ABSTRACT

Erectile dysfunction (ED) is one of the most common sexual health diagnoses in men. Previous studies demonstrated that ED can be even more prevalent among sexual minority men. This study investigated whether sexual identity is related to erectile function (EF) and explored variables possibly contributing to the differences between Polish straight and sexual minority men. The study sample included 1,246 gay, 838 straight, and 535 bisexual men who participated in an online survey. First, the psychometric qualities of the IIEF-2-EF scale used in the study were examined through confirmatory and exploratory factor analysis; a correction to account for potential bias in the questionnaire was also applied. Next, a series of univariate and multivariable models accounting for predictors possibly contributing to the observed differences between the groups of men were conducted. It was demonstrated that gay and bisexual men were more likely to show poorer EF. However, as demonstrated in the subgroup of men who were in relationships, sexual identity lost its significance when the unique characteristics of minority men’s sexuality (i.e., less focus on insertive penetrative sex in gay men and more frequent relational non-exclusivity in bisexual men) were controlled for. Erectile problems in minority men may benefit from clinical consideration in the unique context of their sexuality.

摘要

勃起功能障碍（ED）是男性最常见的性健康诊断之一。先前的研究表明，ED 在性少数男性中更为普遍。这项研究调查了性别认同是否与勃起功能（EF）相关，并探讨了可能导致波兰异性恋男性和性少数男性之间差异的变量。研究样本包括参与在线调查的 1,246 名同性恋、838 名异性恋和 535 名双性恋男性。首先，通过验证性和探索性因素分析来检验本研究中使用的IIEF-2-EF量表的心理测量质量；还针对调查问卷中的潜在偏差进行了修正。下一个，建立了一系列单变量和多变量模型，解释了可能导致观察到的男性群体之间差异的预测因素。研究表明，同性恋和双性恋男性更有可能表现出较差的 EF。然而，正如处于恋爱关系中的男性亚群所证明的那样，当少数族裔男性性行为的独特特征（即，男同性恋者较少关注插入性插入性行为，而双性恋男性更频繁地关注关系非排他性）时，性认同就失去了意义。被控制为。少数族裔男性的勃起问题可能会受益于其性行为独特背景下的临床考虑。当少数族裔男性性行为的独特特征（即男同性恋者较少关注插入性插入性行为，而双性恋男性则更频繁地关注关系非排他性）受到控制时，性认同就失去了意义。少数族裔男性的勃起问题可能会受益于其性行为独特背景下的临床考虑。当少数族裔男性性行为的独特特征（即男同性恋者较少关注插入性插入性行为，而双性恋男性则更频繁地关注关系非排他性）受到控制时，性认同就失去了意义。少数族裔男性的勃起问题可能会受益于其性行为独特背景下的临床考虑。