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Acculturation and Sexual Function in Asian Women

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Abstract

Cultural effects on sexuality are pervasive and potentially of great clinical importance, but have not yet received sustained empirical attention. The purpose of this study was to explore the role of acculturation on sexual permissiveness and sexual function, with a particular focus on arousal in Asian women living in Canada. We also compared questionnaire responses between Asian and Euro-Canadian groups in hopes of investigating whether acculturation captured unique information not predicted by ethnic group affiliation. Euro-Canadian (n = 173) and Asian (n = 176) female university students completed a battery of questionnaires in private. Euro-Canadian women had significantly more sexual knowledge and experiences, more liberal attitudes, and higher rates of desire, arousal, sexual receptivity, and sexual pleasure. Anxiety from anticipated sexual activity was significantly higher in Asian women, but the groups did not differ significantly on relationship satisfaction or problems with sexual function. Acculturation to Western culture, as well as maintained affiliation with traditional Asian heritage, were both significantly and independently related to sexual attitudes above and beyond length of residency in Canada, and beyond ethnic group comparisons. Overall, these data suggest that measurement of acculturation may capture information about an individual's unique acculturation pattern that is not evident when focusing solely on ethnic group comparisons or length of residency, and that such findings may be important in facilitating the assessment, classification, and treatment of sexual difficulties in Asian women.

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References

  • Abramson, P. R., & Imai-Marquez, J. (1982). The Japanese-American: A cross-cultural, cross-sectional study of sex guilt. Journal of Research in Personality, 16, 227–237.

    Article  ISI  Google Scholar 

  • Ahmadi, N. (2003). Rocking sexualities: Iranian migrants' views on sexuality. Archives of Sexual Behavior, 32, 317–326.

    Article  PubMed  ISI  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text rev.). Washington, DC: Author.

    Google Scholar 

  • Astbury-Ward, E. M. (2003). Menopause, sexuality and culture: Is there a universal experience? Sexual and Relationship Therapy, 18, 437–445.

    Article  Google Scholar 

  • Bancroft, J., Loftus, J., & Long, J. S. (2003). Distress about sex: A national survey of women in heterosexual relationships. Archives of Sexual Behavior, 32, 193–208.

    PubMed  ISI  Google Scholar 

  • Basson, R., & Brotto, L. A. (2001). Detailed assessment of real-life sexual arousal. Unpublished interview instrument.

  • Basson, R., & Brotto, L. A. (2003). Sexual psychophysiology and effects of sildenafil citrate in estrogenized women with acquired genital arousal disorder and impaired orgasm. British Journal of Obstetrics and Gynaecology, 110, 1014–1024.

    PubMed  Google Scholar 

  • Basson, R., Leiblum, S., Brotto, L., Derogatis, L., Fourcroy, J., Fugl-Meyer, K., et al. (2003). Definitions of women's sexual dysfunction reconsidered: Advocating expansion and revision. Journal of Psychosomatic Obstetrics and Gynaecology, 24, 221–229.

    Article  PubMed  Google Scholar 

  • Berry, J. W. (1980). Acculturation as varieties of adaptation. In A. M. Padilla (Ed.), Acculturation: Theory, models and some new findings (pp. 9–25). Boulder, CO: Westview Press.

    Google Scholar 

  • Cain, V. S., Johannes, C. B., Avis, N. E., Mohr, B., Schocken, M., Skurnick, J., et al. (2003). Sexual functioning and practices in a multi-ethnic study of midlife women: Baseline results from SWAN. Journal of Sex Research, 40, 266–276.

    PubMed  ISI  Google Scholar 

  • Chambless, D. L., & Lifshitz, J. L. (1985). Self-reported sexual anxiety and arousal: The Expanded Sexual Arousability Inventory. Journal of Sex Research, 20, 241–254.

    ISI  Google Scholar 

  • Cochran, S. D., Mays, V. M., & Leung, L. (1991). Sexual practices of heterosexual Asian-American young adults: Implications for risk of HIV infection. Archives of Sexual Behavior, 20, 381–391.

    Article  PubMed  ISI  Google Scholar 

  • Derogatis, L. R., & Melisaratos, N. (1979). The DSFI: A multidimensional measure of sexual functioning. Journal of Sex and Marital Therapy, 5, 244–281.

    PubMed  Google Scholar 

  • Draycott, S., & Dabbs, A. (1998). Cognitive dissonance. 1: An overview of the literature and its integration into theory and practice of clinical psychology. British Journal of Clinical Psychology, 37, 341–353.

    PubMed  ISI  Google Scholar 

  • Ellis, D., & Ho, M. S. (1982). Attitudes of Chinese women towards sexuality and birth control. Canadian Nurse, 78, 28–31.

