An Exploratory Study Investigating the Correlates of Sexual Health Anxiety and Preferences for Digital Services Amongst Internet Users

Gervan Arneaud, Tom Buchanan, Chantal Gautier and Tom Nadarzynski 2024. An Exploratory Study Investigating the Correlates of Sexual Health Anxiety and Preferences for Digital Services Amongst Internet Users. Journal of Psychosexual Health. 5 (4), pp. 228-239. https://doi.org/10.1177/26318318231221923

TitleAn Exploratory Study Investigating the Correlates of Sexual Health Anxiety and Preferences for Digital Services Amongst Internet Users
TypeJournal article
AuthorsGervan Arneaud, Tom Buchanan, Chantal Gautier and Tom Nadarzynski
Abstract

Background:
Sexual health clinics are under increasing pressure because of the demand for sexually transmitted infection (STI) screening services. Sexual health anxiety has been associated with increased clinic attendance and repeat screening.
Aims:
This study aimed to investigate the level of sexual health anxiety and its correlates in adults in England and their opinions on digital sexual health services.
Setting and Design:
An online cross-sectional study was conducted between May 2019 and January 2020 among internet users living in England aged 18 years and older.
Methods:
Participants were recruited from advertisements on social media (eg, Facebook, Twitter, Tumblr, and Reddit), and data were collected via an online Qualtrics survey.
Statistical Analysis:
Multiple regression analyses were used to identify correlates of sexual health anxiety.
Results:
One-hundred and thirty-eight participants completed the survey (mean age = 29.25, SD = 11.29; 51% male, 81% White, and 56% educated to the degree level). Average sexual health anxiety was mild (M = 2.19, SD = .79), and the average subscale values ranged from 1.88 (SD = .92) to 2.67 (SD = 1.25). Higher sexual health anxiety was predicted by a higher frequency of obsessive-compulsive behavior and a greater risk perception of STIs. There were some overlaps between the predictors of subtypes, but further research is needed.
Conclusion:
Despite the levels of sexual health anxiety in the sample, the acceptability of digital sexual health services was high, but preferences leaned heavily toward face-to-face and in-person interaction.

JournalJournal of Psychosexual Health
Journal citation5 (4), pp. 228-239
ISSN2631-8318
2631-8326
Year2024
PublisherSage
Publisher's version
License
CC BY-NC 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1177/26318318231221923
Web address (URL)https://doi.org/10.1177/26318318231221923
Publication dates
Published online31 Jan 2024

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Buchanan, T. and Whitty, M.T. 2014. The online dating romance scam: causes and consequences of victimhood. Psychology, Crime and Law. 20 (3), pp. 261-283. https://doi.org/10.1080/1068316X.2013.772180

Internet self-efficacy does not predict student use of Internet-mediated educational technology
Buchanan, T., Joban, S. and Porter, A. 2014. Internet self-efficacy does not predict student use of Internet-mediated educational technology. Research in Learning Technology. 22, p. 19585. https://doi.org/10.3402/rlt.v22.19585

The true self online: personality correlates of preference for self-expression online, and observer ratings of personality online and offline
Marriott, T.C. and Buchanan, T. 2014. The true self online: personality correlates of preference for self-expression online, and observer ratings of personality online and offline. Computers in Human Behavior. 32, pp. 171-177. https://doi.org/10.1016/j.chb.2013.11.014

Factors affecting faculty use of learning technologies: Implications for models of technology adoption
Buchanan, T., Sainter, P. and Saunders, G. 2013. Factors affecting faculty use of learning technologies: Implications for models of technology adoption. Journal of Computing in Higher Education. 25 (1), pp. 1-11. https://doi.org/10.1007/s12528-013-9066-6

The Online Romance Scam: A Serious Cybercrime
Whitty, M.T. and Buchanan, T. 2012. The Online Romance Scam: A Serious Cybercrime. Cyberpsychology, Behavior, and Social Networking. 15 (3), pp. 181-183. https://doi.org/10.1089/cyber.2011.0352

The relationship between retrieval-induced forgetting, anxiety, and personality
Law, R., Groome, D., Thorn, L., Potts, R. and Buchanan, T. 2012. The relationship between retrieval-induced forgetting, anxiety, and personality. Anxiety, Stress and Coping. 25 (6), pp. 711-718. https://doi.org/10.1080/10615806.2011.630070

Not all lies are spontaneous: An examination of deception across different modes of communication
Whitty, M.T., Buchanan, T., Joinson, A.N. and Meredith, A. 2012. Not all lies are spontaneous: An examination of deception across different modes of communication. Journal of the American Society for Information Science and Technology. 63 (1), pp. 208-216. https://doi.org/10.1002/asi.21648

