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PubMed2003

Pushing the wrong buttons: men's and women's attitudes toward online and offline infidelity.

Despite current researchers' interest in the study of online sexual addiction, there is a dearth of research available on what constitutes online infidelity. This paper attempts to redress this balance by comparing 1,117 participants' attitudes toward online and offline acts of infidelity. A factor analysis was carried out that yielded three components of infidelity: sexual infidelity, emotional infidelity, and pornography. More importantly, this study revealed that online acts of betrayal do not fall into a discrete category of their own. A MANOVA was performed and revealed a statistically significant difference on the combined dependent variables for the interaction of gender by age, age by relationship status, and Internet sexual experience. The hypotheses were, in part, supported. However, counter to what was predicted, in the main younger people were more likely to rate sexual acts as acts of betrayal than older individuals. It is concluded here that individuals do perceive some online interactions to be acts of betrayal. In contrast to some researchers' claims, it is suggested here that we do need to consider how bodies are reconstructed online. Moreover, these results have important implications for any treatment rationale for infidelity (both online and offline).

Adolescent↗
PubMed1995

Reliability of reports of sexual behavior: a study of married couples in rural west Africa.

A heterosexual partners survey in rural Senegal, Africa, was carried out in 1992 to evaluate the reliability of self-reported answers about sexual practices. The authors followed 62 married couples weekly during a 5-week period to assess the level of agreement 1) between answers made by members of the same couple but collected separately, 2) between retrospective reporting of sexual activity during the last 4 weeks versus weekly reporting of sexual activity during 4 weeks, and 3) between answers to a set of identical retrospective questions asked 5 weeks apart. Reports over recent and short periods of time such as 7 days are reliable: The dates of sexual acts with spouse reported during the weekly interviews were concordant between members of a couple at 0-day or 1-day intervals in 72% of cases. The concordance of weeks reported with or without intercourse was also high. Reports over longer periods of time are less reliable: The comparison of retrospective reports versus weekly reports regarding mean number of sexual acts during the last 4 weeks shows a clear overreporting that was higher among men (4.5 vs. 2.7 sexual acts) than among women (3.7 vs. 2.7).

Adolescent↗
PubMed1995

Behavioral factors explaining the low risk for cervical carcinoma in Utah Mormon women.

We used data from a population-based case-control study conducted in Utah from 1984 to 1987 to determine whether the low incidence of cervical carcinoma in Mormon women can be explained by adherence to their religious teachings, which proscribe smoking and extramarital sexual relations. Mormon women had substantially lower risk for cervical carcinoma than non-Mormons [odds ratio (OR) = 0.39; 95% confidence interval (CI) = 0.28-0.54]; this low risk was confined to those who attended church frequently. The protective effect disappeared after controlling for differences in age, sexual behavior, and smoking (OR = 1.22; 95% CI = 0.80-1.87).

Adult↗
PubMed2000

Links between premarital sexual behaviour and extramarital intercourse: a multi-site analysis.

OBJECTIVES: Data from Côte d'Ivoire, Tanzania, Lusaka and Thailand were used to explore the relationship between premarital and extramarital sexual activity in men. DESIGN: Analysis was performed on data collected in the Global Programme on AIDS/WHO programme of stratified probability sample surveys of sexual behaviour of men and women aged 15 to at least 49 years interviewed face to face in 1989/1990. This analysis was restricted to male respondents currently married or in a regular partnership for at least a year. METHODS: Predictors of extramarital intercourse (EMI) in the preceding year were assessed using crude and adjusted odds ratios (OR), and 95% confidence intervals were calculated for a set of behavioural and sociodemographic variables that were believed a priori to be associated with EMI. RESULTS: Bivariate analysis showed that younger age at sexual debut, marriage to someone other than the debut partner and a higher number of sex partners before first marriage were significantly associated with enhanced probability of EMI in the past year in all sites. The adjusted OR indicated that in Côte d'lvoire and Tanzania the age at debut and in Tanzania and Thailand the number of sex partners before marriage were significantly associated with EMI in the past year. CONCLUSION: Characteristics of premarital conduct such as age at sexual debut, length of acquaintance with debut partner and number of premarital partners were significantly associated with EMI in men later in life. This continuity in sexual conduct over the life course was open to several competing interpretations, but sexual socialization in adolescence was likely to be at least a contributory factor.

Adolescent↗
PubMed2001

Educational level is associated with condom use within non-spousal partnerships in four cities of sub-Saharan Africa.

