Prevalence and characteristics of sexual functioning among sexually experienced middle to late adolescents
Abstract
INTRODUCTION: Little is known about problems in sexual functioning among young people, despite the high rates found in adult samples. It is unclear which problems are most prevalent or how common sexual distress is for young people experiencing problems. AIMS: This study aims to assess the prevalence, range, and correlates of sexual problems and distress among a sample of adolescents (16-21 years). METHODS: Participants (mean age 19.2) were recruited from community and area high schools. Male adolescents (n = 114) completed online the International Index of Erectile Function (IIEF) and Premature Ejaculation Diagnostic Tool (PEDT). Female adolescents (n = 144) completed the Female Sexual Function Index (FSFI). Both completed the Female Sexual Distress Scale (FSDS) and the measures of background, relationship characteristics, and sexual histories. MAIN OUTCOMES MEASURES: Clinical cutoff scores on the IIEF, PEDT, FSFI, and FSDS were used to determine whether there was a significant sexual problem. RESULTS: Adolescents reported extensive sexual experience, most in relationship contexts. Half of the sample (51.1%) reported a sexual problem; 50.0% reported clinically significant levels of distress associated with it. Similar rates of problems and distress were found among male and female adolescents. For the most part, adolescent characteristics, backgrounds, and experience were not associated with adolescents' sexual problems. CONCLUSION: Sexual problems are clearly prevalent among adolescents, and distressing to many who experience them, emphasizing a strong need to develop programs to address this issue.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In Canadian men 16 to 21 years old, most sexual problems occurred in relationship contexts.
“Most problems occurred in relationship contexts.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [63]
In Canadian men 16 to 21 years old, 1.8% reported severe erectile dysfunction.
“Based on IIEF scores, 15.8% reported mild to moderate ED (IIEF scores ¼ 16 e 25), 8.8% reported moderate ED (IIEF scores ¼ 11 e 15), and 1.8% reported severe ED (IIEF scores 10).”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [63]
In Canadian men 16 to 21 years old, 8.8% reported moderate erectile dysfunction.
“Based on IIEF scores, 15.8% reported mild to moderate ED (IIEF scores ¼ 16 e 25), 8.8% reported moderate ED (IIEF scores ¼ 11 e 15), and 1.8% reported severe ED (IIEF scores 10).”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [63]
In Canadian men 16 to 21 years old, 51% reported a sexual problem.
“Fifty one percent reported a sexual problem and 50% reported signi fi cant distress associated with the problem.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [63]
In Canadian men 16 to 21 years old, 50% reported significant distress associated with the sexual problem.
“Fifty one percent reported a sexual problem and 50% reported signi fi cant distress associated with the problem.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [63]
In Canadian men 16 to 21 years old, being in a sexual relationship was associated with better orgasm function.
“More years of sexual experience was associated with better erectile function and being in a sexual relationship was associated with better orgasm function.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [63]
In Canadian men 16 to 21 years old, more years of sexual experience was associated with better erectile function.
“More years of sexual experience was associated with better erectile function and being in a sexual relationship was associated with better orgasm function.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [63]
In Canadian men 16 to 21 years old, based on IIEF scores, 15.8% reported mild to moderate erectile dysfunction.
“Based on IIEF scores, 15.8% reported mild to moderate ED (IIEF scores ¼ 16 e 25), 8.8% reported moderate ED (IIEF scores ¼ 11 e 15), and 1.8% reported severe ED (IIEF scores 10).”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [63]
In Canadian men 16 to 21 years old, erectile dysfunction and low desire were the most common problems and occurred in 23.7%.
“ED and low desire were the most common problems and occurred in 23.7%.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [63]
Cites
Rosen, C. B. (2000) · Journal of Sex & Marital Therapy · doi:10.1080/009262300278597 · Cited by 6,593 · see citing works
Rosen, R. C., Riley, A., Wagner, G., Osterloh, I. H., Kirkpatrick, J., & Mishra, A. (1997) · Urology · doi:10.1016/s0090-4295(97)00238-0 · Cited by 5,849 · see citing works
Sexual Dysfunction in the United States: Prevalence and Predictors
Laumann, E. O., Paik, A., & Rosen, R. C. (1999) · JAMA · doi:10.1001/jama.281.6.537 · Cited by 5,119 · see citing works
The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores
WIEGEL, M., MESTON, C., & ROSEN, R. (2005) · Journal of Sex & Marital Therapy · doi:10.1080/00926230590475206 · Cited by 2,396 · see citing works
Sexual Experiences Survey: A research instrument investigating sexual aggression and victimization.
