{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T18:16:08Z","timestamp":1785176168283,"version":"3.55.0"},"reference-count":61,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T00:00:00Z","timestamp":1665100800000},"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":[[2022,10,7]],"date-time":"2022-10-07T00:00:00Z","timestamp":1665100800000},"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":[[2022,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Spina bifida (SB) may differentially impact adults\u2019 participation in solo and partnered sexual behaviors, but little research investigates this topic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>Describe solo and partnered sexual behaviors among an international sample of adult men and women with SB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Ever participated (no\/yes) and recent participation (&amp;gt;1 year ago\/within last year) in solo masturbation, cuddled with a partner, held hands with a partner, kissed a partner, touched a partner's genital, had genitals touched by a partner, gave a partner oral sex, received oral sex from a partner, vaginal sex, anal sex, and sex toy use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were drawn from a larger cross-sectional, internet-based survey assessing the sexual behaviors of an international sample of men and women with SB. We used logistic regression to examine the impact of background (gender, age, independent living, and relationship status) and health (shunt status, ambulation, and genital sensation) factors on each outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sample consisted of 345 respondents aged 18\u201373 years from 26 nations. Very few (&amp;lt;3%) had no lifetime experience with any solo or partnered behaviors; 25.0% reported participating in all behaviors at some point in their lives. The median number of past year sexual behaviors (of 16 total) was 7. Lifetime and recent participation were associated with demographic and health factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Implications<\/jats:title><jats:p>Despite impairment, adults with spina bifida do participate in solo and partnered sexual behaviors. Medical personnel who work with this population should include discussions about sexuality as part of routine care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Strengths &amp; Limitations<\/jats:title><jats:p>Although this research measured solo and partnered sexual behavior in large international sample of adults with spina bifida, it is limited by its cross-sectional retrospective design and non-clinical convenience sample.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite disability, many adults with SB participate in solo and partnered sexual behavior. Medical and psychosocial supports are needed to help adults in this population enjoy sexuality in a healthy and safe manner.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2022.08.201","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T02:24:12Z","timestamp":1665195852000},"page":"1766-1777","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Solo and Partnered Sexual Behavior Among an International Sample of Adults with Spina Bifida"],"prefix":"10.1093","volume":"19","author":[{"given":"Devon J.","family":"Hensel","sequence":"first","affiliation":[{"name":"Section of Adolescent Medicine Department of Pediatrics Indiana University School of Medicine , Indianapolis, IN , USA"},{"name":"Department of Sociology Indiana University Purdue University-Indianapolis , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosalia","family":"Misseri","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology Riley Hospital for Children at Indiana University Health , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John S.","family":"Wiener","sequence":"additional","affiliation":[{"name":"Division of Urologic Surgery Department of Surgery Duke University Medical Center , Durham, NC , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua D.","family":"Roth","sequence":"additional","affiliation":[{"name":"Division of Pediatric UrologyRiley Hospital for Children at Indiana University Health , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin M.","family":"Whittam","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology Riley Hospital for Children at Indiana University Health , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark P.","family":"Cain","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology Riley Hospital for Children at Indiana University Health , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konrad M.","family":"Szymanski","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology Riley Hospital for Children at Indiana University Health , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,10,7]]},"reference":[{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1159\/000056005","article-title":"Spina bifida outcome: a 25-year prospective","volume":"34","author":"Bowman","year":"2001","journal-title":"Pediatr Neurosurg"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpeds.2012.05.040","article-title":"Improved survival among children with spina bifida in the United States","volume":"161","author":"Shin","year":"2012","journal-title":"J Pediatr"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1080\/00224490209552113","article-title":"Human sexual development","volume":"39","author":"DeLamater","year":"2002","journal-title":"J Sex Res"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"891","DOI":"10.2340\/16501977-1863","article-title":"Spina