Sexual Cognition Research Articles

Impact of Sexual Cognition and Sexual Anxiety on the Mental Health of Married and Unmarried Population in India

Impact of Sexual Cognition and Sexual Anxiety on the Mental Health of Married and Unmarried Population in India

A Study of the Development of Sexual Cognition in China

This study aims to discuss the evolution of the existence, form and internal structure of sexual taboos in Chinese society, the current state of sexual taboos in social culture, and how sexual taboos are reflected in people's real lives and how these traces affect people by combing and comparing the development process of sexual ecology in ancient China to the present. By using a combination of data analysis and semi-structured interviews, the study concluded that although sexual culture is now being talked about more in China than ever before, the taboo parts of sexual taboos have shifted from vague concepts to more specific issues, such as gender identity, harmony in sexual relations, and gender-based violence. These taboos have had an impact on people's perception of sex and self, and society and are issues that are worth and need time to address.

Sexual Cognition Among Iranian Women With Genital Pelvic Pain Disorder: A Short Communication

Background: Genital misconceptions can lead to sex avoidance in women with genital pelvic pain and penetration disorder (GPPPD). Therefore, this study was conducted to examine the sexual cognition of Iranian women with GPPPD. Methods: This comparative analytical descriptive study was performed on 200 GPPPD and non-GPPPD Iranian women who referred to women’s clinics in Hormozgan province in 2021. In this study, availability samples were used, and data were collected using a demographic questionnaire and a localized vaginal penetration cognitive questionnaire. Statistical analysis was performed using SPSS version 25, and the significance level was assumed to be 0.05. Results: The mean age of participants was 29.14±5.44 years. Mean scores for negative self-images, and catastrophic and control cognition were higher in the GPPPD group compared to the non-GPPPD group (P<0.001), while the mean scores of positive cognitions in the GPPPD group were lower (P<0.001). Conclusion: The findings demonstrated that the beliefs and knowledge of women with GPPD should be corrected to promote their sexual health. Interventions should be designed to meet the needs of this group to improve sexual relationships and avoid sexual tension.

Automatic attention to sexual stimuli: exploring the role of neuroticism and sexual excitation/inhibition through event-related potentials.

Previous findings have shown that neuroticism is a higher-order vulnerability factor in the development and maintenance of sexual dysfunctions and can have an impact on the attentional processing of sexual stimuli; however, the influence of psychosexual dimensions on the early automatic phases of such cognitive processes has not been established yet. To examine the mediating role of sexual inhibition/excitation propensity in the relationship between neuroticism and automatic attention to visual erotica and to identify the neuroelectric correlates of such a process. We analyzed the answers provided by 58 individuals on the Neuroticism subscale of the NEO Personality Inventory-Revised and the Sexual Inhibition/Excitation Scales. Event-related potentials (ERPs) were recorded during a modified oddball paradigm containing romantic and sexually explicit pictures. Parallel mediations were performed to simultaneously test the mediating role of sexual inhibition/excitation in the relationship between neuroticism and each ERP. Three early attention ERP components (P1, P2, and N2) were assessed. Findings revealed an indirect effect of neuroticism on automatic attention, via sexual inhibition due to threat of performance failure (SIS1), for romantic and sexually explicit stimuli. This effect was significant only for component N2, which showed increased amplitudes and earlier latencies in participants with high SIS1. Sexual stimuli, due to their emotional valence and arousal potential, might be perceived as virtually threatening by individuals with neuroticism, who may benefit from strategies that decrease hyperarousal and sympathetic activation. This was one of the first studies to analyze neuroelectric activity associated with automatic attention toward sexual stimuli in relation to personality and sexual excitation/inhibition propensity. Nevertheless, the limited number of participants demands caution in generalizing the results. These results provide a better understanding of the relationship between personality and sexual cognition and open new avenues of research in relation to other automatic cognitive phenomena related to human sexual behavior.

Facial expression modifies female body perception.

