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Topic

“I hate the distrust”: A Mixed Methods Approach to Understanding Perceptions and Experiences of Asexuality, Sexual Difficulties, and their Treatment by Healthcare Professionals”

Department of Sociology

Date & location

• Tuesday, July 8, 2025

• 1:00 P.M.

• Virtual Defence

Reviewers

Supervisory Committee

• Dr. Steve Garlick, Department of Sociology, ���ɱ��� (Co-Supervisor)

  Dr. Thea Cacchioni, Department of Gender Studies, UVic (Co-Supervisor) 

External Examiner

• Dr. Allie Slemon, School of Nursing, ���ɱ��� 

Chair of Oral Examination

• Dr. Justin Leifso, Department of Political Science, UVic

   

Abstract

Asexuality and sexual difficulties are often assumed to be the same. However, this is not the case. There is limited research which uses mixed-methods design to compare these two groups of people. Drawing from a sample of 686 survey participants and 16 interview participants, this thesis works to provide a deeper understanding into the perspectives and experiences of asexual people and people with sexual difficulties. Using the Social Determinants of Health as a theoretical framework, this thesis aimed to answer the primary research question: What similarities and differences exist in the understandings and experiences of asexual people and those with related sexual difficulties?

This study found many differences between asexual people and people with related sexual difficulties, thereby reinforcing the argument that the two identities are distinct. Based on the qualitative and quantitative findings, this thesis also argues that: 1. Sexual dysfunctions are subjective in nature. Only an individual can determine if their sexual desire is problematic, it is not something that can be assigned by others. Asexual people do not view their low(er) sexual desire as dysfunctional and do not want to change their identities. People with sexual difficulties express their difficulties as causing impairment to their wellbeing and want to increase their sexual functioning. 2. Healthcare providers have mixed approaches to asexual people and people with sexual difficulties which can impact the health equity of patients. 3. Healthcare does not entirely shape one’s identity. Rather, both groups use healthcare to reinforcer existing self perceptions and identities. 4. Healthcare is a determinant of health and well-being that is shaped by quality of and access to care. 5. Healthcare systems need reforms to improve the care provided to asexual people and people with sexual difficulties.