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Discussion
Discussion
over the world have shown that both boys and girls masturbate. Kinsey et al.
found that, for adolescent boys, masturbation provides a form of sexual outlet
which alleviates their nervous tensions (Abramson, 1973; Kinsey et al., 1953).
.FEMALE AND MALE MASTER........They have also found that most females
masturbate for the sake of immediate sexual satisfaction, and as a means of
resolving the physiologic disturbances which arise when they are sexually
aroused, but are restrained by social customs from having sociosexual contacts
(Kinsey et al., 1953; Ellis, 1955; Bhatia & Malik, 1991). Thus, in orthodox and
conservative societies, where premarital sexual activities are still unacceptable,
masturbation offers the only means of sexual outlet for adolescents. There have
been a few studies on masturbation among young boys in India (Sharma et al.,
1996; Bhatia & Malik, 1991; Savara & Sridhar, 1992; Bhende, 1994) but there is a
paucity of data with reference to the status of masturbation among girls in our
country. We observed that almost one-third of the girls studied by us were
masturbators.
This figure seems low when compared with data for girls from Western
countries, where a prevalence ranging from 58% to 70% has been reported
(Abramson & Mechanic, 1983; Hyde, 1990; Kelly, 1994; Leitenberg et d., 1993;
Michael et al., 1994; Reinisch, 1990). This may be explained on the basis of
differences in the sexual mores and norms in these societies or, alternatively, it
could merely be a consequence of underreporting in our study. However, this
finding merits attention because it belies the general assumption that girls in
puritanical and orthodox societies, such as India, do not practise masturbation. It
may also be regarded as a development of the weakening of social control
mechanisms and the relative liberalization of social norms regarding sexual
behaviour in modern Indian society.
Femininity and masculinity or one’s gender identity refers to the degree to which
persons see themselves as masculine or feminine given what it means to be a
man or woman in society. Femininity and masculinity are rooted in the social
(one’s gender) rather than the biological (one’s sex). Societal members decide as
to what being male or female means e.g. dominant or passive, brave or
emotional. Males will generally respond by defining themselves as masculine
while females will generally define themselves as feminine.[17] The concept of
masculinity in India usually implies having good physical looks and penis size. It is
usually is associated with sexuality that often involves coercive sexual
behaviors.[18] It was thus not surprising to find in our study that a large number
of boys agreeing to the fact that sexual act proves their masculinity (∼29% of
boys) [Table 1]. Barker & Lowenstein reported in a study from Brazil that
becoming sexually active is perceived as an easier way of ascertaining masculinity
rather than by proving their productivity and ability to financially support
family.[2] Verma et al reported that many young men indulged in unwarranted,
unsolicited verbal comments, whistling, jostling, touching, and harassing girls as a
form of proving their masculinity.[18]
The concept of femininity generally inculcated into girls in India is that of being
submissive, being coy about their sexuality, and being obedient.[3] In the present
study therefore, it is not very surprising to find that only 17.64% of girls agreed
that having sex proves their femininity and of those who have had sexual contact
only 13.5% agreed to such a view, whereas among boys the percentage was
significantly higher on both accounts (46.25% and 27.55%, P=0.004) [Table 1].
Impett et al had reported that increasing femininity is associated with less sexual
self-efficacy. Sexual selfefficacy is a girl’s conviction that she can act upon her own
sexual needs in a relationship. Diminished self-sufficiency in turn predicted less
sexual experience and less use of protection.[19] However, in our study we had
not asked for their ability to use protection during sexual acts. Tolman reported a
significant association between early adolescent girl’s espousals of more
conventional beliefs about femininity and diminished positive sexual health. It is
not quite common for women to assert their femininity by indulging in sexual
activity. When they have poor social skills, they may offer sex for social support or
staying in marriage.[20] Such behaviors put both boys and girls at risk of HIV
infection/STDs/pregnancy. Therefore, they should be encouraged to assert their
masculinity/femininity by engaging in pursuance of good social skills, improving
their intellectual assertiveness rather than sexual assertiveness. Further studies
are warranted to understand the construct of femininity among our
adolescents.
Late night parties are often associated with use of alcohol by students. Alcohol
has been varyingly related to indulgence in sexual activity among adolescent boys
and girls, but many do agree that alcohol increases indulgence in sexual
activity.[8,25,26] We studied the view of the students in regard to role of alcohol
in increasing the chances of indulgence in sexual activities. We did not find any
significant association between having sexual contact and professing the view
that consumption of alcohol increases the chances of indulgence in sexual
activity. It could probably have been due to consumption of alcohol not being a
significant issue among these students or that they have not been exposed to
such situations. This lack of association is evidence of good health of our students
as the concoction of early initiation (preteens) of alcohol ingestion, smoking, and
sexual intercourse represents an important predictor of later suicidal ideation and
attempts irrespective of gender.[27] It was found that only 33.6% agree that
alcohol increases the chances of indulgence in sexual activity [Table 6]. This is in
much variance to findings from various studies that have found such an
association. These studies have found that often the availability of alcohol in a
setting where girls are present itself is an indicator that sex would be also
available, alcohol is known to increase both desire to communicate to have sex
and in initiating/participating in sex. Alcohol use is more likely in new sexual
relationships and among those who are not much committed to the relationship
and lead to risky/unsafe sexual practices.[8,10,24,28]
This survey was planned estimate the age at first masturbation or orgasmic
experience among male individuals who were completing the adolescent age and
entering into adulthood. Table 1 shows nearly 80 % of participants in this study
were aged less than 24 years. The male individuals in the age of 24 years and
above were in the Degree courses includes the post graduate students. This has
not going to influence on information sharing on their sexual activity practices.
