What Keeps Passion Alive? Sexual Satisfaction Is Associated With Sexual Communication,Mood Setting,Sexual Variety,Oral Sex,Orgasm, and Sex Frequency in a National U.S. Study

Passion and sexual satisfaction typically diminish in longer-term relationships, but this decline is not inevitable. We identified the attitudes and behaviors that most strongly differentiated sexually satisfied from dissatisfied men and women who had been together for at least three years (N = 38,747). Data were collected in 2006 from cohabiting and married men (M) and women (W) via an online survey on a major national U.S. news Web site. The vast majority of these participants reported being satisfied with their sex lives during their first six months together (83% W; 83% M). Satisfaction with their current sex lives was more variable, with approximately half of participants reporting overall satisfaction (55% W; 43% M) and the rest feeling neutral (18% W; 16% M) or dissatisfied (27% W; 41% M). More than one in three respondents (38% W; 32% M) claimed their sex lives were as passionate now as in the beginning. Sexual satisfaction and maintenance of passion were higher among people who had sex most frequently, received more oral sex, had more consistent orgasms, and incorporated more variety of sexual acts, mood setting, and sexual communication. We discuss implications of these findings for research and for helping people revitalize their sex lives.     

Sexual Hookups and Adverse Health Outcomes: A Longitudinal Study of First-Year College Women

“Hookups” are sexual encounters between partners who are not in a romantic relationship and do not expect commitment. We examined the associations between sexual hookup behavior and depression, sexual victimization (SV), and sexually transmitted infections (STIs) among first-year college women. In this longitudinal study, 483 women completed 13 monthly surveys assessing oral and vaginal sex with hookup and romantic partners, depression, SV, and self-reported STIs. Participants also provided biological specimens that were tested for STIs. During the study, 50% of participants reported hookup sex and 62% reported romantic sex. Covariates included previous levels of the outcome, alcohol use, impulsivity, sensation seeking, and romantic sex. Autoregressive cross-lagged models showed that, controlling for covariates, hookup behavior during college was correlated with depression, Bs = .21, ps < .05, and SV, Bs = .19, ps < .05. In addition, precollege hookup behavior predicted SV early in college, B = .62, p < .05. Hookup sex, OR 1.32, p < .05, and romantic sex, OR 1.19, p < .05, were associated with STIs. Overall, sexual hookup behavior among college women was positively correlated with experiencing depression, SV, and STIs, but the nature of these associations remains unclear, and hooking up did not predict future depression.     

Changes in Diverse Sexual and Contraceptive Behaviors Across College

Researchers have made repeated calls for a better understanding of normative sexuality development during adolescence and young adulthood. We examined how the occurrence of seven penetrative, nonpenetrative, and contraceptive behaviors changed longitudinally across seven waves, and how individual (gender) and contextual (romantic relationship status) factors related to these changes in a sample of college students (N = 730, M age = 18.4 at Semester 1; 51% female; 26% Hispanic/Latino American, 22% Black/African American, 30% Asian American/Pacific Islander, 45% White/European American). Across college, reported kissing, touching, performing and receiving oral sex, and penetrative sex rates increased, and contraception use (any type) and condom use (in particular) rates decreased, demonstrating changes with age independent of young adults’ romantic relationship experiences. Rates of all sexual behaviors were higher, and of contraception use lower, when students were in serious romantic relationships. Contraception use decreased more for men than for women, particularly in semesters men were not in serious relationships. Condom use decreased for men, and for women in semesters they were in serious relationships. Findings demonstrate normative trends in sexuality development, as well as suggesting the value of enhanced sexual health promotion programming, with a particular focus on contraceptive behaviors, across college.     

Intrapersonal and Interpersonal Sexual Behaviors of Chinese University Students: Gender Differences in Prevalence and Correlates

The main aim of the present study was to investigate gender differences among university students in contemporary China regarding (1) the prevalence of various types of intrapersonal and interpersonal sexual behaviors and (2) their sociodemographic and psychosocial predictors. A total of 1,397 university students (M_age = 20.3 years) completed related questionnaires. Intrapersonal behaviors (i.e., sexual fantasizing, solitary masturbation, and viewing pornography) were generally reported more frequently than interpersonal behaviors (i.e., petting, oral sex, and intercourse). Gender differences were most evident for intrapersonal sexual behaviors, all of which were reported more frequently by men. Men reported significantly more heterosexual intercourse than women but not petting or oral sex. Several correlates (i.e., age, educational aspiration, family income, urbanity, relationship experience, and Internet use) were significant predictors of various intrapersonal and interpersonal sexual behaviors. Gender significantly moderated these correlations in three cases: Family income was a stronger negative predictor of intercourse for women, romantic relationship history was a stronger positive predictor of intercourse for men, and Internet use was a stronger positive predictor of sexual fantasizing for men. We discuss the implications of these findings for sexuality education and sexual health policies and practices in contemporary China.     