The judgment of female body appearance has been reported to be affected by a range of internal (e.g., viewers' sexual cognition) and external factors (e.g., viewed clothing type and colour). This eye-tracking study aimed to complement previous research by examining the effect of facial expression on female body perception and associated body-viewing gaze behaviour. We presented female body images of Caucasian avatars in a continuum of common dress sizes posing seven basic facial expressions (neutral, happiness, sadness, anger, fear, surprise, and disgust), and asked both male and female participants to rate the perceived body attractiveness and body size. The analysis revealed an evident modulatory role of avatar facial expressions on body attractiveness and body size ratings, but not on the amount of viewing time directed at individual body features. Specifically, happy and angry avatars attracted the highest and lowest body attractiveness ratings, respectively, and fearful and surprised avatars tended to be rated slimmer. Interestingly, the impact of facial expression on female body assessment was not further influenced by viewers' gender, suggesting a 'universal' role of common facial expressions in modifying the perception of female body appearance.

Sex drive: Theoretical conceptualization and meta-analytic review of gender differences.

Few spheres in life are as universally relevant for (almost) all individuals past puberty as sexuality. One important aspect of sexuality concerns individuals' sex drive-their dispositional sexual motivation. A vigorous scientific (and popular) debate revolves around the question of whether or not there is a gender difference in sex drive. Several theories predict a higher sex drive in men compared to women, with some theories attributing this difference to biased responding rather than true differences. Currently, there is little consensus on how to conceptualize sex drive, nor does a quantitative summary of the literature exist. In this article, we present a theory-driven conceptualization of sex drive as the density distribution of state sex drive, where state sex drive is defined as momentary sexual motivation that manifests in sexual cognition, affect, and behavior. We conduct a comprehensive meta-analysis of gender differences in sex drive based on 211 studies, 856 effect sizes, and 621,463 persons. The meta-analysis revealed a stronger sex drive in men compared to women, with a medium-to-large effect size, g = 0.69, 95% CI [0.58, 0.81]. Men more often think and fantasize about sex, more often experience sexual affect like desire, and more often engage in masturbation than women. Adjustment for biased responding reduced the gender difference (g = 0.54). Moderation analyses suggest that the effect is robust and largely invariant to contextual factors. There was no evidence of publication bias. The discussion focuses on validity considerations, limitations, and implications for psychological theory and people's everyday lives. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Relationship between childhood sexual abuse and attitudes toward premarital sexual permissiveness among middle school students in Luzhou, China

BackgroundIn recent years, the number of adolescents engaging in premarital sex has increased, and an increasing number of childhood sexual abuse (CSA) cases have been reported in China. Many studies have indicated that CSA has a well-established association with risky sexual activities. However, only a limited number of studies have explored possible reasons for this association among middle school students, a population that may engage in premarital sex, which is critical for the development of interventions to prevent risky sexual behavior. Based on random samples of middle school students from a Chinese city, this article investigated the relationship between CSA and students’ premarital sexual permissiveness (PSP).MethodsIn a cross-sectional study conducted between 2016 and 2017 in Luzhou, China, 2292 middle school and high school students aged 12–18 years were recruited by multistage random sampling. All students were administered anonymous questionnaires. Multiple linear regression and binary logistic regression analyses were conducted to analyze the relationship between CSA and PSP.ResultsThe prevalence of CSA was 15.4% (354/2292; 95% CI: 14–16.9%). A higher percentage of male respondents (18.2%) than female respondents (12.9%) had experienced CSA. A positive association between CSA and PSP was found among students. Respondents who had suffered CSA exhibited greater PSP, and this relationship was observed in the male sample, female sample and the total student sample in Luzhou (β = − 3.76, P < 0.05; β = − 2.79, P < 0.05; and β = − 2.84, P < 0.05, respectively). Respondents who had suffered CSA were also more likely to express a double standard about premarital sex (odds ratio [OR] =1.41, P < 0.05), especially among male students (odds ratio [OR] =1.63, P < 0.05).ConclusionsSex differences in CSA and the relationship between CSA and PSP were significant among this large sample of middle school students in Luzhou (China). The findings suggest that experiencing CSA may be closely related to youth attitudes toward premarital sex, especially among males. Therefore, it is important to emphasize the prevention of CSA and provide adolescent reproductive health programs to reduce the impact of CSA on sexual cognition and attitude, prevent premarital sex and promote positive attitudes toward sexual equality for middle school students.

