Sexual Information Research Articles

Abstract P5-10-07: Longitudinal survey on supportive care needs and coping strategies in women with recurrent/metastatic breast cancer

Abstract Background: Patients with advanced cancers face a wide range of physical and psychosocial needs, often dissatisfied by available means of support. As the treatment of metastatic breast cancer (mBC) has evolved and life expectancy increases, it is crucial to identify patient needs throughout the disease trajectory, particularly contrasting the overwhelming experience of diagnosis with the chronicity of ongoing treatment. Methods: From April 2021 to May 2024, adult women with mBC enrolled in the EMBRACE: Ending Metastatic Breast Cancer for Everyone cohort study and treated at the Dana Farber Cancer Institute were invited to complete a survey that assessed quality of life (5-point Emoji Scale, PROMIS Global Health), coping strategies (Brief COPE and SHINE), anxiety (PRO-CTCAE), depression (PHQ-9), and supportive care needs (SCNS-SF34). Following baseline assessment, the survey was repeated after 6 and 12 months. Patients reporting needs related to pain, professional counseling, depressive symptoms or sexual relationships, triggered a question offering to share this information with their clinical team. We summarize baseline survey data with descriptive statistics. Results: Of 81 respondents to baseline surveys, mean age was 58.2 ±8.2 years, 96% were of non-Spanish/non-Hispanic ethnicity and 90% were of Caucasian race. Most patients were diagnosed with recurrent mBC (69.1%) and responded to the baseline survey within 1 year of their mBC diagnosis (44.4%). At the time of baseline survey, 29.6% were receiving treatment with an antibody-drug conjugate, 24.7% with a cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitor combined with endocrine therapy, 14.8% with chemotherapy and 14.8% with anti-HER2 therapy; 22.2% were receiving their treatment through a clinical trial protocol. Using the 5-point emoji scale, most (74.1%) patients reported feeling happy (4-5) on the day they completed the survey. At least occasional anxiety (PRO-CTCAE) was reported by 65.8%, and at least mild depressive symptoms (PHQ9) by 50.7%. Prominent coping strategies included acceptance (mean 6.4 ±1.4), self-distraction (5.8 ±1.6), use of emotional support (5.7 ±1.7) and active coping (5.3 ±1.8) and only rarely substance use (2.3 ±0.8. Supportive care needs were expressed in multiple domains; most frequently related to psychological needs (40.8%-73.6% reporting at least some need on an individual domain-related item), and with the highest need reported for “Uncertainty about the future” (8.3% no need – not applicable, 18.1% no need-satisfied, 31.9% some need – low, 25% some need – moderate, 16.7% some need - high). Needs were also reported regarding physical and daily living (30.1-53.5%) and less frequently in relation to sexuality (33.3-19.7%,) health system and information (11.3-35.2%), and patient care and support (11.0-24.7%). Prompts offering to notify the clinical team of high needs were triggered by 55 participants, of which only 20% agreed to share this information. Conclusion: While needs related to information communication and patient cancer are generally met, many patients with mBC report symptoms of anxiety and depression and subsequent psychological needs. Future analyses will aim to identify distinct needs through the disease trajectory. Citation Format: Tal Sella, Shoshana M. Rosenberg, Alyssa R. Martin, Melissa E. Hughes, Elizabeth S. Frank, Simone Buck, Sara Hanna, Sara M. Tolaney, Nancy U. Lin. Longitudinal survey on supportive care needs and coping strategies in women with recurrent/metastatic breast cancer [abstract]. In: Proceedings of the San Antonio Breast Cancer Symposium 2024; 2024 Dec 10-13; San Antonio, TX. Philadelphia (PA): AACR; Clin Cancer Res 2025;31(12 Suppl):Abstract nr P5-10-07.

Developing a Novel Mobile App to Support HIV Testing and Pre-Exposure Prophylaxis Uptake Among Men Who Have Sex With Men: Formative and Technical Pilot Study.