Koss, M. P., & Oros, C. J. (1982) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.50.3.455 · Cited by 1,444 · see citing works
Laumann, E. O., Nicolosi, A., Glasser, D. B., Paik, A., Gingell, C., Moreira, E., Wang, T., & for the GSSAB Investigators' Group (2005) · International Journal of Impotence Research · doi:10.1038/sj.ijir.3901250 · Cited by 1,415 · see citing works
Sexual Problems and Distress in United States Women: Prevalence and Correlates
Shifren, J. L., Monz, B. U., Russo, P. A., Segreti, A., & Johannes, C. B. (2008) · Obstetrics & Gynecology · doi:10.1097/aog.0b013e3181898cdb · Cited by 1,394 · see citing works
Sexual Experiences Survey: Reliability and validity.
Koss, M. P., & Gidycz, C. A. (1985) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.53.3.422 · Cited by 1,128 · see citing works
(1999) · doi:10.1016/s0090-4295(99)00099-0 · Cited by 897 · see citing works
ORIGINAL ARTICLES: Definitions/Epidemiology/Risk Factors for Sexual Dysfunction
Lewis, R. W., Fugl-Meyer, K. S., Corona, G., Hayes, R. D., Laumann, E. O., Moreira, E. D., Rellini, A. H., & Segraves, T. (2010) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2010.01778.x · Cited by 823 · see citing works
Derogatis, L. R., Rosen, R. C., Leiblum, S. R., Burnett, A. L. “., & Heiman, J. R. (2002) · Journal of Sex & Marital Therapy · doi:10.1080/00926230290001448 · Cited by 795 · see citing works
Blanc, A. K. (2001) · Studies in Family Planning · doi:10.1111/j.1728-4465.2001.00189.x · Cited by 610 · see citing works
(2003) · PubMed · Cited by 518 · see citing works
Development and Validation of a Premature Ejaculation Diagnostic Tool
Symonds, T. L., Perelman, M. A., Althof, S. E., Giuliano, F., Martin, M. L., May, K., Abraham, L., Crossland, A., & Morris, M. F. (2007) · European Urology · doi:10.1016/j.eururo.2007.01.028 · Cited by 467 · see citing works
College Students and Sexual Consent: Unique Insights
Jozkowski, K. N., & Peterson, Z. D. (2012) · The Journal of Sex Research · doi:10.1080/00224499.2012.700739 · Cited by 381 · see citing works
Long-term health correlates of timing of sexual debut: results from a national US study.
Sandfort, T. G. M., Orr, M., Hirsch, J. S., & Santelli, J. (2008) · American Journal of Public Health · doi:10.2105/ajph.2006.097444 · Cited by 381 · see citing works
How Well Does the Traditional Sexual Script Explain Sexual Coercion?
Byers, E. S. (1996) · Journal of Psychology & Human Sexuality · doi:10.1300/j056v08n01_02 · Cited by 367 · see citing works
Self-citationParent-adolescent communication about sex and birth control: A conceptual framework
Jaccard, J. J., Dodge, T. L., & Dittus, P. (2002) · New Directions for Child and Adolescent Development · doi:10.1002/cd.48 · Cited by 325 · see citing works
Simon, W., & Gagnon, J. H. (1984) · Society · doi:10.1007/bf02701260 · Cited by 310 · see citing works
Correlates of Sexually Related Personal Distress in Women with Low Sexual Desire
Rosen, R. C., Shifren, J. L., Monz, B. U., Odom, D. M., Russo, P. A., & Johannes, C. B. (2009) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2009.01252.x · Cited by 211 · see citing works
Capogrosso, P., Colicchia, M., Ventimiglia, E., Castagna, G., Clementi, M. C., Suardi, N., Castiglione, F., Briganti, A., Cantiello, F., Damiano, R., et al. (2013) · The Journal of Sexual Medicine · doi:10.1111/jsm.12179 · Cited by 167 · see citing works
Recent and Lifelong Sexual Dysfunction in a Female UK Population Sample: Prevalence and Risk Factors
Burri, A., & Spector, T. (2011) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2011.02341.x · Cited by 162 · see citing works
