默默承受痛苦：探究美國大學生痛苦的性經歷及其與性別角色的關係 Suffering in Silence: Examining U.S. College Students’ Painful Sexual Experiences and Their Relationship to Gender Roles ——《國際性健康雜誌》第38卷， 2026年2月10日在線發表—— <International Journal of Sexual Health> Volume 38, Published online: 10 February 2026 【摘要】目的：性交疼痛是一種常見但研究不足的體驗。本研究採用非臨床樣本，納入女性、男性和非順性別參與者（在部分分析中），旨在更深入地了解常見性交疼痛（包括非插入式性交、陰莖陰道性交和肛交）的發生率及其潛在原因，以及這些疼痛與傳統性別角色之間的聯繫。方法：本研究調查了263名美國大學生，詢問他們認為性交疼痛的普遍程度，並讓他們報告自己的性交疼痛經歷，解釋性交疼痛和繼續進行疼痛性交的原因，並讓他們填寫一份性別刻板印象量表。數據收集於2022年至2023年期間在線進行。結果：女性報告陰莖陰道性交疼痛的可能性幾乎是男性的兩倍。在經歷陰道-陰莖性交疼痛的參與者中，女性告知伴侶疼痛的可能性是男性的兩倍，而停止性行為的可能性是男性的四倍。性別角色觀念較強的參與者不太可能向伴侶報告性交疼痛。主題分析得出九個關於男女在性行為中感到疼痛的原因的主題，以及六個關於他們為何會繼續進行疼痛性行為的主題。性別角色觀念與其中幾個主題相關。結論：本研究結果表明，性行為疼痛具有性別差異，女性更容易經歷疼痛，且疼痛與傳統性別角色觀念相關。然而，男性也會報告性行為疼痛，並且出於類似的性別原因而未能告知伴侶。所有性別的人都應該了解，性行為疼痛雖然常見，但並非不可避免，更好的伴侶溝通可以減輕疼痛帶來的不適。 【關鍵詞】性交疼痛，性別角色，性別差異，性別化的性腳本 [Abstract] Objectives: Pain during sexual activity is a common, yet understudied experience. This research used a non-clinical sample and included women, men, and non-cisgender participants (in some of the analyses) in an attempt to understand more about the prevalence of and potential reasons for common painful sexual experiences (including non-penetrative, penile-vaginal, and anal sex) and their connection with traditional gender roles. Methods: For this study, 263 U.S. college students were asked about how common they believed painful sex to be, reported their own painful sexual experiences, provided potential explanations for pain during sexual activity and continuing that painful activity, and responded to a measure of hypergender beliefs. Data were collected online between 2022 and 2023. Results: Women were almost twice as likely as men to report pain during penile-vaginal intercourse. Of those participants who experienced pain during vaginal-penile sex, women were twice as likely as men to tell their partners about it and four times more likely to stop the activity compared to men. Participants higher in hypergender beliefs were less likely to report painful penile-vaginal intercourse to their partners. A thematic analysis yielded nine themes for why women and men might feel pain during sexual activity and six themes for why they might continue painful sexual activity. Hypergender attitudes were related to several of these themes. Conclusion: The results of this study suggest that pain during sexual activity is gendered in that it is more common for women and is related to beliefs in traditional gender roles. However, men also reported pain during sexual activity and failed to inform their partners for similar gendered reasons. People of all genders should be informed that pain during sexual activity, while common, is not inevitable and that better partner communication could diminish their discomfort. [Key words] Sexual pain, gender roles, gender differences, gendered sexual scripts 論文原文：Terri D. Fisher, Mary Bullard, Sydney Eyster & Camilla Kalthoff (2026). Suffering in Silence: Examining U.S. College Students’ Painful Sexual Experiences and Their Relationship to Gender Roles. International Journal of Sexual Health, Volume 38, Published online: 10 Feb 2026 https://doi.org/10.1080/19317611.2025.2605125 （翻譯兼責任編輯：MARY） （需要英文原文的朋友，請聯繫微信：millerdeng95或iacmsp）
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