    PubMed  Google Scholar 

  • Feldman, S. S., Turner, R. A., & Araujo, K. (1999). Interpersonal context as an influence on sexual timetables of youths: Gender and ethnic effects. Journal of Research on Adolescents, 9, 25–52.

    Google Scholar 

  • Frenier, M. D., & Mancini, K. (1996). Vietnamese women in a Confucian setting: The causes of the initial decline in the status of East Asian women. In K. Barry (Ed.), Vietnam's women in transition (pp. 21–37). London: MacMillan.

    Google Scholar 

  • Fugl-Meyer, A. R., & Fugl-Meyer, K. S. (1999). Sexual disabilities, problems and satisfaction in 18 to 74-year-old Swedes. Scandinavian Journal of Sexology, 2, 79–105.

    Google Scholar 

  • Hirayama, H., & Hirayama, K. K. (1986). The sexuality of Japanese Americans. Journal of Social Work and Human Sexuality, 4(3), 81–98.

    Google Scholar 

  • Hislop, T. G., Teh, C., Lai, A., Labo, T., & Taylor, V. M. (2000). Cervical cancer screening rates in BC Chinese women. BC Medical Journal, 42, 456–460.

    Google Scholar 

  • Huang, K., & Uba, L. (1992). Premarital sexual behavior among Chinese college students in the United States. Archives of Sexual Behavior, 21, 227–240.

    Article  PubMed  ISI  Google Scholar 

  • Ip, W. Y., Chau, J. P. C., Chang, A. M., & Lui, M. H. L. (2001). Knowledge of and attitudes toward sex among Chinese adolescents. Western Journal of Nursing Research, 23, 211–222.

    PubMed  ISI  Google Scholar 

  • Kameya, Y. (2001). How Japanese culture affects the sexual functions of normal females. Journal of Sex and Marital Therapy, 27, 151–152.

    PubMed  Google Scholar 

  • Kennedy, M. A., & Gorzalka, B. B. (2002). Asian and non-Asian attitudes toward rape, sexual harassment, and sexuality. Sex Roles, 46, 227–238.

    Article  ISI  Google Scholar 

  • Laumann, E. O., Paik, A., & Rosen, R. C. (1999). Sexual dysfunction in the United States: Prevalence and predictors. JAMA, 281, 537–544.

    Article  PubMed  ISI  Google Scholar 

  • Leiblum, S., Wiegel, M., & Brickle, F. (2003). Sexual attitudes of US and Canadian medical students: The role of ethnicity, gender, religion, and acculturation. Sexual and Relationship Therapy, 18, 473–491.

    Google Scholar 

  • Liu, D. L., & Ng, M. L. (1995). Sexual dysfunction in China. Annals of the Academy of Medicine—Singapore, 24, 728–731.

    Google Scholar 

  • Liu, D. L., Ng, M. L., & Chou, L. P. (1992). Sexual behavior in modern China: A report of the nationwide sex-civilization survey on 20,000 subjects in China. Shanghai: Joint Publishing.

    Google Scholar 

  • Lock, M. (1998). Menopause: Lessons from anthropology. Psychosomatic Medicine, 60, 410–419.

    PubMed  ISI  Google Scholar 

  • Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224–253.

    Article  ISI  Google Scholar 

  • Masters, W. H., & Johnson, V. E. (1970). Human sexual inadequacy. Boston: Little, Brown.

    Google Scholar 

  • Mazer, N. A., Leiblum, S. R., & Rosen, R. C. (2000). The brief index of sexual functioning for women (BISF-W): A new scoring algorithm and comparison of normative and surgically menopausal populations. Menopause, 7, 350–363.

    Article  PubMed  ISI  Google Scholar 

  • McLaughlin, C. S., Chen, C., Greenberger, E., & Biermeier, C. (1997). Family, peer, and individual correlates of sexual experience among Caucasian and Asian American late adolescents. Journal of Research on Adolescence, 7, 33–53.

    ISI  Google Scholar 

  • Meston, C. M., Trapnell, P. D., & Gorzalka, B. B. (1996). Ethnic and gender differences in sexuality: Variations in sexual behavior between Asian and non-Asian university students. Archives of Sexual Behavior, 25, 33–72.

    PubMed  ISI  Google Scholar 

  • Meston, C. M., Trapnell, P. D., & Gorzalka, B. B. (1998). Ethnic, gender, and length of residency influences on sexual knowledge and attitudes. Journal of Sex Research, 35, 176–188.

    ISI  Google Scholar 

  • National Asian Women's Health Organization. (1997). Expanding options: A reproductive and sexual health survey of Asian American Women. San Francisco, CA: Author.

