Recent Sexual Experience Research Articles

Supporting the Sexual Rights of Women Living With HIV: A Critical Analysis of Sexual Satisfaction and Pleasure Across Five Relationship Types

In the context of human immunodeficiency virus (HIV), a focus on protecting others has overridden concern about women’s own sexual well-being. Drawing on feminist theories, we measured sexual satisfaction and pleasure across five relationship types among women living with HIV in Canada. Of the 1,230 women surveyed, 38.1% were completely or very satisfied with their sexual lives, while 31.0% and 30.9% were reasonably or not very/not at all satisfied, respectively. Among those reporting recent sexual experiences (n = 675), 41.3% always felt pleasure, with the rest reporting usually/sometimes (38.7%) or seldom/not at all (20.0%). Sex did not equate with satisfaction or pleasure, as some women were completely satisfied without sex, while others were having sex without reporting pleasure. After adjusting for confounding factors, such as education, violence, depression, sex work, antiretroviral therapy, and provider discussions about transmission risk, women in long-term/happy relationships (characterized by higher levels of love, greater physical and emotional intimacy, more equitable relationship power, and mainly HIV-negative partners) had increased odds of sexual satisfaction and pleasure relative to women in all other relational contexts. Those in relationships without sex also reported higher satisfaction ratings than women in some sexual relationships. Findings put focus on women’s rights, which are critical to overall well-being.

Alcohol use and alcohol/marijuana use during the most recent sexual experience differentially predict characteristics of the sexual experience among sexually active young adult drinkers

IntroductionFew studies have examined associations between using alcohol only and using both alcohol and marijuana with sexual behavior on specific occasions. The current study examined alcohol and marijuana use during the most recent sexual experience in association with relationship characteristics, psychological issues, and condom use. MethodsYoung adult drinkers aged 18–25 who reported not using a condom during sex in the past month were recruited nationally. An analytic subsample (N = 378) was identified based on substance use during the most recent sexual experience [53% female, 70% Caucasian; mean age = 22.42 years (SD = 1.90)]. Using logistic regression, two dummy codes compared the alcohol use only group (n = 197) and the both alcohol and marijuana group (n = 95) to the group who used neither substance (n = 86). Participant sex, drinking frequency, and number of sexual partners were included as covariates. ResultsThe alcohol only group and the both alcohol and marijuana group had greater odds of being with a casual acquaintance and loss of respect compared to the group who used neither substance. The alcohol only group had greater odds of being with someone they just met and embarrassment compared to the group who used neither substance. No associations were found for condom use or emotional difficulties. ConclusionsPreventative interventions may need to address both alcohol and marijuana to more effectively reduce risky behaviors.

Why do women regret casual sex more than men do?

Sex differences in sexual regret are found to be robust across nations. Participants in Norway (N = 547) and the United States (N = 216) reported their level of regret for their most recent casual sexual experience. Participants also reported on proximate factors hypothesized to predict casual sex regret: negative emotions (worry), feeling pressured to have sex, low sexual gratification, partner's sexual competence, and to what extent they initiated the sexual encounter.Results suggest that greater feelings of worry, experiencing disgust, and feeling pressured to have sex predicted more regret for casual sex. In contrast, experiencing higher levels of sexual gratification, finding the partner to be sexually competent, and being the one taking the initiative predicted less sexual regret. Predictors of casual sex regret were not moderated by nation. However, relative to men, most of these predictors had a stronger impact on women's likelihood of regretting their most recent casual sex encounter. Discussion focuses on disgust, the key predictor of sexual regret, addresses limitations of the current study, and suggests future lines of research.

Intimate Partner Violence and Women's Health-seeking Behaviors in Northwestern Botswana.

