Sexual (Dis)satisfaction and Its Contributors Among People Living with HIV Infection in Sweden
Earlier research reports lower sexual satisfaction among people living with HIV (PLHIV) compared to HIV-negative persons. A number of psychosocial factors directly associated with sexual dissatisfaction have been identified. Little is known about sexual satisfaction and their contributors among PLHI...
Gespeichert in:
| Veröffentlicht in: | Archives of sexual behavior 2018-10, Vol.47 (7), p.2007-2026 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2026 |
|---|---|
| container_issue | 7 |
| container_start_page | 2007 |
| container_title | Archives of sexual behavior |
| container_volume | 47 |
| creator | Schönnesson, Lena Nilsson Zeluf, Galit Garcia-Huidobro, Diego Ross, Michael W. Eriksson, Lars E. Ekström, Anna Mia |
| description | Earlier research reports lower sexual satisfaction among people living with HIV (PLHIV) compared to HIV-negative persons. A number of psychosocial factors directly associated with sexual dissatisfaction have been identified. Little is known about sexual satisfaction and their contributors among PLHIV in Sweden. The aim of this study was to examine direct and indirect effects of variables within sociodemographic, clinical HIV-related, psychological, and sexual domains on sexual (dis)satisfaction among PLHIV in Sweden. Data for this study were derived from a nationally representative, anonymous survey among PLHIV conducted in 2014 (
n
= 1096). Statistical analysis included four steps: descriptive analyses, identification of variables associated with sexual (dis)satisfaction, identification of variables associated with those contributors of sexual (dis)satisfaction, and a path model integrating all these analyses. A total of 49% of participants reported being sexually dissatisfied, and no significant differences were observed when non-heterosexual men, heterosexual men, and women were compared. Among women, a negative change in sex life after HIV diagnosis and distress with orgasmic difficulties was directly associated with sexual dissatisfaction. For men, hopelessness, high HIV stigma, sexual inactivity in the last 6 months, and a negative change in sex life after HIV diagnosis were directly associated with sexual dissatisfaction. Path analyses showed in both men and women significant indirect associations between not being involved in an intimate relationship, lower self-reported CD4 cell counts, and perceiving obligation to disclose HIV status to sexual partners as a barrier to look for a long-term partner and sexual dissatisfaction. Our results show that despite good treatment outcomes, the HIV diagnosis has a negative bearing on sexual satisfaction. The need for gender-tailored interventions and clinical implications of these findings are discussed. |
| doi_str_mv | 10.1007/s10508-017-1106-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_490483</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2002037030</sourcerecordid><originalsourceid>FETCH-LOGICAL-c508t-99d70f9c489473dfc0d26391a99c64968ffd75edf396e12fde870d03d54397413</originalsourceid><addsrcrecordid>eNp1kU1vEzEQhi0EomnhB3BBlriUw8L4I-v1BakKH40UCaQCRyx3PU5dNnZY7zbl3-N2Q6FIXOyx53nHnnkJecbgFQNQrzODOTQVMFUxBnXFH5AZmytR8QbgIZkBgKzKwg_IYc6XJVK1nD8mB1xLyaSoZ-TbGV6PtqPHb0N-me0QsrftEFKkNjq6HDJdpDj04XwcUp_pySbFNf2EadshXYWrUE67MFzQ0-VXuoweJ22I9GyHDuMT8sjbLuPT_X5Evrx_93lxWq0-flguTlZVWxoYKq2dAq9b2WiphPMtOF4LzazWbS113Xjv1BydF7pGxr3DRoED4eZSaCWZOCLVVDfvcDuem20fNrb_aZINZn_1vURopAbZiMK_mfiS2aBrsfRou3uy-5kYLsw6XZkatFK8KQWO9wX69GPEPJhNyC12nY2Yxmx4mTpnjbhFX_yDXqaxj2UctxQIBQIKxSaq7VPOPfq7zzAwN26byW1T3DY3bhteNM__7uJO8dveAvD9WEoqrrH_8_T_q_4Ck6W06A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2002037030</pqid></control><display><type>article</type><title>Sexual (Dis)satisfaction and Its Contributors Among People Living with HIV Infection in Sweden</title><source>MEDLINE</source><source>SWEPUB Freely available online</source><source>Springer Nature - Complete Springer Journals</source><creator>Schönnesson, Lena Nilsson ; Zeluf, Galit ; Garcia-Huidobro, Diego ; Ross, Michael W. ; Eriksson, Lars E. ; Ekström, Anna Mia</creator><creatorcontrib>Schönnesson, Lena Nilsson ; Zeluf, Galit ; Garcia-Huidobro, Diego ; Ross, Michael W. ; Eriksson, Lars E. ; Ekström, Anna Mia</creatorcontrib><description>Earlier research reports lower sexual satisfaction among people living with HIV (PLHIV) compared to HIV-negative persons. A number of psychosocial factors directly associated with sexual dissatisfaction have been identified. Little is known about sexual satisfaction and their contributors among PLHIV in Sweden. The aim of this study was to examine direct and indirect effects of variables within sociodemographic, clinical HIV-related, psychological, and sexual domains on sexual (dis)satisfaction among PLHIV in Sweden. Data for this study were derived from a nationally representative, anonymous survey among PLHIV conducted in 2014 (
