性福祉概念化：一项旨在指导测量指标制定的定性调查（Natsal-SW）

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

——《性研究杂志》第62卷第5期，2025年——

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

【摘要】尽管科学界和政策界对性健康的兴趣日益浓厚，但其概念化程度仍然很低。许多旨在衡量性健康的研究反而衡量了相关但不同的概念，例如性满足感。概念上的不清晰阻碍了对性健康的理解、衡量和改善。我们展示了多阶段、混合方法的定性研究，旨在为第四次英国全国性态度与生活方式调查开发一种新的性健康测量方法 (Natsal-SW)。文献综述和讨论生成了一个概念框架，其中包含七个拟议领域：尊重、自尊、舒适、自决、安全感、宽恕和韧性。随后，我们对 40 名 18-64 岁的成年人进行了半结构化访谈，探讨了这些领域是否以及如何与参与者自身对性健康的理解、经历和语言相符。数据按主题进行分析。参与者将性健康概念化为不同于性满足和性健康，并且是多维的、动态的、受社会和结构影响的。所有七个提议的领域都与性福祉的普遍概念相呼应。不同领域及其维度的个人显著性因人而异（尤其是在性别和性取向方面），并且会随着时间的推移而波动。本研究阐明了参与者认为重要的领域维度，为制定新的性福祉衡量标准提供了实证基础。 

[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.

论文原文：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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