Prevalence Of Sexual Behaviors Research Articles

Sexual behavior among emerging adults in Africa: a systematic review and meta-analysis.

Estimates on sexual behavior (SB) among emerging adults (EmA) is varied in literature, which presents a challenge when designing targeted interventions. We aimed to summarize literature on prevalence and risk factors of SB among EmA in Africa. A search for studies published in PubMed, Embase and Psych Info by March 2023 was done. Studies involving EmA (18-25 years), conducted in Africa and reporting one or more of seven SB were reviewed. Pooled prevalence estimates were summarized using forest plots. Heterogeneity in SB was explored. Risk factors were synthesized using a modified socio-ecological model. Overall, 143 studies were analyzed. Non-condom use had the highest pooled prevalence (47% [95% CI: 42-51]), followed by study-defined SB (37% [95% CI: 25-50]) and concurrency (37% [95% CI: 21-54]), multiple sex partners (31% [95% CI: 25-37]), younger age at sexual debut (26% [95% CI: 20-32]), age disparate relationships (24% [95% CI: 17-32]) and transactional sex (19% [95% CI: 13-26]). Heterogeneity was partially explained by sex, with female participants having higher pooled prevalence estimates compared to their male counterparts. In four of the seven outcomes, alcohol/drug use was the most common risk factor. SB was common among EmA and differentially higher in emerging female adults. Non-condom use had the highest pooled prevalence, which may contribute to the transmission of HIV and other sexually transmitted infections (STIs). Interventions targeting emerging female adults and alcohol/drug use may reduce SB, which may in-turn mitigate transmission of HIV and other STIs among EmA in Africa.

Sexual Behaviors in Iranian Working Children and the Correlated Risk Factors: Result of the Large-Scale Rapid Assessment and Response (RAR) Survey

This study aimed to investigate the sexual behaviors among working children and the associated factors. This cross-sectional study was conducted on a sample of 1937 working children in the 10–18 age range in 15 provincial capitals in 2019–20 (Feb–May); the Response rate was 94.9%. Univariate and multivariable logistic regression was used to examine the variable of sexual behaviors. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) are reported. The prevalence of sexual behaviors in working children was 4.2%. The results showed a significant difference between those who reported sexual behaviors and those who did not in terms of age, identity document (ID), running away from home, alcohol use, and substance use. There was a statistically significant relationship between fathers’ unemployment and sexual behaviors among working children. Furthermore, we found that having divorced parents could increase the odds of sexual behaviors by 3.74 times. The findings showed that related welfare and support organizations should design and implement effective and continuous training and interventions to raise awareness and reduce the prevalence of high-risk sexual behaviors in working children. They should also provide family counseling and promote parental supervision of children.

Gender differences in duration and location of erotic touch in mainstream heterosexual pornography

Watching mainstream porn today is a main source for men and women to learn how to behave sexually, including how to erotically stimulate one another. To date, research into the content analysis of pornography has been limited to the measurement of the frequency or prevalence of sexual behaviours or themes. In contrast, little is known regarding porn presentation of the specific location and duration of touch, vital for orgasm, pleasure, and sexual satisfaction for both women and men. Eighty “most-viewed” video clips were selected from two popular porn sites and coded for the gender of toucher/receiver, location, and duration in seconds of erotic touch. Results showed that women received significantly less genital stimulation than men overall, with this difference drastically increasing with non-penetrative erotic touch. The men in these videos received stimulation to their main sexual organ (penis) 10 times more than women received on their most sensitive sexual organ (clitoris), and the women were found to do the majority of non-reciprocal genital touch. While accurate information is widely available regarding competent erotic touch necessary for pleasure and orgasm, unbalanced and inadequate touching is still strongly represented in popular heterosexual pornography. This study elucidates how popular, freely accessible pornography is normalizing beliefs that men’s sexual touch and pleasure are primary and that clitoral stimulation is not a priority for women’s pleasure. Implications for how these normative aspects of sexual stimulation that may be leading to difficulties in sexual pleasure, orgasm, and satisfaction are discussed.

Behavioral health and experience of violence among cisgender heterosexual and lesbian, gay, bisexual, transgender, queer and questioning, and asexual (LGBTQA+) adolescents in Thailand.

