What We Know and Where We Go from here: A Review of Lesbian, Gay, and Bisexual Youth Hookup Literature

"It Is A Purposefully Ambiguous Term": Examining Emerging Adults' Definitions of Hooking Up and How They Vary by Sex/Gender and Educational Background

The majority of past work on hooking up among emerging adults uses a researcher-led definition and often uses college student samples. The purpose of this study was to qualitatively examine participant-led definitions of hooking up using a large sample (N = 701) of college-attending and non-college emerging adults. Most definitions included behaviors (91.7%), a partner type (64.3%), and references to commitment (69.2%). However, considerable variation in definitions within these categories was identified, in particular with reference to commitment. In our sample, definitions attended to what a hook "is" and "is not" as it relates to commitment. Hookup characteristics were also discussed in definitions, including frequency of hooking up, decision making, sexual health and safety, and purposes for hookups. Participants regularly referenced other common terms in relation to hooking up, including one-night stands, casual sex, no strings attached, and friends with benefits. For some, hookups were similar to these other types of casual sex experiences, whereas for others hooking up was distinct. We also quantitatively examined proportional differences in definitional categories and sub-categories based on sex/gender (men vs. women) and educational background (college-attending vs. non-college). Although some proportional differences were found, in general men and women and college-attending and non-college emerging adults defined hookups in similar ways. Programming focused on emerging adult romantic and sexual relationship education would benefit from addressing these subtle, but meaningful variations, as individuals enact hookup scripts based on how they define their encounters. Future opportunities for research to integrate both researcher-led and participant-led definitions of hooking up are discussed.

How LGBTQ+ Young Adults Navigate Personal Risk in App-Based Hookups: The Safety Spectrum Theory

Research on hooking up is rife with examinations of risky sexual health practices among LGBTQ+ young adults; yet, little has been written about the personal safety practices for this population. This omission is notable because safety practices can enhance the notable positive outcomes related to hooking up. Drawing on one-on-one interviews with 50 LGBTQ+ young adults (20 cismen, 20 ciswomen, two transmen, and eight others) in British Columbia, California, and Connecticut, we developed the safety spectrum theory, which used a spectral measurement to assess how LGBTQ+ young adults negotiate safety practices and implement safety rules. This spectrum was then applied to a three-step sequence of application (app)-based hookup rituals: online initiation, pre-meeting preparation, and in-person meetup. Results indicated that safety strategies may be dictated by situational factors, where individuals adapt to varying circumstances to be more in control of personal safety when hooking up. We further identified that participants move across the spectrum depending upon contextual factors, such as the gender of the potential hookup partner. This work suggests that LGBTQ+ young adults are mindful of their personal safety and deserve more credit than previously attributed in queer and sexual health research. From these findings, we provide evidence-based recommendations to make dating/hookup apps and public health campaigns more effective at mitigating hookup-related risks.

Queering Hookup Motives in a Diverse Sample of LGBTQ+ Young Adults

There is a paucity of research on hookup motives among LGBTQ+ young adults, despite the importance of such sexual encounters for the development of LGBTQ+ young adults' identities. In this study, we examined the hookup motives of a diverse sample of LGBTQ+ young adults through in-depth qualitative interviews. Interviews were conducted with 51 LGBTQ+ young adults across college campuses at three sites in North America. We asked participants, "What sorts of things motivate you to hook up?" and "Why do you hook up?" Six distinct hookup motives emerged from participants' responses. They included: a) pleasure/enhancement, b) intimacy and social-relationship motives, c) self-affirmation, d) coping, e) cultural norms and easy access, and f) multifaceted motives. While some of our themes cohered with previously identified hookup motives among heterosexual samples, LGBTQ+ young adults identified new and distinct motives that illustrate major differences between their hookup experiences and that of heterosexual young adults. For example, LGBTQ+ young adults were motivated to pleasure their hookup partner, not just themselves. They were also motivated by cultural norms within the queer community, easy access to hookup partners, and multifaceted motives. There is a need for data-driven ways to conceptualize hookup motives among LGBTQ+ young adults, instead of unquestioningly using heterosexual templates for understanding why LGBTQ+ individuals hook up.

