The Prevalence of Sexual Violence Perpetration in Sexual Minority Men: A Secondary Analysis of Systematic Review Data.

Prior literature illustrates that sexual minority people (e.g., bisexual, gay, queer) are at increased vulnerability for sexual violence victimization compared to heterosexual peers, including while in college. However, the study of sexual violence perpetration in sexual minority populations, much less specifically sexual minority college men, has been neglected. This article reviews the literature and presents a secondary data analysis of a systematic review on college men's sexual perpetration rates and associated methodology. We also conducted analyses to summarize available literature regarding publishing dates, authors, and data inclusivity. METHODS: We downloaded the dataset and associated materials from Mendeley.com's data archive. RESULTS: To our surprise, we could not analyze sexual perpetration prevalence rates in sexual minority men using the systematic review data due to absence of reported data across all 77 independent samples including over 5,500 male participants. We found no significant relationship between inclusion of sexual minority men and the use of measurement strategies specialized to assess sexual minority needs. We did find a positive relationship between recency of publication and the inclusion of sexual minority men, r(76) = .24, p = .03, and that most authors/co-authors were women (72%). CONCLUSIONS: Preventing perpetration is central to ending sexual violence; therefore, future research should include sexual minority people and use appropriate methodology in the investigation of sexual perpetration characteristics and patterns.

An Initial Test of the Tactic-First and Item-Order Hypotheses: Accounting for Response Discrepancies in Sexual Victimization Questionnaires.

Reported prevalence rates of sexual violence range widely in the literature, even in the same sample when using two different questionnaires of the same construct. These discrepancies are concerning as they indicate we may be underestimating the rate of sexual violence and, therefore, resources and treatment for victims. Thus, the current study aimed to investigate two mechanisms that may contribute to differences in reported prevalence rates across the literature and discrepancies within studies: the tactic-first and item-order hypotheses. Participants were 265 MTurk workers whom all completed the Post-Refusal Sexual Persistence Scale (PRSPS), then were randomly assigned to one of two versions of a tactic-first Sexual Experiences Survey (T-SES). Experimental conditions varied in the item order of the T-SES, one condition received the traditional hierarchical item order (n = 130) while the other received a randomized item order (n = 135). Our results suggest strong support for the tactic-first hypothesis; victimization prevalence rates on the T-SES were double compared to the traditional SES (54.1 vs. 19.8%) in prior research. Further, in both conditions, victimization prevalence rates were statistically equivalent between the PRSPS (62.6%) and the tactic-first SESs (56.2 and 54.1%), χ2(1) < 2.5, p ≈ .1 -.7, contrary to prior research. We did not find support for the item-order hypothesis; there were few differences between item-order conditions. Our findings indicate that unintentional underreporting remains a threat to validity in sexual violence assessment, and continued research into the mechanisms of measurement is warranted.

The Frequency of Sexual Perpetration in College Men: A Systematic Review of Reported Prevalence Rates From 2000 to 2017.

BACKGROUND: The prevalence of sexual perpetration in college men is unknown. Prior reviews of sexual violence prevalence rates have produced wide-ranging estimates, likely due to wide variation in measurement strategies. OBJECTIVES: This article systematically reviewed research findings (from 2000 to 2017) regarding prevalence rates of sexual perpetration in college men and measurement strategies. Data Sources: PsycINFO and Web of Science databases. Eligibility Criteria: Empirical reports published between 2000 and 2017 that included male participants, available in English, and reported lifetime prevalence findings in Canadian or American college students. Participants: Data from 78 independent samples including 25,524 college men. RESULTS: The average prevalence rate of any sexual perpetration was 29.3% (SD = 16.8), and the average rate of rape was 6.5% (SD = 6.3). Studies that used non-Sexual Experiences Survey (SES)-based questionnaires recorded higher prevalence rates (41.5%) than SES-using studies (26.2%). At least 16 different sexual perpetration questionnaires were identified. Modifying standardized questionnaires was extremely common; this was reported in over half of the studies. Studies using modified standardized questionnaires found higher prevalence rates of sexual perpetration than studies using nonmodified standardized questionnaires. LIMITATIONS: This report focused exclusively on college men in the United States and Canada. CONCLUSIONS AND IMPLICATIONS: On average, 29% of college males report engaging in behaviors defined as sexual perpetration; however, there was a strong influence of measurement strategy on reported rates.

Positive Airway Pressure for the Treatment of OSA in Infants.

BACKGROUND: Positive airway pressure (PAP) is a standard therapy for the treatment of OSA in children, but objective data on the effectiveness of PAP in infants are sparse. The aim of this study was to compare the effectiveness of PAP in infants younger than 6 months of age with that in school-aged children. RESEARCH QUESTION: Compared with PAP in school-aged children, can PAP be titrated as successfully in infants, and is adherence to PAP similar in both age groups? STUDY DESIGN AND METHODS: Single-center retrospective study. For consecutive infants younger than 6 months of age and school-aged children 5 to 10 years of age with OSA treated with PAP, baseline and titration polysomnography data, PAP adherence data, and parent-reported barriers to adherence were compared between groups. RESULTS: Forty-one infants and 109 school-aged children were included. Median obstructive apnea hypopnea index (OAHI) in infants was 25.7/h (interquartile range [IQR], 17.8-35.9/h) and was greater than that in school-aged children (12.1/hr; IQR, 7.6-21.5/h; P < .0001). After PAP titration, OAHI was reduced by a median of 92.1% in infants, similar to the median 93.4% reduction in school-aged children (P = .67). PAP was used in infants on 94.7% of nights, which was more than the 83% in school-aged children (P = .003). No differences were found in barriers to adherence between infants and school-aged children, with behavioral barriers being most common in both groups. INTERPRETATION: Objective data demonstrate that PAP is both highly effective at treating OSA and well-tolerated in infants. Like older patients, PAP should be considered along with other therapies for the treatment of OSA in even the youngest children.