism) impact lay perceptions of cyberstalking. We found that compared to men, women are more likely to label cyberstalking and to deem cyberstalking as less socially acceptable. Compared to the stranger stalking scenario, participants were less likely to label the other three scenarios as stalking; additionally, participants rated ex-boyfriend stalking, relative to stranger stalking, as more acceptable. We also found that attitudinal measures predict higher acceptability ratings across stalking contexts, and hostile sexist beliefs mediate the relationship between observers’ gender and likelihood of labeling the situation as stalking. Our results suggest that the minimization and normalization of cyberstalking may be driven not only by one’s gender, but also by a culturally accepted hierarchy of stalking narratives as well as gender attitudes.

Sexual health attitudes and beliefs among nursing faculty: A correlational study

BackgroundSexual health is an integral part of nursing care across the life span. Nurses internal and external factors influenced their knowledge, experiences, and competencies. These impact nursing education and professional practice. There was no known research regarding the nursing faculty's sexual health attitudes and beliefs and the relationship with predictive factors. ObjectivesThe purpose aims to identify any statistical relationships between nursing faculty age, nursing educational level, nursing specialty, years of work, and years of teaching in nursing to predict their sexual health attitudes and beliefs. DesignThis is nonexperimental and quantitative research of predictive correlational design with multiple linear regression statistical analyses. SettingsData gathered from nursing faculty across the United States. ParticipantsNursing faculty teaching at the baccalaureate, master, and or advanced practice nursing programs. MethodsOnline survey of sexuality attitudes and beliefs (SABS). ResultsA convenience sample of 371 nursing faculty. The results showed a statistically significant and a moderate correlation (R = 0.35, R2 = 0.12, F(9, 361) = 5.68, p < 0.01) of their sexual health attitudes and beliefs and the predictors. This indicated nursing faculty with a doctorate, women's health specialty, and increased years for age, nursing practice, and teaching showed lower SABS scores or barriers to addressing sexual health. The social cognitive theory and Benner's novice to expert model explained the relationship between predictors and sexual health attitudes and beliefs. ConclusionsThe findings of this study showed personal, educational, and professional factors as predictors affecting positively or negatively the faculty's sexual health attitudes and beliefs.Awareness of those findings should promote changes in nursing education, decrease sexual health barriers, and prepare faculty, students, and nurses to provide sexual health care across the life span.

“I'm not Gonna Die Because of an STD”: Female African American Adolescents' Perspectives on how they Protected Themselves from Sexual Risks While in Foster Care

PurposeYouth in foster care are at greater risk for engaging in sexual behaviors that increase their odds of experiencing negative sexual and reproductive health (SRH) outcomes. The purpose of this qualitative study was to describe challenges faced by female African American adolescents in foster care as they tried to protect themselves from SRH risks and protective beliefs and behaviors to avoid these risks. Design and methodsSemi-structured interviews were conducted with 16 female African American adolescents, ages 18–20 years, with a history of foster care placement during adolescence. Purposive sampling was done to recruit participants from a metropolitan area in Virginia. Transcribed interviews underwent inductive thematic analysis. This paper focuses on the theme of protection from SRH risks and its subthemes of challenges that made it difficult to avoid sexual risks and protective beliefs and behaviors that facilitated avoidance of those risks. ResultsParticipants reported yearning for connection, partners' desire to not use condoms, and judgmental caregivers as challenges. Protective beliefs and behaviors included open communication with their caregivers about SRH, abstinence, contraceptive use, and participants' desire to be healthy. ConclusionsStudy findings shed light on protective beliefs and behaviors female youth in foster care used to safeguard themselves from negative SRH outcomes. Youth at times lacked agency in sexual decision-making and contraceptive use. Practice implicationsFindings highlight the importance of sexual relationships and partner communication related to contraceptive use, and offering trauma-informed interventions, including culturally sensitive counseling regarding long acting reversible contraception.

