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Conceptualizing Sexual Wellbeing: A Qualitative Investigation to Inform Development of a Measure (Natsal-SW)
R Lewis1, R Bosó Pérez1, K J Maxwell2
1MRC/CSO Social and Public Health Sciences Unit, University of Glasgow.
Journal of Sex Research
|March 22, 2024
Summary
This study clarifies sexual wellbeing, distinguishing it from sexual satisfaction. It identifies seven key domains influencing wellbeing, crucial for developing accurate measurement tools.
Area of Science:
- Psychology
- Sociology
- Public Health
Background:
- Sexual wellbeing is gaining attention but lacks clear definition.
- Existing measures often confuse it with sexual satisfaction or health.
- Conceptual ambiguity hinders research and intervention efforts.
Purpose of the Study:
- To develop a new, empirically-based measure of sexual wellbeing (Natsal-SW).
- To refine understanding of sexual wellbeing's multidimensional nature.
- To inform the fourth British National Survey of Sexual Attitudes & Lifestyles.
Main Methods:
- Qualitative research using multi-stage, mixed-methods approach.
- Literature review and expert discussion to form a conceptual framework.
- Thematic analysis of semi-structured interviews with 40 adults (18-64).
Main Results:
- Sexual wellbeing is perceived as distinct from sexual satisfaction and health.
- It is understood as multidimensional, dynamic, and influenced by social/structural factors.
- Seven proposed domains (respect, self-esteem, comfort, self-determination, safety, forgiveness, resilience) resonated with participants.
Conclusions:
- Sexual wellbeing is a complex construct influenced by personal and societal factors.
- The identified domains provide a foundation for a new sexual wellbeing measure.
- Individual experiences of sexual wellbeing domains vary by gender, sexual orientation, and over time.
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