Is MDMA present in hair samples consistent with reported Ecstasy use?
Scholey, A.B., Owen, L., Gates, J.B., Rodgers, J., Buchanan, T., Ling, J., Heffernan, T.M., Swan, P., Stough, C. and Parrott, A.C. 2011. Is MDMA present in hair samples consistent with reported Ecstasy use? Open Addiction Journal. 4, pp. 50-51. https://doi.org/10.2174/1874941001104010050

Prospective memory: the influence of ecstasy, cannabis and nicotine use and the WWW
Rodgers, J., Buchanan, T., Scholey, A.B., Heffernan, T.M. and Ling, J. 2011. Prospective memory: the influence of ecstasy, cannabis and nicotine use and the WWW. Open Addiction Journal. 4, pp. 44-45. https://doi.org/10.2174/1874941001104010044

'Ecstasy use, by itself, does not result in residual neurotoxicity'- a powerful argument?
Rodgers, J., Buchanan, T., Heffernan, T.M., Ling, J. and Scholey, A.B. 2011. 'Ecstasy use, by itself, does not result in residual neurotoxicity'- a powerful argument? Addiction. 106 (7), pp. 1269-1270. https://doi.org/10.1111/j.1360-0443.2011.03460.x

What's in a screen name? Attractiveness of different types of screen names used by online daters
Whitty, M.T. and Buchanan, T. 2010. What's in a screen name? Attractiveness of different types of screen names used by online daters. International Journal of Internet Science. 5 (1), pp. 5-19.

Ethical issues in psychological research on the Internet
Buchanan, T. and Williams, J.E. 2010. Ethical issues in psychological research on the Internet. in: Gosling, S.D. and Johnson, J.A. (ed.) Advanced methods for conducting online behavioral research Washington, D.C. American Psychological Association. pp. 255-271

Privacy, trust, and self-disclosure online
Joinson, A.N., Reips, U.-D., Buchanan, T. and Schofield, C.B.P. 2010. Privacy, trust, and self-disclosure online. Human-Computer Interaction. 25 (1), pp. 1-24. https://doi.org/10.1080/07370020903586662

A short self-report measure of problems with executive function suitable for administration via the Internet
Buchanan, T., Heffernan, T.M., Parrott, A.C., Ling, J., Rodgers, J. and Scholey, A.B. 2010. A short self-report measure of problems with executive function suitable for administration via the Internet. Behavior Research Methods. 42 (3), pp. 709-714. https://doi.org/10.3758/BRM.42.3.709

Hair MDMA samples are consistent with reported ecstasy use: Findings from a study investigating effects of ecstasy on mood and memory
Scholey, A.B., Owen, L., Gates, J., Rodgers, J., Buchanan, T., Ling, J., Heffernan, T.M., Swan, P., Stough, C. and Parrott, A.C. 2010. Hair MDMA samples are consistent with reported ecstasy use: Findings from a study investigating effects of ecstasy on mood and memory. Neuropsychobiology. 63 (1), pp. 15-21. https://doi.org/10.1159/000321833

Looking for love in so many places: characteristics of online daters and speed daters
Whitty, M.T. and Buchanan, T. 2009. Looking for love in so many places: characteristics of online daters and speed daters. Interpersona. 3 (Suppl. 2), pp. 63-86.

Are individuals with a family history of mood disorders more vulnerable to MDMA depression following ecstasy use?
Rodgers, J., Skene, D., Buchanan, T., Heffernan, T.M., Soar, K. and Parrott, A.C. 2009. Are individuals with a family history of mood disorders more vulnerable to MDMA depression following ecstasy use? Neuropsychobiology. 60 (3-4), p. 222. https://doi.org/10.1159/000253320

Cognitive and mood effects of 8 weeks' supplementation with 400 mg or 1000 mg of the omega-3 essential fatty acid docosahexaenoic acid (DHA) in healthy children aged 10-12 years
Kennedy, D.O., Jackson, P.A., Elliott, J.M., Scholey, A.B., Robertson, B.C., Greer, J., Tiplady, B., Buchanan, T. and Haskell, C.F. 2009. Cognitive and mood effects of 8 weeks' supplementation with 400 mg or 1000 mg of the omega-3 essential fatty acid docosahexaenoic acid (DHA) in healthy children aged 10-12 years. Nutritional Neuroscience. 12 (2), pp. 48-56. https://doi.org/10.1179/147683009X388887

