Archives of Sexual Behavior

, Volume 45, Issue 2, pp 329–337 | Cite as

Oral vs. Vaginal Sex Experiences and Consequences Among First-Year College Students

  • Eva S. LefkowitzEmail author
  • Sara A. Vasilenko
  • Chelom E. Leavitt
Original Paper


To fully understand late adolescents’ experiences of oral sex, we must consider both risk and normative developmental perspectives. Sexual experiences include a range of behaviors, but research on sexual behaviors and consequences focuses primarily on vaginal sex. Oral sex occurs at rates similar to vaginal sex, and carries some, though less, risk than vaginal sex. 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. 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. Both positive (intimacy, physical satisfaction) and negative (worrying about health, guilt) consequences were less common for oral than vaginal sex. Gender differences suggested that female adolescents may find vaginal sex more rewarding than oral sex, whereas male adolescents may find them equally rewarding.


Oral sex Sexual behavior Adolescents 



This work was supported by the National Institutes of Health grant R01AA016016 awarded to Jennifer Maggs. We would like to thank Jennifer Maggs, Nicole Morgan, Meg Small, and the rest of the University Life Study team for their help with study design, data collection, and data management.


  1. American College Health Association. (2008). American College Health Association-National college health assessment: Reference group executive summary: Spring 2008. Baltimore, MD: American College Health Association. Retrieved from
  2. Bay-Cheng, L. Y., & Fava, N. M. (2011). Young women’s experiences and perceptions of cunnilingus during adolescence. Journal of Sex Research, 48, 531–542. doi: 10.1080/00224499.2010.535221.PubMedCrossRefGoogle Scholar
  3. Bolger, N., Davis, A., & Rafaeli, E. (2003). Diary methods: Capturing life as it is lived. Annual Review of Psychology, 54, 579–616. doi: 10.1146/annurev.psych.54.101601.145030.PubMedCrossRefGoogle Scholar
  4. Bordini, G. S., & Sperb, T. M. (2012). Sexual double standard: A review of the literature between 2001 and 2010. Sexuality and Culture, 17, 686–704. doi: 10.1007/s12119-012-9163-0.CrossRefGoogle Scholar
  5. Brady, S. S., & Halpern-Felsher, B. L. (2007). Adolescents’ reported consequences of having oral sex versus vaginal sex. Pediatrics, 119, 229–236. doi: 10.1542/peds.2006-1727.PubMedCrossRefGoogle Scholar
  6. Burchell, A. N., Winer, R. L., de Sanjosé, S., & Franco, E. L. (2006). Epidemiology and transmission dynamics of genital HPV infection. Vaccine, 24, S52–S61.CrossRefGoogle Scholar
  7. Byers, E. S., Henderson, J., & Hobson, K. M. (2009). University students’ definitions of sexual abstinence and having sex. Archives of Sexual Behavior, 38, 665–674. doi: 10.1007/s10508-007-9289-6.PubMedCrossRefGoogle Scholar
  8. Centers for Disease Control and Prevention. (2013). Tobacco product use among middle and high school students—United States, 2011 and 2012. Morbidity and Mortality Weekly Report, 62, 893–897.Google Scholar
  9. Chambers, W. C. (2007). Oral sex: Varied behaviors and perceptions in a college population. Journal of Sex Research, 44, 28–42.PubMedCrossRefGoogle Scholar
  10. Chandra, A., Mosher, W. D., & Copen, C. (2011). Sexual behavior, sexual attraction, and sexual identity in the United States: Data from the 20062008 National Survey of Family Growth. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.Google Scholar
  11. Cooper, M. L., Shapiro, C. M., & Powers, A. M. (1998). Motivations for sex and risky sexual behavior among adolescents and young adults: A functional perspective. Journal of Personality and Social Psychology, 75, 1528–1558. doi: 10.1037/0022-3514.75.6.1528.PubMedCrossRefGoogle Scholar
  12. Cornell, J. L., & Halpern-Felsher, B. L. (2006). Adolescents tell us why teens have oral sex. Journal of Adolescent Health, 38, 299–301. doi: 10.1016/j.jadohealth.2005.04.015.PubMedCrossRefGoogle Scholar
