Carlson Fowler (crowliquor9)

Despite being grouped together in epidemiological risk categories, gay, bisexual, and other men who have sex with men (GBM) are not a homogenous group. In addition to traditional segmentation along race, ethnicity, and socioeconomic status, many GBM also identify with sexual subcultural communities. Previous research has shown differences across a variety of health outcomes between these sexual subcultural communities. The purpose of this study was to determine whether HIV prevention practices among GBM differed according to sexual subcultural community. The study was conducted in collaboration with a popular social and sexual networking smartphone application company. A total of 23,577 GBM responded to the survey. A latent class analysis identified 6 distinct classes related to sexual subcultural community identification. We found significant differences across sociodemographic characteristics, HIV prevention practices, and condomless anal sex in the past 6 months related to sexual subculture identification. Findings suggest that sexual subcultural identity is related to decision-making around HIV prevention among GBM. Differences in HIV prevention strategies are likely a function of group norms, unique shared experiences among GBM identifying with a particular sexual subculture community, and sociodemographic characteristics associated with these groups. As such, sexual subculture identity should be considered in developing interventions and social marketing campaigns to increase uptake of biomedical HIV prevention tools among GBM. Identifying group norms and shared experiences related to HIV prevention practices among sexual subcultures is necessary to understand the role these identities play in lives of GBM, especially as it relates to their sexual health and well-being.The present research explored fantasies about consensual nonmonogamous relationships (CNMRs) and the factors that predict such fantasies in a large and diverse online sample (N = 822) of persons currently involved in monogamous relationships. Nearly one-third (32.6%) of participants reported that being in some type of sexually open relationship was part of their favorite sexual fantasy of all time, of whom most (80.0%) said that they want to act on this fantasy in the future. Those who had shared and/or acted on CNMR fantasies previously generally reported positive outcomes (i.e., meeting or exceeding their expectations and improving their relationships). In addition, a majority of participants reported having fantasized about being in a CNMR at least once before, with open relationships being the most popular variety. Those who identified as male or non-binary reported more CNMR fantasies than those who identified as female. CNMR fantasies were also more common among persons who identified as anything other than heterosexual and among older adults. Erotophilia and sociosexual orientation were uniquely and positively associated with CNMR fantasies of all types; however, other individual difference factors (e.g., Big Five personality traits, attachment style) had less consistent associations. Unique predictors of infidelity fantasies differed from CNMR fantasies, suggesting that they are propelled by different psychological factors. Overall, these results suggest that CNMRs are a popular fantasy and desire among persons in monogamous romantic relationships. Clinical implications and implications for sexual fantasy research more broadly are discussed. Persistent postpartum voiding dysfunction (P-PPVD) is defined as the inability to empty the bladder properly 72h after delivery despite the use of intermittent urinary catheterization. Our aim was to find predictive factors for P-PPVD and to compare its urogynecologic outcomes with transient dysfunctions. A case-control study was performed in a university hospital center between January 2018 and April 2019. The case group included women diagnosed with P-PPVD after vaginal delivery, and the c