n
= 1096). Statistical analysis included four steps: descriptive analyses, identification of variables associated with sexual (dis)satisfaction, identification of variables associated with those contributors of sexual (dis)satisfaction, and a path model integrating all these analyses. A total of 49% of participants reported being sexually dissatisfied, and no significant differences were observed when non-heterosexual men, heterosexual men, and women were compared. Among women, a negative change in sex life after HIV diagnosis and distress with orgasmic difficulties was directly associated with sexual dissatisfaction. For men, hopelessness, high HIV stigma, sexual inactivity in the last 6 months, and a negative change in sex life after HIV diagnosis were directly associated with sexual dissatisfaction. Path analyses showed in both men and women significant indirect associations between not being involved in an intimate relationship, lower self-reported CD4 cell counts, and perceiving obligation to disclose HIV status to sexual partners as a barrier to look for a long-term partner and sexual dissatisfaction. Our results show that despite good treatment outcomes, the HIV diagnosis has a negative bearing on sexual satisfaction. The need for gender-tailored interventions and clinical implications of these findings are discussed.</description><identifier>ISSN: 0004-0002</identifier><identifier>EISSN: 1573-2800</identifier><identifier>DOI: 10.1007/s10508-017-1106-2</identifier><identifier>PMID: 29441436</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Behavioral Science and Psychology ; Disclosure ; Female ; Gender differences ; Heterosexuality ; HIV ; HIV Infections - psychology ; Human immunodeficiency virus ; Humans ; Logistic Models ; Male ; Middle Aged ; Orgasm ; Original Paper ; Psychology ; Public Health ; Sexual Behavior ; Sexual Behavior - psychology ; Sexual Partners ; Social psychology ; Social Sciences ; Social Stigma ; Sweden</subject><ispartof>Archives of sexual behavior, 2018-10, Vol.47 (7), p.2007-2026</ispartof><rights>The Author(s) 2018</rights><rights>Archives of Sexual Behavior is a copyright of Springer, (2018). All Rights Reserved. © 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-99d70f9c489473dfc0d26391a99c64968ffd75edf396e12fde870d03d54397413</citedby><cites>FETCH-LOGICAL-c508t-99d70f9c489473dfc0d26391a99c64968ffd75edf396e12fde870d03d54397413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10508-017-1106-2$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10508-017-1106-2$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,776,780,881,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29441436$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:138867198$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Schönnesson, Lena Nilsson</creatorcontrib><creatorcontrib>Zeluf, Galit</creatorcontrib><creatorcontrib>Garcia-Huidobro, Diego</creatorcontrib><creatorcontrib>Ross, Michael W.</creatorcontrib><creatorcontrib>Eriksson, Lars E.</creatorcontrib><creatorcontrib>Ekström, Anna Mia</creatorcontrib><title>Sexual (Dis)satisfaction and Its Contributors Among People Living with HIV Infection in Sweden</title><title>Archives of sexual behavior</title><addtitle>Arch Sex Behav</addtitle><addtitle>Arch Sex Behav</addtitle><description>Earlier research reports lower sexual satisfaction among people living with HIV (PLHIV) compared to HIV-negative persons. A number of psychosocial factors directly associated with sexual dissatisfaction have been identified. Little is known about sexual satisfaction and their contributors among PLHIV in Sweden. The aim of this study was to examine direct and indirect effects of variables within sociodemographic, clinical HIV-related, psychological, and sexual domains on sexual (dis)satisfaction among PLHIV in Sweden. Data for this study were derived from a nationally representative, anonymous survey among PLHIV conducted in 2014 (
n
