Individual, Relational, and Sociocultural Determinants of Sexual Function and Sexual Satisfaction in Ecuador

Daniela Arcos Hidalgo, Marieke Dewitte*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


AIM: Various individual, relational, and sociocultural variables have been identified as determinants of sexual responding, but these have rarely been investigated in non-Western cultures that are characterized by sexual conservatism. We aimed to explore the role of socioeconomic status and religion, sexual double standards, erotophobia-erotophilia, sexual dysfunctional beliefs, and relationship satisfaction to explain sexual function and satisfaction in Ecuador.

METHOD: 599 participants (431 women and 159 men) completed an online survey.

MAIN OUTCOMES MEASURES: The Female sexual function was predicted by sexual satisfaction, relationship satisfaction, sexual dysfunctional beliefs, and sexual double standards, while the male sexual function was predicted solely by sexual satisfaction. Additionally, female sexual satisfaction was predicted by sexual function, relationship satisfaction, and sexual dysfunctional beliefs, while male sexual satisfaction was predicted by sexual function and relationship satisfaction.

RESULTS: Female Sexual Function Index, International Index of Erectile Function, Brief Sexual Opinion Survey, Sexual Double Standards Scale, Sexual Dysfunctional Beliefs Questionnaire, New Sexual Satisfaction Scale, and Couple Satisfaction Index.

CONCLUSION: This study provided novel information on the determinants of sexual function and satisfaction within a culture in which conservative religious beliefs still prevail. Results should be interpreted with caution given the unequal distribution of men and women, social desirability and volunteer biases, and the specific COVID-19 pandemic context during which the survey took place. Markers of sexual conservatism were inversely related to sexual function and satisfaction, mainly in women, and may, therefore, be important targets of treatment. Female sexuality seemed more context-dependent than male sexuality, although enhancing the general climate of the relationship may benefit feeling sexually satisfied in both men and women. DA Hidalgo, M Dewitte. Individual, Relational, and Sociocultural Determinants of Sexual Function and Sexual Satisfaction in Ecuador. Sex Med 2021;XX:XXX-XXX.

Original languageEnglish
Article number100307
Pages (from-to)1-11
Number of pages11
JournalSexual Medicine
Issue number2
Early online date12 Mar 2021
Publication statusPublished - Apr 2021


  • Sexual Function
  • Sexual Satisfaction
  • Ecuador
  • Sexual Conservatism
  • Culture
  • BIAS

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