Assessment of health disparities between population groups is essential to provide basic information for resource prioritization in public health. The objective of this study is to assess the extent that behavioral health outcomes and experience of violence varied between cisgender heterosexual adolescents and those who identified as lesbian, gay, bisexual, transgender, queer and questioning, and asexual (LGBTQA+) in the 5th National School Survey on Alcohol Consumption, Substance Use and Other Health-Risk Behaviors. We surveyed secondary school students in years 7, 9 and 11 in 113 schools in Thailand. We used self-administered questionnaires to ask participants about their gender identity and sexual orientation and classified participants as cisgender heterosexual, lesbian, gay, bisexual, transgender, queer and questioning, or asexual, stratified by sex assigned at birth. We also measured depressive symptoms, suicidality, sexual behaviors, alcohol and tobacco use, drug use, and past-year experience of violence. We analyzed the survey data using descriptive statistics with adjustment for sampling weights. Our analyses included data from 23,659 participants who returned adequately-completed questionnaires. Among participants included in our analyses, 23 percent identified as LGBTQA+ with the most common identity being bisexual/polysexual girls. Participants who identified as LGBTQA+ were more likely to be in older year levels and attending general education schools rather than vocational schools. LGBTQA+ participants generally had higher prevalence of depressive symptoms, suicidality, and alcohol use than cisgender heterosexual participants, whereas the prevalence of sexual behaviors, lifetime history of illicit drug use, and past-year history of violence varied widely between groups. We found disparities in behavioral health between cisgender heterosexual participants and LGBTQA+ participants. However, issues regarding potential misclassification of participants, limitation of past-year history of behaviors to the context of the COVID-19 pandemic, and the lack of data from youths outside the formal education system should be considered as caveats in the interpretation of the study findings.

Correlates of Risky Sexual Behaviours of Adolescents in Rivers State: A Study of Peer Pressure and Social Media Influences

Background: This study investigated the correlates of risky sexual behaviours of adolescents in Rivers State. Six objectives with corresponding research questions and hypotheses were formulated to guide the study. Materials and Methods: The study adopted a correlational research design. The population of the study comprised of all 93,076 in- School Senior Secondary School adolescents in Rivers State. A multistage sampling procedure was used to select a sample of 880 from six LGAs in the three senatorial zones of the State. The instrument for data collection was a validated self-structured questionnaire with reliability coefficients of 0.852 for peer pressure and 0.733 for media using Cronbach alpha. Data collected was analyzed using IBM SPSS (version 25), percentages were used to answer research questions, and binary logistic regression was used to test hypotheses at 0.05 alpha levels. Results and Discussions: The result of the study showed 14.6% prevalence of sexual behaviours. Also, the findings revealed that 73.2% did not used condoms at sexual debut, 7.3% had sexual intercourse with more than one person, 2.6% had paid sexual intercourse, 2.2% have had sexual intercourse with sex worker and 11.3% have had oral sex. Conclusions: The result of the study established a significant relationship between peer pressure and sexual behaviours (p < 0.05) and result revealed a significant association between social media influence and sexual behaviours (p <0.05). The study recommended that sexual health education be taught early right from the home by parents/ guardians and in school by teachers and school health officers with emphasis on the identified correlates peer pressure and media influence. Parents should not purchase high tech android phones for their children and should monitor what they do with phones provided.

From Prevention to Promotion in Women’s Sexual Self-Perceptions of Efficacy: The Sexual Self-Efficacy Questionnaire

IntroductionAvailable sexual self-efficacy (SSE) measures are mostly focused on self-perceptions of efficacy regarding engaging in specific preventive sexual behaviors, and do not include beliefs and expectations regarding behaviors aimed at achieving a more agentic and pleasurable sexual health in positive terms, nor do they consider the varied sexual orientations or relationship options. MethodsThis self-report-based, cross-sectional study sought to validate a new instrument to assess SSE for both preventive and health promotion sexual behaviors: the Sexual Self-Efficacy Questionnaire (SSEQ), among a non-probabilistic sample of 1080 women aged 18–50 years old. Data were gathered from January 2015 to December 2021. For validation purposes, reliability, factorial structure, and convergent construct validity with other well-known instruments measuring SSE were analyzed.ResultsExploratory and confirmatory factor analyses revealed a bifactorial structure of the SSEQ, with 10 items in the factor SSE for health-promotive actions and 10 items in the factor SSE for preventive actions. Furthermore, the SSEQ showed good reliability and convergent validity.ConclusionsOur findings support the use of the SSEQ as an alternative tool with appropriate psychometric characteristics that assesses cognitions related to achieving a healthier sexuality through the performance of preventive behaviors aimed at avoiding potentially negative outcomes and those promotive actions leading to more gratifying consequences for women.Policy ImplicationsThe SSEQ can be used in research, educative, and clinical contexts to develop interventions to improve women’s behavioral competences and perceived confidence in their skills to achieve a healthier and more pleasurable and agentic sexuality.

