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Young cisgender heterosexual men in Australia are the least likely population group to undergo testing for sexually transmissible infections (STI) and ensuring barrier method use during casual sex with cisgender women who have sex with men, with rates of STIs increasing among this group. This research examines how these men navigate sexual health conversations and practices during casual sexual encounters. A total of 30 semi-structured interviews with young cisgender heterosexual men living in Australia during 2021 were conducted. Participants were asked questions about their dating and sexual practices, including sexual health knowledge, how they learned to have sex, and navigating sexual health conversations with partners, such as STI testing, and barrier method and hormonal contraceptive use. Findings were analysed using reflexive thematic analysis techniques. Findings note that men use various strategies of avoidance including sustaining the erotic moment, and assuming women's responsibility. Participants also noted limited relationality, in which they highlighted individualised concerns for their own sexual health wellbeing but not that of their partners. This research highlights that despite increased awareness and promotion of STI prevention and contraceptive responsibility, young cisgender heterosexual men continue to forego their responsibilities regarding their own and other's sexual health during casual sexual encounters. Findings highlight a need to include gender transformative approaches to sexual health promotion and practice to address continuing gender inequities.

Background Sexual minority men (SMM) often experience stressful social environments dominated by stigma and discrimination. SMM are typically more likely than heterosexual men to engage in certain risky behaviours such as problem gambling. This study aimed to compare gambling behaviour among SMM and examine potential risk factors (erroneous gambling cognitions, gambling outcome expectancies, hazardous alcohol use, impulsivity, and psychological distress; as well as perceived stigma and discrimination for the SMM participants) and potential protective factors (resilience, social support, and community connectedness) for problem gambling severity and gambling-related harms among SMM living in Australia. Methods An online survey, with an over-representation of SMM participants and problem, moderate-risk, and low-risk gamblers, was completed by 101 SMM (mean age = 28.5) and 207 heterosexual men (mean age = 26.4). Results SMM were found to have significantly lower levels of problem gambling severity compared with heterosexual men, and report significantly lower gambling participation, frequencies and expenditure on any gambling activity, casino table games, horse racing/greyhound betting, sports betting, and keno. However, in the SMM group, 38.3% were classified in the problem gambling category of the Problem Gambling Severity Index and 27.6% were classified in the moderate-risk gambling category. There were no significant differences between groups in gambling-related harms. Multiple regression analyses revealed that problem gambling severity and related harms were independently predicted by higher levels of impulsivity and erroneous gambling cognitions for both groups. Conclusions Lower frequency of gambling behaviours among SMM and similar risk factors predicting problem gambling severity/harms for both groups suggests that problem gambling is not pronounced among SMM. This study adds new evidence to the gambling literature which can be used as comparative benchmarks for future research.

IntroductionResearch suggests that embarrassment and shame are significant barriers to young people’s access to sexual health information. In this article, we analyse the relationship between emotion and young people’s engagement with online sexual health information.MethodsDrawing on the work of Ahmed on the performativity of emotion and Probyn’s theorisation of shame, we analyse interviews conducted in 2020 with 37 young people in Australia on sources of sexual health information.ResultsBased on themes emerging from the data, our analysis considers the role of embarrassment and shame in shaping young people’s access to sexual health information, the sources they seek, and the forms of information provision they prefer. Overall, we find that shame, embarrassment, and judgement shape our participants’ access to sexual health information in four key ways: (1) by enacting suitable sources of information; (2) by propelling curiosity in different directions; (3) by constituting ‘normal’ bodies, sexuality, and sexual health; and (4) by constituting desired forms of communication.ConclusionsAs part of these dynamics, our participants use a range of strategies to avoid potential embarrassment or judgement when seeking sexual health information. The article concludes by exploring the implications of these practices and dynamics.Policy ImplicationsOur analysis suggests the need for research, policy, and public health initiatives that are open to the multiple effects of emotion, including those traditionally thought of as negative, and their role in materialising encounters with sexual health information.

