性福祉概念化：一項旨在指導測量指標制定的定性調查（Natsal-SW）

Conceptualizing Sexual Wellbeing: A Qualitative Investigation to Inform Development of a Measure (Natsal-SW)

——《性研究雜誌》第62卷第5期，2025年——

<The Journal of Sex Research> Volume 62, Issue 5, 2025

【摘要】儘管科學界和政策界對性健康的興趣日益濃厚，但其概念化程度仍然很低。許多旨在衡量性健康的研究反而衡量了相關但不同的概念，例如性滿足感。概念上的不清晰阻礙了對性健康的理解、衡量和改善。我們展示了多階段、混合方法的定性研究，旨在為第四次英國全國性態度與生活方式調查開發一種新的性健康測量方法 (Natsal-SW)。文獻綜述和討論生成了一個概念框架，其中包含七個擬議領域：尊重、自尊、舒適、自決、安全感、寬恕和韌性。隨後，我們對 40 名 18-64 歲的成年人進行了半結構化訪談，探討了這些領域是否以及如何與參與者自身對性健康的理解、經歷和語言相符。數據按主題進行分析。參與者將性健康概念化為不同於性滿足和性健康，並且是多維的、動態的、受社會和結構影響的。所有七個提議的領域都與性福祉的普遍概念相呼應。不同領域及其維度的個人顯著性因人而異（尤其是在性別和性取向方面），並且會隨着時間的推移而波動。本研究闡明了參與者認為重要的領域維度，為制定新的性福祉衡量標準提供了實證基礎。 

[Abstract] Despite increasing scientific and policy interest in sexual wellbeing, it remains poorly conceptualized. Many studies purporting to measure it instead measure related but distinct concepts, such as sexual satisfaction. This lack of conceptual clarity impedes understanding, measuring, and improving sexual wellbeing. We present qualitative research from multi-stage, mixed-methods work to develop a new measure of sexual wellbeing (Natsal-SW) for the fourth British National Survey of Sexual Attitudes & Lifestyles. Literature review and discussion generated a conceptual framework with seven proposed domains: respect, self-esteem, comfort, self-determination, safety and security, forgiveness, and resilience. Semi-structured interviews with 40 adults aged 18–64 then explored whether and how these domains aligned with participants’ own understandings, experiences, and language of sexual wellbeing. Data were analyzed thematically. Participants conceptualized sexual wellbeing as distinct from sexual satisfaction and sexual health and as multidimensional, dynamic, and socially and structurally influenced. All seven proposed domains resonated with accounts of sexual wellbeing as a general construct. The personal salience of different domains and their dimensions varied between individuals (especially by gender and sexual orientation) and fluctuated individually over time. This study clarifies dimensions of domains that participants considered important, providing an empirical basis to inform development of a new measure of sexual wellbeing.

論文原文：R. Lewis, R. Bosó Pérez, K.J. Maxwell, D. Reid, W. Macdowall, C. Bonell (2025). Conceptualizing Sexual Wellbeing: A Qualitative Investigation to Inform Development of a Measure (Natsal-SW). The Journal of Sex Research, Volume 62, Issue 5, Pages 693-711.

https://doi.org/10.1080/00224499.2024.2326933

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