Women's Perceptions Of Female Contraceptive Behavior: Experimental Evidence of the Sexual Double Standard

The Relationship between the Sexual Double Standard and Women's Sexual Health and Comfort

The current research explores the relationship between Sexual Double Standard (SDS) endorsement and women's sexual health and attitudes. Women (n = 705) completed an SDS endorsement scale, and then answered a variety of questions in three main categories of outcome variables: sexual comfort, sexual reputation, and sexual health. Results suggest that women's SDS endorsement was not related to women's sexual comfort. Further, SDS endorsement was slightly positively related to how concerned women were about their sexual reputation. Regarding sexual health, SDS endorsement was related to a shorter timespan since women's last OBGYN screening, and unrelated to women's discomfort discussing birth control with their OBGYN. Results suggest there is much more to explore in targeted studies on the relationship of SDS endorsement to women's perceptions of their sexual reputations and their interactions with OBGYNs with respect to the SDS. Previous and related research is discussed, along with implications of the current research.

Still Striving After All These Years: Between Normality of Conduct and Normativity of Evaluation in Casual Relationships among College Students

Gender similarities have been detected in various sexual behaviors and attitudes in young adults, but persistent differences remain regarding casual sexual relationships (CSRs), with women feeling different external pressures than men. We set out to study the spontaneous references made to gender similarities and differences towards CSRs in eight focus group interviews (N = 35 college-students, aged 18-28) about the characteristics of CSRs within a social-role framework. The thematic analysis led us to the interpretation that there is an ongoing change in the acceptability of these relationships, leading to the emergence of a single sexual standard - mostly liberal, but at times also conservative. However, different expectations remain, derived from a deep-rooted traditional sexual double standard still perceived in society. Challenges to the unequal standards and social constraints in CSRs is desired by many women, defended by men, and admired in those women whose striving contributes to the normalization of this conduct and of how it is evaluated.

Supplementary Information

The online version contains supplementary material available at 10.1007/s12144-021-02344-9.

Understanding, Contextualizing, and Addressing PrEP Stigma to Enhance PrEP Implementation

PURPOSE OF REVIEW

HIV pre-exposure prophylaxis (PrEP) is a safe and effective preventive intervention that could play a central role in ending the HIV epidemic. However, low uptake in general, and among certain social groups in particular, underscores the need to identify and address barriers to PrEP use. PrEP stigma has emerged as a key factor interfering with PrEP interest, uptake, and continuation. The purpose of this article is to describe and contextualize PrEP stigma and to offer recommendations on how to address it in future PrEP implementation initiatives.

RECENT FINDINGS

PrEP users are commonly stereotyped as sexually irresponsible, promiscuous, and immoral. These stereotypes and associated prejudice manifest at multiple levels and discourage PrEP interest and uptake, disrupt PrEP adherence, and motivate PrEP discontinuation. Intersecting forms of stigma may influence the nature, magnitude, and impact of PrEP stigma across social groups and otherwise hinder PrEP use. Current PrEP implementation strategies that narrowly focus on risk and target stigmatized groups with disproportionately high HIV incidence have yielded limited success and are counterproductive to the extent that they perpetuate stigma. Implementation strategies involving more inclusive messaging and further integration of PrEP within healthcare may help to reduce PrEP stigma and mitigate its impact, ultimately increasing PrEP use. PrEP stigma is a barrier to PrEP interest, uptake, and continuation that manifests at multiple levels. Understanding and addressing PrEP stigma requires consideration of its origins and intersections. Targeted, risk-focused implementation strategies perpetuate stigma and undermine use.

Thinking as the others do: persistence and conformity of sexual double standard among young Italians

The double standard represents a standard of good behaviour that, unfairly, some people are expected to follow or achieve, but others are not. Once neglected by social scientists, the double standard in sexual attitudes has become more and more studied. In this paper, we inquire about the existence of the double standard in opinions regarding peers’ sexual behaviours and study its determinants. What makes young people judge the sexual behaviour of women in a more conservative way than that of men? The paper uses data collected from Italian university students, who are asked to express their (dis)approval of a series of sexual behaviours, considering peers of either gender participating in those behaviours. The results show that the double standard exists and has been persistent amid Italian undergraduate students over the last 20 years, and that the cultural context matters more than the family in shaping students’ beliefs.

