A Gender Discrepancy Analysis of Heterosexual Sexual Behaviors in Two University Samples

Orgasm and Sexual Behavior Among Adolescents: Differences Across Genders and Dyad Configurations

Despite recurring calls for diversity and inclusion in adolescent sexuality research, our understanding of adolescents' sexual experiences beyond heteronormative vaginal intercourse remains limited. The current study examined orgasm (during masturbation and with a partner) and sexual behaviors (providing and receiving manual and oral stimulation) in middle adolescents. We conducted logistic regression and path analyses separately for cisgender (n = 2738) and transgender/non-binary (TNB) youth (n = 62) to explore gender and dyad type (intersection between gender and partner gender) differences among 2800 Canadian adolescents (51.4% cisgender girls, Mage = 16.41, SDage = 0.55). With cisgender boys as reference, cisgender girls had lower odds of experiencing orgasm during masturbation, reported more difficulties with orgasm during partnered sex, received more manual sex, and less oral sex. TNB individuals assigned male at birth received more manual stimulation, and TNB assigned female at birth received less oral sex. For dyad type, compared to cisgender boys partnered with a girl, cisgender girls partnered with a boy and cisgender girls with a gender diverse partner (i.e., non-binary, trans, genderfluid or agender) had lower odds of having ever experienced orgasm during masturbation, reported more difficulties experiencing orgasm during partnered sex, and received oral stimulation less often. Cisgender girls who were partnered with a girl did not differ from cisgender boys who were partnered with a girl. Findings may inform programs that promote sexual wellbeing among youth.

"I Just Wasn't Thinking": Strategic Ambiguity and Women's Accounts of Unprotected Sex

Heterosexual university students continue to endorse sexual scripts that preference men's desire and sustain gendered power imbalances in sexual relationships and encounters, leading women to risk pregnancy by engaging in unprotected sex. Because young women also endorse norms encouraging them to protect themselves and their partners from unintended pregnancy, women are caught in a bind between two often competing norms. We conducted semi-structured individual interviews with university women (n = 45) to examine how they navigate these competing norms. We found that women explained risky contraceptive decisions by saying they "just weren't thinking," thus employing strategic ambiguity, or vague language used to maintain social status, to navigate between competing norms. Our findings suggest that women were actually thinking about risks and making calculated decisions in the moment which often privileged men, putting themselves at risk and sometimes causing distress. To save face, women presented the idea that they "just weren't thinking" in different ways that conformed to traditional notions of romance and sexuality: being in the moment, love and trust for their partner, and deferring to the perceived or actual wishes of men. We conclude that there is a need to promote and achieve affirmative sexuality which includes women feeling empowered to express their own sexual needs - whether that be consent or refusal, contraception, pleasure, or all of these.

Anal Intercourse among Heterosexual Young Adults: A Population-Based Survey in Switzerland

Anal intercourse (AI) among heterosexuals is an understudied and taboo subject. This 2017 Swiss national study aimed to describe the characteristics and motivations of heterosexual young adults practicing AI. Participants with any same-sex experience, same-sex attraction or non-heterosexual identity were excluded. The Federal Statistical Office provided the initial sample and potential participants were recruited through postal mail inviting them to an online survey (response rate 15.1%). The sample comprised 3892 participants (52% males; 54% of the overall sample, mean age 26.3 years). Overall, 55% of women and 56% of men had never experienced AI, 17% and 12% had done it once and 28% and 32% more than once, respectively. We found that participants engaging in AI had higher odds of practicing intercourse while intoxicated, being younger at first sexual experience, not using a condom at last intercourse and reporting a history of sexual transmitted infections. The main reason reported by both genders for engaging in their first AI was being curious followed by being in love. In conclusion, AI is a widespread practice among heterosexual young adults and health professionals should be especially attentive to it.

