Paper Title

Changes in Penile-Vaginal Intercourse Frequency and Sexual Repertoire from 2009 to 2018: Findings from the National Survey of Sexual Health and Behavior

Keywords

  • penile-vaginal intercourse frequency
  • masturbation
  • sexual frequency
  • sexual repertoire
  • national survey of sexual health and behavior (nsshb)
  • penile-vaginal intercourse (pvi)
  • sexual behavior trends
  • partnered sexual activities
  • solo masturbation
  • sexual health
  • adolescent sexual behavior
  • adult sexual behavior
  • sexual activity decline
  • non-coital sexual activities
  • partnered masturbation
  • oral sex
  • sexual relationships
  • intimacy patterns
  • public health
  • sexual well-being
  • epidemiology of sexual behavior
  • behavioral trends in sexuality
  • changing sexual norms
  • sexual practices over time
  • sexuality research
  • sexual partnering
  • sexual satisfaction
  • relationship dynamics
  • sti prevention
  • contraceptive use
  • health psychology

Article Type

Original Article

Research Impact Tools

Publication Info

Volume: 51 | Issue: 3 | Pages: 1419–1433

Published On

November, 2021

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Abstract

Solo and partnered sexual behaviors are relevant to health, well-being, and relationships. Recent research shows that sexual frequency has declined in the U.S. and in other countries; however, measurement has been imprecise. We used data from 14- to 49-year-old participants in the 2009 and 2018 waves of the National Survey of Sexual Health and Behavior (NSSHB), a confidential U.S. nationally representative survey that is conducted online. We aimed to: (1) assess changes in frequency of past-year penile-vaginal intercourse and (2) examine combinations of past-year sexual behaviors for each of the two waves. We hypothesized that we would observe lower frequency of penile-vaginal intercourse (PVI) from 2009 to 2018 and that we would observe greater engagement in sexual repertoires involving non-coital partnered behaviors (e.g., partnered masturbation, oral sex) in 2018 as compared to 2009. Participants were 4155 individuals from the 2009 NSSHB (Adolescents: 406 females, 414 males; Adults: 1591 women, 1744 men) and 4547 individuals from the 2018 NSSHB (Adolescents: 416 females, 411 males; Adults: 2007 women, 1713 men). Compared to adult participants in the 2009 NSSHB, adults in the 2018 NSSHB were significantly more likely to report no PVI in the prior year (28% in 2018 vs. 24% in 2009). A similar difference in proportions reporting no PVI in the prior year was observed among 14–17-year-old adolescents (89% in 2018 vs. 79% in 2009). Additionally, for both adolescents and adults, we observed decreases in all modes of partnered sex queried and, for adolescents, decreases in solo masturbation.

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