Sexual motivations and engagement in sexual behavior during the transition to college

Motivations for Maintaining Virginity Among US Adolescents

PURPOSE

This study describes trends in virginity and the motivations for maintaining virginity between 2006 and 2019 among 15- to 19-year-old adolescents in the United States.

METHODS

We used logistic regression and the margins command in Stata to estimate the proportion reporting virginity and the primary motivation for virginity during each survey period and the lincom command to facilitate statistical comparisons across time.

RESULTS

The proportion of males reporting virginity increased (from 56% to 61%), and the distribution of reasons for maintaining virginity shifted over time. Most females and males reported not having "found the right person" (16%-25% for females; 26%-35% for males), and a small percentage of females reported religion and morality (39%-27%) as motivations for abstinence.

DISCUSSION

The calculus of adolescents' sexual decision-making is changing, pointing to a need for new, longitudinal data aimed at clarifying the role of sexual (in)activity in teens' lives.

Factores de salud percibida y de calidad de vida al inicio de la educación universitaria en Colombia

El objetivo del presente estudio fue identificar factores de salud percibida y de calidad de vida en estudiantes de primer semestre de una universidad privada en Colombia. Para esto, se contó con una muestra por conveniencia de 636 estudiantes (M = 18 años, DE = 1.38) que participó en la primera medición de una investigación longitudinal denominada VIDA2020. En particular, se realizó un diseño de investigación observacional transversal, enmarcado en una investigación de cohorte. Del protocolo de evaluación del proyecto, este reporte incluye un cuestionario con datos sociodemográficos y antecedentes médicos, las subescalas de depresión y estrés del dass-21, un ítem del sf36v-2 y el whoqol-bref. En general, como resultado se encontró que el 91 % de los estudiantes valora su salud global como buena o excelente; que dicha valoración es significativamente menor en quienes reportan antecedentes de enfermedad (80.5 %) y síntomas de depresión (86.1 %) y estrés (83.1 %); que las mujeres, los migrantes y quienes reportan antecedentes de enfermedad puntúan menor calidad de vida física, psicológica y ambiental; y que el estrés y la depresión predicen menores puntajes de calidad de vida física y psicológica, con correlaciones más fuertes en comparación con las variables demográficas y médicas. Estos hallazgos permiten identificar y priorizar las necesidades especiales en salud de los nuevos estudiantes.

Evaluation of Sexual Function Among Infertile Women and Their Sexual Self-Concept

Background

The present study was designed to assess the association between sexual self-concept and sexual function in infertile women.

Methods

A study with a convenience sample of women attending a referral infertility center (Royan Institute) was conducted in Tehran, Iran, in 2017. The Multidimensional Sexual Self-Concept Questionnaire (MSSCQ) and the Female Sexual Function Index (FSFI) were used to collect data. Chi-Square, t-test, Mann-Whitney U test and logistic regression were applied to analyze the data. The significance level was set at p<0.05.

Results

The mean age of participants was 29.7±5.2 years. Overall, 152 women (60.8%) reported that they were experiencing sexual dysfunction. Comparing women with and without sexual dysfunction, there were significant differences between two groups on most measures such as sexual anxiety, sexual motivation, sexual satisfaction, and sexual depression (p<0.05). However, the results obtained from logistic regression indicated that women's and husband's age (OR for women's age=1.26, 95% CI=1.10-1.44, p<0.001; OR for husband's age=0.86, 95% CI=0.77-0.97, p=0.014), cause of infertility (OR for female factor=9.17, 95% CI=2.26-37.2, p=0.002; OR for male factor=3.90, 95% CI=1.26-12.1, p=0.018; OR for male and female factor=3.57, 95% CI=1.12-11.4, p=0.032), sexual motivation (OR=0.35, 95% CI=0.16-0.75, p= 0.007) and sexual satisfaction (OR=0.23, 95% CI=0.09-0.56, p=0.001) were significantly associated with sexual dysfunction.

Conclusion

The findings suggest that sexual motivation and sexual satisfaction are important dimensions of sexual self-concept in infertile women. Indeed, it is essential to inform policy makers and stakeholders to provide more sexual health support for this population in the process of treatment.

The Role of Relationship Changes in College Students' Heavy Episodic Drinking

OBJECTIVE

The beginning of college is a period in which increased alcohol use often coincides with greater involvement in romantic relationships. Existing literature yields inconsistent findings regarding the influence of relationship types on drinking behavior, perhaps because these studies have not accounted for recent changes in the way college students engage in dating/sexual relationships.