Despite evidence suggesting a strong association between women's experience of violence and their health-seeking behaviors, limited research has been conducted to date that explores factors associated with these behaviors in Botswana. A prospective, cross-sectional study involving semi-structured interviews with 479 women took place in Maun, Botswana, in 2012. Twenty-five percent of those interviewed reported not having visited a medical clinic at least once despite wishing to do so. Sequential binary-logistic regressions identified three factors associated with women's health services utilization: travel time, frequency of clinic visits, and experience of recent sexual intimate partner violence (IPV). Women who had experienced recent sexual IPV had over two and a half times the odds of having foregone medical care compared with women with no recent sexual IPV experience. Interventions that identify and encourage victims of sexual violence to seek timely screening and treatment may reduce overall disease burden in this population.

Do Associations Between Pleasure Ratings and Condom Use During Penile–Vaginal Intercourse Vary by Relationship Type?: A Study of Canadian University Students

Research suggests the relationship between pleasure and condom use during penile–vaginal intercourse (PVI) is associated with relationship status. This online study examined pleasure ratings and condom use at last PVI, stratifying by partner type, among a national sample of Canadian university students. Participants were 715 undergraduates (60.7% women, 39.3% men) who reported on their most recent sexual experience. Condom use decreased with level of relationship commitment, whereas ratings of pleasure increased. Overall, participants were more likely to rate their most recent PVI as Very pleasurable when condoms were not used compared to when condoms were used. However, when stratified by partner type, these differences largely disappeared. For women, with one exception, there were no differences in pleasure between PVI with and without condoms across most partner-type categories. Women in committed dating relationships were more likely to report their last PVI as very pleasurable if condoms were not used than women in these same relationships who had used condoms. Across relationship categories, men who did and did not use condoms did not differ in terms of their pleasure ratings. The results of this study suggest relationship context should be taken into account when assessing condom use experiences.

Sexual Regret.

The current study sought to answer three key questions about explaining the emotion of regret in the domain of casual sex: Are sex differences in sexual regret robust or attenuated in a highly egalitarian culture? What proximate psychological variables might explain sex differences in sexual regret? And what accounts for within-sex variation in experiences of sexual regret about casual sex. We conducted a study of 263 Norwegian students (ages 19-37) who reported how much they regretted having either engaged in, or passed up, their most recent casual sexual experience. Sex differences in sexual regret are not attenuated in this sexually egalitarian culture. The study revealed sex differences in worries about pregnancy, STIs, and reputation; however, these predictors did not succeed in accounting for the sex differences in regret engaging in casual sex. Sexual gratification and socio-sexual orientation both predicted the sex differences in casual sex regret. In contrast, only socio-sexual orientation attenuated the sex difference in regret passing up casual sex. Predictors of within-sex variation in casual sexual regret included worry about sexual reputation, experienced gratification during the encounter, and socio-sexual orientation. Discussion focuses on implications for the psychological design features of this relatively neglected emotion.

Is it getting better? An analytical method to test trends in health disparities, with tobacco use among sexual minority vs. heterosexual youth as an example.

BackgroundPrevious studies have documented higher health risks for lesbian, gay, and bisexual youth compared to heterosexual youth. However, none has reported whether the sexual orientation-based gaps have widened, narrowed, or remained unchanged over time. The purpose of this study was to develop a way to test differences in trends between sexual minority and heterosexual youth cohorts in population-based studies, with cigarette smoking as an exemplar.MethodsWe analysed the Minnesota Student Survey of 1998–2010, a repeated, cross-sectional census of adolescent health in grades 9 and 12. Our sample was students with recent sexual experience (Ns = 17,376–19,617). Sexual orientation was measured by gender of sexual partners in the past 12 months: students with only opposite-gender partner(s) (OPPOS), students with both male and female partners (BOTH), students with only same-gender partner(s) (SAME). We used logistic regressions to examine trends in prevalence of past-month cigarette smoking from 1998 to 2010, separately for each orientation group. We then applied novel interaction analyses to test whether disparities in smoking prevalence between OPPOS and SAME/BOTH changed over time.ResultsRecent smoking rates decreased over time among all orientation groups. BOTH adolescents were more likely than OPPOS adolescents to report past 30-day smoking, but there were no significant differences between SAME adolescents and OPPOS adolescents. Year-by-orientation interactions indicated the gap between BOTH adolescents and OPPOS adolescents widened from 1998 to 2004, then persisted between 2004 and 2010. No significant interaction effects were observed between SAME adolescents and OPPOS adolescents.ConclusionsAll orientation groups had decreasing trends in recent cigarette smoking; however, disparities in smoking rates remain between heterosexual adolescents and bisexual adolescents. These results provide a new method of not just documenting trends within minority groups, but examining whether health equity is improving for them compared to dominant groups.