Mate Choice, Sex Roles and Sexual Cognition: Neuronal Prerequisites Supporting Cognitive Mate Choice

Across taxa, mate choice is a highly selective process involving both intra- and intersexual selection processes aiming to pass on one’s genes, making mate choice a pivotal tool of sexual selection. Individuals adapt mate choice behavior dynamically in response to environmental and social changes. These changes are perceived sensorily and integrated on a neuronal level, which ultimately leads to an adequate behavioral response. Along with perception and prior to an appropriate behavioral response, the choosing sex has (1) to recognize and discriminate between the prospective mates and (2) to be able to assess and compare their performance in order to make an informed decision. To do so, cognitive processes allow for the simultaneous processing of multiple information from the (in-) animate environment as well as from a variety of both sexual and social (but non-sexual) conspecific cues. Although many behavioral aspects of cognition on one side and of mate choice displays on the other are well understood, the interplay of neuronal mechanisms governing both determinants, i.e., governing cognitive mate choice have been described only vaguely. This review aimed to throw a spotlight on neuronal prerequisites, networks and processes supporting the interaction between mate choice, sex roles and sexual cognition, hence, supporting cognitive mate choice. How does neuronal activity differ between males and females regarding social cognition? Does sex or the respective sex role within the prevailing mating system mirror at a neuronal level? How does cognitive competence affect mate choice? Conversely, how does mate choice affect the cognitive abilities of both sexes? Benefitting from studies using different neuroanatomical techniques such as neuronal activity markers, differential coexpression or candidate gene analyses, modulatory effects of neurotransmitters and hormones, or imaging techniques such as fMRI, there is ample evidence pointing to a reflection of sex and the respective sex role at the neuronal level, at least in individual brain regions. Moreover, this review aims to summarize evidence for cognitive abilities influencing mate choice and vice versa. At the same time, new questions arise centering the complex relationship between neurobiology, cognition and mate choice, which we will perhaps be able to answer with new experimental techniques.

Mate Choice, Sex Roles and Sexual Cognition in Vertebrates: Mate Choice Turns Cognition or Cognition Turns Mate Choice?

The idea of “smart is sexy,” meaning superior cognition provides competitive benefits in mate choice and, therefore, evolutionary advantages in terms of reproductive fitness, is both exciting and captivating. Cognitively flexible individuals perceive and adapt more dynamically to (unpredictable) environmental changes. The sex roles that females and males adopt within their populations can vary greatly in response to the prevalent mating system. Based on how cognition determines these grossly divergent sex roles, different selection pressures could possibly shape the (progressive) evolution of cognitive abilities, suggesting the potential to induce sexual dimorphisms in superior cognitive abilities. Associations between an individual’s mating success, sexual traits and its cognitive abilities have been found consistently across vertebrate species and taxa, providing evidence that sexual selection may well shape the supporting cognitive prerequisites. Yet, while superior cognitive abilities provide benefits such as higher feeding success, improved antipredator behavior, or more favorable mate choice, they also claim costs such as higher energy levels and metabolic rates, which in turn may reduce fecundity, growth, or immune response. There is compelling evidence in a variety of vertebrate taxa that females appear to prefer skilled problem-solver males, i.e., they prefer those that appear to have better cognitive abilities. Consequently, cognition is also likely to have substantial effects on sexual selection processes. How the choosing sex assesses the cognitive abilities of potential mates has not been explored conclusively yet. Do cognitive skills guide an individual’s mate choice and does learning change an individual’s mate choice decisions? How and to which extent do individuals use their own cognitive skills to assess those of their conspecifics when choosing a mate? How does an individual’s role within a mating system influence the choice of the choosing sex in this context? Drawing on several examples from the vertebrate world, this review aims to elucidate various aspects associated with cognitive sex differences, the different roles of males and females in social and sexual interactions, and the potential influence of cognition on mate choice decisions. Finally, future perspectives aim to identify ways to answer the central question of how the triad of sex, cognition, and mate choice interacts.