Sexual Compulsivity Mediates the Association Between Childhood Sexual Abuse and Condom Use Resistance Among Men Who Have Sex with Men and Women

Despite the continued prevalence of HIV and condoms' proven effectiveness in HIV prevention, many young men continue to engage in condom use resistance (CUR). Research shows that sexual compulsivity and childhood sexual abuse (CSA) victimization are risk factors for CUR. Given that sexual activity between men is the most common method through which HIV is transmitted, and that men who have sex with men and women (MSMW) are up to five times as likely to contract or transmit HIV as men who have sex with women only (MSWO), understanding the CUR behaviors of MSMW is uniquely important. Young, single men who had had sex with a woman in the past year (N = 623) completed questionnaires assessing their previous sexual experiences with men and women, history of CSA, sexual compulsivity, and CUR to determine how MSMW classification may moderate the associations between these variables. Results revealed full, moderated mediation, such that CSA was significantly associated with sexual compulsivity among MSMW, but not MSWO. Furthermore, sexual compulsivity was subsequently associated with CUR, in a model accounting for 5.35% of CUR variance. Such findings suggest that exposure to CSA may render MSMW especially susceptible to maladaptive, sexually compulsive desires and behaviors. As a result, MSMW may be more likely to disregard the inherent risks associated with condomless sexual activity and engage in CUR. Thus, intervention programs seeking to reduce the transmission of HIV and other STIs should prioritize targeting MSMW who experienced CSA to reduce sexual compulsivity and increase condom use.

Hookup experiences and feelings of regret: The effects of gender, college context, and hookup characteristics

Objective: To examine how specific aspects of a hookup are related to feelings of regret among college students, and how these patterns vary by gender and college context. Participants: Freshmen and sophomore men (n = 92) and women (n = 283) from a Midwestern university and community college. Methods: Participants answered questions about their most recent hookup and feelings of regret. Results: Frequency of engaging in a hookup was similar across gender and college context. Men and women were more likely to regret hookups with strangers and when alcohol was involved. Women had fewer regrets when their last hookup occurred with a partner they had also hooked up with in the past than when the hookup occurred only once with that partner. University students reported more regret when the hookup occurred with a stranger, occurred only one time, and when alcohol was used, but this was not found for community college students. Conclusions: Future research should examine hookup experiences through a developmental lens.

Emotional Outcomes of Casual Sexual Relationships and Experiences: A Systematic Review

Casual sexual relationships and experiences (CSREs) are common and emotionally significant occurrences. Given the uncommitted, often emotionally complicated nature of CSREs, researchers have asked whether these experiences may have positive and/or negative emotional consequences. We reviewed 71 quantitative articles examining emotional outcomes of CSREs, including subjective emotional reactions (e.g., excitement, regret) and emotional health (e.g., depression, self-esteem). Overall, people evaluated their CSREs more positively than negatively. In contrast, CSREs were associated with short-term declines in emotional health in most studies examining changes in emotional health within a year of CSRE involvement. Emotional outcomes of CSREs differed across people and situations. Women and individuals with less permissive attitudes toward CSREs experienced worse emotional outcomes of CSREs. Alcohol use prior to CSREs, not being sexually satisfied, and not knowing a partner well were also associated with worse emotional outcomes. These findings suggest directions for prevention/intervention related to CSREs. For example, skill-building related to sexual decision-making may help individuals decide whether, and under what circumstances, CSREs are likely to result in positive or negative emotional outcomes. In addition, the limitations of extant research suggest directions for future inquiry (e.g., examining whether verbal and nonverbal consent practices predict emotional outcomes of CSREs).

Hooking Up and Pairing Off: Correlates of College Students' Interest in Subsequent Hookups and Romantic Relationships With Other-Sex and Same-Sex Hookup Partners

Contrary to popular media claims that college hookup culture has made romantic relationships obsolete, research indicates many college students see hookups as a pathway to relationships. However, relatively few college hookups actually produce relationships. This study used a sex market framework to explore correlates of college students' interest in future hookups and relationships with hookup partners across other-sex and same-sex hookup markets. Using Online College Social Life Survey data (N = 10,141) we explored variables classified in the following contexts that may shape choices in a sex market: demographic characteristics, the hookup dyad, the hookup event, post-hookup reactions, attitudes toward hookup partners, and hookup opportunity structures. Logistic regression analyses indicated post-hookup reactions (e.g., satisfaction, emotional responses) explained the highest percentage of variance in interest in a subsequent hookup (56% to 61% across markets) and interest in a relationship (35% to 45% across markets). Although past research suggests there are different markets for other- and same-sex hookups, these findings suggest similarity in contexts that may shape interest in relationship formation among other-sex and same-sex hookup markets. Suggestions for fostering positive relationship development on campuses are discussed.