Allies Against Sexism: The Impact of Men’s Egalitarian Versus Paternalistic Confrontation on Women’s Empowerment and Well-Being

Men as advantaged group members can be involved in actions against inequality. But how do women experience men’s confrontation of sexism? We examine how women perceive men’s egalitarian versus paternalistic confrontation of sexism. We hypothesized that women would be more likely to report empowerment and well-being (i.e., more happiness and less anger) after egalitarian confrontation than after paternalistic confrontation, which should increase their future intention to confront sexism. Using hypothetical scenarios, the results of three studies conducted in Spain, Germany, and Mexico confirmed our hypotheses. They also highlighted that empowerment (but not happiness) triggered by egalitarian confrontation, as well as anger triggered by paternalistic confrontation, lead women to express greater future intention to confront sexism. Our findings suggest that male confronters motivated by egalitarian reasons are more likely perceived as allies of women because they not only make women feel better but also empower them to keep fighting. Further, women may react against men motivated by paternalistic reasons (especially if they are strongly identified as feminist or endorse low benevolent sexist beliefs). Implications for activists, policymakers, and practitioners who are interested in involving men in fighting gender inequality are discussed.

Are sexist beliefs related to mental health problems?

ABSTRACT Ambivalent Sexism Theory delineates two forms of sexist beliefs: hostile and benevolent. While several studies have indicated interpersonal problems associated with both forms of sexist beliefs, few have examined mental health factors. Gender role strain theories suggest that rigid adherence to traditional gender roles is associated with psychological dysfunction. By extension, adherence to sexist beliefs should be associated with mental health symptoms. However, this specific connection between sexist beliefs and mental illness remains untested. To address this gap, we analyzed data from a large community sample of men and women (N = 1,025) that was gathered online via survey from 2017–2019. Multi-group structural equation modeling indicated hostile sexism as a significant predictor of depression, anxiety, and stress across men and women. Benevolent sexism was significantly positively associated with stress and anxiety in men, as well as anxiety symptoms in women at the bivariate level; however, these connections became non-significant when controlling for hostile sexist beliefs. Structural invariance analyses failed to indicate any moderating effects associated with gender. Our results support a modest positive connection between hostile sexist beliefs and mental health symptoms. Clinical implications, directions for future research, and limitations are discussed.

Cognitive-Affective Factors and Female Orgasm: A Comparative Study on Women With and Without Orgasm Difficulties

BackgroundOrgasmic difficulties are one of the most common sexual complaints among women. Although models of sexual dysfunction propose that cognitive-affective factors are involved in the development and maintenance of sexual difficulties, there is a need to further examine how these factors are associated with orgasmic difficulties specifically. AimTo analyze differences between women who reported orgasm difficulties and controls in regard to sexual inhibition, sexual excitation, sexual beliefs, as well as negative automatic thoughts and affect during sexual activity. MethodsA total of 500 women, aged 18 to 72 years, completed a Web survey focused on cognitive-affective factors and sexual health. Two hundred fifty women reported orgasm difficulties and were compared with 250 age-matched women who reported no sexual difficulties. OutcomesDifferences between groups regarding sexual inhibition and sexual excitation (Sexual Inhibition/Sexual Excitation Scales–Short Form), sexual beliefs (Sexual Dysfunctional Beliefs Questionnaire), negative automatic thoughts (Automatic Thoughts Subscale of the Sexual Modes Questionnaire), and affect (Positive and Negative Affect Schedule) during sexual activity. ResultsWomen with orgasm difficulties scored higher on sexual inhibition than controls. They also reported more negative automatic thoughts during sexual activity (concerning failure and disengagement, sexual abuse, lack of affection from partner, passivity, body image) and less erotic thoughts. Women with orgasm difficulties reported experiencing higher negative affect and lower positive affect during sexual activity than women who reported no sexual difficulties. No significant differences were found regarding sexual excitation and endorsement of sexual beliefs. Clinical ImplicationsHelping women shift their focus from non-erotic, negative thoughts to erotic stimuli, as well as addressing sexual inhibition, can be relevant targets of interventions aimed at women's orgasm difficulties. Strengths & LimitationsStrengths of the study include the use of a large sample of women who reported orgasm difficulties, offering new insights into the clinical importance of these psychological processes. Limitations include the reliance on self-report measures and a relatively homogeneous sample regarding sexual orientation, education, and age. ConclusionResults highlight the role of cognitive-affective factors on women's orgasm difficulties and emphasize the potential benefit of cognitive-behavioral and/or mindfulness interventions for orgasm difficulties.Moura CV, Tavares IM, Nobre PJ. Cognitive-Affective Factors and Female Orgasm: A Comparative Study on Women With and Without Orgasm Difficulties. J Sex Med 2020;17:2220–2228.

