Department of Obstetrics and Gynecology, University of Wisconsin-Madison.
Collaborative for Reproductive Equity (CORE), University of Wisconsin-Madison.
J Sex Res. 2022 Oct;59(8):940-956. doi: 10.1080/00224499.2022.2044990. Epub 2022 Mar 18.
Sexual health includes positive aspects of sexuality and the possibility of having pleasurable sexual experiences. However, few researchers examine how socioeconomic conditions shape sexual wellbeing. This paper presents the concept of "erotic equity," which refers to how social and structural systems enable, or fail to enable, positive aspects of sexuality. In part one, we use this concept to consider potential pathways through which socioeconomic conditions, especially poverty, may shape sexuality. Part two builds from this theoretical framework to review the empirical literature that documents associations between socioeconomics and sexual wellbeing. This narrative review process located 47 studies from more than 22 countries. Forty-four studies indicated that individuals who reported more constrained socioeconomic conditions, primarily along the lines of income, education, and occupation, also reported poorer indicators of sexual wellbeing, especially satisfaction and overall functioning. Most studies used unidimensional measures of socioeconomic status, treating them as individual-level control variables; few documented socioeconomics as structural pathways through which erotic inequities may arise. Based on these limitations, in part three we make calls for the integration of socioeconomic conditions into sexuality researchers' paradigms of multi-level influences on sexuality.
性健康包括性的积极方面和获得愉悦性体验的可能性。然而,很少有研究人员探讨社会经济条件如何影响性健康。本文提出了“性感公平”的概念,它指的是社会和结构系统如何促进或阻碍性的积极方面。在第一部分中,我们使用这个概念来考虑社会经济条件(尤其是贫困)可能影响性的潜在途径。第二部分从这个理论框架出发,回顾了记录社会经济状况与性健康之间关联的实证文献。这个叙述性的文献回顾过程从 22 个以上的国家中找到了 47 项研究。44 项研究表明,报告经济条件更受限制的个体,主要是在收入、教育和职业方面,也报告了较差的性健康指标,尤其是满意度和整体功能。大多数研究使用单一维度的社会经济地位衡量标准,将其作为个体层面的控制变量;很少有研究记录社会经济地位是性感不公平可能产生的结构性途径。基于这些局限性,在第三部分,我们呼吁将社会经济条件纳入性研究人员关于性的多层次影响的范式中。