Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, USA.
Cult Health Sex. 2023 May;25(5):567-581. doi: 10.1080/13691058.2022.2072956. Epub 2022 May 9.
Black women experience persistent sexual pain that may often last longer than White women. Despite the value of sexual communication to alleviate sexual pain concerns, many women do not disclose sexual pain to their partners. Limited research explores barriers to disclosing sexual pain to partners among Black women. This study seeks to fill this gap. Relying on an integration of Sexual Script theory and Superwoman Schema, the study explored the barriers that premenopausal, cisgender Black women from the Southern USA perceived when disclosing sexual pain to their primary partners. We identified five common themes from women's open-ended responses to an online survey: (a) distressing emotions associated with disclosure; (b) limited knowledge and communication skills; (c) protecting partner's feelings and ego; (d) invading privacy; and (e) taking sole responsibility for managing sexual pain. Findings suggest a combination of intrapsychic, interpersonal and cultural factors influence Black women's perceived ability to have direct and open dyadic communication about sexual pain with their partners. Implications for Black women's sexual health and relationship outcomes are discussed.
黑人女性经历持续的性疼痛，这种疼痛可能比白人女性持续的时间更长。尽管性沟通对于缓解性疼痛问题很有价值，但许多女性不会向伴侣透露性疼痛。有限的研究探讨了黑人女性向伴侣透露性疼痛的障碍。本研究旨在填补这一空白。该研究依赖于性脚本理论和超级女性图式的整合，探讨了美国南部的绝经前、顺性别黑人女性在向主要伴侣透露性疼痛时所感知到的障碍。我们从女性对在线调查的开放式回答中确定了五个常见主题：（a）与披露相关的痛苦情绪；（b）有限的知识和沟通技巧；（c）保护伴侣的感受和自我；（d）侵犯隐私；（e）独自承担管理性疼痛的责任。研究结果表明，内在心理、人际和文化因素的结合影响了黑人女性对与伴侣直接、公开的二元沟通性疼痛的感知能力。讨论了这些发现对黑人女性性健康和关系结果的影响。
