{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T02:47:48Z","timestamp":1793328468654,"version":"4.5.0"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2020,8,29]],"date-time":"2020-08-29T00:00:00Z","timestamp":1598659200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2020,8,29]],"date-time":"2020-08-29T00:00:00Z","timestamp":1598659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Human sexuality is a natural and important part of peoples\u2019 life and well-being. The underlying interactions affecting sexual satisfaction are complex, and sexual orientation differences partly remain to be identified as well as explained.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>Our aim was to investigate sexual orientation\u2013related differences in sexual satisfaction and sexual dissatisfaction and differences in sexual function and sexual-related problems.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We used Swedish data from SRHR2017 (sexual and reproductive health and rights), based on self-administered surveys, linked to nationwide registers. The national sample consisted of 14,537 women and men aged 16\u201384 years. With logistic regression, we examined sexual orientation\u2013related differences in self-reported sexual satisfaction and sexual dissatisfaction, stratified by sex.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main outcome measures<\/jats:title>\n                  <jats:p>The main outcome measures of this study are odds ratios (ORs) with 95% confidence intervals (CIs).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Bisexual women were more dissatisfied with their sex life, as compared with heterosexual women (OR: 1.8; 95% CI: 1.3\u20132.6), as were bisexual men compared with heterosexual men (OR: 2.7; 95% CI: 1.7\u20134.4). A bisexual or lesbian identity was a robust risk factor for premature orgasm (OR: 2.1; 95% CI: 1.1\u20133.9 and OR: 8.0; 95% CI: 3.2\u201320.0, respectively). Lesbian women seemed to have lower risk for many sexual-related problems (however not significant). Gay men lacked arousal (OR: 3.3; 95% CI: 1.6\u20136.9), had no orgasm (OR: 2.6; 95% CI: 1.4\u20134.7), and were at lower risk of experiencing premature ejaculation (OR: 0.4; 95% CI: 0.2\u20130.9), as compared with heterosexual men.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Our findings contribute to the sparse evidence of some sexual orientation differences in sexual satisfaction and sexual dysfunctions. Especially bisexual women and men appear to experience less sexual satisfaction in relation to heterosexual and homosexual women and men.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.jsxm.2020.07.084","type":"journal-article","created":{"date-parts":[[2020,8,29]],"date-time":"2020-08-29T20:55:01Z","timestamp":1598734501000},"page":"2362-2369","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":36,"title":["Sexual Orientation\u2013Related Differences in Sexual Satisfaction and Sexual Problems\u2014A Population-Based Study in Sweden"],"prefix":"10.1093","volume":"17","author":[{"given":"Charlotte","family":"Bj\u00f6rkenstam","sequence":"first","affiliation":[{"name":"Department of Communicable Disease Control and Health Protection , Stockholm, , Sweden"},{"name":"The Public Health Agency of Sweden , Stockholm, , Sweden"},{"name":"Division Public Health Epidemiology , Stockholm, , Sweden"},{"name":"Department of Public Health Sciences , Stockholm, , Sweden"},{"name":"Karolinska Institutet , Stockholm, , Sweden"},{"name":"Department of Clinical Neuroscience , Stockholm, , Sweden"},{"name":"Karolinska Institutet , Stockholm, , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Mannheimer","sequence":"additional","affiliation":[{"name":"Department of Communicable Disease Control and Health Protection , Stockholm, , Sweden"},{"name":"The Public Health Agency of Sweden , Stockholm, , Sweden"},{"name":"Department of Learning , Stockholm, , Sweden"},{"name":"Informatics , Stockholm, , Sweden"},{"name":"Management and Ethics , Stockholm, , Sweden"},{"name":"Karolinska Institutet , Stockholm, , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matilda","family":"L\u00f6fstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Communicable Disease Control and Health Protection , Stockholm, , Sweden"},{"name":"The Public Health Agency of Sweden , Stockholm, , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Deogan","sequence":"additional","affiliation":[{"name":"Department of Communicable Disease Control and Health Protection , Stockholm, , Sweden"},{"name":"The Public Health Agency of Sweden , Stockholm, , Sweden"},{"name":"Division of Global Health , Stockholm, , Sweden"},{"name":"Department of Public Health Sciences , Stockholm, , Sweden"},{"name":"Karolinska Institutet , Stockholm, , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,8,29]]},"reference":[{"key":"2023011111070169600_bib1","doi-asserted-by":"crossref","first-page":"2642","DOI":"10.1016\/S0140-6736(18)30293-9","article-title":"Accelerate progress-sexual and reproductive health and rights for all: report of the Guttmacher-Lancet Commission","volume":"391","author":"Starrs","year":"2018","journal-title":"Lancet"},{"key":"2023011111070169600_bib2","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1007\/s00103-012-1607-z","article-title":"Positive sexuality and its impact on overall well-being","volume":"56","author":"Anderson","year":"2013","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz"},{"key":"2023011111070169600_bib3","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1007\/s10508-010-9703-3","article-title":"Sexual satisfaction and relationship happiness in midlife and older couples in five countries","volume":"40","author":"Heiman","year":"2011","journal-title":"Arch Sex Behav"},{"key":"2023011111070169600_bib4","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1007\/s10508-008-9384-3","article-title":"Ecological models of sexual satisfaction among lesbian\/bisexual and heterosexual women","volume":"38","author":"Henderson","year":"2009","journal-title":"Arch Sex Behav"},{"key":"2023011111070169600_bib5","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1111\/j.1445-5994.2011.02597.x","article-title":"Body mass index, sexual difficulties and sexual satisfaction among people in regular heterosexual relationships: a population-based study","volume":"42","author":"Smith","year":"2012","journal-title":"Intern Med J"},{"key":"2023011111070169600_bib6","first-page":"186","article-title":"What keeps passion alive? 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