Gerstenberger, E. P., Rosen, R. C., Brewer, J. V., Meston, C. M., Brotto, L. A., Wiegel, M., & Sand, M. S. (2010) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2010.01871.x · Cited by 158 · see citing works
Self-citationThe Sexual Well-Being of Women Who Have Experienced Child Sexual Abuse
Lemieux, S. R., & Byers, E. S. (2008) · Psychology of Women Quarterly · doi:10.1111/j.1471-6402.2008.00418.x · Cited by 143 · see citing works
Self-citationPremature Ejaculation and Erectile Dysfunction Prevalence and Attitudes in the Asia-Pacific Region
McMahon, C. G., Lee, G., Park, J. K., & Adaikan, P. G. (2011) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2011.02507.x · Cited by 129 · see citing works
Kim, A. A., Kent, C. K., & Klausner, J. D. (2002) · AIDS · doi:10.1097/00002030-200207050-00017 · Cited by 110 · see citing works
Pelvic Floor Muscle Problems Mediate Sexual Problems in Young Adult Rape Victims
Postma, R. M., Bicanic, I., van der Vaart, C. H., & Laan, E. T. M. (2013) · The Journal of Sexual Medicine · doi:10.1111/jsm.12196 · Cited by 106 · see citing works
Sexual Function in Childhood Cancer Survivors: A Report from Project REACH
Bober, S. L., Zhou, E. S., Chen, B., Manley, P. E., Kenney, L. B., & Recklitis, C. J. (2013) · The Journal of Sexual Medicine · doi:10.1111/jsm.12193 · Cited by 106 · see citing works
Further evidence of the reliability and validity of the premature ejaculation diagnostic tool
Symonds, T. L., Perelman, M. A., Althof, S. E., Giuliano, F., Martin, M., Abraham, L., Crossland, A., Morris, M. F., & May, K. (2007) · International Journal of Impotence Research · doi:10.1038/sj.ijir.3901567 · Cited by 100 · see citing works
Risk Factors for Individual Domains of Female Sexual Function
Jiann, B., Su, C., Yu, C., Wu, T. T., & Huang, J. (2009) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2009.01494.x · Cited by 98 · see citing works
Context counts: Long‐term sequelae of premarital intercourse or abstinence
Else-Quest, N. M., Hyde, J. S., & DeLamater, J. (2005) · The Journal of Sex Research · doi:10.1080/00224490509552263 · Cited by 91 · see citing works
An Adolescent Perspective on Sexual Health Education at School and at Home: I. High School Students
Byers, E. S., Sears, H. A., Voyer, S. D., Thurlow, J. L., Cohen, J. N., & Weaver, A. D. (2003) · The Canadian Journal of Human Sexuality · Cited by 83 · see citing works
Self-citationThe 2002 Canadian Contraception Study: Part I
Fisher, W. A., Boroditsky, R. S., & Morris, B. (2004) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/s1701-2163(16)30377-2 · Cited by 82 · see citing works
Biopsychosocial Factors Associated with Dyspareunia in a Community Sample of Adolescent Girls
Landry, T., & Bergeron, S. (2010) · Archives of Sexual Behavior · doi:10.1007/s10508-010-9637-9 · Cited by 81 · see citing works
Talking sexuality: Parent-Adolescent Communication
Feldman, S. S., & Rosenthal, D. (2002) · Cited by 69 · see citing works
A PUBLIC HEALTH SUCCESS: Understanding Policy Changes Related to Teen Sexual Activity and Pregnancy
Brindis, C. D. (2005) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.27.021405.102244 · Cited by 68 · see citing works
Sexual Health of Canadian Youth: Findings from the Canadian Youth, Sexual Health and HIV/AIDS Study
Boyce, W., Doherty, M., MacKinnon, D. P., Fortin, C., Saab, H., King, M., & Gallupe, O. (2006) · The Canadian Journal of Human Sexuality · Cited by 62 · see citing works
The Crisis in Youth Mental Health: Critical Issues and Effective Programs
Guha, M. (2006) · Reference Reviews · doi:10.1108/09504120610691457 · Cited by 61 · see citing works
Tolman, D. L. (2002) · Women & Therapy · doi:10.1300/j015v24n01_21 · Cited by 60 · see citing works
Erectile Dysfunction and Viagra Use: What’s up with College-Age Males?
