Sven-Axel Månsson

Differences between Internet samples and conventional samples of men who have sex with men: implications for research and HIV interventions

The Internet is becoming a new erotic oasis for obtaining sex online or in person. We reviewed the literature on cybersex and compared differences in data from samples of homosexually active men obtained on identical questionnaires from a conventional written questionnaire, distributed through the mailing and contact lists of a large national gay organization in Sweden, and through the same organizations website and chat room. A total of 716 written questionnaires and 678 Internet questionnaires were obtained. The Internet sample was younger, more likely to live in small towns or cities, live with parents or a girlfriend, and have lower formal education. They are less likely to have previous sexual experience solely with other men (one in three of the Internet sample vs. 1 in 14 of the written sample defined themselves as bisexual) and more likely to visit erotic oases such as bathhouses, video clubs and erotic movie houses. They also visited Internet chat rooms more frequently (86% of the Internet sample vs. 50% of the written sample). One third of the Internet sample wanted the opportunity to talk with an expert about HIV compared with a quarter of the written sample. Sexual practices between the two samples were generally similar, although the Internet sample reported significantly less body contact, kissing, hugging, mutual masturbation, and more condom use for anal intercourse with steady partners. Over four times as many of the Internet samples reported sex with women in the past year as the written sample. These data indicate that Internet data collection is feasible and that this mode of data collection, despite the nonrandom and self-selected nature of both types of samples, is likely to be more significantly oriented toward the young, geographically more isolated, and more behaviorally and self-identified bisexual respondent than conventionally distributed written questionnaires.

Lust, Love, and Life: A Qualitative Study of Swedish Adolescents' Perceptions and Experiences with Pornography

There is a widespread concern in Western society about the visibility of pornography in public places and on the Internet. What are the consequences for young men and women, and how do they think about gender, sexuality, and pornography? Data was collected, through 22 individual interviews and seven focus groups, from 51 participants (36 women and 37 men aged 14–20 years) in Sweden. The results indicated a process of both normalization and ambivalence. Pornography was used as a form of social intercourse, a source of information, and a stimulus for sexual arousal. Pornography consumption was more common among the young men than among the women. For both the young men and women, the pornographic script functioned as a frame of reference in relation to bodily ideals and sexual performances. Most of the participants had acquired the necessary skills of how to deal with the exposure to pornography in a sensible and reflective manner.

Breaking the Matthew Effect – on Women Leaving Prostitution

Although the body of research literature on prostitution is extensive, systematic research on why and how women break with prostitution is lacking. The purpose of this paper is to report some empirical findings from a Swedish study of women leaving a life in the sex trade. In a broader perspective the study ties into a social psychological research tradition which focuses on illuminating individuals’ processes of change, turning points, role changes and exit behaviours. The study comprises life-story interviews with 23 women who exited prostitution during the years 1981–1995. Half of the women were referred to us via a special social outreach operation within the social services in a major Swedish city, the other half were recruited via newspaper and tabloid announcements. The majority of the women had been active in the sex trade for more than five years, thus classifying them as “long-term residents”. The majority had experiences exclusively of street prostitution, the most common form in Sweden. Our analysis shows a number of different exit courses, ranging from breakaways that happened quickly and were executed primarily by women who were relatively loosely integrated in the milieu, to breakaways that were made by women who, after many years of being exploited in prostitution, had reached the limit of the existentially bearable. In our account, we also identify four main challenges which the women have been faced with after leaving the trade: (1) working through and understanding the experiences of a life in prostitution, (2) dealing with shame, (3) living in a marginal situation, and (4) dealing with intimate and close relationships. Finally, we present an integrated exit model which combines structural, situational, interpersonal and individual factors in explaining how and why women leave prostitution. The purpose of our model is to create a general understanding of why certain people not only survive a difficult life situation, but are able to grow and develop further during the course of the process.

Prevalence, Severity, and Correlates of Problematic Sexual Internet Use in Swedish Men and Women

The content and prevalence of problematic Internet sexual use was investigated in a sample of 1,913 Internet-recruited younger Swedish men and women. Five items as part of a larger Internet sexual use study addressed problems associated with it, control, dysphoria, feeling “addicted,” and feeling the need for treatment. The resulting scale of Internet sexual problems indicated that 5% of women and 13% of men reported some problems, with 2% of women and 5% of men indicating serious problems across the five items. Of five predictors of problematic use, three were significant: religiosity, having negative experiences with Internet sexual use, and frequency of pornography viewing. The viewing and sharing of pornography was most closely associated with reported problems. Data also suggested that having some very specific pornographic content interests were associated with an increase in reported problems. While these data were limited by the non-random nature of the sample, they suggest that Internet sexual problems are measurable, are a subset of Internet addiction with sexual content, and affect a small but significant proportion of the Internet-using population.

Characteristics of men and women who complete or exit from an on‐line internet sexuality questionnaire: A study of instrument dropout biases

This study compared respondents who completed an Internet sexuality questionnaire and those who dropped out before completion. The study was in Swedish and comprised 3,614 respondents over a 2‐week period (53% males, 47% females). There were significant differences between males, of whom 51% dropped out before completion of the 175‐item questionnaire, and females, of whom 43% dropped out. Dropout in both genders followed a curve of negative acceleration. The data suggest that dropout is likely to be significant and gender and demographically biased, and to occur significantly earlier for men than for women. Geography, education, sexual orientation, age, relationship status, living arrangements, and Internet connection speed were related to dropout for men, while only relationship status and living arrangements, which were in the opposite direction from men, were related to dropout in women.

