Prevalence and Demographic Correlates of "Rough Sex" Behaviors: Findings from a U.S. Nationally Representative Survey of Adults Ages 18-94 Years.

Rough sex behaviors have become prevalent among young adults in the U.S. and internationally. However, little is known about these behaviors at the population level. Using nationally representative survey data of 9029 U.S. adults, we aimed to provide population estimates and demographic correlates of 10 such behaviors: consensual and nonconsensual hair pulling, biting, face slapping, genital slapping, light spanking, hard spanking, choking, punching, name-calling, and smothering. We found that 47.8% of women, 60.8% of men, and 67.3% of transgender and gender nonbinary participants (TGNB+) had ever done one or more of the behaviors to a partner. Also, 53.8% of women, 45.7% of men, and 69.5% of transgender and gender nonbinary participants reported that a partner had ever performed at least one type of the assessed behaviors on them, with consent. Experiencing one or more of the behaviors done to them without consent was reported by 19.6% of women, 15.9% of men, and 33.5% of TGNB+ participants. As a general pattern, the behaviors we assessed tended to be more prevalent among younger cohorts as compared with older cohorts and to be reported by more sexual orientation minorities than those identifying as heterosexual. Sexuality educators and clinicians need to be aware of these emerging sexual behaviors. Also, public health agencies should address the increased prevalence of sexual choking, which is usually done as a form of neck compression or strangulation and poses unique risks to health.