Sexual inactivity among men who have sex with men living with hiv in europe

Objectives: Most people living with HIV stay sexually active, but some remain inactive. This study investigated prevalence and correlates of sexual inactivity among European HIV-positive men who have sex with men (MSM). Methods: An anonymous sexual health questionnaire was distributed in 17 HIV outpatient clinics throughout Europe. Ninety-seven (11.6%) of 838 respondents reported absence of sexual activity. Results: Multivariable regression analysis identified older age, relationship status, and less satisfaction with general health and sexual desire as being associated with sexual inactivity. Conclusions: Prevalence of sexual inactivity has declined since the introduction of antiretroviral therapy to levels similar to those of HIV-negative MSM, suggesting a tendency toward normalization of HIV-positive MSM's sex lives.     

Ambivalent sexism and attitudes toward women who engage in premarital sex in Turkey

This study examined the relationship of ambivalent sexism, political conservatism, demographic variables (age, education, and gender), and prior sexual experience to Turkish men's and women's attitudes toward women who engage in premarital sex. Participants included 124 Turkish undergraduate students and 60 nonstudent Turkish adults. Benevolent but not hostile sexism uniquely predicted more negative views of women who engage in premarital sex once other variables were controlled. Regression analyses demonstrated that for both men and women, older, more politically conservative and less sexually experienced respondents and more educated men (but not women) respondents were more likely to disapprove of women who engage in premarital sex. Similarly, regression analysis revealed that men who were older, politically conservative, and less sexually experienced expressed stronger preferences for marrying a virgin. Both hostile and benevolent sexism predicted men's preference for marrying a virgin after all other variables were controlled.     

Sexual needs, control, and refusal: how "doing" class and gender influences sexual risk taking

The poor are disproportionately affected by unintended pregnancy and sexually transmitted infections (STIs). We know relatively little, however, about the sexual processes behind these disparities. Despite studies of gender enactment's influence on sexual behaviors, few analyses examine the sexual "doing" of social class. We conducted sexual history interviews with 36 women and men, half middle class and half poor and working class. Most respondents reported that men have greater sexual appetites than women, but the middle class were more likely to cite social influences while the poor and working-class respondents primarily ascribed biological origins. The social construction of sexual controllability among the middle class contributed to perceptions that sex was a containable force. Poor and working-class women described men's sexual needs as physiologically irrepressible, which shaped sexual refusal. Our findings move beyond socioeconomic status (SES) as a "risk factor" and explore two examples of how gender and social class mediate people's sexual selves and health.     

Ambivalent sexism and attitudes toward women who engage in premarital sex in Turkey

This study examined the relationship of ambivalent sexism, political conservatism, demographic variables (age, education, and gender), and prior sexual experience to Turkish men s and women s attitudes toward women who engage in premarital sex. Participants included 124 Turkish undergraduate students and 60 nonstudent Turkish adults. Benevolent but not hostile sexism uniquely predicted more negative views of women who engage in premarital sex once other variables were controlled. Regression analyses demonstrated that for both men and women, older, more politically conservative and less sexually experienced respondents and more educated men (but not women) respondents were more likely to disapprove of women who engage in premarital sex. Similarly, regression analysis revealed that men who were older, politically conservative, and less sexually experienced expressed stronger preferences for marrying a virgin. Both hostile and benevolent sexism predicted men s preference for marrying a virgin after all other variables were controlled.     

