Open Access

Sinan Karcher, Marcus Gertzen, Cornelia Rosenberger, Johanna Schwarz, Paula-Irene Villa, Moritz Strasburger, Andrea Rabenstein, Oliver Pogarell, Peter Martl, Hanna Hentschel, Alana Horstmann, Douglas Silva-Leao, Tobias Rüther

• Introduction Sexual satisfaction is integral to overall well-being and quality of life. This study explores the relationship between sexual satisfaction, sexual minority stigma, and shame among LGB (lesbian, gay, bisexual) individuals in Germany. Methods A sample of n = 1373 participants (n = 760 gay/bisexual men, n = 91 heterosexual men, n = 128 lesbian/bisexual women, n = 145 heterosexual women) was recruited through convenience and snowball sampling from December 2020 to June 2021. Participants completed a web-based survey measuring demographic variables, shame proneness, sexual satisfaction, and aspects of LGB identity using validated scales. Statistical analyses included t-tests, ANOVAs, Pearson's correlations, and multiple regression models to explore differences and relationships among the variables. Results LGB individuals reported significantly lower sexual satisfaction compared to heterosexual counterparts, with gay/bisexual men showing the lowest levels. Higher shameIntroduction Sexual satisfaction is integral to overall well-being and quality of life. This study explores the relationship between sexual satisfaction, sexual minority stigma, and shame among LGB (lesbian, gay, bisexual) individuals in Germany. Methods A sample of n = 1373 participants (n = 760 gay/bisexual men, n = 91 heterosexual men, n = 128 lesbian/bisexual women, n = 145 heterosexual women) was recruited through convenience and snowball sampling from December 2020 to June 2021. Participants completed a web-based survey measuring demographic variables, shame proneness, sexual satisfaction, and aspects of LGB identity using validated scales. Statistical analyses included t-tests, ANOVAs, Pearson's correlations, and multiple regression models to explore differences and relationships among the variables. Results LGB individuals reported significantly lower sexual satisfaction compared to heterosexual counterparts, with gay/bisexual men showing the lowest levels. Higher shame proneness correlated with decreased sexual satisfaction in LGB individuals but not in heterosexual participants. While internalized homonegativity was inversely correlated with sexual satisfaction, identity affirmation was positively correlated. Regression models indicated that internalized homonegativity, shame proneness, and identity affirmation were significant predictors of sexual satisfaction in gay/bisexual men. For lesbian/bisexual women, only internalized homonegativity remained a significant predictor of sexual satisfaction. Conclusion The study highlights the impact of sexual minority stigma and shame on sexual satisfaction among LGB individuals in Germany. Addressing internalized stigma and promoting affirmative attitudes are crucial for enhancing sexual well-being. Implications These findings underscore the need for clinical practices and social policies that focus on reducing sexual minority stigma and fostering positive identity-related beliefs to improve the sexual health and overall well-being of LGB individuals.…