The Sexual Double Standard in the Real World

Abstract. The sexual double standard (SDS) has traditionally been studied by examining evaluations of hypothetical targets. Although much knowledge has been gained regarding the SDS by using this methodology, the literature thus far has suffered from a lack of ecological validity. The goal of the present study was to determine whether the SDS emerged in evaluations of participants’ real-life friends and acquaintances. Participants ( n = 4,455) evaluated a single, randomly assigned male or female friend or acquaintance whose sexual history they were familiar with. Women were evaluated more negatively as their number of sexual partners increased, whereas number of partners was not related to evaluations of men. The SDS was not moderated by the closeness of the relationship between the participant and the target person.

Girl Power or Powerless Girl? Television, Sexual Scripts, and Sexual Agency in Sexually Active Young Women

Both traditional gender roles and traditional heterosexual scripts outline sexual roles for women that center on sexual passivity, prioritizing others’ needs, and self-silencing. Acceptance of these roles is associated with diminished sexual agency. Because mainstream media are a prominent source of traditional gender portrayals, we hypothesized that media use would be associated with diminished sexual agency for women, as a consequence of the traditional sexual roles conveyed. We modeled the relations among television (TV) use, acceptance of gendered sexual scripts, and sexual agency (sexual assertiveness, condom use self-efficacy, and sexual shame) in 415 sexually active undergraduate women. As expected, both TV exposure and perceived realism of TV content were associated with greater endorsement of gendered sexual scripts, which in turn were associated with lower sexual agency. Endorsement of gendered sexual scripts fully mediated the relation between TV use and sexual agency. Results suggest that endorsement of traditional gender roles and sexual scripts may be an important predictor of college women’s sexual agency. Interventions targeting women’s sexual health should focus on encouraging media literacy and dismantling gender stereotypic heterosexual scripts. Online slides for instructors who want to use this article for teaching are available on PWQ's website at http://journals.sagepub.com/page/pwq/suppl/index .

The Impact of Males Proposing Condom Use on Perceptions of an Initial Sexual Encounter

The authors investigated the impact of the introduction of a condom into an initial sexual encounter on the perception of the male condom proposer and the likely outcome of the sexual encounter. College students viewed a videotape depicting the development of an initial sexual encounter. Method of condom introduction (verbal, nonverbal, no condom control) was varied. Respondents evaluated the condom proposer on five characteristics (nice, mature, romantic, exciting, promiscuous). Condom proposers were perceived as nicer and more mature but less romantic and exciting than nonproposers. Women but not men perceived the proposer as nicer and more mature and less promiscuous when he introduced the condom verbally rather than nonverbally. Men but not women estimated that proposing condom use diminished the chance of sexual intercourse. Results are discussed from the perspectives of person perception, sex role stereotypes, the evolutionary perspective on mate selection, and the applied perspective of the implications for intervention.

Commitment, Intimacy, and Women's Perceptions of Premarital Sex and Contraceptive Readiness

A person-perception study was conducted to examine the influence of intimacy and commitment on the acceptability of premarital sex and contraceptive preparedness. Ninety-six women rated a female target's personality and behavior after reading a diary entry describing a couple's initial sexual encounter. The nature of the couple's relationship and who provided the condom were manipulated between participants. Women inferred a committed relationship when intimacy was present. Women rated the target, and her behavior, as more acceptable when she had sex in a relationship with commitment. When she provided a condom, the target was perceived as less nice in the noncommitted than in the committed relationship. When her partner provided the condom, however, commitment level did not influence personality ratings.

Toward an Understanding of Gender Differences in Inferring Sexual Interest

Research has shown that, after brief opposite-gender interactions, men perceive women more sexually than women perceive men (e.g., Abbey, 1982 ). This study examined interpersonal perceptions following dyadic cross-gender interactions between unacquainted individuals. Of particular concern were perceptions of sexual traits, interaction qualities, and physical attractiveness. The influence of being gender schematic on sexual judgments was examined. The results provide further support for Abbey's finding that men oversexualize women following brief interactions but failed to support the hypothesized gender schema effects. Additional analyses suggest the presence of another gender difference in judging attraction. Women who rated their partners as physically attractive also attributed more positive qualities to their partner and the interaction. By contrast, men's ratings of women revealed more limited associations with perceived physical attractiveness. Results are discussed in terms of gender differences in judging sexual attraction, the correlates of physical attractiveness, and continuing efforts to explain oversexualization.