The prevalence of sexual aggression and victimization among homosexual men

This study examined the prevalence of unwanted sexual contacts among a sample of 310 homosexual men with an average age of 21.8 years recruited in Berlin, Germany. A modified version of the Sexual Experiences Survey was developed to record unwanted contacts involving different means of coercion, sexual acts, and victim‐perpetrator relationships. Reports were elicited about (a) sexual victimization and (b) perpetration of sexually aggressive acts. Three methods of victimization were studied: physical force, exploitation of the victim's incapacitated state, and verbal coercion. Of the 310 respondents, about 15% reported sexual victimization through the use or threat of forcé. Twenty percent were victimized through exploitation of their inability to offer resistance when in an incapacitated state. Ten percent reported victimization through verbal coercion. In terms of being the perpetrator of sexual aggression, over 5% of respondents reported using or threatening to use physical force. Over 16% reported exploiting a person's incapacitated state, and over 6% admitted to the use of verbal coercion. Acceptance of money for sex was identified as a risk factor for both victimization and perpetration. The data show that sexual aggression is a serious problem among homosexual men which requires further exploration.     

Prevalence of same‐gender sexual behavior and HIV in a probability household survey in Mexican men

The prevalence of male same‐gender sexual behavior in Mexico City in relation to HIV transmission was studied. A household probability survey of 8,068 adult men was conducted in 1992–93 using the Mexican National Health Survey sampling frame. The response rate was 59%. Differences between respondents and nonrespondents indicated no evidence for significant bias. A random subsample of 1,116 individuals provided serum or saliva for HIV testing. An estimated 2.5% of men practiced same‐gender sex in their lifetime: 2.1% (95% CI: 1.7 ‐ 2.4%) reported bisexual behavior and 0.4% (95% CI: 0.3 ‐ 0.6%) reported exclusively homosexual behavior. Among bisexuals, 70% reported sex only with women in the previous year, 7% reported sex only with men, 13% reported sex with both, and 10% were sexually inactive. A condom was used by 46% in their last homosexual encounter. An estimated 0.1% of married men were homosexually active in the previous year. The HTV prevalence estimate was 0.2% in the sample. The rate was 4% among homosexual/bisexual men and 0.09% in heterosexual men (p < 0.0001). Estimates of homosexual behavior and HTV infection from this population‐based sample are lower than results from nonprobability studies. The low prevalence of condom use anticipates future growth of the epidemic in the homosexual population. Bisexual behavior appeared to be infrequent and transitory, particularly among married men.     

Prevalence of Sexual Aggression Victimization and Perpetration in a Sample of Female and Male College Students in Turkey

In Turkey, there is a shortage of studies on the prevalence of sexual aggression among young adults. The present study examined sexual aggression victimization and perpetration since the age of 15 in a convenience sample of N = 1,376 college students (886 women) from four public universities in Ankara, Turkey. Prevalence rates for different coercive strategies, victim-perpetrator constellations, and sexual acts were measured with a Turkish version of the Sexual Aggression and Victimization Scale (SAV-S). Overall, 77.6% of women and 65.5% of men reported at least one instance of sexual aggression victimization, and 28.9% of men and 14.2% of women reported at least one instance of sexual aggression perpetration. Prevalence rates of sexual aggression victimization and perpetration were highest for current or former partners, followed by acquaintances/friends and strangers. Alcohol was involved in a substantial proportion of the reported incidents. The findings are the first to provide systematic evidence on sexual aggression perpetration and victimization among college students in Turkey, including both women and men.     

Patterns of Sexual Behaviors in Young Men Who Have Sex With Men in Mexico

Recent research has documented the importance of understanding the multidimensional nature of sexual risk behavior. However, little is known about patterns of sexual behavior among men who have sex with men (MSM) in Mexico, men who are at greatest risk for HIV and sexually transmitted infections compared to other subpopulations in the country. This study applied latent class analysis to data from a large, HIV-negative sample of 18- to 25-year-old Mexican MSM recruited from a social and sexual networking website (N = 3,722) to uncover multidimensional patterns of sexual behaviors, partner factors, and protective behaviors, and examine how these were associated with health and well-being correlates. We selected a model with seven classes. The most common class included those who reported both insertive and receptive behaviors with more than one partner, but smaller groups of individuals were in classes marked by only insertive or receptive anal sex, romantic relationships, or sexual inactivity. Class membership differed by sexual orientation, age, depressive symptoms, alcohol problems, and self-acceptance, with individuals in a class marked by same-sex relationships generally reporting more positive outcomes. Findings suggest heterogeneity of behaviors among Mexican MSM and the possible efficacy of prevention messages tailored to individuals’ specific patterns of sexual behavior.     