  13. Crawford, M., & Popp, D. (2003). Sexual double standards: A review and methodological critique of two decades of research. Journal of Sex Research, 40, 13–26. doi: 10.1080/00224490309552163.PubMedCrossRefGoogle Scholar
  14. Cummings, T., Auerswald, C. L., & Ott, M. A. (2014). Factors influencing abstinence, anticipation, and delay of sex among adolescent boys in high-sexually transmitted infection prevalence communities. Journal of Adolescent Health, 54, 593–598. doi: 10.1016/j.jadohealth.2013.10.011.PubMedPubMedCentralCrossRefGoogle Scholar
  15. Curran, P. J., & Bauer, D. J. (2011). The disaggregation of within-person and between-person effects in longitudinal models of change. Annual Review of Psychology, 62, 583–619. doi: 10.1146/annurev.psych.093008.100356.PubMedPubMedCentralCrossRefGoogle Scholar
  16. Dalton, A. L., & Galambos, N. L. (2009). Affect and sexual behavior in the transition to university. Archives of Sexual Behavior, 38, 675–687. doi: 10.1007/s10508-008-9401-6.PubMedCrossRefGoogle Scholar
  17. Downing-Matibag, T. M., & Geisinger, B. (2009). Hooking up and sexual risk taking among college students: A health belief model perspective. Qualitative Health Research, 19, 1196–1209. doi: 10.1177/1049732309344206.PubMedCrossRefGoogle Scholar
  18. Eshbaugh, E. M., & Gute, G. (2008). Hookups and sexual regret among college women. Journal of Social Psychology, 148, 77–90. doi: 10.3200/SOCP.148.1.77-90.PubMedCrossRefGoogle Scholar
  19. Fielder, R. L., & Carey, M. P. (2010a). Predictors and consequences of sexual “hookups” among college students: A short-term prospective study. Archives of Sexual Behavior, 39, 1105–1119. doi: 10.1007/s10508-008-9448-4.PubMedPubMedCentralCrossRefGoogle Scholar
  20. Fielder, R. L., & Carey, M. P. (2010b). Prevalence and characteristics of sexual hookups among first-semester female college students. Journal of Sex and Marital Therapy, 36, 346–359. doi: 10.1080/0092623X.2010.488118.PubMedPubMedCentralCrossRefGoogle Scholar
  21. Fortenberry, J. D., Temkit, M. H., Tu, W., Graham, C. A., Katz, B. P., & Orr, D. P. (2005). Daily mood, partner support, sexual interest, and sexual activity among adolescent women. Health Psychology, 24, 252–257. doi: 10.1037/0278-6133.24.3.252.PubMedCrossRefGoogle Scholar
  22. Galinsky, A. M., & Sonenstein, F. L. (2011). The association between developmental assets and sexual enjoyment among emerging adults. Journal of Adolescent Health, 48, 610–615. doi: 10.1016/j.jadohealth.2010.09.008.PubMedPubMedCentralCrossRefGoogle Scholar
  23. Halpern-Felsher, B. L., Cornell, J. L., Kropp, R. Y., & Tschann, J. M. (2005). Oral versus vaginal sex among adolescents: Perceptions, attitudes, and behavior. Pediatrics, 115, 845–851. doi: 10.1542/peds.2004-2108.PubMedCrossRefGoogle Scholar
  24. Hensel, D. J., Fortenberry, J. D., & Orr, D. P. (2008). Variations in coital and noncoital sexual repertoire among adolescent women. Journal of Adolescent Health, 42, 170–176. doi: 10.1016/j.jadohealth.2007.07.009.PubMedCrossRefGoogle Scholar
  25. Higgins, J. A., Trussell, J., Moore, N. B., & Davidson, J. K. (2010). Virginity lost, satisfaction gained? Physiological and psychological sexual satisfaction at heterosexual debut. Journal of Sex Research, 47, 384–394.PubMedPubMedCentralCrossRefGoogle Scholar
  26. Hines, D., Saris, R. N., & Throckmorton-Belzer, L. (2002). Pluralistic ignorance and health risk behaviors: Do college students misperceive social approval for risky behaviors on campus and in media? Journal of Applied Social Psychology, 32, 2621–2640. doi: 10.1111/j.1559-1816.2002.tb02760.CrossRefGoogle Scholar
  27. Holmes, K. K., Levine, R., & Weaver, M. (2004). Effectiveness of condoms in preventing sexually transmitted infections. Bulletin of the World Health Organization, 82, 454–461. doi: 10.1590/S0042-96862004000600012.PubMedPubMedCentralGoogle Scholar
