Physical and Emotional Satisfaction at First Same-Sex Anal Sex in Young Gay and Bisexual Men

Positive, Negative, or Mixed Feelings? A Person-Centered Approach to Consequences of First Penile-Vaginal Intercourse in College Students

Many adolescents and young adults have mixed feelings about their experience of first vaginal intercourse, experiencing both positive consequences like physical satisfaction and love, as well as negative consequences like guilt and anxiety. However, no study has examined the patterns of consequences individuals experience after first vaginal intercourse, which can provide a more nuanced sense of young adults' feelings. We used latent class analysis to examine consequences of first vaginal intercourse in a longitudinal study of college students in the Northeastern United States (N = 191; 45.6% female, 30.9% White/European American, 23.6% Asian American/Pacific Islander, 22.5% Hispanic/Latino, 14.7% Black/African American, 8.4% multiracial). For male college students, classes included Multidimensional Positive (49.4%), Intimacy and Satisfaction (4.39%), and Guilt and Regret (16.22%). For female college students, classes included Intimacy, Satisfaction, and Pain (40.84%), Primarily Negative (31.11%), and Mixed Feelings (20.86%). For male students, age at first vaginal intercourse, first intercourse with a non-relationship partner, religiosity, and non-use of contraceptives were associated with class membership; for female students, first intercourse with a non-relationship partner was associated with being* in classes marked by multiple negative consequences. Findings differ by gender and are partially in line with the sexual double standard, but provide a more nuanced picture, with the majority of both male and female college students likely to report positive consequences, specifically intimacy and physical satisfaction.

Time-varying associations of alcohol and cannabis use with intimate partner violence for black and white young women

BACKGROUND

Substance use is linked to increases in young women's risk for intimate partner violence (IPV). Increased understanding of the magnitude of and changes in the associations between substance use and risk for IPV in the transition to emerging adulthood, and differences between Black and White women, could inform efforts to protect women from substance use-related harm.

METHODS

Young women (N = 1,852; 59% Black, 41% White) in the Pittsburgh Girls Study completed yearly assessments at ages 17-21 on frequency of alcohol and cannabis use, and experiences of IPV (minor physical assault). Time-varying effect models (TVEMs) were used to examine changes in the strength of the association between frequency of alcohol and cannabis use with IPV across ages 17-21, controlling for time-invariant covariates (socioeconomic status, conduct problems, and depression).

RESULTS

Across ages 17 to 21, White, relative to Black, women reported more frequent alcohol use and less frequent cannabis use, and lower rates of IPV. Alcohol use was not significantly associated with IPV at ages 17-21 among White women, but among Black women, alcohol use was associated with increased likelihood of IPV at ages 17-20. Cannabis use was associated with increased likelihood of IPV at ages 19-21 among Black women, and at ages 20-21 among White women.

CONCLUSIONS

Associations between IPV (specifically minor assault) in the context of a romantic relationship differed for alcohol and cannabis across ages 17-21, and by race, among White and Black women. Results highlight the importance of substance-specific prevention efforts that are timed and tailored to subgroups.

The Effect of COVID-19 and Its Control Measures on Sexual Satisfaction Among Married Couples in Kenya

Background

COVID-19 was first diagnosed in Kenya in March 2020 following which the government instituted control measures which could have affected people's sexual satisfaction and overall quality of life including restrictions in travels; ban on alcohol consumption and closure of bars; 9 pm to 5 am curfew; ban on political rallies, and closure of many workplaces with people being encouraged to work from home.

Aim

The objective of this study was to determine how perceived and experienced sexual satisfaction changed with the advent of COVID-19 among heterosexual married individuals in Kenya.

Methods

The study was a cross-sectional survey. Data was collected virtually using monkey survey from social groups. A total of 194 participants responded to the survey.

Outcomes

The difference in overall sexual satisfaction as well as satisfaction with sex frequency; sex process; and time, place and ambience around sexual intercourse before and during COVID-19.

Results

Most of the participants (73.4%) reported that they were satisfied with their marital sex before COVID-19 but the proportion of those reporting satisfaction dropped to 58.4% when they were asked about their experience during the COVID-19 pandemic. Among participants surveyed during the pandemic itself, therefore, 41.3% reported that they were currently sexually dissatisfied whereas just 26.6% reported that they were dissatisfied even prior to the pandemic. There was a significant difference in the overall distributions before and during COVID-19 (χ² = 38.86, P< .001).

Clinical Translation

COVID-19 pandemic should be considered an etiology of sexual dissatisfaction and possibly sexual dysfunctions and COVID-19 control measures should incorporate ways of enhancing sexual well-being.

Conclusion

There was perceived increase in dissatisfaction with sex which could be a pointer to the falling quality of life during COVID-19 pandemic especially among the most sexually active men aged 31–50 years living in places where COVID-19 control measures are being stringently implemented. Osur J, Ireri EM, Esho T. The Effect of COVID-19 and Its Control Measures on Sexual Satisfaction Among Married Couples in Kenya. Sex Med 2021;9:100354.