Young sexual minority men (YSMM) are disproportionately impacted by HIV in the United States. HIV or sexually transmitted infection (STI) testing rates and pre-exposure prophylaxis (PrEP) uptake are low in this priority population. Novel strategies are needed to increase access to HIV and STI prevention services among YSMM. This study aims to describe the development and assess the feasibility and acceptability of LYNX, a mobile app to increase HIV testing and PrEP uptake among YSMM. Informed by the Information-Motivation-Behavioral Skills model, the LYNX app was refined through 4 iterative focus groups in 2 US cities among YSMM aged 15 to 24 years. The LYNX app includes SexPro, an innovative tool that provides a personalized sexual health protection score, a sex diary to track sexual partners, HIV and STI testing information and reminders, access to home HIV and STI test kits, and geospatial-based testing and PrEP clinic site information. The refined app was then tested for feasibility and acceptability in a 2-month technical pilot. Baseline and 2-month follow-up assessments and exit interviews were completed. Self-reported app acceptability and use based on paradata were reported. In iterative focus groups among 30 participants (age: mean 20, SD 3 years; Black: 12/30, 40%; Hispanic or Latinx: 13/30, 43%), the app's design was well-received. Participants recommended providing information on how the SexPro score was calculated and how they could improve their score, changes to the language in the sex diary tailored for YSMM, providing a chat feature to facilitate communication between staff and app users, and gamification features to increase overall youth engagement with the app. These recommendations were incorporated into the app. In the technical pilot among 17 participants (age: mean 22.4, SD 1.6 years; Black: 4/17, 24%; Hispanic or Latinx: 8/17, 47%), the mean system usability score was 70 out of 100, falling in the "good" range. Use of the app was high over the 2-month pilot (app opened an average of 8.5, SD 8.0 times with an average duration of 3.8, SD 3.2 min/session), indicating good feasibility. The most commonly used features included the testing feature (n=15, 100%), activity calendar (n=14, 93%), and diary (n=13, 86%). Overall, 11 (79%) participants were likely to continue using LYNX, and 10 (71%) participants were likely to recommend it to a friend. In exit interviews, there was a high level of acceptability of the content, interface, and features of the LYNX app. Following a user-centered design approach, we tailored the LYNX app to increase HIV and STI testing and PrEP uptake among YSMM in the United States. Our positive findings support further testing of this mobile health tool in an upcoming effectiveness trial in broader youth populations. ClinicalTrials.gov NCT03177512; https://clinicaltrials.gov/study/NCT03177512. RR2-10.2196/10659.

Walking On Embers: The Complexity of Adolescent Sexual Dynamics and Its Implications for Sex Education Structure in University

This article discusses the complexity of adolescent sexual behaviour in Indonesia and its implications for the need to reform sex education. The study highlights the increasing prevalence of premarital sex among adolescents, driven by uncontrolled access to sexual information via digital media. The urgency of this research lies in the lack of comprehensive sex education in Indonesia and the absence of open dialogue within families. This situation is exacerbated by the high number of adolescents engaging in premarital sex, with approximately 60% of those aged 16-17 involved. This study employs a qualitative approach using phenomenological methods to understand adolescents' perceptions and experiences of sexuality. Data were collected through content analysis of various digital platforms, including social media, news articles, videos, and online forums. This approach allows researchers to capture the nuances of how sexual information is disseminated and received by young audiences. Data triangulation techniques were employed to enhance the validity of the research by comparing multiple sources of information. Findings indicate that Indonesian adolescents are caught between traditional values and the influence of modernisation, particularly through social media. The wide accessibility of sexual information without proper guidance has led to confusion, risky sexual behaviour, increased teenage pregnancies, and the spread of sexually transmitted infections. This underscores the need for a more comprehensive reform of sex education in Indonesia, incorporating biological, psychological, social, and cultural dimensions. In conclusion, reforming sex education in Indonesia is crucial to providing adolescents with a more holistic understanding of sexuality in the digital age.