bifida and sexuality","volume":"46","author":"Linstow","year":"2014","journal-title":"J Rehabil Med"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2105\/AJPH.2019.305497","article-title":"A call for (Renewed) commitment to sexual health, sexual rights, and sexual pleasure: a matter of health and well-being","volume":"110","author":"Gruskin","year":"2020","journal-title":"Am J Public Health"},{"key":"2023041406482873400_","author":"United Nations","year":"2006"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.jadohealth.2016.03.037","article-title":"Sexuality and relationships in young people with spina bifida and their partners","volume":"59","author":"Heller","year":"2016","journal-title":"J Adolesc Health"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"1875","DOI":"10.1100\/tsw.2007.304","article-title":"Reproductive health care for women with spina bifida","volume":"7","author":"Jackson","year":"2007","journal-title":"Sci World J"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"1694","DOI":"10.1016\/j.jsxm.2020.05.026","article-title":"I tell them what i can feel and how far my legs can bend\u201d: optimizing sexual satisfaction for women with spina bifida","volume":"17","author":"Streur","year":"2020","journal-title":"J Sex Med"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1016\/j.apmr.2004.10.042","article-title":"Sex education, relationships, and sexuality in young adults with spina bifida","volume":"86","author":"Verhoef","year":"2005","journal-title":"Arch Phys Med Rehabil"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1111\/j.1469-8749.1999.tb00521.x","article-title":"Sexual and reproductive health in young people with spina bifida","volume":"41","author":"Sawyer","year":"1999","journal-title":"Dev Med Child Neurol"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1002\/ddrr.98","article-title":"Transition to adult health care for adolescents with spina bifida: research issues","volume":"16","author":"Sawyer","year":"2010","journal-title":"Dev Disabil Res Rev"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1002\/RNJ.00002","article-title":"Sexuality in relation to independence in daily functions among young people with spina bifida living in Israel","volume":"37","author":"Shoshan","year":"2012","journal-title":"Rehabil Nurs"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1111\/j.1469-8749.1990.tb08544.x","article-title":"Knowledge, attitudes and behavior related to sexuality in adolescents with chronic disability","volume":"32","author":"Cromer","year":"1990","journal-title":"Dev Med Child Neurol"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/S0022-5347(17)44891-9","article-title":"Sexual function in adults with myelomeningocele","volume":"136","author":"Cass","year":"1986","journal-title":"J Urol"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.1016\/j.juro.2007.03.162","article-title":"Sexual function in adult patients with spina bifida and its impact on quality of life","volume":"178","author":"Lassmann","year":"2007","journal-title":"J Urol"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/j.jpurol.2013.07.016","article-title":"Sexual function of young women with myelomeningocele","volume":"10","author":"Gam\u00e9","year":"2014","journal-title":"J Pediatr Urol"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s11195-020-09657-w","article-title":"Sexual behaviors and sexual perceptions of Portuguese adults with physical disabilities","volume":"39","author":"Pereira","year":"2021","journal-title":"Sex Disabil"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.apmr.2007.08.124","article-title":"Sexual functioning in adolescents and young adults with spina bifida","volume":"89","author":"Cardenas","year":"2008","journal-title":"Arch Phys Med Rehabil"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"1785","DOI":"10.1002\/nau.23525","article-title":"Sexual function and qualify of life in women with spina bifida: are the women with spina bifida satisfied with their sexual activity?","volume":"37","author":"Choi","year":"2018","journal-title":"Neurourol Urodyn"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.urology.2016.11.052","article-title":"Sexual function and quality of life in young men with spina bifida: could it be neglected aspects in clinical practice?","volume":"108","author":"Choi","year":"2017","journal-title":"Urology"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1007\/s003810050502","article-title":"Issues of medical management in adults with spina bifida","volume":"16","author":"McDonnell","year":"2000","journal-title":"Child Nerv Syst"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1017\/S0012162204000684","article-title":"Secondary impairments in young adults with spina bifida","volume":"46","author":"Verhoef","year":"2004","journal-title":"Dev Med Child Neurol"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"1911","DOI":"10.1016\/j.juro.2009.02.065","article-title":"Predictors of successful sexual partnering of adults with spina bifida","volume":"182","author":"Gatti","year":"2009","journal-title":"J Urol"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1007\/s11195-016-9445-9","article-title":"Masturbation practices of men and women with upper limb motor disabilities","volume":"34","author":"Morales","year":"2016","journal-title":"Sex Disabil"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.1136\/jnnp.2003.029058","article-title":"Neuropsychological profile of young adults with spina bifida with or without