Introduction Notions of effective sexual communication and consent have shifted towards an enthusiastic consent framework. This study explored how young cisgender heterosexual men and women apply these concepts in casual sexual encounters. Methods Six single-gender and mixed gender focus groups of 44 participants were conducted with young cisgender heterosexual men and women living in Australia in 2021. Participants were asked about their dating and sexual practices, as well as their understanding and navigation of sexual communication and sexual consent practices using vignette methodologies. Findings were analysed using interpretive phenomenological analysis techniques. Results The findings highlight tensions between how participants understand what constitutes good practices of sexual communication and consent, and how they expected characters in the vignettes, or themselves, to engage in similar scenarios. These involved (1) gendered power dynamics in sexual encounters; (2) the need for context in universal assumptions; and (3) differences between expectations and personal actions in similar scenarios. Conclusions The participants express a high degree of knowledge of what constitutes best practice for sexual communication and sexual consent. However, such knowledge is not necessarily engaged in their lived experiences of sex for a variety of reasons. Policy Implications While current educational and health promotion methods for topics such as sexual communication and consent are valuable, they may be limited in efficacy. Sexual encounters are often complex, and are influenced by culture, religion, and various emotions. Decision-making in such situations involves known and unknown variables. A deeper understanding of these processes is needed to develop more nuanced resources.

IntroductionCisgender heterosexual boys and young men in Australia may experience or perpetuate a range of harms in their romantic and sexual encounters with women due to expectations that they adhere to problematic ideals and norms concerning masculinity and heterosexuality. This paper explores expert stakeholders’ perceptions on these key issues, and their broader implications for policy and practice.MethodsUsing inductive thematic analysis techniques, this paper draws on semi-structured interviews from 23 expert stakeholders working across sectors of gendered violence prevention, sexual health, relationships and sexuality education, sport, and emotional and physical wellbeing.ResultsFindings note several key concerns, including (1) hesitation and lack of adequate information regarding relationships with women; (2) the potential negative influence of pornography; (3) the lack of opportunities to be engaged in sexual health promotion initiatives; and (4) limited opportunities to have meaningful conversations about dating, sex, and intimacy.ConclusionsExpert stakeholders note several important gaps in policy and practice that need to be addressed to better support cisgender heterosexual boys and young men, and to confront gendered violence and sexual violence.Social and Policy ImplicationsUnderstanding these gaps is vital for policymakers, content and program creators, and service providers working with cisgender heterosexual boys and men. We advocate for thinking about a strategy that is centred around “heterosexual intimacies”, in which addressing boys and young men’s sexual health and wellbeing is brought together with gendered violence prevention and sexual violence prevention initiatives.

Abstract Relationships and sexuality education for young people in Australia and elsewhere is a controversial topic. Numerous studies in Australia have focused on curriculum, policy, teachers, schools, sexting and other behaviours, and knowledge regarding sexually transmitted infection (STI)/human immunodeficiency virus (HIV) and pregnancy prevention. Few large-scale national studies have engaged with young people about what they want out of their sex education, and what they suggest would be most valuable for future programs in Australia. Data for the study included qualitative comments about experiences of sex education (n = 2316) provided in a national survey of adolescent sexual health. An initial thematic inductive analysis identified comments falling into two dominant themes: positive and negative experiences of their sex education. Results indicate that young people in Australia are articulate and understanding of the gaps in their sex education. A majority of comments highlighted negative experiences. These comments primarily discussed issues of delivery (timing, environment, person) and content quality (comprehensiveness). A minority highlighted positive commentary also around delivery (environment, person) and content quality (comprehensiveness). The findings of this study illuminate contemporary adolescent concerns regarding their experiences of education. Understanding these experiences can inform future curriculum development, teacher training and the design and implementation of policy.

