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Record W4408015480 · doi:10.3138/cjhs-2024-0058

The patient woman or the woman patient? Examining the demographic differences between women seeking and not seeking treatment for sexual dysfunction

2025· article· en· W4408015480 on OpenAlexaffvenue
Lori A. Brotto

Bibliographic record

VenueThe Canadian Journal of Human Sexuality · 2025
Typearticle
Languageen
FieldMedicine
TopicSexual function and dysfunction studies
Canadian institutionsUniversity of British Columbia
Fundersnot available
KeywordsSexual dysfunctionMedicinePsychologyClinical psychologyPsychiatry

Abstract

fetched live from OpenAlex

Although female sexual dysfunctions affect a significant number of women around the world, the majority of those struggling do not ever seek professional treatment. As past research mostly focused on logistical and psychological barriers to help-seeking, there remains a gap in knowledge of what demographic characteristics potentially differentiate those individuals who do versus do not solicit support. The objective of this study was to explore a set of demographic variables and their links to treatment-seeking behaviours, including: age, ethnicity, education, income, employment, sexual orientation, relationship status, religion, and history of non-consensual sexual experiences. We used data from four completed studies that asked participants about their history of treatment-seeking, and our analytic sample included N = 869 self-identified women ( M = 31.41, SD = 11.30, range 19–78). Education, age, income, and employment significantly predicted help-seeking behaviours with treatment-seekers being more likely to be older, more educated, currently employed, and earning higher income. No significant associations were found for the other variables. Overall, the results demonstrate that there are notable demographic differences that separate help-seekers from non-seekers. As sexual well-being is an important aspect of one’s quality of life, risk factors that prevent people from seeking care for distressing sexual concerns should be a major public health priority. The limitations to the conclusions drawn in the paper due to data characteristics and analytic strategy are also discussed.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.015
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.004
Threshold uncertainty score0.012

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.015
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0000.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.091
GPT teacher head0.314
Teacher spread0.222 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes2
Has abstractyes

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