Fluidity in Women's Sexuality

Sexual fluidity has been proposed as a key component of women’s sexuality. However, not all women acknowledge or experience fluidity in their sexual attractions and behaviors. Because this is the case, what proportion of women are experiencing sexual fluidity? Research has concluded that a “sizeable minority” of women are experiencing sexual fluidity, with the highest levels found among those that identify as a sexual minority. Furthermore, certain individual differences have been found to be associated with a heightened (or weakened) likelihood of experiencing or embracing sexual fluidity. Through extensive literature reviews on women’s sexuality and sexual fluidity, it has been concluded that sexual orientation identity status, as well as psychological, biological, and social factors, all play roles in the expression or degree of sexual fluidity experienced. This means that certain personal and environmental factors have the ability to both hinder and/or nurture fluidity in a woman’s sexual attractions, behaviors, and experiences. Accepting that women’s sexuality is fluid and teaching about the variability sometimes observed in women’s sexuality allows us to not only see that experiencing same-sex attractions, desires, or experiences is not necessarily abnormal, but also that it may be more common than originally assumed, which has the potential to reduce societal stigma associated with homosexuality.

Sexual risk behaviors and HIV risk among Americans aged 50 years or older: a review.

Although HIV-related sexual risk behaviors have been studied extensively in adolescents and young adults, there is limited information about these behaviors among older Americans, which make up a growing segment of the US population and an understudied population. This review of the literature dealing with sexual behaviors that increase the risk of becoming HIV-infected found a low prevalence of condom use among older adults, even when not in a long-term relationship with a single partner. A seminal study by Schick et al published in 2010 reported that the prevalence of condom use at last intercourse was highest among those aged 50-59 years (24.3%; 95% confidence interval, 15.6-35.8) and declined with age, with a 17.1% prevalence among those aged 60-69 years (17.1%; 95% confidence interval, 7.3-34.2). Studies have shown that older Americans may underestimate their risk of becoming HIV-infected. Substance use also increases the risk for sexual risk behaviors, and studies have indicated that the prevalence of substance use among older adults has increased in the past decade. As is the case with younger adults, the prevalence of HIV infections is elevated among ethnic minorities, drug users (eg, injection drug users), and men who have sex with men. When infected, older adults are likely to be diagnosed with HIV-related medical disorders later in the course of illness compared with their younger counterparts. Physicians are less likely to discuss sexual risk behaviors with older adults and to test them for HIV compared with younger adults. Thus, it is important to educate clinicians about sexual risk behaviors in the older age group and to design preventive interventions specifically designed for older adults.