Reducing Sexual Communication Anxiety of Women upon Marriage: A randomized quasi-experimental study from Iran

Background: Lack of sexual knowledge or incorrect sexual information can lead to anxiety and fear of sexual communication and subsequent sexual dysfunction in marrying women. Objective: The purpose of this study was to investigate the impact of sexual cognition counseling on the sexual communication anxiety of women upon marriage. Methods: In this randomized quasi-experimental study 124 women upon marriage with poor sexual knowledge and attitudes, were randomly assigned into two groups of intervention and control group (62 in each group), using four randomized blocking. Data collected by Sexual Knowledge and Attitude (SKAS) and Sexual Communication Anxiety questionnaires. In the experimental group, five counseling sessions were held with the aim of promoting women sexual knowledge and attitude. Control group women did not receive any intervention. Results: The mean scores of sexual knowledge and sexual attitude of women in the experimental group were significantly increased from 30.02 ± 9.09 and 32.34 ± 6.09 to 34.35 ± 10.23 and 34.53 ± 6.92 after intervention respectively (p &lt;0.05). The mean scores of sexual communication anxiety in the intervention group showed a significant decrease from 42.23 ± 10.63 to 40.47 ± 10.94 after the intervention (p &lt;0.05). Conclusions: This study showed that increase of knowledge and improvement of sexual attitude can reduce the sexual communication anxiety of women upon marriage. Designing and implementing the effective interventions with the purpose of promoting the sexual knowledge in women and amending the false attitudes and beliefs may take some effective steps to protect and promote the sexual health in women, then the couples. This research was registered in Iranian Registry of Clinical Trials (IRCT20120215009014N238).

Reactions and gender differences to online pictures of covered sexual organs among heterosexual young adults—Studies based on behavior, eye movement and ERP

To increase internet traffic, some online media try to attract attention by presenting pictures that cover the sexual organs of the body. However, compared with naked pictures, it remains unclear whether these covered pictures can evoke similar levels of sexual arousal in heterosexual young adults and category-specific patterns in men. To examine the above problems, this research divided female and male pictures into 4 types (fully dressed pictures, naked pictures, covered pictures and underwear-wearing pictures). Behavioral experiments, eye-movement technology and ERP measurements were employed to explore the different levels of sexual arousal between men and women in response to pictures of different sexes and types. The results revealed that the level of sexual arousal induced by covered pictures was significantly higher than that induced by naked pictures. There was no significant difference in the P300 amplitude of the parietal lobe between covered pictures and naked pictures, but in the frontal lobe, the P300 amplitude induced by covered pictures was significantly higher than that induced by naked pictures. The results indicated that unlike the process of sexual arousal induced by naked pictures, the process of sexual arousal induced by covered pictures not only included the processing of visual stimuli but also required the frontal lobe to actively construct to perceive pictures of covered sexual organs as naked pictures and thus induce sexual arousal. In addition, we also found that both covered pictures (as reflected in the levels of sexual arousal and the average amplitude of P300) and naked pictures (as reflected in the levels of sexual arousal, the number of fixations and the average amplitude of P300) can induce category specificity in heterosexual men. On the one hand, this research extends knowledge regarding sexual cognition and finds that covered pictures can also evoke category specificity in men; on the other hand, from the perspective of brain cognition, the difference in sexual cognitive processing between covered pictures and naked pictures is recognized.

Common Childhood Masturbation, But Different Sexual Attitudes in Three Male-at-Birth Adolescents: Possible Implications for Sexual Development

Although the child masturbation is recognized as not uncommon behavior, our understanding of normative sexual development in humans is fairly limited. To investigate the possible relationship between early childhood masturbation and subsequent sexual cognition, we retrospectively researched three adolescents who had been reared male and who masturbated in early childhood in similar ways, but had different subsequent sexual cognition. The three young people all recalled primary sexual pleasure from masturbation at age 4 or 5. Their distinctive sexual attitudes could be discerned at age 15 to 20. One was transgender, one was homosexual, and one was heterosexual. Combining recent findings of the neural mechanisms of sexual pleasure and cognition, it can be inferred that the early sexual pleasure in preschoolers might have little significance for the development of sexual cognition in adolescence.

Genetic Influences on Social Relationships: Sex Differences in the Mediating Role of Personality and Social Cognition

