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RESEARCH ARTICLE
Contents Vol 10(6)

Factors associated with sexual arousal, sexual sensation seeking and sexual satisfaction among female African American adolescents

Jessica M. Sales A B C H , Erica L. Smearman A D , Gene H. Brody A B C , Robin Milhausen E F , Robert A. Philibert C G and Ralph J. DiClemente A B C
+ Author Affiliations
- Author Affiliations

A Department of Behavioural Sciences and Health Education, Rollins School of Public Health, Atlanta, GA 30322, USA.

B Social & Behavioural Sciences Core, Emory University Center for AIDS Research, Atlanta, GA 30322, USA.

C Center for Contextual Genetics and Prevention Science, Athens, GA 30602-4257, USA.

D Medical Scientist Training Program, Emory University School of Medicine, Atlanta, GA 30322, USA.

E Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada.

F The Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, IN 47405, USA.

G Department of Psychiatry, University of Iowa, Iowa City, IA 52242, USA.

H Corresponding author. Email: jmcderm@emory.edu

Sexual Health 10(6) 512-521 https://doi.org/10.1071/SH13005
Submitted: 8 January 2013  Accepted: 7 August 2013   Published: 11 October 2013

Abstract

Background: Sexuality-related constructs, such as sexual arousal, sexual sensation seeking (SSS) and sexual satisfaction, have been related to sexual behaviours that place one at risk of adverse consequences, such as sexually transmissible infections, HIV and unintended pregnancy. The biopsychosocial model posits an array of factors, ranging from social environmental factors to biological and psychological predispositions, that may be associated with these sexuality constructs in adolescents. Methods: Female African Americans aged 14–20 years were recruited from reproductive health clinics for an HIV intervention. Baseline survey and follow-up DNA data (n = 304) were used to assess biological, psychological and social environmental associations with the sexuality constructs of arousal, SSS and sexual satisfaction. Results: Multivariate linear regression analysis revealed that a higher depressive symptom rating was associated with higher arousability, whereas short serotonin transporter gene allele(s) status was associated with lower arousability. Impulsivity and perceived peer norms supportive of unsafe sexual behaviours were associated with increased SSS, whereas short serotonin transporter gene allele(s) status was associated with lower SSS. Higher social support was associated with higher levels of sexual satisfaction, whereas short serotonin transporter gene allele(s) status was associated with lower satisfaction. The sexuality constructs were also significantly related to the number of sex partners, the frequency of vaginal sex and the number of unprotected vaginal sex acts in the past 6 months. Conclusions: The findings emphasise the importance of understanding biopsychosocial factors, including the role of serotonin as an indicator of natural variations in sexual inclination and behaviours, that influence sexuality constructs, which, in turn, are associated with sexual behaviours, to allow further refinement of sexual health clinical services and programs and promote the development of healthy sexuality.

Additional keywords: Depression, impulsivity, peer norms, serotonin genetics, sexual behaviors, sexual health, social support.


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