Measuring self-disclosure online: Blurring and non-response to sensitive items in web-based surveys
Joinson, A.N., Paine, C., Buchanan, T. and Reips, U.-D. 2008. Measuring self-disclosure online: Blurring and non-response to sensitive items in web-based surveys. Computers in Human Behavior. 24 (5), pp. 2158-2171. https://doi.org/10.1016/j.chb.2007.10.005

Five-factor personality correlates of perceptions of women's body sizes
Swami, V., Buchanan, T., Furnham, A. and Tovée, M.J. 2008. Five-factor personality correlates of perceptions of women's body sizes. Personality and Individual Differences. 45 (7), pp. 697-699. https://doi.org/10.1016/j.paid.2008.07.007

Cognitive and mood effects in healthy children during 12 weeks' supplementation with multi-vitamin/minerals
Haskell, C.F., Scholey, A.B., Jackson, P.A., Elliott, J.M., Defeyter, M.A., Greer, J., Robertson, B.C., Buchanan, T., Tiplady, B. and Kennedy, D.O. 2008. Cognitive and mood effects in healthy children during 12 weeks' supplementation with multi-vitamin/minerals. British Journal of Nutrition. 100 (5), pp. 1086-1096. https://doi.org/10.1017/S0007114508959213

Looking for medical information on the Internet: self-disclosure, privacy and trust
Buchanan, T., Joinson, A.N., Paine Schofield, C.B. and Reips, U.D. 2007. Looking for medical information on the Internet: self-disclosure, privacy and trust. He@lth Information on the Internet. 58 (1), pp. 83-9.

Managing romance in the workplace
Gautier, C. 2007. Managing romance in the workplace. Journal of Employee Assistance. 1st Quarter, pp. 7-9.

Personality testing on the Internet: what we know and what we do not
Buchanan, T. 2007. Personality testing on the Internet: what we know and what we do not. in: Joinson, A.N., McKenna, K., Postmes, T. and Reips, U.D. (ed.) The Oxford handbook of Internet psychology Oxford Oxford University Press. pp. 447-459

Development of measures of online privacy concern and protection for use on the Internet
Buchanan, T., Paine, C., Joinson, A.N. and Reips, U.-D. 2007. Development of measures of online privacy concern and protection for use on the Internet. Journal of the American Society for Information Science and Technology. 58 (2), pp. 157-165. https://doi.org/10.1002/asi.20459

Internet users' perceptions of 'privacy concerns' and 'privacy actions'
Paine, C., Reips, U.-D., Stieger, S., Joinson, A. and Buchanan, T. 2007. Internet users' perceptions of 'privacy concerns' and 'privacy actions'. International Journal of Human Computer Studies. 65 (6), pp. 526-536. https://doi.org/10.1016/j.ijhcs.2006.12.001

Privacy and self-disclosure online
Paine, C., Joinson, A.N., Buchanan, T. and Reips, U.-D. 2006. Privacy and self-disclosure online. in: CHI06: CHI 2006 Conference on Human Factors in Computing Systems, Montréal Québec Canada, April 22 - 27, 2006 ACM. pp. 1187-1192

Screening for psychological distress using internet administration of the Hospital Anxiety and Depression Scale (HADS) in individuals with chronic fatigue syndrome
McCue, P., Buchanan, T. and Martin, C.R. 2006. Screening for psychological distress using internet administration of the Hospital Anxiety and Depression Scale (HADS) in individuals with chronic fatigue syndrome. British Journal of Clinical Psychology. 45 (4), pp. 483-198. https://doi.org/10.1348/014466505x82379

Differential experiences of the psychobiological sequelae of ecstasy use: Quantitative and qualitative data from an internet study
Rodgers, J., Buchanan, T., Pearson, C., Parrott, A.C., Ling, J., Heffernan, T. and Scholey, A.B. 2006. Differential experiences of the psychobiological sequelae of ecstasy use: Quantitative and qualitative data from an internet study. Journal of Psychopharmacology. 20 (3), pp. 437-446. https://doi.org/10.1177/0269881105058777

Dancing hot on Ecstasy: Physical activity and thermal comfort ratings are associated with the memory and other psychobiological problems reported by recreational MDMA users
Parrott, A.C., Rodgers, J., Buchanan, T., Ling, J., Heffernan, T. and Scholey, A.B. 2006. Dancing hot on Ecstasy: Physical activity and thermal comfort ratings are associated with the memory and other psychobiological problems reported by recreational MDMA users. Human Psychopharmacology. 21 (5), pp. 285-298. https://doi.org/10.1002/hup.773