BACKGROUND: Rates of condom use in sub-Saharan Africa have remained too low to curb HIV/sexually transmitted disease (STD) epidemics. A better understanding of the main determinants of condom use would aid promotion. METHODS: Cross-sectional population surveys were conducted in four cities in sub-Saharan Africa: Yaoundé, Cameroon; Cotonou, Benin; Ndola, Zambia; and Kisumu, Kenya. In each city, the aim was to interview a random sample of 1000 men and 1000 women aged 15--49 years, including questions on characteristics of non-spousal partnerships in the past 12 months. RESULTS: Data on condom use were available for 4624 non-spousal partnerships. In the four cities, the proportion of partnerships in which condoms were used always or most of the time ranged from 23.8 to 33.5% when reported by men and from 10.7 to 25.9% when reported by women. Based on the reports from men, condom use was associated with higher educational level of the male partner in Yaoundé [adjusted odds ratio (aOR) = 1.76] and Ndola (aOR = 2.94) and with higher educational level of the female partner in Cotonou (aOR = 2.36) and Kisumu (aOR = 2.76). Based on the reports from women, condom use was associated with higher educational level of the female partner in Kisumu (aOR = 2.60) and Ndola (aOR = 4.50) and with higher educational level of the male partner in Yaoundé (aOR = 3.32). Associations with other determinants varied across cities and for men and women. CONCLUSIONS: Education was found to be a key determinant of condom use in all four cities. This suggests that educational level increases response to condom promotion and highlights the need for special efforts to reach men and women with low educational attainment.

Adolescent↗
PubMed1979

Recurrent pathological jealousy.

A 36-year-old man suffered from pathological jealousy during three marriages. The episodes involving delusions of infidelity were usually preceded by premonitory symptoms. At first, the patient responded by discontinuing his medication (a phenothiazine) so that he might remain vigilant. Later he came to recognize the premonitory symptoms as signals indicating a need for help, and he would request hospitalization. In the periods between his marriages he was never troubled by feelings of jealousy. The chief determinant of delusions of infidelity in this instance, as in three reported by Docherty and Ellis, seemed to be exposure to the mother's extramarital sexual relations. This case, in which three different wives were subjected to the same pattern of behavior, would seem to be an exception to the rule that if marital problems occur both partners are responsible for creating them.

Adult↗
PubMed2000

Epidemiologic trends of sexually transmitted diseases in China.

OBJECTIVE: To describe the current epidemiology of sexually transmitted diseases (STDs), we analyzed the time trends in distribution of reported cases of STDs in China from 1989 to 1998. STUDY DESIGN: Based on the computerized database of the National System of STD Surveillance, a retrospective study of STD cases reported from 1989 to 1998 was carried out. RESULTS: From 1989 to 1998, STD incidence increased significantly in men and women and demonstrated nonlinear growth trends, with the exception of gonorrhea incidence. Between 1990 and 1998, the incidence increased more in females (4.20 times) than that in males (3.79 times). Syphilis incidence increased approximately 20 times during this period at an average annual rate of 52.7%. Gonorrhea incidence increased 2.6 times during this period at an average annual rate of 11.4%, which reached a plateau from 1994 to 1997. Extramarital transmission as source of STD infection has significantly increased from 1995 to 1998. CONCLUSION: The incidence of STDs has continued to increase in China from 1989 to 1998. The epidemic patterns are different from rates in developed counties in which behavior interventions have been successfully implemented, suggesting the need for active behavioral-intervention programs in China.

Adolescent↗
PubMed2001

Healthcare-seeking behavior and sexual behavior of patients with sexually transmitted diseases in Nairobi, Kenya.

BACKGROUND: Sexual and health-seeking behaviors are important components of sexually transmitted disease (STD) control. GOALS: To generate data for improved STD prevention and care, and to assess sexual behavior and relevant health-seeking behavior. STUDY DESIGN: A questionnaire to elicit social, demographic, healthcare-seeking, and sexual behavior information was administered to 471 patients attending the referral clinic for STDs in Nairobi, Kenya. RESULTS: A large proportion of the patients had sought treatment in public and private sectors before attending the clinic for STDs. Women waited longer than men to seek medical care. In addition, women more than men engaged in sex while symptomatic, mostly with their regular partner. Condoms were used rarely during illness. In their self-reports, 68% of the men admitted to having extramarital affairs, and 30% to paying for sex, yet they blamed their wives for their STDs. CONCLUSION: Health education messages in Kenya need adaptation to improve health-seeking behavior and safe sex practices.

Adult↗
PubMed2004

Factors affecting HIV concordancy in married couples in four African cities.

OBJECTIVE: To determine risk factors for HIV transmission within married couples in four urban populations in sub-Saharan Africa. METHODS: Data from a cross-sectional population-based study were used. Representative random samples approximating 1000 men and 1000 women in each of four cities of Kisumu (Kenya), Ndola (Zambia), Cotonou (Benin), and Yaoundé (Cameroon), were interviewed and tested for sexually transmitted infections (STI). Married couples were identified as concordant negative, discordant, or concordant positive for each STI. After excluding concordant HIV negative couples, analysis of behavioural and STI risk factors for HIV positive concordancy was undertaken across the four cities and in each city separately where sample size allowed. RESULTS: Among 221 couples in which at least one member was HIV positive, we found that the only significant risk factor for positive HIV concordancy was herpes simplex type 2 (HSV-2) status. After adjusting for age and city of residence the odds ratio for HIV concordancy compared to couples with neither spouse HSV-2 positive was 3.4 (95% confidence interval, 0.62-18.4) for couples with one partner HSV-2 positive and 8.6 (95% confidence interval, 1.6-45.0) for couples with both partners HSV-2 positive. The same trends were seen in Kisumu and Ndola when they were analysed separately (numbers were small in the other cities). CONCLUSIONS: Although cross-sectional studies are not ideal for delineating the sequence of transmission events, this study adds to the evidence that HSV-2 is a key risk factor in promoting HIV transmission.