The Sexual Double Standard

To explore the operation of the sexual double standard, 111 men and 143 women evaluated either a male or female target, described in a fictitious interview as involved in either monogamous or multiple heterosexual relationships and depicted as engaged in either above average, average, or below average levels of sexual activity. Targets described as involved in multiple relationships or depicted as engaged in above average levels of sexual activity were evaluated less positively than targets in other conditions. Women presented as more sexually active were seen as more liberal and more assertive than other female targets. In this study the sexual double standard was not operating in the formation of overall evaluations of individuals, but it did exert influence on other judgments that people make about men and women.

Minority College Women's Views on Condom Negotiation

This study utilized quantitative and qualitative methods to (1) investigate the relationship between frequency of condom use and negotiation strategies and (2) evaluate experiences with condom negotiations among sexually active, heterosexual, African American college women. One hundred female students from a Historically Black Colleges and Universities (HBCU) completed a questionnaire that included the Condom Influence Strategies Scale (CIS) and participated in a focus group. An ANOVA was conducted to compare differences between never, inconsistent, and consistent condom users. Consistent condom users scored higher than never users on the “withholding sex” subscale of the CIS (4.88 vs. 3.55; p < 0.001) as well as endorsed items more strongly on the “direct request” subscale of the CIS (4.63 vs. 3.82, p < 0.05) than never users. A thematic analysis of open discussions identified overarching themes. Similarly, refusing sex and/or having direct communications with partner emerged as primary strategies. Threats to negotiation included deciding the “right timing” of discussion and having a previous history of sexual intercourse without a condom with their partner. Other key concepts that contribute to condom negotiation are the views that condoms are a male’s responsibility and stigma of women who carry condoms.

Gender, Contraceptive Attitudes, and Condom Use in Adolescent Romantic Relationships: A Dyadic Approach

Although sexual risk behavior occurs in a dyadic context, most studies of adolescent sexual behavior focus on individuals. This study uses couple data (N = 488 couples) from the National Longitudinal Study of Adolescent Health to examine how partners' contraceptive attitudes correlate over time and whether male or female partners' attitudes are better predictors of condom use. Net of their own prior attitudes, partners' prior attitudes predicted both male and female adolescents' Wave 2 attitudes. This association was stronger for female than for male adolescents, suggesting that female attitudes were influenced more by males' prior attitudes than vice versa. When entered together, only male adolescents' attitudes predicted dyadic condom use. Findings suggest that male partners may have greater influence on adolescent contraceptive decisions, and that prevention programs should emphasize the relational context of sexual behavior.

Casual sexual relationships: Identifying definitions for one night stands, booty calls, fuck buddies, and friends with benefits

Operational definitions of casual sexual relationships (CSRs; i.e., Friends with Benefits, Booty Call) have not been validated in previous research. In this exploratory study of terminology used to describe various CSRs, participants were provided with definitions for One Night Stand, Booty Call, Fuck Buddy, and Friends with Benefits relationships and asked to identify the corresponding label for each definition. Overall, a majority (i.e., ≥81%) of men (n=341) and women (n=544) accurately identified the corresponding labels. Specifically, a higher proportion of participants with sexual intercourse experience identified the corresponding definition labels, whereas there was no difference in the proportion of those with or without previous casual sex experience. Furthermore, a higher proportion of female participants identified the corresponding labels, possibly reflecting a greater capacity to identify subtle relationship cues conveyed within the definitions. Given the prevalence of CSRs in the current cultural context, it is vital for researchers to ensure that the terminology they use accurately reflects their participants' understanding of the concepts under investigation.