A Prospective Study of Predictors and Consequences of Hooking Up for Sexual Minority Women

Hooking up, which refers to a sexual encounter (ranging from kissing to penetrative sex) between individuals who are not in a committed relationship, is an increasingly normative form of sexual exploration among emerging adults. Past research has focused on hookups within a heteronormative context, and some of this work has examined hookups as a way to cope with distress. Building on this work, we examined the role of hookups as a means for lesbian and bisexual women to cope with minority stress through increasing connection and engagement with the LGBTQ (lesbian/gay/bisexual/transgender/queer or questioning) community. A nationally recruited sample of 520 lesbian and bisexual women ages 18 to 25 years completed questionnaires regarding their hookup behaviors as part of a longitudinal study. Childhood sexual abuse, posttraumatic stress symptoms, alcohol use, minority stress, and involvement and connectedness with the LGBTQ community were also assessed. First, regression analyses were used to examine baseline predictors of hookup behaviors reported at a 12-month follow-up. Findings revealed that alcohol use was associated with a greater likelihood of any subsequent hookups, and individuals reporting more minority stress subsequently hooked up with more partners. Second, hookup behaviors at 12 months were examined as predictors of outcomes at a 24-month follow-up, after controlling for baseline variables. Findings revealed that hookup behaviors were associated with reduced minority stress as well as increased involvement with and connectedness to the LGBTQ community, suggesting hookups may serve a protective function. Overall, findings support the notion that, for sexual minority women, hookups may operate as a means of coping and connection.

First-year college students' alcohol and hookup behaviours: sexual scripting and implications for sexual health promotion

This study used a sexual scripting framework to analyse data from the Online College Social Life Survey to examine the role of individual, (e.g. gender, race and alcohol use), relational (partner type, condom use behaviours), and contextual factors (sex ratios and fraternity/sorority affiliation) influencing 4,292 first-year college students' hookup experiences. Results suggest that hookups are relatively "safe", with the the majority involving non-penetrative sexual behaviour, condom use, and familiar partners. However, alcohol use affected hookup behaviours and lower levels of condom use were associated with heavy alcohol use, even with less well known partners. Findings point to the importance of interventions that reinforce first-year students' positive behaviours and present them with protective behavioural strategies to use in the context of alcohol, and with repeat or well-known partners to reduce risk and have enjoyable, consensual sexual experiences.

Coming Out to Parents in Lesbian and Bisexual Women: The Role of Internalized Sexual Stigma and Positive LB Identity

The experience of “coming out” (CO) to parents is often a crucial event in the lives of lesbian and bisexual (LB) women, associated with lower internalized sexual stigma (ISS) and higher positive LB identity. Few studies have compared the experiences of LB women in the CO process. Rather, most prior research has either: (1) not addressed bisexuality or eliminated bisexual individuals from the analysis; (2) combined bisexual women and bisexual men in the same sexual orientation group; or (3) examined bisexual participants alongside lesbian women and gay men, using a single monolithic measure. Thus, the present research aimed at investigating the role of ISS and positive LB identity in inhibiting or encouraging CO to parents in a sample of 241 lesbian women (M_age = 27.61, SD = 7.19) and 186 bisexual women (M_age = 25.23, SD = 5.81), aged 18–40 years. Most participants reported that they had already revealed their sexual orientation to their mother (69%) and their father (52%). More lesbian women had CO to both their mother and their father than had bisexual women. These lesbian women reported lower levels of ISS and higher levels of LB positive identity relative to bisexual women. On average, CO to mothers occurred at age 20 (SD = 5.54), while CO to fathers occurred at age 22 (SD = 5.63). LB women did not differ in the average age of CO to mothers or fathers, or in parental reactions to CO. Finally, ISS was found to affect the process of CO to both parents via positive identity (bootstrapping estimate = −0.26, SE = 0.08, 95% CI = −0.43, 0.11), whereas sexual orientation was not found to moderate the path from ISS to CO to both parents. The present study contributes to our understanding of the differences between LB women when developing their sexual orientation, highlighting the relevance of a positive LB identity for CO to parents. Research and clinical implications and directions for future research are discussed.

Prospective Risk for Incapacitated Rape Among Sexual Minority Women: Hookups and Drinking

Sexual minority women (SMW), including lesbian and bisexual women, are at greater risk for heavy drinking and sexual victimization than heterosexual women. Risk factors for alcohol-related sexual victimization, such as incapacitated rape (IR), include frequent heavy drinking and hookups among heterosexual women, but it is less clear whether these risk factors extend to SMW. This current study was designed to address this gap. In a national sample of SMW (N = 1,057), logistic regressions were used to test whether heavy drinking and hookups in the first year of the study were risk factors for IR during the second year. After controlling for history of prior sexual victimization, subsequent IR was predicted by an interaction between heavy drinking and the number of male hookup partners. Specifically, more frequent heavy drinking was associated with increased risk for subsequent IR, but only among SMW who reported more than one male hookup partner, indicating exposure to more potential perpetrators. When examined separately, this finding held for bisexual women, but was not significant for lesbian women, likely because they reported fewer male hookup partners. Overall, findings from this longitudinal study highlight that in combination, heavy drinking and hookups with multiple men elevate risk for IR.

