University of Connecticut School of Medicine, Farmington, CT 06030-6325, USA.
Asia Pac J Public Health. 2010 Jul;22(3 Suppl):144S-150S. doi: 10.1177/1010539510373126.
Marital sex has been an unaddressed component of sexual risk. This article explores marital sex and its link to men's extramarital sexual behavior in 3 economically marginal communities in Mumbai, India. Using in-depth interviews with women, men, and couples, qualitative results are presented on first night experiences, ability of women to refuse their husbands' demands for sex, sexual communication, and sexual pleasure associated with marital sex. Using regression analysis of survey data for 260 couples, the quantitative results indicate that greater sexual satisfaction for both men and women is significantly related to men's lesser involvement in extramarital sex. These results provide a basis for a couples' intervention effort that can yield greater marital and sexual communication and reduction in sexual risk.
婚姻中的性生活一直是性风险中未被关注的部分。本文探讨了印度孟买 3 个经济边缘社区中婚姻中的性生活及其与男性婚外性行为的关系。通过对女性、男性和夫妻的深入访谈，本文呈现了关于初次性生活体验、女性拒绝丈夫性要求的能力、性沟通以及与婚姻中的性生活相关的性愉悦的定性结果。利用对 260 对夫妻的调查数据进行回归分析，定量结果表明，夫妻双方的性满意度越高，男性婚外性行为的参与度越低。这些结果为夫妻干预措施提供了依据，该措施可以增加婚姻和性沟通，并降低性风险。