hydrocephalus","volume":"75","author":"Iddon","year":"2004","journal-title":"J Neurol Neurosurg Psychiatr"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1097\/DBP.0b013e31828c5f88","article-title":"Spina bifida grown up","volume":"34","author":"Liptak","year":"2013","journal-title":"J Dev Behav Pediatr"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1007\/s11999-010-1594-z","article-title":"Adult consequences of spina bifida: a cohort study. Journal article","volume":"469","author":"Roach","year":"2011","journal-title":"Clin Orthopaed Relat Res\u00ae"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.sxmr.2020.09.001","article-title":"Sexual function of men and women with spina bifida: a scoping literature review","volume":"9","author":"Streur","year":"2021","journal-title":"Sex Med Rev"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.urology.2020.06.068","article-title":"How to discuss sexual health with girls and young women with spina bifida: a practical guide for the urologist","volume":"151","author":"Streur","year":"2020","journal-title":"Urology"},{"key":"2023041406482873400_","first-page":"53","article-title":"Sexuality and people living with physical or developmental disabilities: a review of key issues","volume":"12","author":"Di Giulio","year":"2003","journal-title":"Can J Hum Sex"},{"key":"2023041406482873400_","first-page":"65","article-title":"Sexual health education for individuals with disabilities: a call to action","volume":"13","author":"Treacy","year":"2018","journal-title":"Am J Sex Educ"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0268785","article-title":"Women\u2019s techniques for pleasure from anal touch: results from a U.S. probability sample of women ages 18-93","volume":"17","author":"Hensel","year":"2022","journal-title":"PLoS One"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0249242","article-title":"Women's techniques for making vaginal penetration more pleasurable: results from a nationally representative study of adult women in the United States","volume":"16","author":"Hensel","year":"2021","journal-title":"PLoS One"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1080\/14681811.2020.1851181","article-title":"Barriers to sexuality education for children and young people with disabilities in the WHO European region: a scoping review","volume":"21","author":"Michielsen","year":"2021","journal-title":"Sex Educ"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1016\/j.jsxm.2019.03.012","article-title":"\u201cIf Everyone Else Is Having This Talk With Their Doctor, Why Am I Not Having This Talk With Mine?\u201d: the experiences of sexuality and sexual health education of young women with Spina Bifida","volume":"16","author":"Streur","year":"2019","journal-title":"J Sex Med"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.jpeds.2014.09.039","article-title":"The National Spina Bifida Patient Registry: profile of a large cohort of participants from the first 10 clinics","volume":"166","author":"Sawin","year":"2015","journal-title":"J Pediatr"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"313","DOI":"10.3233\/PRM-170462","article-title":"Sexual identity and orientation in adult men and women with spina bifida","volume":"10","author":"Szymanski","year":"2017","journal-title":"J Pediatr Rehabil Med"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.juro.2018.02.3101","article-title":"Bladder management and continence outcomes in adults with spina bifida: results from the national spina bifida patient registry, 2009 to 2015","volume":"200","author":"Wiener","year":"2018","journal-title":"J Urol"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"2355","DOI":"10.1007\/s11136-015-0988-5","article-title":"QUAlity of Life Assessment in Spina bifida for Adults (QUALAS-A): development and international validation of a novel health-related quality of life instrument","volume":"24","author":"Szymanski","year":"2015","journal-title":"Qual Life Res"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1007\/s11136-006-0032-x","article-title":"Quality of life and continence in patients with spina bifida","volume":"15","author":"Lemelle","year":"2006","journal-title":"Qual Life Res"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"e957","DOI":"10.1542\/peds.2014-2576","article-title":"Sociodemographic attributes and spina bifida outcomes","volume":"135","author":"Schechter","year":"2015","journal-title":"Pediatrics"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"611","DOI":"10.3233\/PRM-200743","article-title":"Sexual health and education guidelines for the care of people with spina bifida","volume":"13","author":"Houtrow","year":"2020","journal-title":"J Pediatr Rehabil Med"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0181198","article-title":"Sexual diversity in the United States: results from a nationally representative probability sample of adult women and men","volume":"12","author":"Herbenick","year":"2017","journal-title":"PLoS One"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.urology.2005.09.014","article-title":"Evaluation of sexual function in young men with spina bifida and myelomeningocele using the International Index of Erectile Function","volume":"67","author":"Gam\u00e9","year":"2006","journal-title":"Urology"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1038\/sj.sc.3101705","article-title":"High prevalence of incontinence among young adults with spina bifida: description, prediction and problem perception","volume":"43","author":"Verhoef","year":"2005","journal-title":"Spinal