Cognitive and contextual variables in sexual partner and relationship perception

This study examined the effects of contextual and cognitive variables for sexual protection on perceived social relationship factors. University students (108 women and 108 men) read script-based narratives on sexual encounters in which six variables were manipulated in two independent analyses. In the first analysis, four variables were evaluated: relational context (stable, casual), condom use (yes, no), script terminus (beginning, middle or end), and the rater's sex. The dependent variables were interpersonal perception of one of the characters of the narrative, and expectations regarding characteristics and future of the relationship. In the second analysis, two other factors were manipulated only in the "yes" condom conditions: communication strategy (verbal, non-verbal) and condom proponent gender. Our findings corroborated other studies where condom use was viewed as unromantic with less positive characteristics for relationships. Condom proponents, especially male, were perceived as less romantic, particularly when proposing a condom non-verbally at the beginning of the encounter. However, the controlled variables enabled us to propose ways of associating condom use with positive expectations towards the proponent and the relationship itself. Romanticism, expectation of sexual intercourse, emotional proximity, and expectations of condom use in encounters where a condom was proposed increased when suggested by a woman, postponed to the end of the encounter, and verbally mentioned. We encourage women to take the lead in suggesting condom use, thus empowering them since they do not have to wait for the male to make the first move.

'It's Not What You Said, It's How You Said It': Perceptions of Condom Proposers by Gender and Strategy

We examined effects of proposer gender and condom negotiation strategy on perceptions of condom proposers in undergraduates in the southwestern regions of the US. Using a video manipulation (N=150), a female proposer was evaluated no more harshly than a male proposer, and was evaluated more positively in some ways. In a vignette manipulation (N=193) a female proposer using an Eroticization negotiation strategy (compared to Refusal of sex or Explanation of consequences) was seen as more exciting and likely to engage in sex. Surprisingly, women were harsher judges than men of a female condom proposer using an Eroticization strategy. Greater attention should be paid to the nature of condom negotiation within the framework of the sexual script.

Reliability and validity of the Sexual Pressure Scale for Women-Revised

Sexual pressure among young urban women represents adherence to gender stereotypical expectations to engage in sex. Revision of the original five-factor Sexual Pressure Scale was undertaken in two studies to improve reliabilities in two of the five factors. In Study 1 the reliability of the Sexual Pressure Scale for Women-Revised (SPSW-R) was tested, and principal components analysis was performed in a sample of 325 young, urban women. A parsimonious 18-item, four-factor model explained 61% of the variance. In Study 2 the theory underlying sexual pressure was supported by confirmatory factor analysis using structural equation modeling in a sample of 181 women. Reliabilities of the SPSW-R total and subscales were very satisfactory, suggesting it may be used in intervention research.

Condom inclusion in cognitive representations of sexual encounters

To identify the inclusion of condom use (N = 360 college students), two sexual scripts (stable and casual relationships) were identified by free-generation methods (Study 1) and used to develop open-ended narratives up to the point before sexual intercourse. Participants completed the narratives to verify whether they spontaneously included references to condom use, and these references were related to self-report of sexual protection (Study 2). Finally, a recognition memory test clarified the typicality of condom use actions in the sexual script-based narratives (Study 3). The results indicated that although moderately referred to when free-generation is used, condom use is much less mentioned when participants complete script-based narratives and is considered a script-atypical action. Thus, we conclude that when behavior is guided by script, protective behaviors will not become mentally accessible and will not be used. Both relationships require intervention in order to increase condom use and make it a sexual routine.

Physical Attractiveness and Sex in Judgments about Perceived Sexually Promiscuous Others

This study investigated sex and physical attractiveness in evaluations of perceived promiscuous persons. Evidence for the double standard was expected, such that men would rate a promiscuous woman less favorably than women would rate a promiscuous man. University students (25 women and 24 men) viewed a photograph of an attractive or unattractive target and read fictitious information, including promiscuous sexual behavior, about the target. Analysis gave physical attractiveness effects and limited evidence for a reverse double standard. Women rated a promiscuous man more negatively than men rated a promiscuous woman.