Pain experienced during vaginal and anal intercourse with other-sex partners: findings from a nationally representative probability study in the United States.

Recent U.S. nationally representative data indicate that about 30% of women and 5% of men reported pain occurring during their most recent sexual event; however, little is known about the severity, duration, or context of such pain, or its prevalence during vaginal vs. anal intercourse. To document the prevalence and characteristics of pain during vaginal and anal intercourse among U.S. women and men (ages 18+) at their most recent other-sex sexual event, including the self-reported severity, duration, and location of their pain; how participants addressed their pain; and partner communication related to the pain. Data from a subsample of 1,738 women and men in the 2012 National Survey of Sexual Health Behavior, a nationally representative probability survey of Americans ages 18+ collected via the Internet, were analyzed. Participants responded to items about their background characteristics; whether they had vaginal or anal intercourse during their most recent sexual experience; the severity, duration, and location of any pain experienced during said sexual event; and whether they responded to or communicated about the pain. About 30% of women and 7% of men reported pain during vaginal intercourse events, and most of the reports of pain were mild and of short duration. About 72% of women and 15% of men reported pain during anal intercourse events, with more of these events including moderate or severe pain (for the women) and of mixed duration. Large proportions of Americans do not tell their partner when sex hurts. Pain is a relatively common, and often not discussed, aspect of both vaginal and anal intercourse events occurring between women and men. Individual and clinical implications are discussed.

Young Adult Casual Sexual Behavior

Most young adults have had some casual sex experience. However, it is important to understand the motivations for such behavior. We investigate the motivations for and consequences of casual sex using a life-course lens. We use the Toledo Adolescent Relationship Study to examine a diverse sample of young adults with recent casual sexual experiences ( N = 239). We draw on a subset of in-depth relationship narratives ( N = 44) to provide a more nuanced understanding of the motivations for and consequences of casual sex. We find that sexual pleasure and substance use remain the most common reasons for participating in casual sex. However, young adults report motives that are associated with the young adult stage in the life course including too busy for commitment, geographic mobility, and feeling too young to be tied down. These findings can inform service providers who work with the young adult population.

Characteristics of Condom and Lubricant Use Among a Nationally Representative Probability Sample of Adults Ages 18–59 in the United States

Although most Americans have used condoms and/or lubricant during sex, little is known about the context of sexual events that involve the use of such products outside of experimentally manipulated studies. To assess, in a nationally representative study of men and women in the United States ages 18-59, the characteristics of condom and lubricant use during participants' most recent sexual event and the relationship of their condom and lubricant use to event-level ratings of sexual quality. Data are from the National Survey of Sexual Health and Behavior, which involved the administration of an online questionnaire to a nationally representative probability sample of the U.S. adults. Sociodemographic items: event-level items related to sexual behavior, condom use, lubricant use, and participants' perceptions of their arousal, pleasure, ease of erection or lubrication, and pain associated with sex. During their most recent sexual experience, 27.5% of men (N = 237) and 22.3% of women (N = 175) reported using a condom. More than twice as many women as men were unsure whether the condom was lubricated (26.6% vs. 11.4%) and the material it was made of (23.6% vs. 8.9%). Participants consistently rated sex to be arousing and pleasurable whether or not they used condoms or lubricant. No significant differences were found in regard to men's ratings of the ease of their erections based on condom and lubricant use. Although some have concerns about how condoms or lubricants may impact their enjoyment of sex, in a nationally representative sample of men and women ages 18-59, ratings of sex were largely quite high, with few differences based on condom and lubricant use. Women, more often than men, reported being unsure about the type of condom and lubricant used, which has implications for patient education.