Self-Exploration and Reconstruction: Three Role Contradictions and Pornography Mentality of Chinese College Students

This study explores how Chinese college students navigate self-exploration and role contradictions related to pornography consumption. In a society with traditional norms and limited sex education, pornography serves as a key, though controversial, source of sexual information. Using a phenomenological approach, the study identifies three main conflicts: gender, media, and inter-role conflict. Gender differences in pornography consumption reflect societal expectations, with men showing more acceptance and women experiencing more shame. Media conflict arises from the tension between conservative traditional media and more open new media. Inter-role conflict highlights the psychological stress students face balancing liberal social attitudes with conservative family values. This research provides insights into the complexities of pornography use in China.

Counseling Ethics: The Case of Sexuality Information.

The study aimed to identify Colombian adults' positions in cases in which a counsellor can and should not do so in a situation where parents who are uncomfortable with all issues related to sexuality ask their daughter's school counsellor to help answer her questions about these topics. A convenience sample of 180 adults, including 19 school counsellors, was presented with a set of 24 vignettes created by orthogonally crossing three factors: (a) the context of the request (e.g., parents ask the educator to limit sexual information to purely biological aspects), (b) whether the adolescent requests additional information, and (c) the type of information provided by the educator (e.g., comprehensive information, including abortion). A cluster analysis of participants' appropriateness judgments regarding counsellor's behavior revealed four qualitatively different positions: Depends on adolescent's request (5%), Completeness of information (26%), Biological information is insufficient (31%), and at educator's discretion (16%). In addition, 18% (most religious) expressed no discernible position. The majority of participants (57%) thus expressed the view that the most appropriate behavior on the part of the counselor was to provide the most comprehensive information possible, and certainly not to focus solely on the biological aspects of sex education during counseling. This view was largely independent of contextual elements such as the limits to communication set by the parents or even the limits to communication set by the adolescent.

Development and implementation of a website assessment tool to evaluate policies and resources for sexual assault and alcohol use on US college campuses

BackgroundSexual assault on college campuses is a major public health concern. Over half of incidents of sexual violence on college campuses occur in the context of victim or perpetrator alcohol use. Students who have experienced sexual violence, including in the context of alcohol use, are likely to seek information about sexual violence resources and services online.MethodsWe developed a Website Assessment Tool to capture a student’s perspective when navigating campus sexual violence and alcohol websites to find resources and services. The tool evaluates (1) accessibility, (2) comprehensibility, and (3) inclusivity of sexual violence and alcohol prevention information and resources. Alcohol policies and alcohol-related campus resources are also evaluated for linkage to sexual violence information. We assessed websites from 36 college campuses across the USA participating in a sexual violence prevention study.ResultsThe accessibility, comprehensibility, and inclusivity of educational content, services, and supports related to sexual violence and alcohol use varied widely. Websites with Title IX regulations, outlining protections against sex-based discrimination, were easily accessible for each school. Identifying whether services were confidential was inconsistent. Sexual violence resources were difficult to locate or embedded in lengthy text and difficult to comprehend, terms were not always defined, and descriptions of services were not explicitly inclusive of diverse populations. The alcohol policies for each school were accessible. Most campuses’ (97%) alcohol policies and resources did not include sexual violence-related information or link alcohol-related information to their student counseling or health center website.ConclusionsThis Website Assessment Tool may be useful for college campuses seeking to optimize their students’ receipt of information related to sexual violence and alcohol to increase awareness of sexual violence support services and to connect survivors with resources. Both sexual violence and alcohol use prevention and intervention strategies should include the prevalence and increased risk of alcohol-involved sexual violence on college campuses to help reduce alcohol-involved sexual violence and ensure survivors are connected to supports and services with few to no barriers.

Appraisal of Sexual Education Curriculum in Secondary Schools With Inclusion of Practical Implications and Evaluation, Based on Rural-Urban Residence.