The Relationship between Body Appreciation and Health Behaviors among Women and Adolescent Girls: A Scoping Review.

Literature on body image and health behaviors has largely been pathology-based, investigating body dissatisfaction and disordered eating. Body appreciation is a useful construct of positive body image and has been used to understand its relationship with health behaviors beyond eating. This scoping review explores the literature on the relationship between body appreciation and physical health-promoting behaviors and health-compromising behaviors. A comprehensive search of databases was conducted to gather correlational studies written in English between January 2005 and November 2019. Behaviors related to eating and exercise were excluded. Nine quantitative studies met inclusion criteria. Evidence suggests an overall positive relationship between body appreciation and health-promoting behaviors, including preventive sexual health behaviors, preventive cancer behaviors, and seeking medical attention. Alternatively, body appreciation is negatively associated with health-compromising behaviors including risky sexual activity and alcohol and tobacco use. Promoting positive body image, above and beyond the reduction of body dissatisfaction, may play a crucial role in the health and well-being of women and girls. Research that examines positive body image in groups that are racially diverse and include sexual and gender minorities and people without healthcare access is urgently needed.

Parental supervision and sexual behaviour of adolescents in Brazil

Abstract Background Sexual risk behaviors make adolescents more vulnerable to the main diseases, affecting their sexual health. The adoption of such behaviors may be related to the modes of supervision performed by parents, which is a factor that could minimize the adoption of such risky behaviors. Objective To characterize parental supervision of Brazilian adolescents and estimate the prevalence of sexual risk behaviors in relation to the supervision received. Methods Cross-sectional study that analyzed data from 102,072 Brazilian adolescents who self-answered the National School Health Survey in 2015. We estimated the prevalence of parental supervision with their respective 95% confidence intervals, considering five indicators of parental supervision individually, and their simultaneity according to sex and sociodemographic characteristics. We also estimated the prevalence of sexual behaviours of adolescents: sex initiation, condom use at last intercourse, contraceptive use, mean age at first intercourse and number of partners, in relation to the supervision received. Results One in seven Brazilian adolescents presented intense parental supervision, with the highest proportion among males (52.0%; 95%CI 50.6-53.4). White adolescents of both sex (39.7%; 95%CI 38.8-40.6), who do not work (39.1%; 95%CI 38.4-39.8), living with both parents (42.3%; 95%CI 41.4-43.1) and residing in the Midwest and South (39.7%; 95%CI 38.5-41.0) regions, showed greater parental supervision in relation to the others, also presenting lower sexual initiation and greater condom use. Moreover, the greater the simultaneity of the supervision indicators, the greater the prevalence of consistent condom use, use of contraceptive methods and lower average number of partners. Conclusions We observed different patterns of parental supervision between boys and girls and according to sociodemographic characteristics. Moreover, the greater the supervision, the better the adolescents' sexual behaviors. Key messages The results obtained point to the fundamental role of the family in providing adolescents with conditions that encourage healthy and risk-free sexual behavior, through supervision. The results obtained reveal gender inequalities in relation to the supervision of girls and boys.

Empowerment Program Toward Risk Behaviour Among Adolescent

Adolescence is recognized as a time of increased risk-taking compared with other age groups. The purpose of this study was to review previous journals related to empowerment program toward risk behaviors among adolescent. This study was a literature review as a method of collecting, analyzing a previous studies. Searching strategy was carried out electronically for several journal sites published between 2014-2019. We collected the journals from the databases PubMed, and Google scholar and reported according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA; Moher, Liberati, Tetzlaff, Altman, & The PRISMA Group, 2009). The results of the assessment using the JBI format. There are five articles reviewed empowerment stating that empowerment influence family and community support factors the adolescent empowerment program has a role on self-esteem, reducing depression, smoking, drug use, and prevention of sexual behavior. Empowerment programs in adolescents impact risky behavior such as reproductive health, HIV prevention, drug / alcohol and smoking by increasing reinforcement of knowledge, peer collaboration and opportunities for self-development.
 
