title: The psychosexual profile of sexual assistants: an internet-based explorative study.
abstract: BACKGROUND
  Sexual assistance may have some aspects that resemble prostitution and others that might lead one to think of sexual assistants as similar to a group of subjects whose sexual object is disability (devotees). In this study, we investigate whether a rigorous selection and training process on the part of specialised organisations may reduce the risk of training subjects with an atypical sexual interest and behaviours resembling prostitution.
  
  
  METHODS
  The study population consisted of 152 subjects defining themselves as sexual assistants. Subjects were initially contacted on websites specifically dedicated to sexual assistants and prostitutes. One hundred and twenty subjects were selected, by propensity score analysis, and studied by means of a modified version of a semi-structured questionnaire previously developed to investigate a population of subjects attracted by disability.
  
  
  RESULTS
  The study group was composed of 80 trained and 40 untrained sexual assistants, with mean ages of 41.5 (SD +/-12.58) and 44.5 (SD +/-11.62), respectively. A significant number of untrained subjects affirmed that their motivation in carrying out sexual assistance was of a remunerative nature, while this number was lower among the trained assistants (p = 0.001). Nearly all untrained subjects claimed to do one or more of the following activities during sexual assistance: sexual intercourse, oral sex, and masturbation. Among the trained subjects, however, only 47.5% claimed to do one or more of these activities, which means that there is a significant gap between trained and untrained assistants (p<0.0001). The existence of an atypical sexual interest was more evident between untrained rather than between trained subjects (p<0.0001).
  
  
  CONCLUSIONS
  Sexual assistance represents a way through which people affected by disabilities may attain the right to explore their sexuality in a safe setting. This can be guaranteed only if sexual assistants are trained and carefully selected by specialised organisations.
authors.affiliation: Department of Clinical and Applied Sciences and Biotechnologies, School of Sexology, University of L'Aquila, L'Aquila, Italy.
authors.forename: Erika
authors.initials: E
authors.lastname: Limoncin
authors.affiliation: Department of Clinical and Applied Sciences and Biotechnologies, School of Sexology, University of L'Aquila, L'Aquila, Italy.
authors.forename: Debora
authors.initials: D
authors.lastname: Galli
authors.affiliation: Department of Clinical and Applied Sciences and Biotechnologies, School of Sexology, University of L'Aquila, L'Aquila, Italy.
authors.forename: Giacomo
authors.initials: G
authors.lastname: Ciocca
authors.affiliation: Department of Clinical and Applied Sciences and Biotechnologies, School of Sexology, University of L'Aquila, L'Aquila, Italy.
authors.forename: Giovanni Luca
authors.initials: GL
authors.lastname: Gravina
authors.affiliation: Department of Clinical and Applied Sciences and Biotechnologies, School of Sexology, University of L'Aquila, L'Aquila, Italy.
authors.forename: Eleonora
authors.initials: E
authors.lastname: Carosa
authors.affiliation: Department of Clinical and Applied Sciences and Biotechnologies, School of Sexology, University of L'Aquila, L'Aquila, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Mollaioli
authors.affiliation: Department of Endocrinology, Sapienza University of Rome, Rome, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Lenzi
authors.affiliation: Department of Clinical and Applied Sciences and Biotechnologies, School of Sexology, University of L'Aquila, L'Aquila, Italy; Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
authors.forename: Emmanuele A
authors.initials: EA
authors.lastname: Jannini
mesh_terms: D000328:Adult; D003075:Coitus / Q000502:physiology; D006801:Humans; D020407:Internet; D008418:Masturbation / Q000523:psychology; D008875:Middle Aged; D009042:Motivation; D011477:Sex Work / Q000523:psychology; D060386:Sex Workers / Q000523:psychology; D012725:Sexual Behavior / Q000523:psychology; D011795:Surveys and Questionnaires