Exploring Mechanisms of Measurement Discrepancy: Perceived Acceptability and Efficiency of Two Sexual Victimization Questionnaires

Background: Obtaining accurate prevalence rates of sexual violence is made difficult by discrepancies in self-reporting questionnaires. Thus, the current study sought to explore participants' perceptions of acceptability (i.e., perceived difficulty, readability, and preference) of questionnaires as an important psychometric indicator and a potential mechanism of discrepancy between different questionnaires assessing sexual victimization. Methods: Participants were 673 college students who completed the Sexual Experiences Survey-Short Form Victimization (SES-SFV) and the Post-Refusal Sexual Persistence Scales-Victimization (PRSPS-V). Participants then answered questions about each measure's perceived difficulty and their preference between the two. Flesch-Kincaid Reading Grade Level and efficiency (i.e., number of items: number of cases identified) were also analyzed. Results: Participants found the PRSPS-V easier to understand and preferred it 2.5 to1 over the SES-SFV. Preference was related to reporting; participants who preferred the PRSPS-V reported more instances of sexual victimization on the PRSPS-V. The PRSPS-V was objectively easier to comprehend according to Flesch-Kincaid levels and was two times more efficient than the SES-SFV in the number of cases detected per item administered. Conclusions: Our results indicate that acceptability impacts reported prevalence rates and is one mechanism for documented discrepancies between sexual violence questionnaires. Thus, it may behoove researchers to consider acceptability as a metric of interest when choosing sexual victimization questionnaires.

Predicting College Women’s Self-esteem Based on Verbal Coercion Experience and Verbal Tactic Items on the Revised Sexual Experiences Survey

Verbal coercion experience is common among college women and has sometimes been associated with lower self-esteem. The current study examined self-esteem based on the two verbal coercion items included in the latest version of the most popular measure of sexual victimization experience, the Sexual Experiences Survey-Short Form Victimization (SES-SFV; Koss et al., 2007 ). One item includes verbal tactics categorized as “threat” and the other item includes verbal tactics categorized as “criticism.” Undergraduate women ( n = 479) completed the Rosenberg Self-Esteem Scale and the SES-SFV. Results showed that women who experienced criticism reported lower self-esteem than those who did not experience criticism. However, threat experience was not significantly related to women’s self-esteem. Findings support Koss et al.’s suggestion that criticism tactics are more negative than threat tactics, and imply that self-esteem may be negatively associated with some sexually coercive verbal tactics but not associated with others. Future researchers should pay careful attention to operational definitions of verbal coercion.

Nonconsensual Sexual Experience Histories of Incarcerated Men: A Mixed Methods Approach

Nonconsensual sexual experiences (NSEs) may contribute to mental health concerns among incarcerated individuals, yet NSEs are understudied in this population. This study takes a novel approach in examining the prevalence of NSEs among incarcerated males by utilizing both quantitative and qualitative measures. The sample consisted of 189 men from three provincial maximum-security prisons in Ontario, Canada. Based on quantitative findings, 44.2% of the sample experienced NSEs before the age of 18, and 41.7% of the sample endorsed an experience that fit the legal definition of a NSEs as adults. Participants also responded to a qualitative open-ended question about their history of NSEs. Based on qualitative findings, a total of 23% of the men reported at least one incident of a NSE (e.g., child and adult). Based Findings highlight the high prevalence of NSEs among incarcerated men with quantitative responses demonstrating how the use of a behavioral questionnaire may, to some extent, correct for underreporting of NSEs. Qualitative responses illustrate the lived experience of incarcerated men and provide a deeper understanding of their NSEs. Responses also speak to the lack of resources and support available to these men. Findings underscore the need for proactive approaches in meeting mental health needs of incarcerated men in general and with regard to NSEs in particular. Results may inform the development of future correctional procedures (i.e., intake protocols that account for men with NSEs) and resources to support incarcerated men in navigating the psychological impact of non-consensual sexual experiences.

The Effect of Gender and Body Image Satisfaction on Sexual Function in Patients with Head and Neck Cancer Treated with Radiotherapy/Chemoradiotherapy

Aims: The study was was conducted to determine the changes in sexual functions and the effect of gender and body image satisfaction on sexual function in patients with head and neck cancer who received radiotherapy or chemoradiotherapy after starting treatment. Methods: Forty three patients who underwent radiotherapy, radiotherapy (RT) or chemoradiotherapy (CRT) due to the diagnosis of head and neck cancer between October 2019 and March 2020 were included in the descriptive and correlational study. Research data were collected using the Structured Information Form, Arizona Sexual Experiences Scale and Body Image Satisfaction Scale at two different times, before and 6 weeks after the start of treatment. Results: Most of the patients participating in the study were male (55.8%) and married (74.4%). In the study, 69.8% of the patients had disease stages 1 and 2, and 65.1% of the patients had cancer in the pharynx and larynx. It was determined that 72.1% of the patients did not have a sexual problem before the diagnosis, and 90.7% of them had sexual problems after the diagnosis. There was a significant difference between the mean Arizona Sexual Experiences Scale scores of the patients before and after 6 weeks of RT/CRT (p<0.01); gender and Body Image Satisfaction Scale score significantly affected Arizona Sexual Experiences Scale score (R2=0.656, p<0.01). Conclusion: The treatment process in patients diagnosed with head and neck cancer undergoing RT/CRT causes sexual problems and worsening in sexual functions. Gender and body image satisfaction affect sexual function by 66%.

Studying Sex to Understand Sexual Assault

This book review explores Sexual Citizens: A Landmark Study of Sex, Power, and Assault on Campus by Jennifer S. Hirsch and Shamus Khan, and describes the complicated nature of sexual experiences as an undergraduate.

Virginity beliefs in lesbian, gay, and bisexual individuals experiencing same- and different-sex “first” times

The purpose of the current study was to explore first sex experiences in lesbian, gay, and bisexual individuals (LGB) using the Virginity Beliefs Framework ( Carpenter, 2001 ; Humphreys, 2013 ; Eriksson & Humphreys, 2014 ). The specific focus was on LGB individuals who have had both a sexual experience with a member of a different sex and a member of the same sex. This phenomenon is what the current study is defining as second virginity loss. Participants consisted of 275 self-identified LGB individuals; the sample was approximately half women (57%) between the ages of 18 and 56. Further, six semi-structured interviews were conducted to gain a clearer understanding of LGB individuals first sex experiences. Two primary research questions were proposed: (1) how do the virginity belief frames map onto the two “first” sexual experiences of LGB individuals? and (2) are there differences in the virginity belief frames between the two “first” times? Results found that LGB individuals hold stronger process beliefs than gift or stigma beliefs for both of their “first” times. The qualitative interviews suggested that the process of understanding virginity was enmeshed with a larger exploration, and eventual validation, of sexual identity. There was also a significant drop in the strength of some of the gift, process, and stigma beliefs from different-sex experience to same-sex experience for many in the gay and bisexual samples, but not in the lesbian sample. The current study is the first to explore the phenomenon of second virginity loss in LGB individuals and could be used as a foundation for future research on LGB first sexual experiences.