ObjectivesIn humans (and primates more generally), evolutionary fitness arises by two separate routes: conventional reproduction build around dyadic relationships and, reflecting the processes of group augmentation selection, how well individuals are embedded in their community. These processes are facilitated by a suite of genetically inherited neuroendocrines and neurotransmitters. It is not, however, known whether these effects are directly due to genetic factors or are mediated by aspects of personality, or whether there are sex differences in the way this is organised.MethodsWe examine whether dispositional factors related to the processing of social information, such as personality (Big 5 and Impulsivity), attachment style (Anxious and Avoidant dimensions) and sociocognitive capacity (emotion recognition) mediate associations between variation in receptor genes for oxytocin, vasopressin, beta-endorphin, dopamine, serotonin, testosterone and two core social relationship indices (the Sociosexual Orientation Index [SOI] and Support Network size).ResultsIn men, variation in dopamine genes indirectly influences SOI through its effect on Impulsivity. In contrast, in women, variation in endorphin and vasopressin genes independently affect Openness to Experience, which mediates indirect effects of these genes on SOI. Moreover, endorphin gene variation also impacts on Network Size in women (but not men), via Extraversion.ConclusionsThese findings reveal that dispositional aspects of personality mediate some genetic effects on behaviour, thereby extending our understanding of how genetic and dispositional variation interact to determine individual differences in human sexual and social cognition and behaviour. The differences between the sexes seem to reflect differences in the two sexes’ social strategies.

A scent of romance: human putative pheromone affects men's sexual cognition.

Previous studies suggest that the putative human pheromone estratetraenol affects several systems underlying human functioning and appears to activate neural systems that are known to affect sexual behavior. In this study, we investigated whether exposure to estratetraenol affects men’s social cognition abilities. In the first experiment, men performed the Interpersonal Perception task while being exposed to estratetraenol and to a control solution. Men performed the task with better accuracy while being exposed to estratetraenol. This improvement was evident especially in the Intimacy category where participants evaluated romantic relationships. In a second experiment, we exposed a different sample of men to estratetraenol and to a control solution while performing a task that implicitly measured their emotional reaction to photos depicting two humans either romantically touching or not, with a control condition of two inanimate objects either touching or not. We found that the participants’ emotional reaction to touch was stronger under exposure to estratetraenol. Together, these results suggest that exposure to estratetraenol may trigger a change in men’s social cognition, especially in sexually related situations.

The Role of Inhibitory Control Mechanisms in the Regulation of Sexual Behavior

Sexual behavior is the open manifestation of a complex interplay between psychophysiological mechanisms that either facilitate or inhibit sexual thoughts, desires, and associated behaviors. Whereas sexual excitation has been widely studied, less is known about the impact of inhibitory control mechanisms that enable individuals to refrain from sexual cognition and behavior. The present study examined: (1) the relationship between general and sexual inhibitory mechanisms (as measured through self-reports and computer-based tasks), (2) the relation between sexual inhibitory processes at cognitive and motor-motivational levels and with sexual inhibition as an individual trait, and (3) the predictive value of these parameters on sexual thoughts (cognition) and behavior. We demonstrate that general inhibitory control (i.e., the ability to suppress any preponderant response) and the specific inhibition of sexual responses represent distinct processes that require at least partly different control mechanisms. Similarly, the ability to inhibit sexual visual input and the ability to suppress sexually driven responses seem to be two independent processes. The different inhibitory processes distinctively predicted the frequency of sexual thoughts and sexual behavior. We propose that these different inhibitory mechanisms are at play during different phases of sexual regulation (before and after the generation and unfolding of sexual arousal) and that a specific deficit in one of these processes may underlie the distinctive symptomatology and comorbidity of sexual disorders.

Androgen Deprivation Alters Attention to Sexually Provocative Visual Stimuli in Elderly Men.

IntroductionTestosterone is known to regulate male sexual interest, but the exact way that androgens influence men's sexual cognition remains unclear.AimTo investigate the influence of androgen deprivation (AD) on visual responses to sexually suggestive stimuli in men treated for prostate cancer with AD therapy.MethodsPatients with AD-treated prostate cancer, patients with prostate cancer not on AD therapy, and age-matched healthy control participants were exposed to images of male and female runway models fully or minimally clothed. Eye tracking was used to compare looking behavior among groups.Main Outcome MeasuresProportion of fixations on fully clothed vs minimally clothed models and proportion of fixations on target areas of interest (ie, legs, chest, pelvis, and face) of fully clothed and minimally clothed models were analyzed and compared among groups.ResultsAlthough men not on AD exhibited a larger proportion of fixations on the minimally clothed compared with the fully clothed images, there was no difference between the 2 image types for men on AD. This was true regardless of whether the images depicted male or female models. Groups did not differ in their fixations to target areas of interest.ConclusionThese results suggest that testosterone can influence men’s visual attention to sexual stimuli; specifically, AD can attenuate the time spent fixated on sexualized targets.Palmer-Hague JL, Tsang V, Skead C, et al. Androgen Deprivation Alters Attention to Sexually Provocative Visual Stimuli in Elderly Men. Sex Med 2017;5:e245–e254.