Cord"},{"key":"2023041406482873400_","first-page":"93","article-title":"How do adolescent relationships influence the quality of romantic and sexual relationships in young adulthood","volume":"1","author":"Joyner","year":"2006","journal-title":"Roman Sex Adolesc Emerg Adulthood"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1007\/s10508-007-9175-2","article-title":"Why humans have sex","volume":"36","author":"Meston","year":"2007","journal-title":"Arch Sex Behav"},{"key":"2023041406482873400_","first-page":"1","article-title":"\u201cThey Assume That You're Not Having Sex\u201d: a qualitative exploration of how paediatric healthcare providers can have positive sexuality-related conversations with youth with disabilities","author":"Bonder","year":"2021","journal-title":"Sex Disabil"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1016\/j.jsxm.2018.08.001","article-title":"\u201cI Don\u2019t Know What I\u2019m Doing\u2026 I Hope I\u2019m Not Just an Idiot\u201d: the need to train pediatric urologists to discuss sexual and reproductive health care with young women with Spina Bifida","volume":"15","author":"Streur","year":"2018","journal-title":"J Sex Med"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"3065","DOI":"10.1111\/jocn.14900","article-title":"Discussing sexuality in health care: a systematic review","volume":"28","author":"Fennell","year":"2019","journal-title":"J Clin Nurs"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1111\/jar.12861","article-title":"Healthcare providers\u2019 role in providing sexual and reproductive health information to people with intellectual and developmental disabilities: a qualitative study","volume":"35","author":"Schmidt","year":"2021","journal-title":"J Appl Res Intellect Disabil"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/642472","article-title":"Sexual and reproductive health care for women with intellectual disabilities: a primary care perspective","volume":"2013","author":"Greenwood","year":"2013","journal-title":"Int J Family Med"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1111\/jsm.12810","article-title":"Sexual health care for people with physical disabilities","volume":"12","author":"Rowen","year":"2015","journal-title":"J Sex Med"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s11930-014-0037-3","article-title":"Sexuality and physical disability: a disability-affirmative approach to assessment and intervention within health care","volume":"7","author":"Eisenberg","year":"2015","journal-title":"Curr Sex Health Rep"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1196\/annals.1429.020","article-title":"Menstrual issues in adolescents with physical and developmental disabilities","volume":"1135","author":"Quint","year":"2008","journal-title":"Ann NY Acad Sci"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1177\/1088357618800040","article-title":"Review of sociosexuality curricular content for individuals with developmental disabilities","volume":"34","author":"Wolfe","year":"2019","journal-title":"Focus Autism Other Dev Disabil"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1523\/JNEUROSCI.23-01-00303.2003","article-title":"Differential response patterns in the striatum and orbitofrontal cortex to financial reward in humans: a parametric functional magnetic resonance imaging study","volume":"23","author":"Elliott","year":"2003","journal-title":"J Neurosci"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1542\/peds.2006-1115","article-title":"Sexuality of children and adolescents with developmental disabilities","volume":"118","author":"Murphy","year":"2006","journal-title":"Pediatrics"},{"key":"2023041406482873400_","article-title":"Relationships and sexuality: how is a young adult with an intellectual disability supposed to navigate?","author":"Graff","year":"2017","journal-title":"Sex Disabil"},{"key":"2023041406482873400_","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1111\/j.1743-6109.2010.02012.x","article-title":"Sexual behavior in the United States: results from a national probability sample of men and women ages 14\u201394","volume":"7","author":"Herbenick","year":"2010","journal-title":"J Sex Med"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609522017829?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609522017829?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/19\/12\/1766\/49886646\/jsm_19_12_1766.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/19\/12\/1766\/49886646\/jsm_19_12_1766.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T16:29:45Z","timestamp":1701188985000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/19\/12\/1766\/7012882"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,7]]},"references-count":61,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2022,10,7]]},"published-print":{"date-parts":[[2022,12,1]]}},"URL":"https:\/\/doi.org\/10.1016\/j.jsxm.2022.08.201","relation":{},"ISSN":["1743-6109","1743-6095"],"issn-type":[{"value":"1743-6109","type":"electronic"},{"value":"1743-6095","type":"print"}],"subject":[],"published-other":{"date-parts":[[2022,12]]},"published":{"date-parts":[[2022,10,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Solo and Partnered Sexual Behavior Among an International Sample of Adults With Spina Bifida","name":"articletitle","label":"Article Title"},{"value":"The Journal of Sexual Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jsxm.2022.08.201","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2022, International Society of Sexual Medicine. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}