 Keywords: adolescent, empowerment, risk behavior

Partnered Sexual Behaviors, Pleasure, and Orgasms at Last Sexual Encounter: Findings from a U.S. Probability Sample of Black Women Ages 18 to 92 Years

The purpose of this study was to estimate the prevalence of sexual behaviors and experiences of Black women’s partnered behaviors at their most recent sexual event. Data were from a subset of 980 Black women ages 18 to 92 who participated in the 2018 National Survey of Sexual Health and Behavior. Findings provide a sex-positive view of Black women and their partnered experiences, indicating a range of activities; most wanted their sexual experiences, experienced orgasms, and reported pleasurable experiences. These results provide a foundation for sexual health practitioners, educators, and therapists to improve societal knowledge about Black women’s sexuality.

A mobile-based educational intervention on STI-related preventive behavior among Iranian women.

While rates of sexually transmitted infections (STIs) in Iran are alarming, little is known about preventive sexual behaviors. The purpose of this article was to assess the effect of a mobile-based educational program to promote preventive behaviors regarding STIs in Iranian women. Using Roger's protection motivation theory, the following measures were developed as the study's conceptual framework: STI knowledge, STI vulnerability, STI prevention self-efficacy and STI prevention intentions. These variables were measured by the Persian version of a valid Korean four-scale tool. Data from 76 women were analyzed: 37 women in the smartphone application (Experimental) group and 39 in the control group. Health Education Sexually Transmitted Infections Application was developed as a smartphone application training program. Participants were tested at three-time points: pre-test (baseline), post-test 1 (immediately after the program's completion) and post-test 2 (16 weeks after the program's completion). Significant group differences were found at different times in STI knowledge, vulnerability, prevention self-efficacy and prevention intentions. The smartphone application was effective in sustaining the effects of the educational program in the experimental group. The development of appropriate teaching materials on sensitive public health issues, such as STIs to promote individual self-learning skills is suggested.

Prevalence Rates of Sexual Behaviors, Condom Use, and Contraception Among Australian Heterosexual Adolescents

BackgroundThe development of effective health promotion practices and education programs to reduce rates of sexually transmitted infections and unintended pregnancy requires accurate, up-to-date information about young people's sexual behaviors. AimsTo provide prevalence rates on sexual behaviors and condom and contraceptive use for Australian year 10–12 heterosexual students in a nationally representative sample. MethodsA nationally representative sample of 2,301 male and 2,055 female year 10 through 12 heterosexual students were recruited to an online survey about their lifetime sexual behaviors and condom and contraceptive use. Means and 95% confidence intervals of weighted data, based on the national census, were reported. OutcomesThe main outcomes of this study were prevalence of sexual behaviors by gender (excluding trans and gender diverse) and prevalence of contraception and condom use among sexually active students by gender. ResultsThe most common sexual behavior was masturbation (96.3% of male students, 78.9% of female students), and the least common behavior was anal or vaginal sex (43.7% of male students, 48.5% of female students). Of the sexually active students, condoms were used by 78.1% of male students and 77.5% of female students at first sexual experience and by 65.1% of male students and 56.8% of female students at their most recent sexual experience, whereas 91.6% of male students and 92.3% of female students used some form of contraception at most recent sexual experience. Clinical TranslationResults provide up-to-date information on the practices clinicians who are likely to encounter with heterosexual cisgender adolescent populations in Australia. Strengths & LimitaitonsThe study represents the largest representative cohort of adolescents in Australia to date. However, comparisons with previous representative studies were limited owing to differing samples by age and culture. ConclusionsCompared with earlier Australian studies, young heterosexual cisgender people today engage in slightly less oral and penetrative sexual behaviors, with the exception of more women receiving oral sex, and are generally consistent in condom and contraceptive use.Fisher CM, Kauer S, Mikolajczak G, et al. Prevalence Rates of Sexual Behaviors, Condom Use, and Contraception Among Australian Heterosexual Adolescents. J Sex Med 2020;17:2313–2321.

