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This study examined sexual practices, condom use, and psychosocial correlates of condom use in a convenience sample of 187 Chinese gay men in Hong Kong. Among those who were sexually active and answered the item on condom use (n = 164), 22% never used condoms, 39% were inconsistent condom users, and 39% used condoms every time they engaged in sexual activities in the past 6 months. Compared to inconsistent and noncondom users, consistent condom users had more positive feelings toward condom use, perceived greater vulnerability to STD/AIDS infections, showed greater self-acceptance and disclosure of their homosexual sexual orientation, were more involved with local gay communities, endorsed more favorable attitudes toward coming out, and had a lower level of perceived discrimination because of their homosexual sexual orientation. The two groups did not differ significantly on perceived partner reaction to condom use. Results of a logistic regression analysis showed that positive feelings toward condom use were the most salient correlate of consistent condom use. KEY WORDS: coming out; condom use; Chinese; homosexuality.

This study adopted a cognitive--behavioral conceptual framework based on the Theory of Reasoned Action (TRA) in understanding coming out experiences and psychological distress of 187 Chinese gay men. Results showed that participants' coming out experiences were characterized by same-sex sexual fantasy at teenage years, followed by awareness of homosexual tendency, same-sex sexual contact, and then self-identification and disclosure of homosexual orientation in young adulthood. Regarding targets of disclosure, participants tended to disclose their sexual orientation to their gay friends first, followed by heterosexual friends, siblings, parents, and coworkers. This study also supported the extension of the TRA conceptual framework to Chinese societies. Results showed that a low level of psychological distress in Chinese gay men was linked to their coming out experiences, which were in turn related to TRA components of involvement and identification with gay communities and positive attitudes toward coming out. Limitations and implications were also discussed. KEY WORDS: homosexuality; distress; Chinese; Hong Kong.

Participating in this study were 305 Chinese college students in Hong Kong. Objectives included (i) examination of the psychometric properties of the Chinese version of the Derogatis Sexual Functioning Inventory (DSFI), (ii) exploration of the associations among various domains of sexual functioning, and (iii) description of Chinese students' sexual behavior. The Chinese DSFI shows satisfactory internal consistency, except the Information, Drive, and Satisfaction subscales. In general, sex-related domains such as sexual information, experience, drive, attitudes, fantasy, and satisfaction were related to each other and to body image. Compared to their counterparts in the U.S., Chinese college students were relatively sexually inexperienced and conservative. Mean ages of students having their first sexual intercourse experience were 17.14 for males and 18.13 for females; 11% of the students had premarital sexual intercourse experience, and the mean frequencies were once weekly for males and once or twice per month for females. Compared to female students, twice as many males acknowledged masturbation (21.4 vs. 43.8%), 4.2-8.2% students had experienced oral-genital sexual stimulation and 0-1.2% anal sexual activities. KEY WORDS: Chinese sexuality; sexual behavior; premarital sex.

Sexual harassment of Chinese college students with a focus on their awareness, experiences, responses, and expectations of institutional intervention to the problem was examined. 358 male and 491 female Chinese college students in Hong Kong participated. There were no gender differences in students' awareness of the phenomenon. Students' own experiences were less frequent than what they had heard about sexual harassment. Peer harassment occurred twice as frequently as faculty harassment. Compared to men, twice as many women said they had been sexually harassed. About one in four women students experienced various forms of sexual harassment and 1% were coerced into sexual activities during their college years by either teachers or peers. Students typically avoided and ignored the harassers and felt that the university should take up active roles in combating the problem. Comparisons with U.S. studies suggested that Chinese college students had a lower awareness and experience level in sexual harassment than U.S. students. KEY WORDS: sexual harassment; Chinese college students; prevalence; awareness.

Sexual victimization in dating relationships among female Chinese college students in Hong Kong was studied. Findings were compared to Chinese males' self-reports of sexual aggression. Nonstranger sexual victimization was common among Chinese female college students, especially for less intimate forms of sexual contact. Prevalence of sexual victimization was similar to that in North America for less intimate forms of contact but less prevalent for more intimate contact, including rape. A greater proportion of women than men reported the experience of several behaviors engaged in against a woman's will. These included kissing and touching a woman's hand, knee, leg, or crotch. KEY WORDS: sexual aggression; sexual victimization; Chinese; dating; college students.

This study investigated sexual drive and satisfaction of Chinese gynecologic cancer survivors. It also examined the extent to which personal mastery, adaptive coping, and perceived spousal support would exert direct and/or indirect influences on sexual outcomes. The cancer survivor group included 134 Chinese women who had received treatment for gynecologic cancer, while the healthy control group included 105 Chinese women who did not have a known history or current diagnosis of cancer. Compared to healthy women, cancer survivors reported lower levels of sexual drive and sexual satisfaction. Among sexually active participants, cancer survivors relative to healthy women engaged in less masturbation, less kissing and caressing, and less sexual fantasy in the past month. Hierarchical multiple regression analyses showed that mastery and spousal support, but not adaptive coping, had a direct influence on sexual outcomes in cancer survivors. Contrary to moderation hypotheses, the three psychological factors did not interact with each other to influence sexual drive and satisfaction. Mediation analyses showed that spousal support fully mediated the influence of mastery on sexual satisfaction. Routine assessment of sexual functioning prior to and following treatment of gynecologic cancer is suggested. Sexual rehabilitation should also aim to enhance personal mastery and spousal support.