Musacchio, N. S., Hartrich, M., & Garofalo, R. (2006) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2005.12.021 · Cited by 54 · see citing works
Jacobs, L. A., & Pucci, D. A. (2013) · The Journal of Sexual Medicine · doi:10.1111/jsm.12050 · Cited by 54 · see citing works
National Differences in Patient–Clinician Communication Regarding Hypoactive Sexual Desire Disorder
Goldstein, I., Lines, C., Pyke, R. E., & Scheld, J. S. (2009) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2008.01204.x · Cited by 39 · see citing works
Williams, T., Connolly, J., & Cribbie, R. (2008) · Journal of Research on Adolescence · doi:10.1111/j.1532-7795.2008.00554.x · Cited by 39 · see citing works
Developing Age Appropriate Psychosexual Support for Adolescent Cancer Survivors: A Discussion Paper
Kelly, D. M. (2013) · The Journal of Sexual Medicine · doi:10.1111/jsm.12048 · Cited by 29 · see citing works
O’Sullivan, L. F., & Ronis, S. T. (2013) · Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement · doi:10.1037/a0031683 · Cited by 24 · see citing works
Self-citationCorrelates of Early Overt and Covert Sexual Behaviors in Heterosexual Women
Bickham, P. J., O’Keefe, S. L., Baker, E., Berhie, G., Kommor, M. J., & Harper-Dorton, K. V. (2007) · Archives of Sexual Behavior · doi:10.1007/s10508-007-9220-1 · Cited by 21 · see citing works
Adolescent Sexual Health & Practice—A Review of the Literature
Ahern, N. R., & Kiehl, E. M. (2006) · Family & Community Health · doi:10.1097/00003727-200610000-00008 · Cited by 15 · see citing works
Civic education in an uncivil culture
Landy, M., & McWilliams, W. C. (1985) · Society · doi:10.1007/bf02699029 · Cited by 9 · see citing works
Flagged first, then by citations
2 of the 50 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
McCabe, M. P., Sharlip, I. D., Lewis, R., Atalla, E., Balon, R., Fisher, A. D., Laumann, E., Lee, S. W., & Segraves, R. T. (2016) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2015.12.034 · Cited by 577 · see citing works
McCool-Myers, M., Zuelke, A. E., Theurich, M. A., Knuettel, H., Ricci, C., & Apfelbacher, C. (2016) · Sexual Medicine Reviews · doi:10.1016/j.sxmr.2016.03.002 · Cited by 277 · see citing works
Online Porn Addiction: What We Know and What We Don’t—A Systematic Review
de Alarcón, R., de la Iglesia, J., Casado‐Espada, N. M., & Montejo, A. L. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8010091 · Cited by 267 · see citing works
Is internet pornography causing sexual dysfunctions? A review with clinical reports
Park, B., Wilson, G., Berger, J., Christman, M., Reina, B., Bishop, F., Klam, W., & Doan, A. (2016) · Behavioral Sciences · doi:10.3390/bs6030017 · Cited by 187 · see citing works
Evans-Paulson, R., Widman, L. M., Kamke, K., & Stewart, J. (2019) · The Journal of Sex Research · doi:10.1080/00224499.2019.1661345 · Cited by 129 · see citing works
Mitchell, K. R., Geary, R. S., Graham, C. A., Datta, J., Wellings, K., Sonnenberg, P., Field, N. M., Nunns, D., Bancroft, J., Jones, K. G., et al. (2017) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.14518 · Cited by 119 · see citing works
Psychometric Validation of the Female Sexual Distress Scale in Male Samples
Santos‐Iglesias, P., Mohamed, B., Danko, A., & Walker, L. M. (2018) · Archives of Sexual Behavior · doi:10.1007/s10508-018-1146-2 · Cited by 115 · see citing works
Sexual functioning among young adult cancer patients: A 2‐year longitudinal study
Acquati, C., Zebrack, B., Faul, A. C., Embry, L. M., Aguilar, C., Block, R. G., Hayes‐Lattin, B., Freyer, D. R., & Cole, S. W. (2017) · Cancer · doi:10.1002/cncr.31030 · Cited by 89 · see citing works
The epidemiology of premature ejaculation
Saitz, T. R., & Şerefoğlu, E. C. (2016) · Translational Andrology and Urology · doi:10.21037/tau.2016.05.11 · Cited by 88 · see citing works
Sexual well-being of older men and women
Santos‐Iglesias, P., Byers, E. S., & Moglia, R. J. (2016) · The Canadian Journal of Human Sexuality · doi:10.3138/cjhs.252-a4 · Cited by 64 · see citing works
Self-citationPornography Consumption and Cognitive-Affective Distress
Privara, M., & Bob, P. (2023) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001669 · Cited by 60 · see citing works
Sexual dysfunction among youth: an overlooked sexual health concern
Moreau, C., Kågesten, A., & Blum, R. W. (2016) · BMC Public Health · doi:10.1186/s12889-016-3835-x · Cited by 59 · see citing works
Advances in understanding and treating premature ejaculation