Determinant of Parents Role in Adolescent Premarital Sex Behavior: An Applicative Model

Premarital sex behavior had become a serious issue. Preliminary studies show 12 of 30 teenagers who religious, well-educated, and has good family background, were already experienced sexual intercourse. The objective of this study is explaining parents’ role through their knowledge, attitude, perception, facilities given to children, and behavior. This research was conducted at 2017, and using a cross-sectional design. Quantitative data were obtained by 526 population study and interviewing 150 students’ parent from six high schools in Palembang which are selected using multistage random sampling. Multivariate data analysis is processed by Structural Equation Modelling (SEM) Test in statistical application program named Partial Least Square (PLS). This research found that fifty percent of respondent have good knowledge and supportive attitude towards preventive action of premarital sex behavior. There are 62.7% having good perception about the importance of parents’ role. However, 41.3% just perform negatively on preventive sexual behavior in early ages. They usually provide some facilities such as money, motorbike or car, handphone, laptop, and internet at home that can be used to access pornography content. Model analysis proved that knowledge, attitude, perception, and facilities influence 29 percent of adolescent premarital sex behavior caused by improper parenting role

Association between sexual behavior and suicidal ideation among South Korean middle school students.

To identify the association between sexual behavior and suicidal ideation among South Korean middle school students. This study used raw data from the 2013 Korean Youth Risk Behavior Web-Based Survey. Among the data from 72,435 students, the data from 36,530 individuals in middle school were analyzed. The prevalence of sexual behavior and suicidal ideation, according to the participants' general characteristics, and suicidal ideation, according to sexual behaviors, were assessed by using a complex sample Chi-squared test. A complex sample logistic regression was used to examine the association between sexual behavior and suicidal ideation. Overall, 3.8% of the students reported having had sexual intercourse and 17.6% of the students reported suicidal ideation during the past 12 months. Having had sexual intercourse was statistically significantly associated with suicidal ideation. The students who had had sexual intercourse usually used contraception and those who had contracted sexually transmitted diseases were more likely to report suicidal ideation in both the unadjusted and adjusted models. This study illustrates the need to develop a prevention program that addresses the common factors between sexual behavior and suicidal ideation in order to effectively reduce both sexual behavior and suicidal ideation in middle school students.

Sexuality and Cognitive Status: A U.S. Nationally Representative Study of Home-Dwelling Older Adults.

To determine patterns and prevalence of sexual behavior, problems, and attitudes in individuals with different cognitive status. We used data from the National Social Life, Health, and Aging Project to describe the relationship between sexual behavior, function, and cognitive status (normal, mild cognitive impairment, dementia), classified using an adapted Montreal Cognitive Assessment (MoCA) (0-30 points). U.S. home-dwelling older adults. Nationally representative probability sample of 3,196 adults (1,682 women, 1,514 men) aged 62 to 91 (mean 72). Cognitive status and sexual activity, problems, and attitudes. The weighted response rate was 74%. Mean MoCA score was 22.7. Of partnered people with dementia, 59% of men and 51% of women were sexually active, including 41% of those aged 80 to 91; 46% of all men (95% confidence interval (CI)=37.8-53.2%) and 18% of all women (95% CI=13.6-21.5%) with dementia were sexually active. The rate of sexual function problems was high across gender and cognitive groups (77%). Having sex primarily out of obligation was similar across cognitive groups for women (12%) and higher in men with dementia (17%) than other men (2-5%; P <.001). The majority of people were having sex less often than they would like. Few men (17%) or women (1%) with dementia talked with a doctor about sex. Many home-dwelling men and women with dementia are sexually active. Although the rate of sexual function problems was uniformly high, people with lower cognitive function infrequently discussed sex with a physician.

Exchange sex among people receiving medical care for HIV in the United States – medical monitoring project 2009–2013

ABSTRACTMany studies of persons who exchange sex for money or drugs have focused on their HIV acquisition risk, and are often limited to select populations and/or geographical locations. National estimates of exchange sex among people living with HIV (PLWH) who are in medical care, and its correlates, are lacking. To address these gaps, we analyzed data from the Medical Monitoring Project, a surveillance system that produces nationally representative estimates of behavioral and clinical characteristics of PLWH receiving medical care in the United States, to estimate the weighted prevalence of exchange sex overall, and by selected socio-demographic, behavioral and clinical characteristics. We found 3.6% of sexually active adults reported exchange sex in the past 12 months. We found a higher prevalence of exchange sex among transgender persons, those who experienced homelessness, and those with unmet needs for social and medical services. Persons who exchanged sex were more likely to report depression and substance use than those who did not exchange sex. We found a higher prevalence of sexual behaviors that increase the risk of HIV transmission and lower viral suppression among persons who exchanged sex. PLWH who exchanged sex had a higher prevalence of not being prescribed ART, and not being ART adherent than those who did not exchange sex. We identify several areas for intervention, including: provision of or referral to services for unmet needs (such as housing or shelter), enhanced delivery of mental health and substance abuse screening and treatment, risk-reduction counseling, and ART prescription and adherence support services.