Sexual Behaviors and Experiences Among Behaviorally Bisexual Men in the Midwestern United States

Research examining the sexual behaviors and experiences of behaviorally bisexual men is limited. Most studies focus primarily on highlighting sexual risk behaviors among groups of "men who have sex with men (MSM)" or "gay and bisexual men," which may not be appropriate in terms of behaviorally bisexual men's sexual repertoires with both men and women. This study aimed to assess a broad range of sexual behaviors and associated experiences among bisexual men living in the midwestern United States. An interviewer-administered questionnaire containing items from the National Survey of Sexual Health and Behavior assessed lifetime and recent (i.e., past 6months and last event) sexual behaviors and experiences with both male and female partners among a diverse sample of 75 behaviorally bisexual men. Responses were quantified and analyzed using descriptive and multivariate statistics. A wide range of sexual behaviors with partners of both genders was found. Vaginal intercourse and oral sex with both men and women were the most commonly reported behaviors. Subjective reports of pleasure, arousal, and sexual function during sexual activity were similar with both male and female sexual partners. Many participants reported using condoms during insertive sexual behaviors with male and female partners, but less during oral sex. Unprotected receptive anal sex was less commonly reported. Overall, participants reported a variety of sexual behaviors and experiences; however, unlike other populations, they shared these with partners of both genders. Results have implications for interventions targeting the sexual behaviors and associated issues among behaviorally bisexual men.

Sexual Well-Being: A Comparison of U.S. Black and White Women in Heterosexual Relationships

In the United States, considerable attention has been directed to sexual behaviors of black and white adolescents, particularly age at first sexual experience and the prevalence of teenage pregnancies. More limited attention has been paid to comparing established sexual relationships in these two racial groups. In this study, we used a national probability sample to compare black (n=251) and white (n=544) American women, aged 20-65years, who were in an established heterosexual relationship of at least 6 months duration. We focused on two aspects of their sexual well-being; how a woman evaluated (1) her sexual relationship and (2) her own sexuality. A range of possible determinants of sexual well-being, including demographic factors, physical and mental health, and aspects of the women's recent sexual experiences, were also assessed using Telephone-Audio-Computer-Assisted Self-Interviewing (T-ACASI). We found no significant difference between black and white women in their evaluation of their sexual relationships nor in the independent variables that were correlated with this evaluation. Black women, however, evaluated their own sexuality more positively than white women. In examining the correlates of this evaluation, a woman's rating of her own sexual attractiveness proved to be the strongest predictor, with black women rating themselves significantly more sexually attractive than did the white women. Overall, these findings were consistent with previous findings that, compared to white women, black women in the United States have higher self-esteem and tend towards more independence and individualism.

Risk Behaviors Among Adolescent Girls in an HIV Prevention Trial

Adolescent girls remain vulnerable to HIV and other sexually transmitted infections. Understanding their sexual and substance use behaviors is essential to designing effective interventions to reduce their risk. In this study, baseline data were analyzed from 738 adolescent girls ages 15 to 19 years in Rochester, New York. Data on sexual behavior and substance use (lifetime, past 3 months, and most recent sexual experience) were collected. Nearly one half of recent vaginal (42%) and anal (45%) sex acts were not condom protected; 39% had a prior sexually transmitted infection (STI) and 12% were currently infected with an STI. Approximately one third (31%) of girls had more than one sex partner in the past 3 months. Girls with multiple partners reported that their recent sexual experiences were more likely to involve drug and alcohol use by themselves and partners. Adolescent girls, particularly those with multiple sexual partners, continue to report high-risk sexual behaviors and need focused risk-reduction interventions.