BackgroundResearch shows that LGBTQ communities experience high levels of suicidality and mental ill health. They also face significant barriers to accessing adequate mental health treatment in service settings. In response to these factors, it is likely that LGBTQ community members turn to their peers for informal mental health-related support. Such support, however, is largely undefined, the extent of it poorly understood and its impacts on those who perform it underexplored.MethodsWe explored the nature and impact of informal mental health-related support provided by peers in LGBTQ communities in Melbourne, Australia. Drawing on semi-structured in-depth interviews with 25 LGBTQ adults in 2020, we explored how and why peers provided mental health support to friends, partners, housemates and even strangers and the impact this had on them.ResultsWe found that participants performed support roles as extensions of their existing relationships. We demonstrate that the support roles of the safe friend, housemate and partner, among others, represent everyday relationships stretched—even to breaking point—to incorporate informal mental health support. Each of these support roles is distinct, but they can all potentially result in similar impacts on those performing them. One of the more significant of these is burnout.ConclusionsLGBTQ community members face a diverse range of challenges when they support peers with their mental health. Informal peer-support roles are a significant responsibility for those performing them. LGBTQ community members stepping up to support others should be better supported to help manage their roles and the impacts of performing them.Policy ImplicationsFindings can contribute to policy that not only addresses high levels of mental ill health in LGBTQ communities, but also seeks to help peers in support roles to prevent them from being negatively impacted.

This study examines the potential health-related impact of recent versus lifetime experiences of sexual orientation discrimination among older Australian lesbian women and gay men. In a nationwide survey, a sample of 243 lesbian women and 513 gay men aged 60 years and over reported on their experiences of sexual orientation discrimination and their mental and physical health, including psychological distress, positive mental health and self-rated health. Among both lesbian women and gay men, recent discrimination uniquely predicted lower positive mental health after adjusting for experiences of discrimination across the lifetime and socio-demographic variables. In addition, recent discrimination uniquely predicted higher psychological distress among gay men. Experiences of discrimination over the lifetime further predicted higher psychological distress and poorer self-rated health among gay men after adjusting for recent experiences of discrimination and socio-demographic variables. However, there were no associations between lifetime discrimination and any of the outcome variables among lesbian women. Overall, recent and lifetime experiences of sexual orientation discrimination were related to mental and physical health in different ways, especially among the men. These findings have potential implications for policy/practice, and suggest that distinguishing between recent and lifetime experiences of discrimination may be useful when assessing potential health-related impacts of sexual orientation discrimination among older lesbian women and gay men, while also taking account of differences between these two groups.

IntroductionRelationships and sexuality education (RSE) for young people in Australia and elsewhere is a contentious topic. While focus has been on sexting practices, curriculum and policy and teachers and schools, few studies have examined how discourses of silencing are reflected in what young people want from their RSE.MethodsUsing thematic analysis on 1258 open-ended comments from a 2018 survey of young people and sexual health and a theoretical framework of ‘Thick Desire,’ this paper explores what students in Australia desire from a RSE program and how they have come to understand those desires.ResultsThis analysis reveals that young people in Australia understand and are articulate about the gaps in their RSE. Young people are negotiating a ‘silencing’ of knowledge and education around several important factors and are drawing from broader social, cultural and political influences that shape their experiences. Specifically, young people actively desire a RSE that includes more in-depth information about sexually transmissible infections (STIs) and sexual health issues, programs that are inclusive of diverse genders and sexualities, RSE that is delivered by qualified providers and programs that include discussions concerning relationships, consent and pleasure.Social and Policy ImplicationsThe findings of this study suggest several important policy recommendations to improve RSE education, particularly focusing on the sexual rights of young people, the lack of consistency and clarity in existing RSE national policy and the impact that silencing can have on young people’s knowledge and safety in engaging in sexual activity.

Purpose of the Review Smart sex toys (‘teledildonics’), are digitally enabled haptic devices designed for sexual or erotic stimulation. Devices may conform to conventional sex toy design (e.g. dildoes) or take other forms. Their primary purpose is to provide sexual or erotic stimulation through the networked haptic function. Here, we present a narrative review of academic work in which we aimed to synthesise current lines of inquiry relating to cultural impacts and research on risks and benefits. Recent Findings. Forty-one articles were included, published between 2011 and 2024. The articles focused on: prevalence and context of smart sex use; considerations on whether smart sex toys have potential to disrupt normative gendered sexual scripts; whether smart sex toys have potential to expand or change people’s expectations for sex; the potential for harm and non-consensual use; the politics of data security; and the possibilities for smart sex toys to enhance sexual wellbeing. Summary Smart sex toys may create new ways for people to explore sexual connection and experience, including people with limited mobility. Data security and consensual use should be considered in product development.