Práticas sexuais, uso do preservativo e testagem para o hiv entre graduandos de enfermagem

Resumo: Objetivo: identificar as práticas sexuais, o uso do preservativo e a realização do teste diagnóstico para infecção pelo human immunodeficiency virus (HIV) entre graduandos de enfermagem. Método: estudo descritivo com abordagem quantitativa e amostra por conveniência. O cenário foram duas instituições de ensino superior localizadas no município do Rio de Janeiro, Brasil. Os participantes foram 250 graduandos de enfermagem. A coleta de dados foi realizada com auxílio de um questionário, durante os meses de abril de 2013 a abril de 2014. Os dados foram analisados por meio da estatística descritiva. Resultados: 73,6% dos participantes relataram ter relações sexuais, 58,2% fazem sexo de forma segura sempre, 50,6% utilizam preservativos em relações estáveis, 89,1% usam preservativos com parceiros(as) casuais e 44,8% realizaram o teste diagnóstico para HIV. Conclusão: é preciso investir em educação em saúde junto aos graduandos de enfermagem para que adotem condutas sexuais preventivas frente ao HIV.

Knowledge about pregnancy risk and self-efficacy in adolescent males: parental support and school factors

To identify the association between knowledge about pregnancy risk and self-efficacy in condom use with parental support and school factors in adolescent men. Cross-sectional study with 448 students in Puebla and Morelos. Two logistic models were adjusted. Knowledge about pregnancy risk is associated with communication about sexuality between parents and sons (OR = 2.45, 95%CI 1.35-4.47), satisfaction with school (OR=2.18, 95%CI 1.15-4.13), if teachers talk about gender equity frequently/very frequently (OR=1.69, 95%CI 1.06-2.67) and with age (OR=1.77, 95%CI 1.26-2.50). Self-efficacy in condom use is statistical related with communication about sexuality between parents and sons (OR=1.80, 95%CI 1.01-3.20), satisfaction with school (OR=2.60, 95%CI 1.42-4.77), belong to middle socioeconomic level (OR=1.82, 95%CI 1.07-3.11) and live in a community with a high degree of marginalization (OR=0.47, 95%CI 0.30-0.73). To study family and school support, considering the influence of the social environment, allows a greater understanding of skills acquisition for a preventive sexual behavior, in males during early adolescence.

Gender Norms and Discourses Informing College Men’s Perceptions of Heteronormative Sexual Health Responsibilities and HPV Prevention

Focus group data revealed that despite reporting expectations for high levels of sexual activity, college men primarily identifying as heterosexual were ambivalent about sexual health responsibility and their role in preventing human papillomavirus (HPV). Participants identified shared sexual health responsibility as an ideal but invoked heteronormative gender discourses to rationalize inequality in partnered sexual health. Self-categorization processes based on gender may prevent college males from engaging self- and partnered protective behaviors. Yet, self-categorization processes also enabled college men to envision a future relational identity as husband and father in which they engaged protective sexual health behaviors. Although discourses may signify latent benevolent sexism, they may also make room for behavior change through dissonance or messages encouraging superordinate categorization that urges engaging in preventive sexual health behaviors regardless of gender. Implications for self-categorization processes in HPV prevention are discussed.

The reality of sexsomnia.

The purpose of this review is to help further the understanding of the clinical profile of patients with sexsomnia and to better understand the spectrum of the clinical manifestations of sexsomnia. We will review the literature from the past decade on the subject and then compare it with our own clinical experience from patients who were retrospectively identified with sexsomnia at a tertiary sleep clinic over a 6-year period. The prevalence of sexual behaviours in sleep remains unknown, but it seems to involve predominantly younger male adults who also frequently exhibit other non-rapid eye movement-related parasomnias. Medication-induced cases have been reported and treatment approach of sexsomnia greatly varies.Of 41 individuals with sexsomnia from our centre with a mean age of 32 (37 men), manifestations of sexsomnia were variable; sexual intercourse was most frequently reported overall, but the majority of women carried out masturbation. Violence and aggression were described on 11 occasions. All patients were amnesic of events. 73% had a history of another parasomnia. Sexsomnia is frequently associated with concurrent sleep conditions or drugs initiation. It is a real clinical disorder which should be properly diagnosed and managed.