Sexual Behaviors, Condom Use, and Sexual Health of Americans Over 50: Implications for Sexual Health Promotion for Older Adults

In the contemporary U.S., men and women are living longer and healthier lives. As such, many people spend greater portions of their lives as sexually active individuals. Yet, little is known about the myriad of ways that older adults experience their sexual lives. This study sought to assess the context and frequency of sexual behaviors, condom use, sexual pleasure, and sexual experience of men and women over age 50. Information regarding the sexual experiences of a nationally representative sample of men and women over age 50 within the past year was examined. Sexual behavior over the past year was assessed in relation to several situational and contextual characteristics (e.g., event location, type of partner, health status, condom use). Participants were also asked about their experience (i.e., pleasure, arousal, pain, lubrication/erectile difficulties, and orgasm) during their most recent partnered sexual event. Bivariate or ordinal logistic regression models were used to investigate the relationship of age, health and partner status to sexual frequency and experience. Although sizable proportions (20-30%) of both men and women remained sexually active well into their 80s age was related to a lower likelihood of solo and most partnered sexual behaviors. When controlling for age, relationship status, and health remained significant predictors of select sexual behaviors. The participant's evaluation of their most recent sexual experience in terms of arousal, erectile difficulty, and orgasm all declined with age. Health status was related to men's evaluation of the experience. Relationship status was the most consistent predictor of women's evaluation of the experience. Condom use rates remained low for participants across age groups. Many older adults continue be sexually active well into advanced age (80+). Thus, providers need to be attentive to the diverse sexual health needs of older adults.

The Relationship between Condom-Related Protective Behavioral Strategies and Condom Use among College Students: Global- and Event-Level Evaluations

This study evaluated the relationship between condom-related protective behavioral strategies (PBS; including those that require active behavior and mental planning) and condom use at both global and event levels. College students (N = 623; 57.8% female) completed self-report measures of condom-related PBS, as well as drinking and sexual behavior. Logistic regression findings indicated that students who reported greater use of condom-related PBS were more likely to discuss their and their partner's HIV status, sexually transmitted infection (STI) history (other than HIV), and protection against STIs (such as HIV and other STIs) the first time they had sex with their most recent vaginal sexual partner. Logistic regression findings also indicated that more frequent use of condom-related PBS was associated with being more likely to use a condom during the most recent vaginal sexual experience. Zero-inflated negative binomial regression results showed that condom-related PBS predicted condom non-users and that condom-related PBS were associated with increased use of condoms during sexual behavior in the previous three months. These results extend prior research by demonstrating that both active and mental planning condom-related PBS are associated with condom use at both the global and event levels, which suggests that condom-related PBS may be useful to incorporate in interventions targeting risky sexual behavior among young adults.

Oral sex: Behaviours and feelings of Canadian young women and implications for sex education

Objectives Anecdotal reports indicate that, over the past decade, oral sex has become an increasingly common and casual activity among adolescent females. To investigate the validity of this claim the authors set out to study the oral sex practices of young women in Canada and to explore the attitudes and emotions that young women associate with oral sex.Method An anonymous self-report questionnaire, which contained questions pertaining to both vaginal intercourse and oral sex, was completed by 181 women aged 18–25 years.Results Approximately three quarters of the women in this sample had engaged in oral sex, a prevalence rate that was almost identical to that for vaginal intercourse. The mean age at first experience was approximately 17 years for both coitus and oral sex, though 27% of the sexually active participants had their first oral sex experience before age 16 (compared to 16% for coitus). Most women had their most recent sexual experiences within committed relationships and reported positive emotions associated with those experiences. Negative emotions at most recent oral sex were more commonly reported by the younger women in the sample and by those who were not in love with their partner.Discussion These results indicate that oral sex is at least as common as vaginal intercourse and that it has the same emotional implications for young women. Therefore, this topic should be given the same consideration as coitus within the context of sex education. Young people must be informed about risks, protective factors, and emotional implications associated with engagement in oral sex.

