WebMD Medical News
Laura J. Martin, MD
April 8, 2010 -- What is sex? Think you have that answer down pat? Well, if
you have a teen or college-aged child, you might want to ask them what they
Most young adults agree penile-vaginal intercourse is sex, but less than one
in five think that oral-genital contact counts as “having sex,” according to a
2007 survey of undergraduate college students.
This attitude toward oral sex represents a dramatic and sudden shift in
thinking since 1991, when a similar survey found that nearly twice as many
young adults (about 40%) would classify oral-genital contact as sex.
Researchers point to former President Clinton’s infamous statement, “I did
not have sexual relations with that woman,” as the pivotal turning point in
society’s changing views about oral sex. The attitude shift has been dubbed the
“Like President Clinton, adolescents and young adults often interpret these
words with a degree of latitude, depending on whether they want to maintain an
image of being sexually experienced or inexperienced,” Jason D. Hans and
colleagues at the University of Kentucky, Lexington write in their report, “Sex
Redefined: The Reclassification of Oral-Genital Contact.”
A surge in abstinence-only education and sex education programs that focus
primarily on vaginal-penile intercourse also may play a role in the
disassociation of oral-genital stimulation from sex, the authors say.
The survey involved 477 undergraduate students, mostly white heterosexual
females, enrolled in a human sexuality class. The majority (98%) of
participants was age 24 or younger; the average age was 20.7 years.
The participants answered the following question:
“Would you say you ‘had sex’ with someone if the most intimate behavior
you engaged in was ...”
Among the survey’s notable findings:
Males were much more likely than females to say sex included the following
Oral sex has become increasingly acceptable among youths in recent years,
perhaps because it’s viewed by some as a less risky alternative. But experts
say oral-genital contact can lead to sexually transmitted diseases (
STDs). Such diseases include HIV,
gonorrhea, and the human papillomavirus (HPV), which has been linked to
The researchers encourage sex educators to increase awareness about oral sex
and how it can lead to the spread of STDs.
Complete survey results are available online ahead of print at
www.guttmacher.org/pubs/psrh/full/4207410.pdf. The article will be published in
the June 2010 issue of Perspectives on Sexual and Reproductive
SOURCES:Hans, J.D. Perspectives on Sexual and Reproductive Health,
published online ahead of print.News release, The Guttmacher Institute.
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