Adolescent↗
PubMed2005

Risk of HIV transmission within marriage in rural China: implications for HIV prevention at the family level.

BACKGROUND: Little is known about HIV transmission at the family level in China. GOAL: : We examined the risks for HIV transmission between husbands and wives and from parents to children in a rural area where HIV spread among former commercial blood donors. STUDY: A cross-sectional study was conducted among 605 (302 couples) marriage license applicants. RESULTS: More males (64.6%) than females (52.1%) reported having had premarital sex and multiple sex partners (12.6% and 6.9%, respectively). Among those having had multiple sex partners, 8.5% reported often or always using condoms. Only 36.8% of the couples agreed that they would not plan to have a baby after knowing the status of HIV infection. Approximately 43% of the couples agreed that they would use condoms consistently if 1 of them were HIV-positive. CONCLUSIONS: There is an urgent need for national programs to prevent HIV infection within couples in rural areas.

Adolescent↗
PubMed2006

Major histocompatibility complex alleles, sexual responsivity, and unfaithfulness in romantic couples.

Preferences for mates that possess genes dissimilar to one's own at the major histocompatibility complex (MHC), a polymorphic group of loci associated with the immune system, have been found in mice, birds, fish, and humans. These preferences may help individuals choose genetically compatible mates and may adaptively function to prevent inbreeding or to increase heterozygosity and thereby immunocompetence of offspring. MHC-dissimilar mate preferences may influence the psychology of sexual attraction. We investigated whether MHC similarity among romantically involved couples (N= 48) predicted aspects of their sexual relationship. All women in our sample normally ovulated, and alleles at three MHC loci were typed for each person. As the proportion of MHC alleles couples shared increased, women's sexual responsivity to their partners decreased, their number of extrapair sexual partners increased, and their attraction to men other than their primary partners increased, particularly during the fertile phase of their cycles.

Adolescent↗
PubMed1993

Divorce in the Kibbutz: lessons to be drawn.

The kibbutz in Israel constitutes one of the few places in Western culture where one is able to examine the essence of an "authentic emotional divorce" because of the minor role of factors that are extraneous to the disruption of the emotional marital attachment itself. This is the case because the kibbutz is a society that is based and functions upon principles that neutralize to a large extent the legal, economic, and co-parenting obstacles to a constructive divorce. Although there are significant differences in the severity of the postdivorce conflict, the divorce crisis is rather similar in kibbutz and non-kibbutz settings regarding both the quality of the emotional responses and the nature of the influencing factors--thus pointing to the ubiquitousness of the human condition.

Adaptation, Psychological↗
PubMed1994

The geometry of the eternal triangle.

Jealousy is often imputed to psychopathology in the protagonist. Psychodynamically, it can be attributed to an ego-deficiency, chronic insecurity, or a deflected libidinal drive. We propose that, when a primary love relationship is threatened, jealousy is best understood from a systems perspective. Three individuals create the experience of jealousy in one of them, which results in a pathogenic "eternal triangle" composed of: the jealous partner who seeks to woo and/or punish an errant mate; the architect of the triangle who takes a lover to supplement the marriage or supplant the mate; and a third person who intrudes across the boundaries of the couple. Therapists must be aware of the role of each agent in order to deal with the volatile, yet highly enduring configuration of the triangle.

Adaptation, Psychological↗
PubMed1998

Understanding betrayals in marriage: a synthesized model of forgiveness.

Forgiveness is an issue that is problematic for many couples, particularly those in marital therapy. However, little attention has been paid to this construct in the psychological literature. The purpose of this article is to describe a synthesized model of forgiveness using constructs from multiple theories, including forgiveness, trauma recovery, cognitive-behavioral, family systems, and insight-oriented theories. Forgiveness is conceptualized as a process consisting of three stages, each of which has cognitive, behavioral, and affective components. Furthermore, these stages seem to parallel a person's natural response to traumatic stress. First, there is a response to the initial impact; second, there is an attempt to give the event some kind of meaning, or put it into context; and finally, the person begins to move forward and readjust. Forgiveness is conceptualized as attaining: (a) a realistic, nondistorted, balanced view of the relationship; (b) a release from being controlled by negative affect toward the participating partner; and (c) a lessened desire to punish the participating partner. Implications for marital therapy also are discussed.

Adaptation, Psychological↗