Watching me, watching you: Privacy attitudes and reactions to identity card implementation scenarios in the United Kingdom
Joinson, A.N., Paine, C., Buchanan, T. and Reips, U.-D. 2006. Watching me, watching you: Privacy attitudes and reactions to identity card implementation scenarios in the United Kingdom. Journal of Information Science. 32 (4), pp. 334-343. https://doi.org/10.1177/0165551506064902

Nonequivalence of on-line and paper-and-pencil psychological tests: the case of the prospective memory questionnaire
Buchanan, T., Ali, T., Heffernan, T.M., Ling, J., Parrott, A.C., Rodgers, J. and Scholey, A.B. 2005. Nonequivalence of on-line and paper-and-pencil psychological tests: the case of the prospective memory questionnaire. Behavior Research Methods. 37 (1), pp. 148-154.

Self-rated everyday and prospective memory abilities of cigarette smokers and non-smokers: A web-based study
Heffernan, T.M., Ling, J., Parrott, A.C., Buchanan, T., Scholey, A.B. and Rodgers, J. 2005. Self-rated everyday and prospective memory abilities of cigarette smokers and non-smokers: A web-based study. Drug and Alcohol Dependence. 78 (3), pp. 235-241. https://doi.org/10.1016/j.drugalcdep.2004.11.008

Implementing a five-factor personality inventory for use on the Internet
Buchanan, T., Johnson, J.A. and Goldberg, L.R. 2005. Implementing a five-factor personality inventory for use on the Internet. European Journal of Psychological Assessment. 21 (2), pp. 115-127. https://doi.org/10.1027/1015-5759.21.2.115

Personality, gender and self-perceived intelligence
Furnham, A. and Buchanan, T. 2005. Personality, gender and self-perceived intelligence. Personality and Individual Differences. 39 (3), pp. 543-555. https://doi.org/10.1016/j.paid.2005.02.011

The reality of psychomotor problems, and the possibility of Parkinson's disorder, in some recreational ecstasy/MDMA users: a rejoinder to Sumnall et al. (2003).
Parrott, A.C., Rodgers, J., Buchanan, T., Scholey, A.B., Heffernan, T. and Ling, J. 2004. The reality of psychomotor problems, and the possibility of Parkinson's disorder, in some recreational ecstasy/MDMA users: a rejoinder to Sumnall et al. (2003). Psychopharmacology. 171 (2), pp. 231-233. https://doi.org/10.1007/s00213-003-1599-3

Internet-based psychological testing and assessment
Barak, A. and Buchanan, T. 2004. Internet-based psychological testing and assessment. in: Kraus, R., Zack, J.S. and Stricker, G. (ed.) Online couseling: a handbook for mental health professionals San Diego, CA Elsevier. pp. 217-239

Increased intensity of Ecstasy and polydrug usage in the more experienced recreational Ecstasy/MDMA users: A WWW study
Scholey, A.B., Parrott, A.C., Buchanan, T., Heffernan, T.M., Ling, J. and Rodgers, J. 2004. Increased intensity of Ecstasy and polydrug usage in the more experienced recreational Ecstasy/MDMA users: A WWW study. Addictive Behaviors. 29 (4), pp. 743-752. https://doi.org/10.1016/j.addbeh.2004.02.022

An investigation into the psychometric properties of the Hospital Anxiety and Depression Scale in individuals with chronic fatigue syndrome
McCue, P., Martin, C.R., Buchanan, T., Rodgers, J. and Scholey, A.B. 2003. An investigation into the psychometric properties of the Hospital Anxiety and Depression Scale in individuals with chronic fatigue syndrome. Psychology, Health and Medicine. 8 (4), pp. 425-439. https://doi.org/10.1080/1354850310001604568

Internet-based questionnaire assessment: Appropriate use in clinical contexts
Buchanan, T. 2003. Internet-based questionnaire assessment: Appropriate use in clinical contexts. Cognitive Behaviour Therapy. 32 (3), pp. 100-109. https://doi.org/10.1080/16506070310000957

Parkinson's disorder, psychomotor problems and dopaminergic neurotoxicity in recreational ecstasy/MDMA users
Parrott, A.C., Buchanan, T., Heffernan, T.M., Scholey, A., Ling, J. and Rodgers, J. 2003. Parkinson's disorder, psychomotor problems and dopaminergic neurotoxicity in recreational ecstasy/MDMA users. Psychopharmacology. 167 (4), pp. 449-450. https://doi.org/10.1007/s00213-003-1447-5