Introduction The primary objective of this study was to review the comprehensibility of sexual education content and the age at which this curriculum was received by participants within middle and high school through a descriptive study on osteopathic medical students. The secondary objective involves a comparison of sexual education content within middle and high schools based on rural-urban residence. Methods An IRB-approved survey was created utilizing Qualtrics software and was administered to school-issued email accounts of Alabama osteopathic medical students within the classes of 2023 through 2026. Responses were recorded over a six-month time frame with a collection of 140 responses. Statistical analyses were completed utilizing Prism 10 software. Fisher exact testing was performed given the small sample size of survey respondents. Results Survey respondents attended middle and high schools throughout the United States. Most participants attended an urban middle school (87.14%; N=122) and an urban high school (90.00%; N=126). Most participants received sexual education and information about contraception within the ninth grade (44.29%; N=62) and during middle school at ages 10 to 14 (78.57%; N=110), respectively. A little over half of students (57.45%; N=80) indicated that they thought the sexual education provided to them within middle and/or high school was presented to them at an early enough age. The most common contraceptives that were discussed involved information about the usage, safety, and/or effectiveness of condoms (40.00%; N=56 in middle school and 55.00%; N=77 in high school; p=0.0165) and oral contraceptives (OCPs) (17.86%; N=25 in middle school and 32.86%; N=46in high school; p=0.0058). All contraceptive methods were taught more frequently in high school as opposed to middle school. A lower percentage of students received instruction regarding male and female anatomy and physiology within middle school in rural vs urban areas (33.33%; N=6 in rural areas and 62.30%; N=76 in urban areas; p=0.0378). Students received most sexual education information from online websites (17.86%), during college (17.14%), or during high school (16.43%). Top additional comments mentioned that sexual education programs should be more comprehensive (50.00%) and need continuity (29.17%). Conclusion As supported by prior literature, despite participants' high education level, we can assume that comprehensive sexual education reform is necessary and may be initiated within middle school with continuation into high school. Efforts should be made to incorporate online resources into future formal secondary sexual education programs. Special attention should be made to ensure greater inclusivity along with language modifications to create safe spaces for adolescents to discuss sexual health. There was no statistically significant difference in contraception education between rural and urban areas. Consequently, there can be no conclusions made suggesting that contraceptive education is lacking for those individuals living in rural vs urban regions. Future studies should aim to expand the number of survey participants across the United States within a setting other than medical school, such as within large undergraduate institutions. These institutions can gather individuals from diverse rural-urban residences and include students who are closer in time to their formal secondary school sexual education instruction.

How to Promote the Integration of School, Family and Community of Children’s Sex Education in China

This essay focuses on how to promote children’s sex education in China through the cooperation of schools, families and communities. In the digital age, children are easily exposed to harmful sexual information, leading to increasingly prominent issues such as sexual assault and younger sexual behavior. Due to the constraints of long-term conservative beliefs, the development of sex education in China faces many challenges. Parents and teachers generally lack scientific knowledge and abilities in sex education, and families and schools do not pay enough attention to this issue. This article emphasizes the importance and necessity of multi-party collaboration by reviewing relevant literature and policy frameworks, and proposes multidimensional strategies such as family sex education guidance, school sex education teacher training, and community resource support to promote the scientific and systematic development of children’s sex education. Combining international advanced experience with China’s local cultural background, this article aims to provide practical and feasible suggestions for policy makers, educators, and parents to promote the improvement of children’s sex education system.

Pornography and problematic pornography use: occurrence, patterns, and associated factors in a national gender-based controlled cross-sectional study.

