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Vibrator use is thought to be associated with positive sexual functioning for women with female or male partners. Vibrator use that is discrepant across contexts (i.e. the individual uses a vibrator in solitary but not partnered contexts), however, has only been examined in women with female partners. Results indicate that women who were discrepant reported lower sexual functioning than women who were non-discrepant (i.e. those who use a vibrator in both solitary and partnered contexts). The current study recruited 488 participants online to examine if discrepant vibrator use was related to sexual functioning, sexual satisfaction, and the perceived balance of sexual rewards to costs (i.e. ratio of preferred to non-preferred aspects of the sexual relationship). There were no observed differences across the groups of women who reported discrepant, non-discrepant, or no vibrator use on sexual functioning domains. Women with non-discrepant vibrator use reported greater sexual satisfaction than those with discrepant use, and they also reported a greater balance of sexual rewards to costs relative to women with discrepant or no vibrator use. The results of this study suggest that discrepant vibrator use is not related to sexual functioning but is related to sexual well-being in women with male partners. [ABSTRACT FROM AUTHOR]

Introduction: Multiple Canadian jurisdictions have reported a pattern of chronic pain among people who died from substance-related acute toxicity. This study examined the prevalence and characteristics of those with chronic pain using data from a national study of people who died of accidental acute toxicity., Methods: A cross-sectional analysis of accidental substance-related acute toxicity deaths that occurred in Canada between 1 January 2016 and 31 December 2017 was conducted. The prevalence of pain and pain-related conditions were summarized as counts and percentages of the overall sample. Subgroups of people with and without a documented history of chronic pain were compared across sociodemographic characteristics, health history, contextual factors and substances involved., Results: From the overall sample (n = 7902), 1056 (13%) people had a history of chronic pain while 6366 (81%) had no documented history. Those with chronic pain tended to be older (40 years and older), unemployed, retired and/or receiving disability supports around the time of death. History of mental health conditions, trauma and surgery or injury was significantly more prevalent among people with chronic pain. Of the substances that most frequently contributed to death, opioids typically prescribed for pain (hydromorphone and oxycodone) were detected in toxicology more often among those with chronic pain than those without., Conclusion: Findings underscore the cross-cutting role of multiple comorbidities and unmanaged pain, which could compound the risk of acute toxicity death. Continued prioritization of harm reduction and regular patient engagement to assess ongoing needs are among the various opportunities for intervention., Competing Interests: The authors have no conflicts of interest.