  28. Horne, S., & Zimmer-Gembeck, M. L. (2005). Female sexual subjectivity and well-being: Comparing late adolescents with different sexual experiences. Sexuality Research & Social Policy, 2(3), 25–40.CrossRefGoogle Scholar
  29. Kashdan, T. B., Adams, L. M., Farmer, A. S., Ferssizidis, P., McKnight, P. E., & Nezleck, J. B. (2014). Sexual healing: Daily diary investigation of the benefits of intimate and pleasurable sexual activity in socially anxious adults. Archives of Sexual Behavior, 43, 1417–1429.PubMedCrossRefGoogle Scholar
  30. Lam, T. H., Shi, H. J., Ho, L. M., Stewart, S. M., & Fan, S. (2002). Timing of pubertal maturation and heterosexual behavior among Hong Kong Chinese adolescents. Archives of Sexual Behavior, 31, 359–366.PubMedCrossRefGoogle Scholar
  31. Lewis, M. A., Granato, H., Blayney, J. A., Lostutter, T. W., & Kilmer, J. R. (2012). Predictors of hooking up sexual behaviors and emotional reactions among U.S. college students. Archives of Sexual Behavior, 41, 1219–1229. doi: 10.1007/s10508-011-9817-2.PubMedPubMedCentralCrossRefGoogle Scholar
  32. Lindberg, L. D., Jones, R., & Santelli, J. S. (2008). Noncoital sexual activities among adolescents. Journal of Adolescent Health, 43, 231–238. doi: 10.1016/j.jadohealth.2007.12.010.PubMedCrossRefGoogle Scholar
  33. Meier, A. M. (2007). Adolescent first sex and subsequent mental health. American Journal of Sociology, 112, 1811–1847.CrossRefGoogle Scholar
  34. Morgan, E. M. (2014). Outcomes of sexual behaviors among sexual minority youth. In E. S. Lefkowitz & S. A. Vasilenko (Eds.), New directions for child and adolescent development: Positive and negative outcomes of sexual behaviors (Vol. 144, pp. 21–36). San Francisco: Jossey-Bass. doi: 10.1002/cad.20058.Google Scholar
  35. O’Sullivan, L. F., & Hearn, K. D. (2008). Predicting first intercourse among urban early adolescent girls: The role of emotions. Cognition and Emotion, 22, 168–179. doi: 10.1080/02699930701298465.CrossRefGoogle Scholar
  36. Owen, J., Fincham, F. D., & Moore, J. (2011). Short-term prospective study of hooking up among college students. Archives of Sexual Behavior, 40, 331–341. doi: 10.1007/s10508-010-9697.PubMedCrossRefGoogle Scholar
  37. Patrick, M. E., & Maggs, J. L. (2009). Does drinking lead to sex? Daily alcohol—sex behaviors and expectancies among college students. Psychology of Addictive Behaviors, 23, 472–481. doi: 10.1037/a0016097.PubMedPubMedCentralCrossRefGoogle Scholar
  38. Patrick, M. E., & Maggs, J. L. (2014). Energy drinks and alcohol: Links to alcohol behaviors and consequences across 56 days. Journal of Adolescent Health, 54, 454–459. doi: 10.1016/j.jadohealth.2013.09.013.PubMedPubMedCentralCrossRefGoogle Scholar
  39. Patrick, M. E., Maggs, J. L., Cooper, M. L., & Lee, C. M. (2010). Measurement of motivations for and against sexual behavior. Assessment, 39, 1320–1332. doi: 10.1177/1073191110372298.Google Scholar
  40. Pinkerton, S., Cecil, H., Bogart, L., & Abramson, P. (2003). The pleasures of sex: An empirical investigation. Cognition and Emotion, 17, 341–353. doi: 10.1080/02699930302291.CrossRefGoogle Scholar
  41. Richters, J., de Visser, R., Rissel, C., & Smith, A. (2006). Sexual practices at last heterosexual encounter and occurrence of orgasm in a national survey. Journal of Sex Research, 43, 217–226. doi: 10.1258/095646206778145730.PubMedCrossRefGoogle Scholar
  42. Santelli, J., Ott, M. A., Lyon, M., Rogers, J., Summers, D., & Schleifer, R. (2006). Abstinence and abstinence-only education: A review of US policies and programs. Journal of Adolescent Health, 38, 72–81. doi: 10.1016/j.jadohealth.2005.10.006.PubMedCrossRefGoogle Scholar
  43. Shrier, L. A., Shih, M. C., Hacker, L., & de Moor, C. (2007). A momentary sampling study of the affective experience following coital events in adolescents. Journal of Adolescent Health, 40, 357-e1–357-e8. doi: 10.1016/j.jadohealth.2006.10.014.CrossRefGoogle Scholar