A study on pornography is vital due to internet accessibility, widespread pornography usage, and a lack of data, especially in non-western countries. This study estimates the occurrence of pornography use (PU), compares demographic, sexual, and psychological factors between users (PUs) and non-users, and identifies associated factors of PU based on gender. It examines problematic pornography use (PPU), comparing usage patterns between PPUs and non-PPUs, and identifies associated factors of PPU. In 2021, an online cross-sectional nationwide survey was conducted among 1249 Iranians (865 women, 384 men) in all provinces except one, using a convenience sampling method through social media platforms. Participants were categorized into PUs and non-users based on their pornography use over the past year. PUs were further divided into PPUs and non-PPUs, using the Problematic Pornography Consumption Scale cutoff (>20). The researcher-made questions assessed patterns of pornography use, demographic characteristics, and sexual information; sexual health variables and psychological factors were evaluated by standard scales. PU was reported by 30.1% of participants (n = 376), including 27.5% of women and 35.9% of men. Logistic regression identified being male, shorter marriage duration, earlier age at first sex, lower religiosity, poorer sexual communication, masturbation, substance abuse, and depression as associated factors for PU. Among PUs, 13% (n = 49) were PPUs, including 10% of women and 17.1% of men. Linear regression identified the following risk factors for PPU: being male, longer marriage duration, masturbation, sexual distress, and pornography use. Conversely, having more children was a protective factor. Compared to non-PPUs, PPUs reported higher pornography consumption, the primary motivation being masturbation, greater usage among close friends, prioritizing pornography over sex with their spouse, negative effects on their sex life, and increased use during the COVID-19 pandemic. Healthcare providers should address modifiable factors related to PU/PPU through early sex education and support. Objective measurements of PPU should be prioritized over subjective perceptions, as many infrequent users feel moral incongruence. The study's applicability may be limited by imbalanced gender participation, recruitment of married individuals, and a small number of PPUs. However, strengths include standardized assessment tools, gender-based data collection, and anonymous sampling to enhance response accuracy in conservative contexts. Accurate pornography occurrence measurement requires clear definitions, consideration of dropout rates, and consistent time units. Strong correlations with PPU included frequent masturbation, fewer children, lower education for women, poor sexual communication, and frequent PU for men.

Investigating Factors Affecting Sexual Satisfaction in Korean Men with Spinal Cord Injury

Purpose We investigated sexual function and factors affecting sexual satisfaction in Korean men with SCI. Methods This study included thirty-five men with SCI according to the American Spinal Injury Association (ASIA) scale A-D criteria. The participants were aged 18 to 65, with an onset of at least 2 years, had completed rehabilitation, and lived in the local community. The participants were classified into sexually active and non-active groups. Results There were no statistically significant differences in terms of neurological level, ASIA classification, SCIM-Ⅲ classification, urinary incontinence, chronic pain, spasticity, or sensation in the genital area between the two groups. The factors related to sexual activity were the duration after SCI and whether the individual maintained a stable relationship with their partner. Conclusion The variables related to sexual activity in men with SCI were the absence of a partner and the duration of injury. Providing support for sexual information and social relationship formation during rehabilitation, addressing sexual adaptation to physical changes related to one’s sexuality due to SCI, and conducting research on methods for developing new sexual experiences due to SCI could improve their self-esteem and quality of life.

Meta-Analyzing People’s Self-Disclosure of Sexual Information to Romantic Partners

ABSTRACT People disclose many aspects of their sexuality to close partners, such as their sexual attitudes, history, and behaviors, which is established to be beneficial for their own and their relationship well-being. However, evidence on the extent to which people engage in sexual self-disclosure and the predictors (i.e. facilitators or barriers) of sexual self-disclosure is currently inconsistent and inconclusive. A meta-analysis (k = 30, N = 9,239) on sexual self-disclosure identified a moderate-to-high level of disclosure of sexual attitudes and values, sexual difficulties, sexual history, sexual preferences, and solo-sexual behaviors. We identified 17 significant correlates of greater sexual self-disclosure, the strongest being greater sexual communication satisfaction, sexual assertiveness, and general self-disclosure. Our findings offer novel support for the theoretical claim that people seek to share important facets of their sexuality while retaining some privacy over their sexual information and suggest that people weigh the benefits against the costs of disclosing facets of their sexuality to their partners.

Clinical characteristics and risk factors of female precocious puberty.