Institutional, Subcultural, and Individual Determinants of Same-Sex Sexual Contact Among College Women

While the collegiate hookup literature identifies the prevalence and conditions under which women engage in same-sex sexual behaviors, less is understood about the macro- and mesolevel features of universities predictive of women's engagement in these behaviors. How do predictors of same-sex contact differ for women who report engagement in nongenital versus genital sexual acts? Using the Online College Social Life Survey (OCSLS), this study examined 5,069 women from 21 U.S. colleges and universities who reported at least one same-sex encounter in their lifetime to empirically evaluate how same-sex sexual histories are predicted by university structure and membership in student subcultures. Results find subcultural participation to have a regulative effect on what types of sexual behaviors women engaged in with other women. While Greek-affiliated women were significantly more likely to have engaged in solely nongenital sexual behavior, women in team-based athletics were more likely to report a genital sexual history with women. This study's focus on women's sexual behaviors as opposed to sexual identity affirms the influence of institutional contexts, subcultural dynamics, and their variability across U.S. campuses in producing the conditions and opportunities for varied forms of sexual interactions among college women.

Emerging Adults' Discussion of Substance Use and Sexual Behavior with Providers

Emerging adulthood (ages 18-25) is a time of increased autonomy and associated with a high rate of risky substance use and sexual behavior. As emerging adults (EA) increasingly have more independence, they have the ability to make health decisions, including whether to see a provider (primary care (PCP) and/or gynecologist (GYN)) and whether to discuss substance use and sexual behavior. The current study aimed to determine: (1) factors associated with PCP and GYN health-care seeking by sexually active EA who use alcohol and/or marijuana; (2) gender differences in substance use and sexual risk topics initiated by providers; (3) whether PCPs compared to GYNs discuss different topics with women. Alcohol and/or marijuana-using, sexually active EA (n = 500) were recruited as part of a health behaviors study. Among participants, 39% did not see a PCP in the previous year. Women, White individuals, and EA with health insurance were most likely to attend a PCP appointment. Even among participants who saw a provider, many participants reported that providers did not initiate a discussion about substance use (approximately half discussed substance use) and sexual behavior (about half discussed STI history, two-thirds discussed condom use, and three-quarters discussed sexual partners). Among women with a PCP and GYN provider, discussions on substance use were more likely to be initiated by a PCP while sexual issues were more likely to be initiated by a GYN. Thus, even among sexually active, substance-using EA, central topics - specifically substance use and sexual behavior - are not routinely brought up by providers.

Students' Alcohol Use, Sexual Behaviors, and Contraceptive Use While Studying Abroad

College study abroad students may represent a subgroup at risk for increased alcohol use and sexual activity while traveling. The present study explored student's alcohol use, sexual activity, and the interrelationship between the two while abroad. A sample of 372 students (M_age abroad = 20, SD = 3.3, 68% women) who had traveled abroad in the past 3 years were recruited from a large, southern university. Students completed an online survey of demographics, alcohol use, sexual behaviors, and contraceptive use. Students reported consuming an average of six drinks in one sitting, and 76% of women and men met criteria for 'hazardous drinking' while abroad. Students who met criteria for 'hazardous drinking' were more likely to engage in sexual activity; however, they also had a greater likelihood of wearing a condom. Our findings show students engage in problematic drinking and this is related to their engagement in sexual activity while abroad. Findings extend previous research and suggest study abroad programs should address norms around drinking and sexual activity prior to travel to ensure students' safety while abroad.

Was it good for you too?: An analysis of gender differences in oral sex practices and pleasure ratings among heterosexual Canadian university students

Oral sex has become a standard component of the heterosexual sexual script, though little is known about the level of pleasure men and women experience from giving and receiving oral sex and the extent to which relationship context is associated with levels of pleasure. The purpose of this study was to investigate gender differences in giving and receiving oral sex, and associations with pleasure experienced and partner type. Participants were 899 heterosexual university students who reported on their sexual activities in their most recent sexual encounter in an online survey. Over two-thirds of participants reported that their last sexual encounter included giving and/or receiving oral sex. More women (59%) than men (52%) reported giving oral sex to their partner. More men (63%) than women (44%) reported receiving oral sex. Most men (73%) and women (69%) reported that receiving oral sex was “very pleasurable.” Though most participants rated giving oral sex as at least “somewhat pleasurable,” men were significantly more likely than women to report that giving oral sex was very pleasurable (52% vs. 28%). Overall, ratings of pleasure for giving oral sex were higher for men, but no gender differences were found for overall pleasure ratings of receiving oral sex. Regardless of gender, higher pleasure ratings were reported when giving and receiving oral sex with more committed partners compared to more casual ones. Findings highlight the utility of discussing gendered norms for sexual behaviour with young people, and including pleasure-enhancing information in sexual health education programs.