Most of the studies were conducted among university students and in general
population were aged between 20 and 50 years (Aksoy et al., 2012, Alanko et
al., 2013, Giulia Rastrelli et al., 2013). The majority of individuals were Hindus
and negligible (less than 5%) were belonging to other religions in this study and
hence the analysis was not done separately. The non response rate for age at
masturbation was 20% (137 of 686) which is less compared to other studies
(Ibtihaj S Arafat et al., 1974, Moscucci, 2005). The non response to both
questions by the same individual was 15% of the total respondents. Even in the
developed countries the response rate this kind questions among male was
observed to be 75% suggesting shyness, inhibitions sharing the information or
failure to recollect the information or remaining abstinence for masturbation. The
differences in socio environmental factors in those countries could be an
important issue of exposure rate, disclosure of information, myths, religious
practices, etc within the similar age groups. The large number of non response
rate of 25% to age at nocturnal ejaculation could be due to failure to recollect
the event that has happened few years back or possible evidence of retro grade
ejaculation and anorgasmia, few may be having the disorder or ejaculation and
orgasm as pathological condition (Chris G. McMahon et al., 2013, Hovav et al.,
1999). Similarly 20% of non response rate to age at masturbation could be due to
disorder of penile erection, inhibited ejaculation or retrograde ejaculation, an
ejaculation (Chris G. McMahon et al., 2013, Moscucci, 2005) at least few
individuals may have failed to recollect the event that has happened or suffering
from sexual dysfunctions. The non response rate was 17.8% among urban
residents compared to 23 % among rural l resident’s individuals. The similarly the
non response rate was 19% (53 of 271) among hostelites and 20%among (83 of
411) among residents at their home. There are no possible reasons for this but it
could attribute to the exposure of knowledge and background and resident
status. The difference between mean age at first masturbation was different am
courses individuals was found to be statistically significant (p<0.001).
The mean age at first orgasmic experience or masturbation among male was
observed to be 15.4+1.6 years (95 % CI 15.21 – 15.55). The mean age at
masturbation or orgasmic experience in diploma found to be 14.5+1.4 years
compared to 15.3+2.1 years among engineering, 15.2+2.0 in medical and degree
courses was 15.7+1.7 years and 16.2+2.4 years among law students. The mean
age at masturbation was found to be statistically significant between the
resident s for the hostel and home (p<0.003) where as such difference
was observed between residents of urban and rural areas. The relationship
between first nocturnal emission and masturbation was explained by Alfred
Kinsey that the onset the frequency of nocturnal emission not been linked to
onset and frequency of masturbation some male credit the frequent emissions do
not masturbate or may be true otherwise (Kinsey Alfred C et al., 1948). The first
ejaculation as nocturnal emission is usually experienced 13% of males. Males
experiencing the first nocturnal emission older than those experience first
ejaculation through manual solitary masturbation. There is delay in nocturnal
emission in case of individual’s development possible through physical stimuli.
The age at first masturbation as documented among men in different studies
(Jenny A. Higgins et al., 2010, Aksoy et al., 2012, Schuster et al., 1996,
Shashikumar et al., 2012, Smith et al., 1996) are similarly to the findings on this
survey. One of the online survey on 10,641 males usernet of computer in 2007
shows that those masturbated to orgasm were 12.2 years (range .17 to 21.1)
(online survey 2013). 27 percent first masturbated at age 11 or younger, 28
percent while they were 12, 23 percent while they were 13 (this means 78
percent started masturbating before their 14th birthdays), 12 percent while
they were 14, 6 percent while they were 15, and 2 percent while they were 16.
98 percent were masturbating before their 17th birthdays. However the age gap
between nocturnal ejaculation and masturbation was narrow in this survey
compared to the above mentioned studies done during the last five years.
Limitations
Study on sexual behaviour is subjected to both social stigma and recall, few
individuals might have under or over reported their response to the questions
which is difficult to verify. Due to the social stigma attached to the sexual
behaviour, there is no adequate space for exploring the factors depth in this
study. The study subjects were small in number is some of the courses and the
participatory response rate among engineering students could have been
improved if repeated briefing was done to the participants. The educational,
intelligent background and understanding of the terms used in questionnaires
could have been difficult to some of the participation and left the questions
unanswered deliberately rather than wrong answering on masturbation and
nocturnal emission. The multi variance analysis and other tests could have been
applied to study in detail with other variables but this study restricted to only the
important variables.