Saitz, T. R., & Şerefoğlu, E. C. (2015) · Nature Reviews Urology · doi:10.1038/nrurol.2015.252 · Cited by 58 · see citing works
Santos‐Iglesias, P., Bergeron, S., Brotto, L. A., Rosen, N. O., & Walker, L. M. (2020) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2020.1761494 · Cited by 55 · see citing works
Self-citationA systematic review of sexual distress measures
Santos-Iglesias, P., Mohamed, B., & Walker, L. M. (2018) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2018.02.020 · Cited by 51 · see citing works
Rehman, K. U., Mahmood, M. A., Sheikh, S. S., Sultan, T., & Khan, M. (2015) · Sexual Medicine · doi:10.1002/sm2.77 · Cited by 38 · see citing works
Lo, S. S. T., & Kok, W. (2018) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2018.09.010 · Cited by 32 · see citing works
Adolescent Sexual Well-being in the 21st Century
Fortenberry, J. D. (2015) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2015.10.250 · Cited by 30 · see citing works
Sexual Activity of Older Adults: A Systematic Review of the Literature
Cameron, J., & Santos‐Iglesias, P. (2024) · International Journal of Sexual Health · doi:10.1080/19317611.2024.2318388 · Cited by 28 · see citing works
Hamel, C., Rodrigue, C., Clermont, C., Hébert, M., Paquette, L., & Dion, J. (2024) · Scientific Reports · doi:10.1038/s41598-024-56909-2 · Cited by 27 · see citing works
Byers, E. S., O’Sullivan, L. F., & Brotto, L. A. (2016) · Journal of Youth and Adolescence · doi:10.1007/s10964-016-0447-9 · Cited by 26 · see citing works
Self-citationSexual Function in 16- to 21-Year-Olds in Britain
Mitchell, K. R., Geary, R. S., Graham, C. A., Clifton, S., Mercer, C. H., Lewis, R., Macdowall, W. G., Datta, J., Johnson, A. M., & Wellings, K. (2016) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2016.05.017 · Cited by 26 · see citing works
Iqbal, S., & Jami, H. (2022) · Psychological Studies · doi:10.1007/s12646-022-00689-0 · Cited by 23 · see citing works
Girouard, A., Dion, J., Bőthe, B., O’Sullivan, L. F., & Bergeron, S. (2021) · Journal of Youth and Adolescence · doi:10.1007/s10964-021-01471-7 · Cited by 22 · see citing works
Self-citationDisfunção erétil em jovens causada por pornografia
Silva, A. F. C., Estorque, Á. D. S., & Evangelista, F. V. (2023) · Brazilian Journal of Health Review · doi:10.34119/bjhrv6n1-184 · Cited by 20 · see citing works
Azim, K. A., Happel‐Parkins, A., Moses, A., & Haardöerfer, R. (2021) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2021.02.003 · Cited by 20 · see citing works
Impact of School-Based Educational Programs on Sexual Behaviors Among Adolescents in Northern Italy
Bogani, G., Cromi, A., Serati, M., Monti, Z., Apolloni, C., Nardelli, F., Naro, E. D., & Ghezzi, F. (2014) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2014.958791 · Cited by 20 · see citing works
The Priorities of Iranian Male Adolescents Health Needs
Zare, E., Simbar, M., Shahhosseini, Z., & Majd, H. A. (2017) · American Journal of Men s Health · doi:10.1177/1557988317693346 · Cited by 19 · see citing works
Premature ejaculation in patients with lower urinary tract symptoms: a systematic review
Sihotang, R. C., Alvonico, T., Taher, A., Birowo, P., Rasyid, N., & Atmoko, W. (2020) · International Journal of Impotence Research · doi:10.1038/s41443-020-0298-5 · Cited by 19 · see citing works
Sexual Functioning in Adolescents With Major Depressive Disorder
Deumic, E., Butcher, B. D., Clayton, A. H., Dindo, L. N., Burns, T. L., & Calarge, C. A. (2016) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.15m09840 · Cited by 17 · see citing works
The Development and Validation of the Sexual and Relationship Distress Scale
Frost, R. N., & Donovan, C. L. (2018) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2018.06.004 · Cited by 16 · see citing works
The Public Health Harms of Pornography: The Brain, Erectile Dysfunction, and Sexual Violence
Foubert, J. D. (2017) · Dignity A Journal of Analysis of Exploitation and Violence · doi:10.23860/dignity.2017.02.03.06 · Cited by 16 · see citing works
Sexual Dysfunctions in the Internet Era
Mollaioli, D., Sansone, A., Romanelli, F., & Jannini, E. A. (2018) · Trends in andrology and sexual medicine · doi:10.1007/978-3-319-68306-5_15 · Cited by 15 · see citing works
Azim, K. A., Happel‐Parkins, A., Moses, A., & Haardöerfer, R. (2023) · The Journal of Sexual Medicine · doi:10.1093/jsxmed/qdac028 · Cited by 14 · see citing works
Satisfying curiosities through “sextech”: Who is accessing non-traditional sexual education?
