Limoncin Erika, Galli Debora, Ciocca Giacomo, Gravina Giovanni Luca, Carosa Eleonora, Mollaioli Daniele, Lenzi Andrea, Jannini Emmanuele A
Department of Clinical and Applied Sciences and Biotechnologies, School of Sexology, University of L'Aquila, L'Aquila, Italy.
Department of Endocrinology, Sapienza University of Rome, Rome, Italy.
PLoS One. 2014 Jun 11;9(2):e98413. doi: 10.1371/journal.pone.0098413. eCollection 2014.
Sexual assistance may have some aspects that resemble prostitution and others that might lead one to think of sexual assistants as similar to a group of subjects whose sexual object is disability (devotees). In this study, we investigate whether a rigorous selection and training process on the part of specialised organisations may reduce the risk of training subjects with an atypical sexual interest and behaviours resembling prostitution.
The study population consisted of 152 subjects defining themselves as sexual assistants. Subjects were initially contacted on websites specifically dedicated to sexual assistants and prostitutes. One hundred and twenty subjects were selected, by propensity score analysis, and studied by means of a modified version of a semi-structured questionnaire previously developed to investigate a population of subjects attracted by disability.
The study group was composed of 80 trained and 40 untrained sexual assistants, with mean ages of 41.5 (SD +/-12.58) and 44.5 (SD +/-11.62), respectively. A significant number of untrained subjects affirmed that their motivation in carrying out sexual assistance was of a remunerative nature, while this number was lower among the trained assistants (p = 0.001). Nearly all untrained subjects claimed to do one or more of the following activities during sexual assistance: sexual intercourse, oral sex, and masturbation. Among the trained subjects, however, only 47.5% claimed to do one or more of these activities, which means that there is a significant gap between trained and untrained assistants (p<0.0001). The existence of an atypical sexual interest was more evident between untrained rather than between trained subjects (p<0.0001).
Sexual assistance represents a way through which people affected by disabilities may attain the right to explore their sexuality in a safe setting. This can be guaranteed only if sexual assistants are trained and carefully selected by specialised organisations.
性协助可能在某些方面类似于卖淫，而在其他方面可能会让人将性协助者视为类似于以残疾为性对象的群体（性残癖者）。在本研究中，我们调查专业组织进行的严格选拔和培训过程是否可以降低培训具有非典型性兴趣和类似卖淫行为的对象的风险。
研究人群包括152名自称为性协助者的对象。最初是在专门针对性协助者和妓女的网站上联系这些对象的。通过倾向得分分析选择了120名对象，并使用先前开发的用于调查受残疾吸引的对象群体的半结构化问卷的修改版进行研究。
研究组由80名受过培训的性协助者和40名未受过培训的性协助者组成，平均年龄分别为41.5岁（标准差±12.58）和44.5岁（标准差±11.62）。大量未受过培训的对象确认他们进行性协助的动机是为了赚钱，而受过培训的协助者中这一比例较低（p = 0.001）。几乎所有未受过培训的对象都声称在性协助过程中会进行以下一项或多项活动：性交、口交和手淫。然而，在受过培训的对象中，只有47.5%的人声称会进行这些活动中的一项或多项，这意味着受过培训和未受过培训的协助者之间存在显著差距（p<0.0001）。非典型性兴趣在未受过培训的对象之间比在受过培训的对象之间更为明显（p<0.0001）。
性协助是一种途径，通过它，残疾人士可以在安全的环境中获得探索其性取向的权利。只有当性协助者由专业组织进行培训和精心挑选时，这一权利才能得到保障。