Sexual function in hook-up culture: The role of body image

Hook-up mobile apps are increasing in popularity and research suggests sexual function may be lower among those who hook-up compared to those who have sex in a longer-term relationship. Sexual function is an important predictor of well-being; however, we know little about the psychosocial antecedents of sexual function, such as body image, among those who use hook-up apps. The current study aims to examine two measures of positive body image and one measure of body image self-consciousness during intimate activity among a sample of adult women and men who have hooked up in the previous month using a hook-up mobile app (N = 243). Our results suggest that higher body image self-consciousness during intimate activity was related to lower sexual function composite score and several specific domains (i.e., pain, arousal, orgasm, and lubrication) among women. Higher body appreciation was related to higher sexual satisfaction among women. Higher body image self-consciousness during intimate activity was related to higher erection difficulty, but not ejaculation difficulty, among men. These findings highlight the nuanced nature of body image and sexual function and provide further evidence that interventions for women and men aiming to improve some body image constructs may improve sexual function as well.

Growing Up, Hooking Up, and Drinking: A Review of Uncommitted Sexual Behavior and Its Association With Alcohol Use and Related Consequences Among Adolescents and Young Adults in the United States

Hookups are uncommitted sexual encounters that range from kissing to intercourse and occur between individuals in whom there is no current dating relationship and no expressed or acknowledged expectations of a relationship following the hookup. Research over the last decade has begun to focus on hooking up among adolescents and young adults with significant research demonstrating how alcohol is often involved in hooking up. Given alcohol’s involvement with hooking up behavior, the array of health consequences associated with this relationship, as well as its increasing prevalence from adolescence to young adulthood, it is important to determine the predictors and consequences associated with alcohol-related hooking up. The current review extends prior reviews by adding more recent research, including both qualitative and experimental studies (i.e., expanding to review more diverse methods), research that focuses on the use of technology in alcohol-related hookups (i.e., emerging issues), further develops prevention and intervention potentials and directions, and also offers a broader discussion of hooking up outside of college student populations (i.e., expanding generalization). This article will review the operationalization and ambiguity of the phrase hooking up, the relationship between hooking up and alcohol use at both the global and event levels, predictors of alcohol-related hooking up, and both positive and negative consequences, including sexual victimization, associated with alcohol-related hookups. Throughout, commentary is provided on the methodological issues present in the field, as well as limitations of the existing research. Future directions for research that could significantly advance our understanding of hookups and alcohol use are provided.

Imagining Online Sexual Health Outreach: A Critical Investigation into AIDS Service Organizations Workers' Notions of 'Gay Community'

This paper examines how online outreach workers within AIDS Service Organizations (ASOs) discursively imagine notions of "gay community" and the tensions between inequities in varying conceptions of "community" that operate in providers' and managers' sexual health online outreach. Through a Foucauldian Discourse Analysis (FDA) of interview data from a community-based research project examining sexual health outreach among gay, bisexual, and queer (GBQ) men, we provide an analysis that problematizes notions of a unitary "gay community" while illustrating how certain privileged subjects are deemed ideal for inclusion and representation within both online and ASO communities. Moreover, we interrogate how online medical health regimes constitute the ideal neoliberal gay male subject who self-responsibilizes and individualizes his sexual health while erasing inequities relating to social location and intersecting identities. Our analysis highlights how homonormative politics infiltrates GBQ sexual health programming and the ways in which understandings of the "self" and gay subjectivities are constituted through biopolitical apparatuses and online sexual health surveillance. We argue that it is necessary to move online sexual health outreach beyond specifically focusing on the needs of white GBQ men by bringing a greater awareness to the continual exclusions which operate within GBQ "communities".

Thirty years of sexual behaviour at a Canadian university: Romantic relationships, hooking up, and sexual choices

Every 10 years from 1980 to 2010, students in a British Columbia university were surveyed about age of sexual initiation, number of partners, and degree of emotional intimacy within their partnerships. Between 1980 and 1990, the socially acceptable prerequisite for premarital sex appeared to shift from the promise of marriage to mutual love. This change was demonstrated by a fall in the virginity rate among unmarried females, and the rise of monogamous romantic relationships for males. From 1980 through 2010, men reported more sexual partners than did women, with a smaller, though rising, proportion of serious relationships. Since 1990, never-married students were classified into three sexual behavioural groups: monogamists (about 55%), abstainers (30%), and multi-partnered “experimenters” (20% of men throughout each decade, and 7.6% of women in 1990–2000, rising to 14.4% in 2010). Experimenters generally reported concurrent partners, most of them casual. Since 1980, most sexually active students have experienced both romantic relationships and casual sexual partnerships, yet since at least 1990, the majority have been primarily monogamous. This article traces the changes and continuities in romantic relationships, casual sex, and sexual behavioural groups over 30 years, concluding that contrary to the claims of popular media and some academics, casual sex (“hookup culture”) has not replaced romantic relationships as the most common form of student sexual behaviour.