Surrealism's Homophobia

The primary document of Surrealist homophobia is a transcript, published in 1928 in the magazine La Révolution surréaliste, entitled “Research on Sexuality/ Extent of Objectivity, Individual Determinations, Degree of Consciousness.” The text records the first two of twelve closed, mostly men-only meetings, held in Paris between 1928 and 1932 by members and fellow travelers of the Surrealist group, at which the participants, according to the collective ethos of Surrealist practice, discussed their sexual preferences, experiences, and beliefs. In the published sessions, the group's leader, André Breton, who convened the meetings and edited the transcript, repeatedly denounced male homosexuality. The problematics of these repudiations are the topics of this article, the intention of which is to map the historical conditions of Breton's heteronormativity and to outline the latter's function in his theory of Surrealism. To this end, the essay displaces the psychoanalytic emphasis customary in Surrealism's reception in order to locate the movement in the historical discourse of sexuality. In the French culture wars of the 1920s, Surrealism mobilized a sexual negativity against the mainstream. Yet in certain key respects, Breton's thought preserved a heterosexist logic of conjugality. Ultimately, a historical reading of Surrealism's homophobia indicates the family ties between dialectical idealism and heteronormativity.

Sex and the mission: the conflicting effects of early Christian missions on HIV in sub-Saharan Africa

AbstractThis paper investigates the long-term impact of historical missionary activity on HIV in sub-Saharan Africa. On the one hand, missionaries were the first to invest in modern medicine in the region. On the other hand, Christianity influenced sexual beliefs and behaviors that affect the risk of contagion. We build a new geocoded dataset locating Protestant and Catholic missions in the early 20th century, as well as the health facilities they invested in, that we combine with individual-level Demographic and Health Survey data. With these data, we can address separately these two channels, within regions close to historical missionary settlements. First, we show that proximity to historical missionary health facilities decreases the likelihood of HIV; persistence in healthcare provision and safer sexual behaviors in the region explain this result. Second, we show that regions close to historical missionary settlements exhibit higher likelihood of HIV. This effect is driven by the Christian population in our sample. This suggests conversion to Christianity as a possible explanatory channel. Our findings are robust to alternative specifications addressing selection.

O-12 “Is Love Essential for a Good Sexual Relationship?”: Analysis of Sexual Beliefs in Brazilian Women

Beliefs are generalized ideas about oneself and the world that are built from early experiences and are strengthened throughout life. They shape our perception and events interpretation. Beliefs related to sexuality play an important role in sexual behavior, and can influence the occurrence of both satisfactory experiences and sexual dysfunctions. Despite the growing recognition of female sexuality as a relevant aspect for the woman's quality of life, the experience of sexual pleasure unrelated to the loving or relational aspect seems to have less legitimacy. In this sense, the present study sought to analyze, in a sample of Brazilian women, the belief that love is fundamental for a good sexual relationship.

Steeped in Shame: An Exploration of Family Sexual Socialization Among Black College Women

Most research on Black girls’ sexuality emphasizes reducing risk behaviors, with less attention to dimensions of healthy and normative sexual development, such as body positivity. To address this gap, we sought to explore the diversity of sexual messaging young Black women received during their formative years. Using consensual qualitative research methods, we explored how 50 Black college women (ages 18–24 years) described their sexual socialization within family contexts in relation to their current sexual beliefs and behaviors. The following themes emerged from the data: messages of discretion, negative messages about physical appearance, messages of deference, messages of abstinence, absence of sexual messages, messages of body positivity, messages of egalitarianism, messages of sex positivity, and messages of sexual distrust and dismissiveness. Black families’ sexual socialization processes were also influenced by ethnicity, social class, and religious orientation. Our findings situate Black women’s family sexual socialization practices within a sociohistorical framework and highlight the need to support Black girls’ healthy sexual development by eliminating fear, shame, or taboo around sexual exploration. Education and advocacy efforts should focus on communicating openly with youth to help them make more positive decisions about sex and bodily autonomy.

The effect of sexual health courses on the level of nursing students' sexual/reproductive health knowledge and sexual myths beliefs in Turkey: A pretest-posttest control group design.

Identified the effect of sexual health courses on the level of sexual health knowledge and sexual myths beliefs among Turkish university students. This study used a pretest-posttest control group quasi-experimental research design. Data were collected from 130 students using questionnaire form, sexual health knowledge test (SHKT), and sexual myths form (SMF). There was a significant negative relationship between the pretest scores of students that they obtained from SHKT and SMF (P %3C .01) and their posttest scores from the same test and form (P %3C .05). Intervention programs that reduce false beliefs, taboos, and prejudices of students sexual myth beliefs.