HIV-Related Risk Among Low-Income Adolescent Girls: Lifetime and Recent Experiences

Purpose: The purposes of this study are to: (a) describe the demographic and risk characteristics of girls ages 15-19 enrolled in an HIV-prevention RCT; and (b) explore differences in risk profiles based on detailed accounts of most recent sexual experiences.

Effects of multiple forms of childhood abuse and adult sexual assault on current eating disorder symptoms

The objective of this study is to examine the effect of recent adult sexual assault on current eating disorder symptoms when controlling for the effects of multiple forms of childhood abuse. A total of 489 undergraduate women completed the Eating Disorder Examination-Questionnaire, and surveys regarding childhood abuse and sexual assault that had occurred in the previous three months. Approximately 30% of the sample indicated recent unwanted sexual experiences. Childhood emotional abuse contributed unique variance to the prediction of current ED symptoms, but sexual and physical abuse did not. Recent sexual assault contributed additional unique variance to current ED symptoms when controlling for childhood abuse, thus both emotional abuse in childhood and sexual assault in adulthood contributed unique variance to ED symptoms.

Identifying HIV Risk-Reduction Strategies for Hispanic Populations in Broward County

To improve the effectiveness of behavioral interventions for Hispanic young adults, we studied their perceived risks for HIV infection, lifetime and more recent sexual experiences, use of condoms, and HIV-antibody testing histories. Logistic regression was used to analyze computer-assisted telephone-interview surveys of 1,596 randomly selected Hispanic residents of 12 high AIDS-incidence ZIP-code areas. After we controlled for gender, age, marital status, educational attainment, and language of preference, differences were found by country of origin. Those coming from Peru (adjusted odds ratio [AOR]=3.45; 95%CI=1.85-6.43) and Colombia (AOR=1.94; 95%CI=1.12-3.36) were more likely than U.S.-native Hispanics to perceive their risk of acquiring HIV as above average. Sexually active Mexicans (AOR=1.80; 95%CI=1.04-3.10) were significantly more likely than U.S. natives to have used a condom in the past 12 months. Young adults coming from Puerto Rico (AOR=0.55; 95%CI=0.33-0.91) were less likely than U.S.-native Hispanics to have ever been tested for HIV. Virginity and sexual abstinence were unrelated to country of origin, but respondents interviewed in Spanish were more likely than those interviewed in English to be sexually active (AOR=2.57; 95%=1.39-4.75). To maximize the impact of behavioral interventions, risk-reduction programs must adjust for social and cultural differences within the Hispanic-American population.

ORIGINAL RESEARCH—OUTCOMES ASSESSMENT: Assessing Sexual Function in Well Women: Validity and Reliability of the Monash Women's Health Program Female Sexual Satisfaction Questionnaire

A validated questionnaire to assess the nature and quality of the recent female sexual experience and that can be employed to evaluate acute therapeutic effects does not exist. To validate an instrument with which researchers can evaluate the nature and quality of the female sexual experience within 24 hours of a sexual event. A cross-sectional questionnaire study in 349 sexually active community-based women, aged 20-65 years, who self-identified as being either satisfied or dissatisfied with their sexual life. Scores from the Monash Women's Health Program Female Sexual Satisfaction Questionnaire (MFSSQ), completed within 24 hours of sexual activity, on two occasions. Participants were 349 women who were sexually active at least once per fortnight, but not necessarily partnered. Almost equal groups of self-identified satisfied, dissatisfied, premenopausal, and postmenopausal women participated. Three hundred forty-five women (99%) completed one MFSSQ, and 326 women (94%) completed two separate questionnaires, each within 24 hours of a sexual event. Missing responses were few, good inter-item correlation was seen, and excellent reliability was demonstrated for most items, based on test-retest data. The questionnaire was able to discriminate well between sexually satisfied and dissatisfied women. The MFSSQ is a 12-item questionnaire specifically designed to assess the quality and nature of a recent sexual experience. It is easy and quick to administer, is reliable and valid, and has the potential to be used to assess the efficacy of acute interventions in the area of female sexual dysfunction.