Occupational health and safety among commercial sex workers

The concept of occupational health and safety (OHS) for commercial sex workers has rarely been investigated, perhaps because of the often informal nature of the workplace, the associated stigma, and the frequently illegal nature of the activity. We reviewed the literature on health, occupational risks, and safety among commercial sex workers. Cultural and local variations and commonalities were identified. Dimensions of OHS that emerged included legal and policing risks, risks associated with particular business settings such as streets and brothels, violence from clients, mental health risks and protective factors, alcohol and drug use, repetitive strain injuries, sexually transmissible infections, risks associated with particular classes of clients, issues associated with male and transgender commercial sex workers, and issues of risk reduction that in many cases are associated with lack of agency or control, stigma, and legal barriers. We further discuss the impact and potential of OHS interventions for commercial sex workers. The OHS of commercial sex workers covers a range of domains, some potentially modifiable by OHS programs and workplace safety interventions targeted at this population. We argue that commercial sex work should be considered as an occupation overdue for interventions to reduce workplace risks and enhance worker safety.

The internet as a source of information about sexuality

To use the Internet for sex educational purposes and for sex information has been recognised by prior research as benefits of the technological development and important areas to investigate, but few empirical studies have so far been conducted. The purpose of this study was to identify those who use the Internet to seek information about sexual issues and to examine the reasons for using the Internet for this purpose. A total of 1913 respondents completed an online Swedish questionnaire about Internet sexuality and the 1614 who reported using the Internet for sexual purposes were selected for analysis in the current study. More than one-half of these respondents claimed to use the Internet to seek information about sexual issues. The results showed that men and women of all ages used the Internet for this purpose, suggesting that the need for sexual education persists even in the adult years. The reasons for seeking information were primarily to get knowledge about the body, about how to have sex, and out of curiosity. Knowing who seeks information about sexuality on the Internet and the reasons why may be helpful in identifying the needs of different groups of individuals as well as tailoring the information provided, both online and offline.

Fluid Versus Fixed: A New Perspective on Bisexuality as a Fluid Sexual Orientation Beyond Gender

Sexual orientation has been conceptualized by Ross and Paul (1992) as fixed in terms of sex object (exclusively heterosexual or homosexual) versus fluid (bisexuals, for whom sex of partner may be unimportant). The authors of the present article investigated characteristics of 1,913 young men and women with fixed and fluid sexual orientation recruited in an Internet-based study of sexual behavior in Sweden. One half of the respondents were students at a major Swedish university. Data indicated that women were twice as likely as men to report a fluid orientation. There were major differences between men and women, with maximal fluidity in the 25 to 34 age range, fluid women being more likely to be urban and not religious, and fluid men reporting higher education levels. Higher sexual partner numbers were associated with fluidity in women but fixedness in men. For both, living away from the family was associated with fluidity. These data suggest that fluidity is more prevalent in women, and that it may be associated not with an unformed sexual preference but with an expanding one in the midtwenties. Conceptualizing sexual orientation as fixed or fluid may be a useful alternative approach to conceptualization of sexual orientation as homosexual, heterosexual, or bisexual.

Whistleblowing processes in Swedish public organisations—complaints and consequences

Research on whistleblowing in Sweden is scarce. In this explorative study 21 cases of whistleblowing from human service organisations in Sweden were examined. Extensive material from thematic interviews with 28 whistleblowers, 30 key persons and documents from supervisory authorities such as the National Board of Health and Welfare have been analysed. Some findings were that the organisation problems motivating whistleblowing were usually cutbacks in vital services for users, unethical working methods or abuse of clients. Internal whistleblowing was usually met with silence from supervisors and directors. The whistleblowers then went on with external whistleblowing by reporting the bad conditions to the higher supervisory authorities who started thorough investigations. Their actions caused a lot of negative reactions in the organisation, but they were also supported by media and ordinary citizens. The retaliation processes against the whistleblowers were described. Half of the interview group has left their positions, either on sick leave or by changing jobs. The findings show a stigmatisation process with severe consequences for the individuals. But the cited organisations usually had to change their illegal or immoral practices and benefited in the long run from the whistleblowing events.

Outcomes of using the internet for sexual purposes: fulfilment of sexual desires

BACKGROUND The purpose of the current study was to examine the characteristics of those who report fulfillment of sexual desires as a result of internet use for sexual purposes and which sexually related online activities contribute to the fulfillment of sexual desires. METHODS Data were collected through a questionnaire posted on Swedish-language websites in 2009. The sample comprised 1614 respondents who reported using the internet for sexual purposes, 62% women and 38% men. RESULTS The results showed that the majority of the respondents had their sexual desires fulfilled as a result of their sexually related activities on the internet; 21% to a great extent and 59% to a small extent, but 20% did not have their sexual desires fulfilled. Using a multinomial logistic regression analysis, respondents who had their sexual desires fulfilled to a small or great extent were each compared with those who did not have their sexual desires fulfilled at all. At the level of individual characteristics and sexual behaviours, those with no fulfillment of their sexual desires did not differ from those who had their sexual desires fulfilled, with the exceptions of age and masturbation. In comparison to fulfillment to a small extent, fulfillment of sexual desires to a great extent was predicted by a larger number of sexually related online activities that were based on interaction. CONCLUSION The findings suggest that the internet may contribute to fulfillment of sexual desires among a large internet population, irrespective of sex or sexual identity.