Dysfunctional sexual beliefs as vulnerability factors to sexual dysfunction

The differences on sexual beliefs presented by men and women with sexual dysfunction and their sexually functional counterparts were investigated. A total of 488 participants (160 females and 232 males without sexual problems and 47 females and 49 males with a DSM-IV diagnosis of sexual dysfunction) answered the Sexual Dysfunctional Beliefs Questionnaire. Findings showed that, although effects have only reached statistical significance for the female group, both dysfunctional men and women endorsed more sexual dysfunctional beliefs than functional. Women presented significantly more age related beliefs (after menopause women loose their sexual desire, as women age, the pleasure they get from sex decreases) and body image beliefs (women who are not physically attractive cannot be sexually satisfied). Additionally, sexually dysfunctional males presented higher scores (not statistically significant) on 'macho' belief (a real man has sexual intercourse very often) and the beliefs about women satisfaction (the quality of the erection is what most satisfies women). Overall, findings support the idea that sexual beliefs may play a role as vulnerability factors for sexual dysfunction.     

Sexual Assault Risks Among Gay and Bisexual Men

The goal of this study was to examine lifetime patterns of sexual assault and associated risks among a purposive sample of gay and bisexual men (N = 183; 18 to 35 years old, M = 24.3). Cross-sectional data were collected via written, self-administered questionnaires and face-to-face, event-based qualitative interviews. Alcohol severity scores indicated high rates of hazardous drinking (53.0%) and possible dependence (14.2%) among participants. One-half of men (50.8%) reported childhood sexual abuse (CSA), and 67.2% reported adult sexual assault (ASA). Average age at most recent ASA was 21 years. Most perpetrators (83.9%) of recent ASA incidents were male; 67.0% of participants reported consuming alcohol and/or drugs prior to the most recent incident. Regression findings indicated more severe CSA experiences and past alcohol-related problems predicted recent severe ASA. Although we found similarities between gay and bisexual men in lifetime sexual assault history, we found some distinct differences in ASA risk factors. Bisexual men reported higher alcohol severity scores, more female ASA perpetrators, higher internalized homophobia scores, and fewer male sexual partners than gay men. Findings suggest the need for interventions that reduce ASA risk among sexual minority men—and the potential benefits of focusing on alcohol consumption in risk reduction efforts.     

Sexual Desire Among an Online Sample of Men Sexually Attracted to Children

ABSTRACT

Sexual attraction to children occurs in roughly 3 to 9 percent of the population. However, most knowledge about such desires comes from forensic samples, and most studies fail to assess preferred sexual activity and sexual partner. A new multimodal assessment of sexual desire was used to investigate interest in consensual and nonconsensual sex with adults and children in an online sample of men sexually attracted to children (n = 101). Desires were compared across history of sex offending behavior and preferred gender of child victim. Men who have and have not acted on their sexual attractions to children reported similar levels of sexual desire. Men primarily attracted to girls reported greater desire for sex with adults than did men primarily attracted to boys. Results highlight the heterogeneity of men sexually attracted to children as well as possible distinctions across gender of children to whom they are primarily attracted.     

Gender and Casual Sexual Activity From Adolescence to Emerging Adulthood: Social and Life Course Correlates

The prevalence of casual sexual activity among teens and emerging adults has led to much public attention. Yet limited research has investigated whether the number of casual sexual partners per year changes as heterosexual men and women transition from adolescence into emerging adulthood. We considered the influence of social context and life course factors on the number of casual sex partners. We examined four waves of interviews from the Toledo Adolescent Relationships Study (TARS) and used negative binomial growth curve models to investigate patterns of change in the number of casual sex partners (N = 1,196) ages 15 to 22. Men and women both reported increases in the number of casual sex partners over time and did not differ from each other in the rate of change over time. In all, 40% of respondents reported a recent casual sex partner at age 22. Number of prior dating relationships, education status, substance use, and perceptions of peer sexual behavior significantly influenced the number of casual sex partners. Emerging adults who did not complete high school, compared to those enrolled in four-year degree programs, reported significantly more partners. The findings contribute to research on intimate relationships and provide insights for programs targeting emerging adults.     