Do covered nude photographs in the internet induce sexual cognition – A study of event-related potential

A number indecent photos depicting models whose genital areas have been censored or covered have been widely disseminated on the Internet and proved to be extremely popular. The question is whether these “incomplete nudes” on the Internet can induce sexual cognition. To answer this question, this study presented 25 male college students with 4 types of images. Results found that pictures of females induced larger positive potential (P2) amplitudes and shorter latencies than did pictures of males, and that pictures of nude females induced larger negative potential (N2) amplitudes than did pictures of nude males. Moreover, pictures of covered or nude females evoked larger P300 waves than did pictures of fully-dressed or underwear-wearing females. Pictures of nude models also evoked larger PSW than did other types of pictures. These results suggested that P2 and N2 reflect early gender processing and early sexual cognition, respectively, while P300 reflect inferential sexual cognition which meant that covered models were indeed perceived as nude models. This study revealed that censored (covered) sexual information disseminated through the Internet could still evoke inferential sexual cognition.

Sexuality and Sexual Life Experience of Community Dwelling Older Adults

Purpose: This study was a qualitative study on the sexuality and sexual life experiences of older adults. Methods: Data were collected through focus group interviews and were analyzed using qualitative content analysis. Participants were 13 older adults living in the community. Results: Four major themes were discovered: patriarchal sexuality of older men, passive and submissive sexuality of older women, body and mind intimate communication, sexual life of the couple, and desire for a better marital relationship. Conclusion: Meaning of older adult sexuality was derived from the phenomenon that women accept men. Sexual experience of an older adult couple is intimate communication. The phenomenon of hope for a good relationship was derived from the results. Findings of this study suggest that sexual education is needed to improve sexual cognition and correct sex knowledge of older adults, and it is necessary to train nursing staff so that they can effectively deal with sexual issues among older adults. An environment is also required in which intervention programs to enhance the relationship for the older adult couple can be developed and used.

Relationship between employment status and sexual functioning after traumatic brain injury

Objective: To determine if correlations exist between employment status and sexual functioning in persons with traumatic brain injury (TBI).Design: Descriptive cross-sectional.Setting: Community.Participants: One hundred and forty-six English-speaking, community dwelling adults, without other neurological or psychiatric disorder that could impact outcome and (1) enrolled in TBI Model Systems sexuality study database or (2) admitted to Rehabilitation Institute of Chicago with primary diagnosis of TBI between 2004–2006.Main outcome measures: Employment status, annual income, Derogatis Interview for Sexual Functioning Self Report (DISF-SR) sum and sub-scale scores, Global Sexual Satisfaction Index (GSSI).Results: No significant difference was found in GSSI scores between employed, unemployed or students/volunteers (p = 0.20); however, lower income marginally correlated with lower GSSI scores (p = 0.09). Marginally significant lower DISF-SR Sexual Cognition sub-group (p = 0.09) scores were found in unemployed vs. employed. Lower annual income also correlated with lower DISF-SR sum scores (p = 0.06), Sexual cognition/fantasy (p = 0.07), Orgasm/ejaculation (p = 0.003) and Sexual drive and relationship (p = 0.01) scores.Conclusions: Lower quality sexual functioning and satisfaction was present in persons with TBI and concomitant unemployment or lower annual income. Efforts are needed to increase awareness amongst the TBI population and rehabilitation professionals of the potential impact unemployment or financial stress has on sexual functioning and satisfaction.

Toward an Integrated Model of Purchase Intention of Dietary Supplements in Sexually Oriented Advertising

This study was designed to examine antecedent factors that yielded a model of purchase intention of dietary supplements in sexually oriented advertising. Results suggested that sexual cognition, gender difference, individual attitude toward advertisements, and product involvement were yielded as key predictors toward people's purchase intention of dietary supplements. However, sexually oriented advertising did not considerably increase their purchase intention. A regression analysis also loaded sexual cognition and product involvement as two key determinants in the model of purchase intention of dietary supplements. Moreover, people with a more positive level of sexual cognition significantly resulted in their higher degree of purchase intention of dietary supplements.