“…We designate adults who experienced famine as the reference group and categorize subjects based on their age during the famine as follows: adulthood group (born between 1935 and 1940, aged 21–26 years old), school age famine exposure group (born between 1949 and 1956, exposed between 5 and 12 years old), and teenage famine exposure group (born between 1941 and 1948, exposed between 13 and 20 years old) ( 19 , 20 ). Adolescence is a transitional period from childhood to adulthood with accelerated growth and development ( 21 , 22 ). Considering these differences in the developmental period characteristics of sexuality, participants were further categorized as follows: (1) among male participants: unexposed group (born between 1935 and 1940, aged 21–26 years old), childhood famine exposure group (born between 1951 and 1956, exposed between 5 and 10 years old), and adolescence famine exposure group (born between 1941 and 1950, exposed between 11 and 20 years old); (2) among female participants: unexposed group (born between 1935 and 1942, aged 19–26 years old), childhood famine exposure group (born between 1953 and 1956, exposed between 5 and 8 years old), and adolescence famine exposure group (born between 1943 and 1952, exposed between 9 and 18 years old) ( 23 , 24 ).…”