METHODS

The present study sought to address this issue using a longitudinal study design by examining the effects of both relationship type and sexual activity on heavy episodic drinking (HED) among 1,847 college students over the course of the first 3 semesters of college.

RESULTS

Results indicated that the effects of relationship type depended on whether an individual was sexually active. Nondating but sexually active students reported rates of HED comparable to students who defined themselves as casual daters. Conversely, nondating students who were not sexually active reported drinking behavior similar to those involved in exclusive relationships. Further, transitions between low- and high-risk relationship/sexual activity types were associated with corresponding changes in HED. Transitioning into a high-risk relationship was associated with significant increases in levels of HED, whereas transitioning into a low-risk relationship was associated with significant decreases in HED.

CONCLUSIONS

Together, results indicate that engaging in nonexclusive dating or casual sexual relationships may play an important role in the development of problematic patterns of alcohol use during the early college years. These findings have potentially important implications both for future research and for prevention and intervention efforts targeting high-risk college drinkers.

Fraternity Membership, Traditional Masculinity Ideologies, and Impersonal Sex: Selection and Socialization Effects

Fraternity culture perpetuates traditional masculinity ideologies, but little research has considered the process by which men internalize these ideologies. Men may select into fraternities based on preexisting ideologies, or fraternities may have a socializing effect on ideologies. We used two longitudinal datasets to explore selection and socialization effects of fraternity membership on masculinity ideologies (gendered beliefs, gendered traits, and sexual double standard beliefs) and impersonal sex (sexual motives and multiple sex partners) among ethnically and racially diverse college men. Using dataset one (n = 166, M = 18.0 years old fall of first year), we explored the selection and socialization effects of fraternity membership on male role norms, masculine traits, and endorsement of the sexual double standard. Men who more strongly endorsed male role norms about status and the sexual double standard were more likely to join fraternities than other men, indicating selection effects. Using dataset two (n = 256, M = 18.5 years old fall of first year), we explored selection and socialization effects of fraternity membership on sex motives and multiple sex partners. We did not find much evidence for selection or socialization effects on sex motives and multiple sex partners. Our findings may inform intervention efforts for men before and during college.

Daily diary study of adult men's and women's event-level sexual motivations and sexual behaviour

Background Understanding people's sexual motivations has long been of public health and health promotion interest. We used daily diaries to examine how adult men's and women's event-specific affective sexual motivations were linked to the types and combinations of sexual behaviours chosen in a given sexual event.

METHODS

Adult men (n=156) and women (n=192) completed thrice-daily electronic diaries assessing individual- and partner-specific attributes and non-coital or coital sexual behaviours. Sexual motivations were: interest in sex, feeling in love with partner, wanted to have sex and partner wanted to have sex. The outcome variable was: sexual behaviour type (no sex, one vaginal sex event, one vaginal sex event+any other sex types, multiple vaginal sex events, any other sex types). Mixed-effect multinomial logistic regression modelled the influence of each sexual motivation on sexual behaviour type (Stata; all p<0.05). 'No sex' was the referent in all models; all models controlled for gender.

RESULTS

Participants contributed 14856 total partner-associated diary entries. Most (54%; women: 56.5%, men: 51.2%) were associated with no sex; when sex occurred, the most common behaviour type was one vaginal sex event (13.1%) for women and other sex types (16.4%) for men. Wanting to have sex or perceiving a partner wanted to have sex were the strongest predictors of sexual behaviour type, and were associated with a greater number of reported sexual behaviours.

CONCLUSIONS

Event-specific sexual motivations are associated with the choice to have sex, and with variation in the chosen sexual behaviours.

Sexual motivations during the menopausal transition among Iranian women: a qualitative inquiry

BACKGROUND

Women's sexuality may be adversely affected during the menopausal transition. This exploratory qualitative study was conducted to explore how women assign meaning to and process sexual motivation during the menopausal transition.

METHODS

We purposefully approached 22 married women ages 44-59 (52.81 ± 3.6 years) in urban health care centers and workplaces in Tabriz city, located in northwest Iran. Individual face-to-face interviews were performed at a place and time convenient to the women. All interviews were audio recorded and then transcribed to create verbatim written accounts. Inspiring Graneheim and Lundman approach, we employed conventional content analysis to derive coding categories directly from our row data.