= 1096). Statistical analysis included four steps: descriptive analyses, identification of variables associated with sexual (dis)satisfaction, identification of variables associated with those contributors of sexual (dis)satisfaction, and a path model integrating all these analyses. A total of 49% of participants reported being sexually dissatisfied, and no significant differences were observed when non-heterosexual men, heterosexual men, and women were compared. Among women, a negative change in sex life after HIV diagnosis and distress with orgasmic difficulties was directly associated with sexual dissatisfaction. For men, hopelessness, high HIV stigma, sexual inactivity in the last 6 months, and a negative change in sex life after HIV diagnosis were directly associated with sexual dissatisfaction. Path analyses showed in both men and women significant indirect associations between not being involved in an intimate relationship, lower self-reported CD4 cell counts, and perceiving obligation to disclose HIV status to sexual partners as a barrier to look for a long-term partner and sexual dissatisfaction. Our results show that despite good treatment outcomes, the HIV diagnosis has a negative bearing on sexual satisfaction. The need for gender-tailored interventions and clinical implications of these findings are discussed.</description><subject>Adult</subject><subject>Behavioral Science and Psychology</subject><subject>Disclosure</subject><subject>Female</subject><subject>Gender differences</subject><subject>Heterosexuality</subject><subject>HIV</subject><subject>HIV Infections - psychology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orgasm</subject><subject>Original Paper</subject><subject>Psychology</subject><subject>Public Health</subject><subject>Sexual Behavior</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual Partners</subject><subject>Social psychology</subject><subject>Social Sciences</subject><subject>Social Stigma</subject><subject>Sweden</subject><issn>0004-0002</issn><issn>1573-2800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><sourceid>D8T</sourceid><recordid>eNp1kU1vEzEQhi0EomnhB3BBlriUw8L4I-v1BakKH40UCaQCRyx3PU5dNnZY7zbl3-N2Q6FIXOyx53nHnnkJecbgFQNQrzODOTQVMFUxBnXFH5AZmytR8QbgIZkBgKzKwg_IYc6XJVK1nD8mB1xLyaSoZ-TbGV6PtqPHb0N-me0QsrftEFKkNjq6HDJdpDj04XwcUp_pySbFNf2EadshXYWrUE67MFzQ0-VXuoweJ22I9GyHDuMT8sjbLuPT_X5Evrx_93lxWq0-flguTlZVWxoYKq2dAq9b2WiphPMtOF4LzazWbS113Xjv1BydF7pGxr3DRoED4eZSaCWZOCLVVDfvcDuem20fNrb_aZINZn_1vURopAbZiMK_mfiS2aBrsfRou3uy-5kYLsw6XZkatFK8KQWO9wX69GPEPJhNyC12nY2Yxmx4mTpnjbhFX_yDXqaxj2UctxQIBQIKxSaq7VPOPfq7zzAwN26byW1T3DY3bhteNM__7uJO8dveAvD9WEoqrrH_8_T_q_4Ck6W06A</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Schönnesson, Lena Nilsson</creator><creator>Zeluf, Galit</creator><creator>Garcia-Huidobro, Diego</creator><creator>Ross, Michael W.</creator><creator>Eriksson, Lars E.</creator><creator>Ekström, Anna Mia</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7R6</scope><scope>7X7</scope><scope>7XB</scope><scope>888</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQGEN</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>QXPDG</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20181001</creationdate><title>Sexual (Dis)satisfaction and Its Contributors Among People Living with HIV Infection in Sweden</title><author>Schönnesson, Lena Nilsson ; Zeluf, Galit ; Garcia-Huidobro, Diego ; Ross, Michael W. ; Eriksson, Lars E. ; Ekström, Anna Mia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-99d70f9c489473dfc0d26391a99c64968ffd75edf396e12fde870d03d54397413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Behavioral Science and Psychology</topic><topic>Disclosure</topic><topic>Female</topic><topic>Gender differences</topic><topic>Heterosexuality</topic><topic>HIV</topic><topic>HIV Infections - psychology</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orgasm</topic><topic>Original Paper</topic><topic>Psychology</topic><topic>Public Health</topic><topic>Sexual Behavior</topic><topic>Sexual Behavior - psychology</topic><topic>Sexual Partners</topic><topic>Social psychology</topic><topic>Social Sciences</topic><topic>Social Stigma</topic><topic>Sweden</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schönnesson, Lena Nilsson</creatorcontrib><creatorcontrib>Zeluf, Galit</creatorcontrib><creatorcontrib>Garcia-Huidobro, Diego</creatorcontrib><creatorcontrib>Ross, Michael W.</creatorcontrib><creatorcontrib>Eriksson, Lars E.