Cormier, L. A., & O’Sullivan, L. F. (2021) · Computers in Human Behavior · doi:10.1016/j.chb.2021.106921 · Cited by 14 · see citing works
Self-citationLabia Minora Surgery in the Adolescent Population: A Cross-Sectional Satisfaction Study
Jodoin, A., & Dubuc, É. (2021) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2020.12.003 · Cited by 14 · see citing works
Prevalence of Premature Ejaculation: A Narrative Review of National and Cultural Differences
Tamas, S., Mirnics, Z., Hevesi, K., & Rowland, D. L. (2024) · Sexes · doi:10.3390/sexes5040043 · Cited by 13 · see citing works
Byers, E. S., O’Sullivan, L. F., & Hughes, K. (2019) · Sexual & Relationship Therapy · doi:10.1080/14681994.2019.1626982 · Cited by 13 · see citing works
Self-citationAnisimowicz, Y., & O’Sullivan, L. F. (2016) · Archives of Sexual Behavior · doi:10.1007/s10508-016-0865-5 · Cited by 13 · see citing works
Self-citationSukhanova, A., Pascoal, P. M., & Rosa, P. J. (2022) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2022.2035867 · Cited by 12 · see citing works
Anxiety in Attachment and Sexual Relationships in Adolescence: A Moderated Mediation Model
Santona, A. M. R., Milesi, A., Tognasso, G., Gorla, L., & Parolin, L. A. L. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19074181 · Cited by 12 · see citing works
Sexual Addiction and Christian Education
Aghamiri, F. S., & Luetz, J. M. (2021) · Innovating Christian Education Research · doi:10.1007/978-981-15-8856-3_24 · Cited by 10 · see citing works
dos Reis, M. D. M. F., Barros, E. A. C., Monteiro, L. L., Pazeto, C. L., Baccaglini, W. R. C., & Glina, S. (2021) · Sexual Medicine · doi:10.1016/j.esxm.2021.100463 · Cited by 10 · see citing works
Santos‐Iglesias, P., Castro, Á., Barbosa, M., & Nobre, P. J. (2016) · International Journal of Sexual Health · doi:10.1080/19317611.2016.1259706 · Cited by 10 · see citing works
Low sexual desire in women: amongst the confusion, could distress hold the key?
Frost, R. N., & Donovan, C. L. (2015) · Sexual & Relationship Therapy · doi:10.1080/14681994.2015.1020292 · Cited by 10 · see citing works
Pediatric-adolescent andrology: Single centre experience
Zampieri, N., & Camoglio, F. S. (2020) · Archivio Italiano di Urologia e Andrologia · doi:10.4081/aiua.2020.2.97 · Cited by 9 · see citing works
Organic and Psychogenic Causes of Sexual Dysfunction in Young Men
Dick, B. P., Reddy, A. G., Gabrielson, A. T., & Hellstrom, W. J. G. (2018) · International Journal of Medical Reviews · doi:10.29252/ijmr-040404 · Cited by 9 · see citing works
Chapa, H. O., Fish, J. T., Hagar, C., & Wilson, T. (2018) · Journal of American College Health · doi:10.1080/07448481.2018.1515751 · Cited by 8 · see citing works
Quintana, G. R., Ponce, F. P., Escudero‐Pastén, J., Santibáñez-Palma, J. F., Aguayo-Zuñiga, C. P., Carrasco‐Portiño, M., Cid-Aguayo, M., González, M., Baeza, P. I., Jarpa-Schäcker, R., et al. (2024) · Sexual Medicine · doi:10.1093/sexmed/qfae084 · Cited by 6 · see citing works
Sexual function may be impaired during pregnancy in adolescent women
Taşdemir, N., Celik, C., Abalı, R., Özer, İ., Çulha, M. G., & Şerefoğlu, E. C. (2017) · Sexual & Relationship Therapy · doi:10.1080/14681994.2016.1276552 · Cited by 6 · see citing works
O’Sullivan, L. F., Byers, E. S., & Dawson, S. J. (2021) · The Journal of Sex Research · doi:10.1080/00224499.2021.1948497 · Cited by 6 · see citing works
Self-citationGholami, M., Ahmadi, A., Taebi, M., Jahani, Y., & Alidousti, K. (2021) · Gynecologie et obstetrique · doi:10.1055/s-0041-1733914 · Cited by 5 · see citing works
Female Genital Cosmetic Surgery
Brotto, L. A., Bryce, M., & Todd, N. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108394673.013 · Cited by 6 · see citing works
Self-citationDating Violence Trajectories in Adolescence: How Do They Relate to Sexual Outcomes in Canada?