FINDINGS

Four main themes emerged from data analysis: "Diminished sexual capacity" (effect of menopause, Illnesses associated with mid-life, desire discrepancy); "intimate coupling" (lack of physical and/or emotional intimacy, couple communication and romance); "sociocultural scripts" (sexual script, parental responsibilities); and "sense of youthfulness" (having an active and happy life, maintaining physically attractiveness).

CONCLUSION

The qualitative findings suggest that providing sexual health education and counseling, to encourage critical discussions regarding current sociocultural scripts and to create an environment that would enable men and women alike to adopt a healthy and happy lifestyle for eliminating barriers and preserving and enhancing motivational factors associated with sexuality.

Examining the influence of gender and sexual motivation in college hookups

OBJECTIVE

Hooking up is common in college, and has been linked to heavy drinking. Hookups have positive as well as negative consequences, and thus the motivations for hooking up are complex. Yet, little research has focused on these motivations. The present study examined the role that gender and drinking patterns play in the relationship between sexual motivation and penetrative hookups.

PARTICIPANTS

Heavy drinking college students (N = 396) completed online surveys between September/October 2009.

METHOD

Sexual motivation, alcohol, and hooking up were assessed.

RESULTS

Enhancement motives and drinking frequency predicted more frequent oral and vaginal sex when hooking up, while peer and partner motives predicted anal sex. Men endorsed greater enhancement motives, peer motives, and hookup oral and vaginal sex. For men, coping motives predicted oral and vaginal sex and peer motives predicted anal sex.

CONCLUSIONS

Results provide greater insight into the reasons why college students engage in penetrative hookups.

Sex, Love, and Risk-n-Responsibility: A Content Analysis of Entertainment Television

This study documents the extent of sexual content, including sexual health content, in scenes with and without expressions of love on network and cable television popular with emerging adults. Sexual talk and/or behavior was found in 20% of all television scenes coded across 53.5 hours of programming. A third of these scenes featured sex alongside expressions of love. An additional 10% of scenes suggested love but not sex. Coded as a separate category, 25% of analyzed scenes contained a passing joke or pun referencing sexual organs, making these non-specific comedic one-liners the predominant reference to sex in this sample. Beyond jokes, most of the sexual or loving talk in this sample consisted of expressing a romantic interest in someone; sex- and love-related behaviors largely consisted of kissing or flirting. Very few scenes specifically referenced sexual intercourse. Sexual health messages were also rare. The majority of scenes mentioning any health consequence (= 7% of analyzed scenes) concerned emotional heartache. One scene mentioned sexually-transmitted infections; 12 of the nearly 2,600 scenes coded mentioned condoms or contraceptives. It is thus a challenging proposition to build upon existing sexual depictions on television to promote safe sex practices within sexual and loving contexts.

The Role of Moral Worldviews in Predicting Sexual Behavior From Adolescence to Emerging Adulthood

We examined the relationship between moral worldview and number of sexual partners across 6 years in a nationally representative sample of 2,202 emerging adults. Using negative binomial fixed-effects regression models to control for all time-invariant confounders, we found that while changes toward more orthodox moral worldviews account for differences in number of partners during adolescence, this effect disappears as teens enter emerging adulthood. We explored two possible explanations for this change in effect, including (a) whether moral worldviews are simply standing in for external factors that are actually driving observed behavior and (b) how the effects of moral worldviews may depend on overall levels of orthodoxy. The results lead us to conclude that moral worldviews influence sexual behaviors over time; however, moral worldviews appear to have a significant protective effect only for individuals indicating a high degree of moral orthodoxy. These findings support the idea that moral worldviews impact health behavior during key developmental years.

Development of a measure of college students' adherence to religious doctrine concerning sexual behavior

OBJECTIVE

The authors developed a 14-item measure of adherence to religious doctrine concerning sexual behavior (ARDSB). The ARDSB psychometric properties were investigated to better understand religious motivations associated with changes in sexual behavior that may provide support for sexual health promotion and prevention programs.

PARTICIPANTS

Four hundred eighty-three undergraduates aged 18 to 26.

METHODS

Data were collected from an online survey during the 2012-2013 academic school year.

RESULTS

Principle components factor analysis identified 2 factors: reasons to break religious doctrine and reasons to adhere to religious doctrine concerning sexual behavior. The subscales had good internal consistency. Correlations, t tests, and analyses of variance of the subscales with measures of intrinsic and extrinsic religiosity and self-reported sexual behavior and risk provide support for concurrent validity.

