International Kink Health Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 917
- 试验地点
- 1
- 主要终点
- Kink Injury
研究概览
简要总结
The study design is an observational, longitudinal study with data collected online via a computer-assisted survey. Subjects will be recruited through non-probability snowball sampling.
Objectives:
- to document the prevalence of injuries and medical complications arising from kink activities
- to document how healthcare is utilized by kink-involved people
- to document the health outcomes particular to a large sample of kink-involved people
- to test whether the centrality of kink identity and degree of community belongingness affect injuries, health outcomes, and healthcare utilization
详细描述
In 2016, TASHRA conducted the first ever health survey of the U.S. kink community, examining issues of injuries, risky behavior, health status, and healthcare access and utilization, and patient satisfaction. It included measures of kink identity centrality, coming out, and kink community involvement as predictive factors.
The findings provided a broad map of possible health disparities in a manner that was intended to direct future research. As such, several included measures did not ask any further questions to collect more detail of the context of health disparities or injuries, or their impact on the participant.
The 2016 Kink Health Survey was an anonymous online survey that collected data from kink-involved people, from April 2016 to October 2016 (six month window). 1,118 individuals completed the survey. The results indicated the following (Sprott, Randall, Smith & Woo, 2021):
- The percentage of people who reported past experiences of kink-related injury : 13.5%
- The percentage of people who reported delaying or avoiding healthcare because of perceived stigma: 19.0%.
- Past negative experiences with healthcare clinicians increased the odds of delaying or avoiding care significantly, with those participants four times more likely to avoid/delay care compared to participants who did not have negative experiences.
- A significant portion of participants had not disclosed their kink identity or behavior with their physical healthcare clinician (58.3%), nor with their therapist or mental healthcare clinician (49.6%).
The following health disparities were noted:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Successful completion of screening checklist to indicate one of the following conditions:
- •recurring, long-standing fantasies that focus on kink, in areas such as: power exchange (Dominant/submissive roles), bondage, sadomasochism, or fetish activities. By fetish, we mean a type of sexual desire in which gratification depends on or is significantly increased by particular objects, clothing items, parts of the body, or types of persons.
- •OR currently engaging, or have engaged in the past, in consensual kink activities such as power exchange (Dominant/submissive roles), bondage, sadomasochism, or fetish activities.
- •Age of majority in the legal jurisdiction (geographic location) where the survey is taken (usually age 18)
- •English-language proficiency sufficient to understand the study instruments
- •Completion of an electronically signed and dated informed consent form
排除标准
- •People who respond "no" to the following question on the screening checklist
- •I am familiar with the importance of consent and I endorse negotiation and safe words or safe signals in my sexual or kink play
- •Clearly fraudulent use of the internet survey, such as: evidence of non-human data entry via an internet "bot", duplicative or prank data entry that entails contradictory or clearly fraudulent data.
- •Any condition that, in the professional judgement of the Principal Investigator, should exclude an individual from participation in the study.
结局指标
主要结局
Kink Injury
时间窗: Year 1
self-report of injury or medical complication while engaged in kink activities; type of injury; frequency of injury
Healthcare Utilization
时间窗: Year 1
self-report of: types of care; frequency of care; patient satisfaction; experiences of discrimination in healthcare interactions
Health Disparities
时间窗: Year 1
self-report of: mental health issues; suicidality; obesity; sexually transmitted infections; blood-borne pathogens; alcohol/drug use
次要结局
- Centrality of Kink Identity(Year 1)
- Community Belongingness(Year 1)
- Concealment / Disclosure of Kink Involvement(Year 1)