This study explores the clinical characteristics and risk factors of female precocious puberty. This retrospective study was conducted on 119 girls with precocious puberty admitted to Pu'er People's Hospital from January 2022 to November 2023 (PP group) and 119 girls with normal sexual maturity during the same period (normal group). Clinical characteristics (including laboratory indicators) and general conditions of participants in both groups were collected and compared. The risk factors of female precocious puberty were analyzed using logistic analysis. There were statistically significant differences in axillary hair growth, early menarche, vaginal mucus appearance, pubic hair growth, breast development, areola diameter, ovarian volume, uterine volume, bone age, body mass index, height, prolactin, progesterone, estradiol, follicle stimulating hormone, and luteinizing hormone levels between the 2 groups (P < .05). There were statistically significant differences in frequent use of cosmetics, polluted living environment (chemical and pesticide detergents), sleeping with the light on at night, early exposure to sexual information, consumption of fried foods > 2 times/week, consumption of snacks > 2 times/week, parental discord, consumption of off-season fruits and vegetables, consumption of domestic poultry > 7 times/week, mother's menarche < 12 years, and mother's breast development age ≤ 10 years between the 2 groups (P < .05). Logistic analysis confirmed that frequent use of cosmetics, polluted living environment (chemical and pesticide detergents), sleeping with the light on at night, early exposure to sexual information, consumption of fried foods > 2 times/week, consumption of snacks > 2 times/week, parental discord, consumption of off-season fruits and vegetables, consumption of domestic poultry > 7 times/week, mother's menarche < 12 years old, and mother's breast development age ≤ 10 years old were risk factors of female precocious puberty (P < .05). In clinical practice, targeted prevention and control can be implemented based on relevant risk factors to improve the physical and mental health of children.

Do People Differentially Recall Sexual Information According to Actor Gender? Extending the Confirmation Bias Paradigm

Do People Differentially Recall Sexual Information According to Actor Gender? Extending the Confirmation Bias Paradigm

Comprehensive Sex Education for Youth Living with Disability in Botswana: Parents/Guardian Perspective in Serowe, Botswana

This qualitative study explored the need for comprehensive sex education for youth with disability which heightens their vulnerability to sexual violence. The study sought to establish the existence of comprehensive sex education for youth with disability; describe the challenges of parents/guardians with the provision of such sex education; and identify strategies for reducing the challenges faced by parents/guardians. used the purposive sampling design to collect data. Data was collected through face-to-face interviews. The findings established that participants view sex education for youth with disability to be crucial. But parents/guardians must manage communication barriers; low comprehension level; distorted information; youth reciting sexual related information in public; and external influences. Therefore, the following interventions are necessary: comprehensive sex education for parents offered through seminars and workshops for distinct groups; and promote parent and stakeholder collaboration.

Risk, vulnerability, and HIV/AIDS among men who have sex with men: A behavioral analysis

HIV cases in Brazil and the city of São Paulo mainly occur among men who have sex with men (MSM) and within the age group 20–29. Considering that, this study aimed to investigate, from a behavior analysis perspective and an indirect functional assessment strategy (questionnaire): (a) possible present variables of the behavior of practicing condomless sex among eight MSM aged 20–29 in the District of República, in São Paulo, and (b) discourses on sexual behavior, risk-taking knowledge, prevention strategies, and information on HIV/AIDS into the same group. The results indicated inconsistent condom use with regular partners, knowledge about pre- and post-exposure prophylaxes for HIV, and non-stigmatizing discourses about MSM’s sexual behavior and HIV/AIDS. Reinforcing, potent, and immediate consequences, regarded as “greater pleasure” and “freedom,” for instance, may affect condomless sex, as well as countercontrolling variables.

Examining Provider Attitudes and Barriers toward Prescribing PrEP within Primary Care Settings in Alabama.