CONCLUSIONS

The ARDSB could be employed as a measure to better understand sexual behavior; it is inexpensive and relatively easy to employ in both research and campus ministry settings.

Identification and characterization of adolescents' sexual boundaries

PURPOSE

Adolescents' decisions to have sex may be based on a priori boundaries placed on sex. This study addresses: (1) to what extent adolescents set vaginal sexual boundaries; (2) the types of sexual boundaries most and least likely to be endorsed; and (3) to what extent sexual boundaries vary by sex, race/ethnicity, and sexual experience.

METHODS

A cross-sectional study of 518 students attending 10th grade. Survey measures queried about demographics, ever having sex, and existence of sexual boundaries (e.g., being in love, having an attractive partner) that must be in place before having vaginal sex.

RESULTS

The most frequently endorsed boundaries were maturity, commitment, trust, love, and marriage. These boundaries were more frequently endorsed than having a safer-sex method. Compared with females, males were more likely to choose boundaries based on partner attractiveness (p < .001) and avoiding trouble (p < .04). Compared with Asians and Pacific Islanders, whites were more likely to endorse wanting to be a certain age to have sex (p < .01 and p < .05, respectively); Asians and Pacific Islanders were more likely to choose sexual boundaries based on marriage (p's < .05). Adolescents who were sexually experienced were more likely than inexperienced adolescents to endorse boundaries related to relationship characteristics and partner attractiveness (OR = 2.5), and less likely to endorse boundaries related to feeling mature (OR = .34) and waiting until marriage (OR = .34).

CONCLUSIONS

Identifying adolescents' sexual boundaries should help healthcare professionals better understand under what circumstances adolescents are more or less likely to have sex; and this information should ultimately inform the development of new interventions.

FIRST-YEAR COLLEGE WOMEN'S MOTIVATIONS FOR HOOKING UP: A MIXED-METHODS EXAMINATION OF NORMATIVE PEER PERCEPTIONS AND PERSONAL HOOKUP PARTICIPATION

This study used content analysis techniques to explore 221 first-year college women's perceptions of female peers' reasons (i.e., normative perceptions) for hooking up. Data on personal participation in hooking up were also collected. The well-established Drinking Motives Questionnaire (Cooper, 1994) was used as a framework for coding positive (enhancement or social) and negative (coping or conformity) normative hookup motivations. Participants most commonly indicated that enhancement reasons motivated peers' hookup behaviors (69.7%). Coping (23.5%), external (21.7%), social (19.5%), and conformity (16.3%) motives were cited less frequently. Furthermore, women who had hooked up since matriculating into college (61.5%, n = 136) were significantly more likely to state that their female peers hook up for enhancement reasons (a positive motive), but they were significantly less likely to perceive that typical female peers hook up for coping or conformity reasons (negative motives) (ps < .001). Findings indicate not only that college women uphold overwhelmingly positive perceptions for peers' hooking up, but there appears to be a strong relationship between college women's own hooking up participation and the positive versus negative attributions they ascribe to hooking up among their peers. This study extends the understanding of college women's perceptions and potential influences of hooking up and provides implications for harm reduction efforts.

Relationship commitment, perceived equity, and sexual enjoyment among young adults in the United States

Very little is known about how enjoyment of sexual behavior is linked to the relationship context of the behavior among young adults in the United States. To examine this association, multivariate logistic and ordered logistic regression analyses were conducted using data from Wave III of the National Longitudinal Study of Adolescent Health, collected when the participants were 18 to 26 years old (N = 2,970). Analyses explored the associations between four measures of sexual enjoyment and three measures of relationship context. Perceived equity was associated with sexual enjoyment, but the pattern of associations differed by gender. Perceiving oneself to be underbenefited was associated with less enjoyment for all four measures of sexual enjoyment among women, but for only one measure among men. Perceiving oneself to be overbenefited was associated with less enjoyment for three of the sexual enjoyment measures among men, but for only two among women. Most of these associations were no longer significant when subjective relationship commitment was added to the models. Among both young adult men and women, subjective relationship commitment was associated with all four measures of sexual enjoyment. In contrast, formal relationship status was not consistently associated with any of the sexual enjoyment measures. Young adults perceiving that they are in more-committed relationships enjoy their partnered sexual acts more, on average, than those in less-committed relationships. Anticipation of higher sexual enjoyment could be used by public health campaigns to motivate young adults to engage in fewer, more-committed sexual partnerships.