Prevalence and Frequency of Heterosexual Anal Intercourse Among Young People: A Systematic Review and Meta-analysis

We aim to assess if heterosexual anal intercourse (AI) is commonly practiced and how frequently it is practiced by young people. We searched PubMed for articles published 1975 to July 2014 reporting data on the proportion of young people (mean age <25) practicing heterosexual AI (AI prevalence) and on number of AI acts (AI frequency). Stratified random-effects meta-analysis and meta-regression were used to produce summary estimates and assess the influence of participant and study characteristics on AI prevalence. Eighty-three and thirteen of the 136 included articles reported data on lifetime AI prevalence and monthly AI frequency, respectively. Estimates were heterogenous. Overall summary estimates of lifetime AI prevalence were 22 % (95 % confidence interval 20-24) among sexually active young people, with no statistically significant differences by gender, continent or age. Prevalence increased significantly with confidentiality of interview method and, among males and in Europe, by survey year. Prevalence did not significantly differ by recall period. An estimated 3-24 % of all reported sex acts were AI. Reported heterosexual AI is common but variable among young people worldwide. To fully understand its impact on STI spread, more and better quality data on frequency of unprotected AI, and trends over time are required.

Why women engage in anal intercourse: results from a qualitative study

This study used qualitative methods to assess why women engage in heterosexual anal (receptive) intercourse (AI) with a male partner. Four focus groups which comprised women from diverse ethnicities were conducted. All groups were digitally recorded for transcription; transcripts were analyzed using the methods of grounded theory to determine themes. Women's reasons for engaging in anal intercourse with a male partner can be described in broad categories including that the women wanted to have anal intercourse, either because of their own desire, to please a male partner, or they were responding to a quid pro quo situation. The riskiness of AI was assessed within relationship contexts. Past experience with AI including emotional and physical reactions was identified. Among the negative physical experiences of AI were pain and disliking the sensation, and uncomfortable side effects, such as bleeding of the rectum. Negative emotional experiences of AI included feelings of shame, disgust, and being offended by something her male partner did, such as spitting on his penis for lubrication. Positive physical experiences included liking the sensation. Many of the women also endorsed positive emotional experiences of AI, including that it was more intimate than vaginal sex, and that it was something they reserved only for special partners. The majority of AI episodes were unplanned and not discussed prior to initiation. Pain during AI was mitigated by the use of lubricants or illicit drugs. Even those women who found pleasure in AI expressed a preference for vaginal intercourse.

Female sexual subjectivity and verbal consent to receiving oral sex

Women are less likely than men are to report receiving oral sex from their partners. Elements of sexual subjectivity may have implications for women's communication of consent to specific sexual acts. Sexually active women (n = 237) between 18 and 71 years of age (M = 28.85 years) completed an online survey measuring sociodemographic variables, entitlement to pleasure from partner, self-efficacy in achieving sexual pleasure, and consent communication at last receptive oral sex event. Participants were predominantly White (84.8%, n = 201) and in exclusive or monogamous sexual relationships (54.9%, n = 130). The authors used a 4-step test of mediation to determine whether self-efficacy in achieving sexual pleasure mediated the relation between entitlement to pleasure from partner and verbal consent communication. Self-efficacy emerged as a significant predictor of verbal consent communication (p <.01) in the fourth step, while entitlement to pleasure dropped out of the model (p >.05), indicating full mediation. Therefore, entitlement to pleasure predicted verbal consent to oral sex as a function of self-efficacy in achieving sexual pleasure. Sex-positive educational interventions may improve disparities between men and women in receiving oral sex from their partners. Results of this study offer insight into the ways in which culture-level forces affect interpersonal and intraindividual sexual health behaviors.