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Try out PMC Labs and tell us what you think. Learn More. Although it is important that voices speak out and experiences are recorded and analyzed, no quantitative data on sex have been published ly. The purpose of this article is to inform, alert, amaze, amuse, and help in the planning of sex services. Further information came from the Archives of Sexology at the Robert Koch Institute in Berlin; papers presented at sexology conferences; authoritative sexologic encyclopedias; data posted on Internet sites; and representative national surveys in the few countries where these have been undertaken, such as the United States.

These data are not satisfactory. Few countries have comprehensive sex data, and some have none. Sex surveys are notoriously difficult to conduct, and all must be interpreted in context. For example, respondents to Internet surveys are more likely to be young men. But these data are the best available on myriad sex topics. A: It varies. International research indicates that many teenaged girls feel coerced into having sex.

In general, teenagers have sex at an earlier age years than their parents' generation 18 yearsbut this trend may be leveling off—and even reversing in some countries. A: We have little idea. Even in careful, representative surveys, the accuracy of data can be questionable because respondents may report an exaggerated frequency of sex or an underestimation for masturbation, cross-dressing, or same-sex activity.

In some surveys, only sexually active people were interviewed, so the views of the sexually inactive are not represented, although they form a substantial segment of society. In the United Kingdom, the average person spends 3. A: In the Durex survey of the frequency of sexual intercourse between sexually active to year-olds, the average American respondent had sex times a year, more frequently than in any other country except France.

A: Homosexuality is evident early in life. Biomedical research has failed to show a cause, although research into genetics, hormones, and upbringing is continuing. Research in Brazil, Peru, the Philippines, and the United States has shown that lesbian sexuality and identity eventually emerge, regardless of culture.

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This does not include youth, when sexual experimentation occurs. At least species of birds and mammals have been found to engage in same-sex activity. A: Legislation is slowly changing, but homosexuality is still illegal in about 50 countries and, for men only, in another 50 countries. Even in countries that have decriminalized homosexuality, gays and lesbians are still subject to harassment, discrimination, violence, and persecution by the government, police, employers, and the population at large. A: In the United States ingirls begin to date on average at age 12 or 13 years and boys at 13 and 14 years.

The most modern form of dating is on the Internet. Prostitution is moving from the streets to cyberspace. A: Most studies show that good sex is important to a marriage, but in countries that have researched the factors for a happy marriage, sex does not feature in the top 5. Married couples in the United States have more sex than unmarried people.

Even in countries such as the United States and the United Kingdom, where contraception is easily obtainable, more than half of pregnancies are unplanned. The US birth rate is low at 2. A: Finding out about sex is often hindered by laws, regulations, policies, and public opposition—to providing sex education in schools; to disseminating sex and family planning information; to advertising, displaying, and providing contraceptives; and by censorship laws governing obscenity.

Good sexual practices end up being discovered, often in a haphazard manner, rather than taught. American youth usually find out about sex from friends, school, and parents, in that order. A: Hundreds of studies have shown that sex education does not lead to earlier or increased sexual activity. A: Regardless of sexual identity, the 2 most common sex problems in men are erectile dysfunction and premature ejaculation.

In women, they are lack of interest in sex and not having an orgasm during sexual intercourse. A: Almost every aspect of sex has either some economic debit or some financial gain to the individual or the state. For example, costs include medical and health costs; contraception; salaries or loss of earnings; and the costs of weddings, broken marriages, divorces, and child sex abuse. Who gains from these costs? Organizers of the sex trade, the pornography industry, sex-tour operators, writers of romantic novels, and even physicians, lawyers, and priests receive gains from sex. No attempt has ever been made to measure the overall costs of sex in exact financial terms.

The direct costs eg, of contraception or to treat sexually transmitted infections are difficult to measure, and it is even harder to quantify indirect but real costs eg, the cost to the state of supporting broken families. Above all, it is impossible to put a financial value on the joy and happiness that sex can bring.

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A: Seventy-three percent of the world's online pornography is produced in the United States from an Internet survey I conducted in by analyzing the source of major sex magazines online. A: Most users of pornography are young men. Men's use of pornography has been compared with women's consumption of romantic novels, both using fantasy to compensate for a disappointing reality. A: This is the subject of heated debate.

The liberalization of pornography laws in the West has been accompanied by a rise in the rates of reported rapes. But the rates of all violent crimes have increased, and more women report rape, making it difficult to draw firm conclusions about pornography's effect on society.

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Few studies differentiate between erotica and soft- and hard-core pornography or take into base-line norms. Further studies are needed to assess the effect of the various types of pornography. A: Sexual violence is based on issues of power, control, victimization, and denial. It causes fear, pain, injury, sexually transmitted infections, pregnancy, and physical and psychological scars in the victims. It happens in every class, culture, race, and religion and to both sexes. In the United States, 1 in 6 women and 1 in 33 men will experience an attempted or completed rape during their lifetime. A: Sexual harassment is far more widespread than ly thought.

A: In the United States, 1 in 12 women and 1 in 45 men have been stalked at some time. A: Religion has a profound effect on many aspects of sex, from masturbation and adultery to homosexuality. All religions have regulations proscribing certain sexual behavior. Most of the major religions—Christianity, Hinduism, Islam, and Judaism—condemn or criticize homosexuality; Buddhism tolerates it. A: Smoking is associated with risk-taking behavior in the young and reduced fertility in men and women. Men who smoke have twice the risk of nonsmokers of developing erectile dysfunction.

Sex is increasingly being separated from reproduction—by test-tube babies, surrogate mothers, cloning, and the Internet. The immediate future promises an era of more open attitudes and sexual practices. But this is nothing new.

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History has shown repeated cycles of liberalism and conservatism toward sex. But, for the first time, new technology will introduce undreamt-of possibilities in the sexual arena. The strength of personal and family relationships will be strongly tested by these new possibilities. The ultimate cannot be predicted. The 2 most common sex problems in men are erectile dysfunction and premature ejaculation; in women, they are lack of interest in sex and not having an orgasm during sexual intercourse.

One in 16 women and 1 in 33 men will experience an attempted or completed rape during their lifetime; 1 in 12 women and 1 in 45 men have been stalked at some time in their life. The United States does not have the death penalty for sex, unlike 8 countries that have a death penalty for homosexuality and 4 for adultery. Reproduced from Mackay J. New York: Penguin Putnam; Condom use for casual sex is a marker of safe sex behavior.

Cyberdating is accomplished through placing and responding to personal advertisements on the Internet. Competing interests: None declared. She left clinical medicine in to work in preventive health, especially tobacco control, women's issues, and sexology.

National Center for Biotechnology InformationU. Journal List West J Med v. West J Med. Judith MackayDirector 1. Author information Copyright and information Disclaimer. This article has been cited by other articles in PMC. Q: How often do American men and women have sex? Q: How widespread is homosexuality? Q: Is homosexuality legal in most countries? Q: How many people practice safe sex? Q: Does sex education encourage sex? Q: Who uses pornography? Q: What is the effect of pornography?

What are its effects and its prevalence? Q: How common is sexual harassment? Q: How widespread is stalking?

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Open in a separate window. Figure 1. Figure 2. Figure 3. References 1. Mackay J. Selected maps available at: www. Accessed October 16, Vobejda B. Steep drop in youngsters' sexual activity. Gentleman A. Britain top for single teenage mothers.

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