Alcohol-related sexual consequences during the transition from high school to college

Alcohol use and risky sexual behavior are significant problems on college campuses. Using a prospective design, the present study sought to explore the relationship between alcohol use and experience of alcohol-related sexual consequences (ARSC) during the transition from high school to the first year of college. During the senior year of high school, and following the first year of college, participants completed assessments of alcohol use, problem drinking behavior, ARSC, and potential influences on drinking behaviors, including parental knowledge of alcohol use, peer influences, motivation for alcohol use, and mood state. Data indicated that 29% of men and 35% of women indicated some form of ARSC during the last year of high school, rates that increased by 6-7% for the first year of college (36% of men and 41% of women). The onset or recurrence of ARSC in college was not explained by differential increases in alcohol use between high school and college. Low levels of positive affect, low motivation to consume alcohol to cope, and high levels of peer alcohol use were associated with repeated ARSC in high school and college; whereas drinking to enhance positive affect and low parental knowledge of alcohol use were associated with the onset of such consequences in college. Implications for intervention are discussed.

Who gives and who gets: why, when, and with whom young people engage in oral sex

Surprisingly little is known about oral sex experiences among emerging adults, including the motives behind their participation in this sexual activity. The current study examined the characteristics of emerging adults' most recent oral sex experience. A total of 431 young people (M age = 21.7 years; 71.7% female) completed an on-line survey assessing their sexual history, context (partner type, co-occurring sexual behaviors), and motives (physical, emotional, goal attainment, and insecurity) for engaging in their most recent heterosexual oral sex interaction. The majority of oral sex encounters occurred within the context of a committed relationship and during an interaction that also included intercourse. Cunnilingus was rare unless reciprocated with fellatio. Overall, both males' and females' reports indicate that they were motivated to engage in oral sex by sexual desire and attraction to their partner, or to enhance an emotional connection with their partner. Insecurity and goal attainment motives were uncommon. Males reported more physical motives than did females, and females reported more emotional and insecurity motives than did males. The findings provide insights into youths' oral sex experiences, and make clear how essential it is to understand the broader sexual and partnership context in which a given sexual activity occurs. These findings have implications for policies aimed at the development of effective sexual health education programs.

Affiliation Goals and Health Behaviors

People are inherently driven by the need to form and maintain relationships, and these affiliation goals can influence health behaviors in two ways: (a) indirectly, by increasing a person's attention to others and subsequently leaving them more likely to emulate the health behaviors of others (social contagion); (b) directly, by leading people to be more likely to engage in health behaviors they perceive as helping them to form and maintain relationships with others (self-initiated behavioral engagement). In this review, we discuss the evidence for the catalyzing role of affiliation goals in these two processes for a variety of positive (e.g., exercising, smoking-cessation) and detrimental health behaviors (e.g., binge drinking and eating, needle sharing). Additionally, we discuss individual difference factors that may temporarily or chronically activate affiliation goals and ultimately impact health behaviors. Affiliation goals hold many implications for future work, and for improving interventions.

Parents, peers, and sexual values influence sexual behavior during the transition to college

Several decades of research have identified the contributions of psychosocial influences on adolescent and young adult sexual behavior; however, few studies have examined parental and peer influence and sexual values during the transition from high school to college. The current study tested the influence of sexual values and perceived awareness and caring (PAC), or beliefs about how much parents and peers know and care about students' behavior, on sexual behavior during this transitional period. Using data from a longitudinal study, generalized estimating equations and the generalized linear model were used to examine the associations among sexual values, parental and peer PAC, and sexual behavior, both cross-sectionally and longitudinally. Participants (N = 1,847; 61% female) completed web-based surveys the summer before college matriculation and at the end of the first semester in college. Results indicated that individuals with high levels of both parental and peer PAC engaged in less frequent sexual behaviors and that PAC moderated the effect of sexual values on sexual behaviors. Furthermore, both PAC variables decreased during the transition from high school to college, and high school sexual values, parental PAC, and their interaction predicted the number of sexual partners during the first semester of college. Only sexual values and high school unsafe sexual behaviors predicted unsafe sexual behavior in college. Findings suggest that complex associations exist among perceived awareness and caring, sexual values, and sexual behaviors, and that the transition from high school to college may be an ideal time for safer-sex interventions.