Human immunodeficiency virus (HIV) preexposure prophylaxis (PrEP) is an effective HIV prevention tool. Expanding PrEP access and utilization is made possible by incorporating it into primary care practice. This study explored the barriers in and attitudes toward prescribing PrEP to adults among primary care providers (PCPs) in Alabama, a priority HIV jurisdiction with low PrEP uptake. We conducted in-depth interviews grounded in the Health Belief Model with Alabama physicians and advanced practice practitioners in general internal and family medicine, exploring provider experiences in collecting sexual history information from patients and prescribing PrEP. Authors used thematic analysis of transcripts to further investigate the emerging themes. From September 2022 to April 2023, eight PCPs participated in our study. Several themes regarding barriers in and attitudes toward discussing sexual health history emerged: time constraints, knowledge and training, comfort levels, and competing priorities. We identified stigma and knowledge as themes when exploring provider attitudes toward and barriers in prescribing PrEP. When discussing the benefit of PrEP provision in primary care, we also identified themes such as longevity of the patient-provider relationship and accessibility. Participants identified multiple opportunities to increase PrEP provision in primary care beyond provider education and training, such as normalizing the language, consistency in discussing sexual health history, and using streamlined efforts of gathering sexual history information. With barriers hindering PrEP prescribing by Alabama's PCPs, in addition to preexisting healthcare barriers experienced by patients in the US Deep South, immediate attention is warranted. Further exploration into developing policies for streamlining sexual history intake and inclusive medical education and training regarding PrEP is needed in Alabama.

The impact of Internet pornography on children and adolescents: A systematic review

The impact of Internet pornography on children and adolescents: A systematic review

‘Sweden has changed me’: a qualitative study exploring the sexual health needs and associated mental health aspects of young male former unaccompanied minors, asylum seekers and refugees in Region Stockholm, Sweden

ObjectivesSexual health needs of young refugees and asylum-seeking men are seldom explored or addressed, adversely affecting their mental and physical well-being. By interviewing young male former unaccompanied minors, refugees and...

Sexuality myth endorsement is linked with poorer sexual and relational outcomes across demographic groups in a large and diverse sample

ABSTRACT Due to differences in access to sexual information, some people may be more likely to endorse sexuality myths, which could be linked to poorer sexual and relational outcomes. The goals of this study were to: 1) investigate predictors of sexuality myth endorsement; 2) examine links between endorsing myths and sexual and relational outcomes; and 3) assess whether group membership strengthened associations between myth endorsement and sexual and relational outcomes. A large and diverse sample of undergraduate students (N = 1,077) and community adults (N = 3,359) completed an online survey assessing their demographics, sexuality myth endorsement, and sexual and relational outcomes. Being assigned male at birth, identifying as cisgender, identifying as heterosexual, being younger, holding more conservative political views, being more religious, living in an urban locality during childhood, and not receiving sex education predicted greater sexuality myth endorsement. Greater sexuality myth endorsement predicted lower sexual satisfaction, lower sexual function (among people with vulvas), higher sexual distress, and lower relationship satisfaction. Generally, the strength of associations between myth endorsement and sexual and relational outcomes did not differ across demographic factors. Overall, findings provide insight into groups more likely to endorse sexuality myths, who thus may be at risk of poorer sexual and relational outcomes.

Sources and Types of Sexual Information Used by Adolescents: A Systematic Literature Review.

Sexuality is part of everyone's life, especially during adolescence, when young people are discovering themselves and experiencing several changes. Adolescents need to be informed about their sexuality, so they seek and receive information about it from a variety of sources and on different topics. This systematic review aimed to synthesize studies that explored the sources adolescents use and topics they search for. Quantitative, qualitative, and mixed articles published in Portuguese, Spanish, or English and with respondents aged between 12 and 20 years were included in this study. To fulfill the proposed objectives, three online databases (EBSCOhost, PubMed, and Web of Science) were used, including a total of 48 studies. The most common sources of information are family, friends, school, and the Internet, depending mainly on the reliability of the source and the anonymity when using it. The main topics adolescents search for are sexual intercourse, contraception, relationships, and LGBT issues, since these are less addressed topics. These results are useful in a practical way as a basis for the development of sex education programs that correspond to the needs of adolescents, since they allow us to know which information they are looking for and the sources from which they can receive it.