Dion, J., Hébert, M., Sadikaj, G., Girouard, A., Godbout, N., Martin‐Storey, A., Blais, M., & Bergeron, S. (2023) · Archives of Sexual Behavior · doi:10.1007/s10508-023-02625-3 · Cited by 5 · see citing works
Attitudes toward Help-Seeking for Sexual Problems among College Women
Parnell, K. J., Spiker, D. A., Johnson, T. A. K., & May, M. B. (2022) · The Journal of Sex Research · doi:10.1080/00224499.2022.2029808 · Cited by 5 · see citing works
de Souza, M. L. R. S., Silva, A. J., Valentová, J. V., & Júnior, M. D. S. (2024) · Archives of Sexual Behavior · doi:10.1007/s10508-024-03006-0 · Cited by 4 · see citing works
O’Sullivan, L. F., Majerovich, J. A., & Wuest, J. (2019) · SAGE Open Nursing · doi:10.1177/2377960819832676 · Cited by 4 · see citing works
Self-citationPereira, H., Monteiro, S., Esgalhado, G., Afonso, R. M., & Loureiro, M. J. (2017) · Revista Internacional de Andrología · doi:10.1016/j.androl.2016.10.011 · Cited by 4 · see citing works
Afeadie, R. K., & Appiah, E. A. (2025) · Reproductive Health · doi:10.1186/s12978-025-02094-y · Cited by 3 · see citing works
Waajid, M. S., Swahn, M. H., Salazar, L. F., Ramsey-White, K., & Kasirye, R. (2021) · Sexuality & Culture · doi:10.1007/s12119-021-09844-7 · Cited by 3 · see citing works
Sexual function in Brazilian female adolescents and young adults: a cross-sectional study
Negri, M., de Souza, E., Torloni, M. R., Ribeiro, M. C., Júnior, E. A., & Guazzelli, C. A. F. (2022) · Revista da Associação Médica Brasileira · doi:10.1590/1806-9282.20220232 · Cited by 3 · see citing works
Endocrine-Related Sexual Dysfunction in Young People
Talaulikar, V. S., & Sangster, P. (2024) · Endocrinology · doi:10.1007/978-3-030-18901-3_15-1 · Cited by 3 · see citing works
Men’s Feminist Identification and Reported Use of Prescription Erectile Dysfunction Medication
Silva, T. J., & Fetner, T. (2022) · The Journal of Sex Research · doi:10.1080/00224499.2022.2029810 · Cited by 3 · see citing works
Sexual Function and Problems with Adolescents and Young Adults
O’Sullivan, L. F. (2014) · Current Sexual Health Reports · doi:10.1007/s11930-014-0035-5 · Cited by 2 · see citing works
Self-citationO’Sullivan, L. F., Byers, E. S., Brotto, L. A., & Majerovich, J. A. (2015) · Europe PMC (PubMed Central) · Cited by 2 · see citing works
Self-citationSaliares, E., Wilkerson, J. M., Sieving, R. E., & Brady, S. S. (2018) · American Journal of Sexuality Education · doi:10.1080/15546128.2018.1488228 · Cited by 2 · see citing works
Predictors of sexual function in pregnant Iranian adolescents
Bahrami-Vazir, E., Mirghafourvand, M., Mohammad‐Alizadeh‐Charandabi, S., & Kamalifard, M. (2019) · International Journal of Adolescent Medicine and Health · doi:10.1515/ijamh-2018-0069 · Cited by 2 · see citing works
Galizia, R., Tripodi, F. M., Rossi, R., Michetti, P., Simonelli, C., & Nimbi, F. M. (2022) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2022.2077869 · Cited by 2 · see citing works
Viewing Pornography and Its Associated Factors Among University Health Students in Lao PDR
Chaleunvong, K., Xayhongkham, S., Ha, B. T. T., Samontry, B., Sychareun, V., & Durham, J. (2023) · Trends in Psychology · doi:10.1007/s43076-023-00331-6 · Cited by 1 · see citing works
Endocrine-Related Sexual Dysfunction in Young People
Talaulikar, V. S., & Sangster, P. (2024) · Endocrinology · doi:10.1007/978-3-030-23709-7_15 · Cited by 1 · see citing works
Selected aspects of sexual functioning in students
Jabłońska, P., Duda, A., Zięba, M., Nieckula, M., & Drosdzol-Cop, A. B. (2017) · Medycyna Ogólna i Nauki o Zdrowiu · doi:10.26444/monz/76456 · Cited by 1 · see citing works