</creatorcontrib><creatorcontrib>Ekström, Anna Mia</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>GenderWatch</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>GenderWatch (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest Women's & Gender Studies</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Diversity Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Archives of sexual behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schönnesson, Lena Nilsson</au><au>Zeluf, Galit</au><au>Garcia-Huidobro, Diego</au><au>Ross, Michael W.</au><au>Eriksson, Lars E.</au><au>Ekström, Anna Mia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sexual (Dis)satisfaction and Its Contributors Among People Living with HIV Infection in Sweden</atitle><jtitle>Archives of sexual behavior</jtitle><stitle>Arch Sex Behav</stitle><addtitle>Arch Sex Behav</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>47</volume><issue>7</issue><spage>2007</spage><epage>2026</epage><pages>2007-2026</pages><issn>0004-0002</issn><eissn>1573-2800</eissn><abstract>Earlier research reports lower sexual satisfaction among people living with HIV (PLHIV) compared to HIV-negative persons. A number of psychosocial factors directly associated with sexual dissatisfaction have been identified. Little is known about sexual satisfaction and their contributors among PLHIV in Sweden. The aim of this study was to examine direct and indirect effects of variables within sociodemographic, clinical HIV-related, psychological, and sexual domains on sexual (dis)satisfaction among PLHIV in Sweden. Data for this study were derived from a nationally representative, anonymous survey among PLHIV conducted in 2014 (
n
= 1096). Statistical analysis included four steps: descriptive analyses, identification of variables associated with sexual (dis)satisfaction, identification of variables associated with those contributors of sexual (dis)satisfaction, and a path model integrating all these analyses. A total of 49% of participants reported being sexually dissatisfied, and no significant differences were observed when non-heterosexual men, heterosexual men, and women were compared. Among women, a negative change in sex life after HIV diagnosis and distress with orgasmic difficulties was directly associated with sexual dissatisfaction. For men, hopelessness, high HIV stigma, sexual inactivity in the last 6 months, and a negative change in sex life after HIV diagnosis were directly associated with sexual dissatisfaction. Path analyses showed in both men and women significant indirect associations between not being involved in an intimate relationship, lower self-reported CD4 cell counts, and perceiving obligation to disclose HIV status to sexual partners as a barrier to look for a long-term partner and sexual dissatisfaction. Our results show that despite good treatment outcomes, the HIV diagnosis has a negative bearing on sexual satisfaction. The need for gender-tailored interventions and clinical implications of these findings are discussed.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29441436</pmid><doi>10.1007/s10508-017-1106-2</doi><tpages>20</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0004-0002 |
| ispartof | Archives of sexual behavior, 2018-10, Vol.47 (7), p.2007-2026 |
| issn | 0004-0002 1573-2800 |
| language | eng |
| recordid | cdi_swepub_primary_oai_swepub_ki_se_490483 |
| source | MEDLINE; SWEPUB Freely available online; Springer Nature - Complete Springer Journals |
| subjects | Adult Behavioral Science and Psychology Disclosure Female Gender differences Heterosexuality HIV HIV Infections - psychology Human immunodeficiency virus Humans Logistic Models Male Middle Aged Orgasm Original Paper Psychology Public Health Sexual Behavior Sexual Behavior - psychology Sexual Partners Social psychology Social Sciences Social Stigma Sweden |
| title | Sexual (Dis)satisfaction and Its Contributors Among People Living with HIV Infection in Sweden |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T19%3A03%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_swepu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Sexual%20(Dis)satisfaction%20and%20Its%20Contributors%20Among%20People%20Living%20with%20HIV%20Infection%20in%20Sweden&rft.jtitle=Archives%20of%20sexual%20behavior&rft.au=Sch%C3%B6nnesson,%20Lena%20Nilsson&rft.date=2018-10-01&rft.volume=47&rft.issue=7&rft.spage=2007&rft.epage=2026&rft.pages=2007-2026&rft.issn=0004-0002&rft.eissn=1573-2800&rft_id=info:doi/10.1007/s10508-017-1106-2&rft_dat=%3Cproquest_swepu%3E2002037030%3C/proquest_swepu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2002037030&rft_id=info:pmid/29441436&rfr_iscdi=true |