Effects of alcohol on subjective ratings of prospective and everyday memory deficits
Ling, J., Heffernan, T.M., Buchanan, T., Rodgers, J., Scholey, A.B. and Parrott, A.C. 2003. Effects of alcohol on subjective ratings of prospective and everyday memory deficits. Alcoholism: Clinical and Experimental Research. 27 (6), pp. 970-974. https://doi.org/10.1111/j.1530-0277.2003.tb04422.x

Patterns of drug use and the influence of gender on self-reports of memory ability in ecstasy users: A web-based study
Rodgers, J., Buchanan, T., Scholey, A.B., Heffernan, T.M., Ling, J. and Parrott, A.C. 2003. Patterns of drug use and the influence of gender on self-reports of memory ability in ecstasy users: A web-based study. Journal of Psychopharmacology. 17, pp. 389-396. https://doi.org/10.1177/0269881103174016

Self-monitoring: an elaboration of the concept based on Internet-mediated data
Smith, J.L. and Buchanan, T. 2002. Self-monitoring: an elaboration of the concept based on Internet-mediated data. Social Psychological Review. 4 (1), pp. 14-24.

Online Assessment: Desirable or Dangerous?
Buchanan, T. 2002. Online Assessment: Desirable or Dangerous? Professional Psychology: Research and Practice. 33 (2), pp. 148-154. https://doi.org/10.1037//0735-7028.33.2.148

Ecstacy/MDMA attributed problems reported by novice, moderate and heavy recretional users
Parrott, A.C., Buchanan, T., Scholey, A.B., Heffernan, T., Ling, J. and Rodgers, J. 2002. Ecstacy/MDMA attributed problems reported by novice, moderate and heavy recretional users. Human Psychopharmacology. 17 (6), pp. 309-312. https://doi.org/10.1002/hup.415

Differential effects of Ecstasy and cannabis on self-reports of memory ability: A web-based study
Rodgers, J., Buchanan, T., Scholey, A.B., Heffernan, T.M., Ling, J. and Parrott, A. 2001. Differential effects of Ecstasy and cannabis on self-reports of memory ability: A web-based study. Human Psychopharmacology. 16 (8), pp. 619-625. https://doi.org/10.1002/hup.345

Doing educational research on the Internet
Joinson, A.N. and Buchanan, T. 2001. Doing educational research on the Internet. in: Wolfe, C.R. (ed.) Learning and teaching on the World Wide Web San Diego, CA Academic Press. pp. 221-242

Online personality assessment
Buchanan, T. 2001. Online personality assessment. in: Reips, U.D. and Bosnjak, M. (ed.) Dimensions of Internet science Lengerich Pabst Science Publishers. pp. 57-74

Potential of the Internet for personality research
Buchanan, T. 2000. Potential of the Internet for personality research. in: Birnbaum, M.H. (ed.) Psychological experiments on the Internet San Diego, CA Academic Press. pp. 121-140

The efficacy of a World-Wide Web mediated formative assessment
Buchanan, T. 2000. The efficacy of a World-Wide Web mediated formative assessment. Journal of Computer Assisted Learning. 16 (3), pp. 193-200. https://doi.org/10.1046/j.1365-2729.2000.00132.x

Internet research: Self-monitoring and judgments of attractiveness
Buchanan, T. 2000. Internet research: Self-monitoring and judgments of attractiveness. Behavior Research Methods, Instruments & Computers. 32 (4), pp. 521-527. https://doi.org/10.3758/BF03200824

Does the revised multiple affect adjective checklist hostility subscale measure hostility?
Buchanan, T. 1999. Does the revised multiple affect adjective checklist hostility subscale measure hostility? Aggressive Behavior. 25 (3), pp. 179-184. https://doi.org/10.1002/(sici)1098-2337(1999)25:3<179::aid-ab2>3.0.co;2-m

Using the Internet for psychological research: personality testing on the World Wide Web.
Buchanan, T. and Smith, J.L. 1999. Using the Internet for psychological research: personality testing on the World Wide Web. British journal of psychology (London, England : 1953). 90 (1), pp. 125-144. https://doi.org/10.1348/000712699161189

Research on the Internet: Validation of a World-Wide Web mediated personality scale
Buchanan, T. and Smith, J.L. 1999. Research on the Internet: Validation of a World-Wide Web mediated personality scale. Behavior Research Methods, Instruments & Computers. 31 (4), pp. 565-571. https://doi.org/10.3758/BF03200736

Using the World Wide Web for formative assessment
Buchanan, T. 1998. Using the World Wide Web for formative assessment. Journal of Educational Technology Systems. 27 (1), pp. 71-79. https://doi.org/10.2190/167K-BQHU-UGGF-HX75

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