title: Sex redefined: the reclassification of oral-genital contact.
abstract: BACKGROUND
  Although partially anecdotal, some evidence suggests that oral-genital contact is increasingly excluded from young people's notions of what behaviors constitute sex. Such a shift may have implications for STD prevention.
  
  
  METHODS
  In 2007, a convenience sample of 477 university students participated in a survey that included the question "Would you say you 'had sex' with someone if the most intimate behavior you engaged in was" each of 11 behaviors. Chi-square tests and independent samples t tests were used to assess gender differences, and chi-square analyses were used to compare the data with similar data collected in 1991. Predictors of beliefs concerning the classification of oral-genital contact were assessed using logistic regression analysis.
  
  
  RESULTS
  The majority of respondents indicated that penile-vaginal intercourse and penile-anal intercourse constitute sex (98% and 78%, respectively), but only about 20% believed the same was true of oral-genital contact. The proportion classifying oral-genital contact as sex in 2007 was about half that in 1991. This difference was consistent for both sexes and for both giving and receiving oral-genital stimulation. Responses did not vary by respondents' sexual experience or demographic characteristics.
  
  
  CONCLUSIONS
  Sociocultural conceptualizations of oral-genital contact have shifted in a way that may leave people who engage in this activity unmindful of its potential health risks. Sex education programs, which generally focus on penile-vaginal contact, could help STD prevention efforts by explaining the risks associated with oral-genital stimulation and the measures that can be taken to minimize those risks.
authors.affiliation: Department of Family Studies at the University of Kentucky, Lexington, USA. JHans@uky.edu
authors.forename: Jason D
authors.initials: JD
authors.lastname: Hans
authors.forename: Martie
authors.initials: M
authors.lastname: Gillen
authors.forename: Katrina
authors.initials: K
authors.lastname: Akande
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D012725:Sexual Behavior / Q000145:classification*; D055815:Young Adult