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Although STI transmission is lower from oral than vaginal sex, adolescents are less aware of transmission and less likely to use protective methods from STIs with oral than vaginal sex ( Downing-Matibag & Geisinger, 2009 Fielder & Carey, 2010b Halpern-Felsher, Cornell, Kropp, & Tschann, 2005). However, from such a risk perspective, the study of oral sex (defined here as a mouth coming in contact with another person’s genitals) is still important. This focus likely reflects the fact that vaginal sex is the only behavior that carries the risk of pregnancy and carries one of the highest transmission rates of sexually transmitted infections (STIs) ( Burchell, Winer, de Sanjosé, & Franco, 2006 Holmes, Levine, & Weaver, 2004). Gender differences suggested that female adolescents may find vaginal sex more rewarding than oral sex whereas male adolescents may find them equally rewarding.Īlthough sexual experiences are multidimensional and include many behaviors, research on adolescent sexual behavior predominantly focuses on vaginal sex (defined here as a penis penetrating a vagina) in heterosexual samples. Both positive (intimacy, physical satisfaction) and negative (worrying about health, guilt) consequences were less common for oral than vaginal sex. Daily data were from recently sexually active first year college students ( N = 253 people, 834 days M age, 18.4 years SD = 0.4 56% female 31% Hispanic/Latino 17% African American, 14% Asian American/Pacific Islander, 25% European American, 12% multiracial) who reported on sexual behaviors and consequences. The current study examined the event-level prevalence and consequences of oral sex compared to vaginal sex with other-sex partners in first year college students. Oral sex occurs at rates similar to vaginal sex, and carries some, though less, risk than vaginal sex.
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Sexual experiences include a range of behaviors, but research on sexual behaviors and consequences focuses primarily on vaginal sex. To fully understand late adolescents’ experiences of oral sex, we must consider both risk and normative developmental perspectives.