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Am J Psychiatry 1994; 151:330-341
Copyright © 1994 by American Psychiatric Association
A review of sexual behavior in the United States
SN Seidman and RO Rieder
Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY 10032.
OBJECTIVE: Knowledge of sexual behavior in the United States is necessary
for 1) directing risk-reduction interventions aimed at preventing
transmission of human immunodeficiency virus (HIV) and other sexually
transmitted pathogens and 2) appreciating the current normative patterns of
sexual behavior. METHODS: The authors reviewed American surveys that
included measures of sexual behavior and analyzed the 1988-1990 General
Social Surveys. RESULTS: Most American males have intercourse by 16-17
years of age, and females do so by 17-18 years of age. The majority of
young adults aged 18-24 have multiple, serial sex partners. Among adults
25-59 years old, relative monogamy appears to be the norm: 80% of
heterosexually active men and 90% of heterosexually active women in this
age group report having had only one sex partner in the preceding year. The
average frequency of intercourse among such monogamous individuals is one
to three times per week. Approximately 25% of adults have had heterosexual
anal intercourse. Up to 20% of adult men report that they have had a
homosexual experience; 1%-6% report such an experience during the preceding
year. CONCLUSIONS: Through accumulated studies, data are now available on
normative sexual behavior across the life cycle. Such data should assist in
psychiatric diagnosis and in the development of treatment goals that rely
on assumptions regarding normative behavior. A large proportion of young
heterosexual persons are at considerable risk for sexually transmitted
disease. Sexual history taking and risk-reduction counseling should be
integral components of psychiatric care.
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