Auswirkungen der Digitalisierung auf Sexualität und Beziehung
Melzer, H. (2019) · Nervenheilkunde · doi:10.1055/a-0928-3056 · Cited by 1 · see citing works
Sexual Health in Emerging Adulthood
Joppa, M. C., Cantor, N., & Doremus, C. F. (2021) · Oxford University Press eBooks · doi:10.1093/oso/9780190057008.003.0024 · Cited by 1 · see citing works
PORNOGRAFIA ON-LINE: UMA NOVA FORMA DE CONSUMO COMPULSIVO
MENDES, B. F. (2020) · doi:10.17771/pucrio.acad.49420 · Cited by 1 · see citing works
Silvaggi, M., Fabrizi, A., Rossi, R., Tripodi, F. M., & Simonelli, C. (2016) · RIVISTA DI SESSUOLOGIA CLINICA · doi:10.3280/rsc2016-002001
Physical Activity and Sexual Health in Men
Leško, L., Barić, R., & Ivanko, A. (2019) · Спортске науке и здравље - АПЕИРОН · doi:10.7251/ssh1802117l
Evans-Paulson, R. (2021) · NCSU Libraries Repository (North Carolina State University Libraries)
Kremska, A., Wróbel, R., & Zych, B. (2022) · MEDICAL SCIENCE PULSE · doi:10.5604/01.3001.0015.8855
Functional Symptoms in the Genitourinary System in Children and Adolescents
Koller, M. (2023) · Springer eBooks · doi:10.1007/978-3-031-18377-5_21
Sexual dysfunction and sexual life satisfaction among male students
Posavec, M., Kuzman, M., Tešić, V., Petričević, N., Marić, I., & Karin, Ž. (2018) · Paediatria Croatica · doi:10.13112/pc.506
Paladino, D. A., Gonzalez, L. M., & Watson, J. C. (2025) · Wiley eBooks · doi:10.1002/9781394347292.ch22
Jurin, T., Koletić, G., Baćak, V., & Štulhofer, A. (2025) · Sexual & Relationship Therapy · doi:10.1080/14681994.2025.2507786
Fun sex is healthy sex: Why isn’t that on the curriculum?
O’Sullivan, L. F. (2017) · doi:10.64628/aam.fhqpwt6ag
Self-citationPerceived Partner Responsiveness Is Associated With Adolescent Sexual Wellbeing Over 1 Year
Couture, S., Dion, J., Girouard, A., Vaillancourt‐Morel, M., Paquette, M., O’Sullivan, L. F., & Bergeron, S. (2026) · Journal of Adolescence · doi:10.1002/jad.70109
Self-citationPrivara, M., & Bob, P. (2026) · Medicine · doi:10.1097/md.0000000000048856
Yagubov, M. I., Владимировна, Д. Н., & Рудольфовна, А. И. (2026) · Лечащий врач · doi:10.51793/os.2026.29.6.007
Childhood exposure to pornography and the normalization of online exploitation
Olson, H. (2026) · Nursing · doi:10.1097/nsg.0000000000000432
- Authors
- O'Sullivan, L. F., Brotto, L. A., Byers, E. S., Majerovich, J. A., & Wuest, J. A.
- Affiliations
- Department of Psychology , Fredericton, NB , Canada
- University of British Columbia (CA)
- University of New Brunswick (CA)
- Venue
- The Journal of Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-03-01
- Volume
- 11
- Issue
- 3
- Pages
- 630-641
- ISSN
- 1743-6095 (ISSN-L)
- 1743-6109
- OpenAlex
- W2105652229
- Cited by
- 87
- References
- 50
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 8 · 2023: 6 · 2022: 8 · 2021: 11 · 2020: 4 · 2019: 8 · 2018: 8 · 2017: 8 · 2016: 13 · 2015: 5 · 2014: 2
- FWCI
- 7.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Journal of Sexual Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (MOP210316)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Keywords
- sexual distress, erectile dysfunction, premature ejaculation, female sexual dysfunction, sexual function, sexual experience, relationship context, gender differences
- MeSH terms
- Adolescent, Adult, Canada, Female, Health Surveys, Humans, Male, Sexual Behavior, Sexual Dysfunction, Physiological, Sexual Partners, Stress, Psychological, Prevalence, Sexual Dysfunctions, Psychological, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