Reliability and validity of the sexual pressure scale

The purpose of this study was to develop the Sexual Pressure Scale (SPS) as a valid and reliable measure of gender stereotypical expectations to engage in sexual behavior. Data were collected using audio computer-assisted self-interview in 306 urban women, aged 18 to 29. Exploratory principal components analysis with varimax rotation yielded 19 items consisting of five factors: Condom Fear, Sexual Coercion, Women's Sex Role, Men Expect Sex, and Show Trust, accounting for 62% of the variance. Divergent and convergent validity were supported, respectively, by negative relationships of SPS factors with dyadic trust and positive relationships with sexual victimization and sexual risk behavior. Alpha reliability was .81; factor reliabilities ranged from .63 to .82. A valid assessment of sexual pressure can suggest the extent to which stereotypical gender expectations structure women's freedom to explore partner and condom use choices.

Non-erotic thoughts: content and relation to sexual functioning and sexual satisfaction

We examined the possible range of content of non-erotic thoughts experienced during typical sexual activities with a partner. Undergraduate men (n = 47) and women (n = 50) were administered a measure of non-erotic thought content, frequency, and anxiety, along with measures of sexual attitude, satisfaction, and functioning. Men were more likely to report performance-related thoughts, and women were more likely to report thoughts about body image. However, men and women were equally likely to report thoughts about the external consequences of the activity (e.g., pregnancy, being caught) and the emotional consequences of the activity (e.g., morality, implications of the activity for the relationship). Women reported that their thoughts occurred more frequently and caused more anxiety. Greater thought frequency and greater anxiety over thoughts were associated with poorer sexual functioning for both men and women. For women, greater frequency of and anxiety evoked by thoughts was associated with lower sexual satisfaction. These data provide modest support for cognitive-behavioral models of sexual dysfunction and indicate the importance of both examining a broad range of non-erotic thought content and taking gender into account when applying these models to understanding and treating sexual difficulties.

Context counts: long-term sequelae of premarital intercourse or abstinence

An individual's first sexual experience is a highly salient and meaningful event, with potential to shape sexual scripts and the affect associated with sexual expression. Using data from the National Health and Social Life Survey, we tested abstinence-only advocates; assertions that premarital sex results in psychological and physical harm such as sexual dysfunction, sex guilt, poor health, sexually transmitted diseases, and poor life satisfaction. The first vaginal intercourse was premarital in 82.9% of the sample. Average age at first intercourse was 17.7 years. Relationship status as first intercourse was not consistently associated with later psychological or physical health outcomes. If the first experience was prepubertal, forced, with a blood relative or stranger, or the result of peer pressure, drugs, or alcohol, poorer psychological and physical health outcomes in adulthood were reported consistently. There is little evidence that premarital sex per se is disastrous for later sexual functioning or sex guilt; insofar as first sexual experiences are related to later functioning, the context of the experience is the crucial element.

Sexual double standards: a review and methodological critique of two decades of research

A review of 30 studies published since 1980 found evidence for the continued existence of sexual double standards: different standards of sexual permissiveness for women and men. Experimental studies have included predominantly White North American college students; ethnographies, focus group and interview studies, and linguistic analyses have included more diverse samples. Studies show that sexual double standards are influenced by situational and interpersonal factors (e.g., the target's age, level of relationship commitment, and number of partners), and that double standards are local constructions, differing across ethnic and cultural groups. This review discusses methodological issues, including the strengths and limitations of quantitative and qualitative approaches. It also discusses implications for women s high-risk sexual behavior and sexual identity, and suggests directions for future research.

Topical microbicides. Current status and research considerations for adolescent girls

BACKGROUND AND OBJECTIVES

For sexually active adolescent girls, sexually transmitted diseases (STDs) represent a significant health problem. Although condom use may be an effective intervention against STDs in this high-risk population, actual use depends on the cooperation of the male partner. Therefore, the development of female-controlled methods such as topical microbicides have been endorsed as an important option for STD prevention.

GOALS

This article reviews the current status of intravaginal microbicide development and discusses aspects of adolescent development that should be considered in topical microbicide research.

RESULTS

Biological development, cognitive capacities, psychosexual maturation, and the sociocultural context are key features that affect the likelihood that adolescents will adopt microbicides as a specific methods of STD protection.

CONCLUSION

Adoption of topical microbicides by adolescents will require an "adolescent friendly" perspective for topical microbicides to have a significant impact on the STD epidemic.