  44. Smiler, A. P., Ward, L. M., Caruthers, A., & Merriwether, A. (2005). Pleasure, empowerment, and love: Factors associated with a positive first coitus. Sexuality Research & Social Policy, 2(3), 41–55. doi: 10.1525/srsp.2005.2.3.41.CrossRefGoogle Scholar
  45. Smith, C. V., & Shaffer, M. J. (2013). Gone but not forgotten: Virginity loss and current sexual satisfaction. Journal of Sex and Marital Therapy, 39, 96–111. doi: 10.1080/0092623X.2012.675023.PubMedCrossRefGoogle Scholar
  46. Song, A. V., & Halpern-Felsher, B. L. (2011). Predictive relationship between adolescent oral and vaginal sex: Results from a prospective, longitudinal study. Archives of Pediatrics and Adolescent Medicine, 165, 243–249. doi: 10.1001/archpediatrics.2010.214.PubMedCrossRefGoogle Scholar
  47. Sprecher, S. (2014). Evidence of change in men’s versus women’s emotional reactions to first sexual intercourse: A 23-year study in a human sexuality course at a midwestern university. Journal of Sex Research, 51, 466–472.PubMedCrossRefGoogle Scholar
  48. Sprecher, S., & Regan, P. C. (1996). College virgins: How men and women perceive their sexual status. Journal of Sex Research, 33, 1085–1096. doi: 10.1080/00224499609551810.CrossRefGoogle Scholar
  49. Spriggs, A. L., & Halpern, C. T. (2008). Sexual debut timing and depressive symptoms in emerging adulthood. Journal of Youth and Adolescence, 37, 1085–1096.PubMedPubMedCentralCrossRefGoogle Scholar
  50. Tolman, D. L., & McClelland, S. I. (2011). Normative sexuality development in adolescence: A decade in review, 2000–2009. Journal of Research on Adolescence, 21, 242–255.CrossRefGoogle Scholar
  51. Tsui, L., & Nicoladis, E. (2004). Losing it: Similarities and differences in first intercourse experiences of men and women. Canadian Journal of Human Sexuality, 13, 95–106.Google Scholar
  52. Vannier, S. A., & Byers, E. S. (2013). A qualitative study of university students’ perceptions of oral sex, intercourse, and intimacy. Archives of Sexual Behavior, 42, 1573–1581. doi: 10.1007/s10508-013-0130-0.PubMedCrossRefGoogle Scholar
  53. Vasilenko, S. A., Lefkowitz, E. S., & Maggs, J. L. (2012). Short-term positive and negative consequences of sex based on daily reports among college students. Journal of Sex Research, 49, 558–569. doi: 10.1080/00224499.2011.589101.PubMedPubMedCentralCrossRefGoogle Scholar
  54. Vasilenko, S. A., Lefkowitz, E. S., & Welsh, D. P. (2014). Is sexual behavior healthy for adolescents? A conceptual framework for research on adolescent sexual behavior and physical, mental, and social health. In E. S. Lefkowitz & S. A. Vasilenko (Eds.), New directions for child and adolescent development: Positive and negative outcomes of sexual behaviors (Vol. 144, pp. 3–19). San Francisco: Jossey-Bass. doi: 10.1002/cad.20058.Google Scholar
  55. Vasilenko, S. A., Maas, M. K., & Lefkowitz, E. S. (2015). “It felt good but weird at the same time”: Emerging adults’ first experiences of six different sexual behaviors. Journal of Adolescent Research, 30, 586–606.PubMedCrossRefGoogle Scholar
  56. Welsh, D. P., Rostosky, S. S., & Kawaguchi, C. M. (2000). A normative perspective of adolescent girls’ developing sexuality. In C. B. Travis & J. W. White (Eds.), Sexuality, society, and feminism (pp. 111–140). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  57. Wight, D., Parkes, A., Strange, V., Allen, E., Bonell, C., & Henderson, M. (2008). The quality of young people’s heterosexual relationships: A longitudinal analysis of characteristics shaping subjective experience. Perspectives on Sexual and Reproductive Health, 40, 226–237. doi: 10.1363/4022608.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Eva S. Lefkowitz
    • 1
    Email author
  • Sara A. Vasilenko
    • 2
  • Chelom E. Leavitt
    • 1
  1. 1.Department of Human Development and Family StudiesPennsylvania State UniversityUniversity ParkUSA
  2. 2.Methodology CenterPennsylvania State UniversityState CollegeUSA

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