Human immunodeficiency virus (HIV) seropositive homeless men: Behavioral and social characteristics

Homeless persons living in U.S. innercities are at risk for human immunodeficiency virus (HIV) infection, but few studies have examined the continued risk behaviors of HIV infected homeless men. We investigated the sexual behavior of 32 homeless men who had tested HIV seropositive. Twenty-five percent of HIV positive men reported a history of injection drug use, 34% had sex with men, over 40% had participated in commercial sex, and 59% had been treated for a non-HIV sexually transmitted disease. HIV seropositive men also reported recent sexual behavior, with 62% having sex in the previous month and 50% currently sexually active. Condom use was inconsistent among seropositive men; 44% of vaginal and 50% of anal intercourse occasions in the preceding three months did not involve condoms, and 28% of HIV seropositive men did not use a condom during their most recent sexual encounter. Substance use was frequently associated with unprotected sexual behavior among HIV seropositive men. Finally, measures of life satisfaction showed that HIV seropositive men were most satisfied with their relationships, mental health, and spiritual well being. These data suggest a need for intensive behavioral interventions tailored for homeless HIV infected men and we recommend that existing substance use treatment and holistic care be incorporated into behavioral interventions for HIV infected men.     

Sex and aging in the city: Singapore

A survey was carried out on 307 healthy men and 774 women, aged between 30 and 70 years to evaluate the determinants of sex life in the highly urbanized Singapore population. The results showed that significantly more women (28.8%) as compared to men (16.3%) were currently sexually inactive. The main reason for sexual inactivity for women was being divorced or widowed (37.9%) and for men, the loss of interest in sex (42.8%). Relationship problems and being stressed out in life were the next two most common reasons for both men and women. Coital frequency for men and women between the ages of 30 and 55 years averaged about five to six times monthly and was significantly reduced to about three times monthly in those above 55 years old. More men (25.7%) wanted to have more frequent sex than women (5.4%), but were unable to fulfill their desire and the primary reason was that they were too stressed out in life. Results from this study revealed that sex life is determined not only by physiological, but also cultural, social and lifestyle factors. In Singapore, lifestyle factors accounted largely for sexual inactivity, and the inability to fulfill the desire for more frequent sex. The term ‘lifestyle impotency’ was coined to describe the group of men and women who were too stressed out in life to have sex. Therefore, there is a need to evolve a paradigm for the management of sexual dysfunctions by taking into account the underlying etiological factors which, as we have shown, may not be resolved by pharmaceutical interventions.     

Understanding types,locations, & perpetrators of peer-to-peer sexual harassment in U.S. middle schools: A focus on sex,racial, and grade differences

This study employed a mixed-method design to examine sexual harassment victimization among American middle school youth (grades 5–8). Students completed a self-report measure of sexual harassment victimization and indicated where sexual harassment occurs in their school. They responded to open-ended questions about the most upsetting incident they experienced and identified characteristics of perpetrators (N = 858). Verbal victimization (e.g., unwanted sexual commentary and homophobic name-calling) was more frequent than physical victimization and sexual assault. The types of sexual harassment experienced and the perpetrators varied by sex, race, and grade level. Sexual harassment occurred most frequently in hallways, followed by classrooms, gym locker rooms, gym class, lunch room, and outside of the school. The most upsetting unwanted incidents included (1) verbal - homophobic language; (2) verbal - sexual commentary and sexual rumor spreading; (3) physical – being touched; (4) pulling down pants; (5) being sexually assaulted; and (6) dismissiveness of victimization. Girls reported other boys as perpetrators; whereas, boys reported their perpetrators as other boys and close friends. For African-American students, perpetrators were identified as older and romantic partners. For White students, perpetrators were reported as same-age peers and friends. Understanding and recognizing what constitutes sexual harassment and where it most commonly occurs among early adolescence is critical to preventing sexual harassment into late adolescence.     

Contraceptive Attitudes and Sexual Self-Esteem Among Young Adults: Communication and Quality of Relationships with Mothers

ABSTRACT. Objectives: This study investigated relations between quality of relationships with mothers and communication with mothers about sex with contraceptive attitudes and sexual self-esteem among emerging adults. Methods: Undergraduate students (N = 176, M_age = 22 years 65% women) completed self-report measures of relationships with mothers, communication about sex, and sexual self-esteem. Results: Results indicated positive relations between quality of relationships with mothers and open, positive sex communication, for men and women, sexually and not sexually active; and between relationship quality with mothers, sex communication with mothers, and sexual self-esteem of women. Conclusions: Warm, supportive relationships with mothers in emerging adulthood include open, comfortable communications about sexuality, which were linked to features of sexual well-being of young adults.