    Google Scholar 

  • Ng, M. L., & Lau, M. P. (1990). Sexual attitudes in the Chinese. Archives of Sexual Behavior, 19, 373–388.

    Article  PubMed  ISI  Google Scholar 

  • Petrak, J., & Keane, F. (1998). Cultural beliefs and the treatment of sexual dysfunction: An overview. Sexual Dysfunction, 1, 13–17.

    Article  Google Scholar 

  • Ritsher, J. E. B., Ryder, A. G., Karasz, A., & Castille, D. M. (2002). Integrating qualitative and quantitative approaches in the study of psychopathology across cultures. In P. Boski, F. van de Vijver, & M. A. Chodynicka (Eds.), New directions in cross-cultural psychology (pp. 129–146). Warsaw, Poland: Warsaw Academy of Sciences.

    Google Scholar 

  • Rosen, R. C., & Beck, J. G. (1988). Patterns of sexual arousal: Psychophysiological processes and clinical applications. New York: Guilford Press.

    Google Scholar 

  • Ruan, F. F. (1991). Sex in China: Studies in sexology in Chinese culture. New York: Plenum.

    Google Scholar 

  • Ryder, A. G., Alden, L. E., & Paulhus, D. L. (2000). Is acculturation unidimensional or bidimensional? A head-to-head comparison in the prediction of personality, self-identity, and adjustment. Journal of Personality and Social Psychology, 79, 49–65.

    Article  PubMed  ISI  Google Scholar 

  • Ryder, A. G., Bean, G., & Dion, K. L. (2000). Caregiver responses to symptoms of first-onset psychosis: A comparative study of Chinese- and Euro-Canadian families. Transcultural Psychiatry, 37, 225–236.

    Google Scholar 

  • Ryder, A. G., Yang, J., & Heine, S. J. (2002). Somatization vs. psychologization of emotional distress: A paradigmatic example for cultural psychopathology. In W. J. Lonner, D. L. Dinnel, S. A. Hayes, & D. N. Satter (Eds.), Online readings in psychology and culture (Unit 9, Chapter 3). Retrieved March 3, 2004, from http://www.wwu.edu/~culture

  • Sommer, B., Avis, N., Meyer, P., Ory, M., Madden, T., Kagawa-Singer, M., et al. (1999). Attitudes toward menopause and aging across ethnic/racial groups. Psychosomatic Medicine, 61, 868–875.

    PubMed  ISI  Google Scholar 

  • Statistics Canada. (2001). 2001 Canadian Statistics. Retrieved October 1, 2003, from http://www.statcan.ca/english/Pgdb/popula.htm

  • Tang, C. S., Lai, F. D., & Chung, T. K. H. (1997). Assessment of sexual functioning for Chinese college students. Archives of Sexual Behavior, 26, 79–90.

    Article  PubMed  ISI  Google Scholar 

  • Taylor, J. F., Rosen, R. C., & Leiblum, S. R. (1994). Self-report assessment of female sexual function: Psychometric evaluation of the Brief Index of Sexual Functioning for Women. Archives of Sexual Behavior, 23, 627–643.

    Article  PubMed  ISI  Google Scholar 

  • Tiefer, L. (1996). The medicalization of sexuality: Conceptual, normative, and professional issues. Annual Review of Sex Research, 7, 252–282.

    Google Scholar 

  • Tu, S., Taplin, S. H., Barlow, W. E., & Boyko, E. J. (1999). Breast cancer screening by Asian-American women in a managed care environment. American Journal of Preventive Medicine, 17, 55–61.

    Article  PubMed  ISI  Google Scholar 

  • United States Census Bureau Population Division. (2003). Retrieved February 24, 2004, from http://eire.census.gov/popest/data/states/tables/NST-EST2003-01.php

  • Wiederman, M. W., Maynard, C., & Fretz, A. (1996). Ethnicity in 25 years of published sexuality research: 1971–1995. Journal of Sex Research, 33, 339–342.

    ISI  Google Scholar 

  • Youn, G. (2001). Perceptions of peer sexual activities in Korean adolescents. Journal of Sex Research, 38, 352–360.

    Article  ISI  Google Scholar 

  • Yu, E. S. H., Kim, K. K., Chen, E. H., & Britnall, R. A. (2001). Breast and cervical cancer screening among Chinese American women. Cancer Practice, 9, 81–91.

    Article  PubMed  ISI  Google Scholar 

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Correspondence to Lori A. Brotto Ph.D..

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Brotto, L.A., Chik, H.M., Ryder, A.G. et al. Acculturation and Sexual Function in Asian Women. Arch Sex Behav 34, 613–626 (2005). https://doi.org/10.1007/s10508-005-7909-6

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