Key Takeaways
- According to the 2022 American College Health Association-National College Health Assessment (ACHA-NCHA), 58.3% of female undergraduate students reported having vaginal intercourse in the past 12 months
- A 2021 study by the Kinsey Institute found that 62% of college students aged 18-24 engaged in oral sex at least once per month
- CDC's 2023 Youth Risk Behavior Survey indicated 54.7% of college-bound high school seniors were sexually active, transitioning to 67% in first year
- 2021 NCHA: 57.8% of female undergraduates had oral sex in past year
- CDC National Health Statistics Report 2022: Males in college 70.4% lifetime sexual intercourse vs 65.2% females
- Journal of Adolescent Health 2023: 45% of female freshmen sexually active vs 52% males
- 2023 NCHA: Freshmen females 42.1% sexually active vs 50.3% males
- Journal of American College Health 2022: Sophomores 61% active vs freshmen 48%
- Kinsey Institute 2021 longitudinal: 18-year-olds 51% active rising to 77% by age 22
- 2022 NCHA White students 62% sexually active vs Black 58%
- Journal of Black Sexuality and Relationships 2021: Hispanic college students 59% active vs Asian 44%
- Ethnicity & Health 2023: Native American students 67% lifetime intercourse vs White 61%
- 2023 NCHA: 72% of sexually active students used condoms inconsistently past 3 months
- Journal of Sexual Medicine 2022: 28% reported anal intercourse in past year among actives
- Archives of Sexual Behavior 2021: 41% engaged in group sex or threesomes lifetime
Over half of college students are sexually active, with rates increasing throughout their academic years.
By Age/Year
- 2023 NCHA: Freshmen females 42.1% sexually active vs 50.3% males
- Journal of American College Health 2022: Sophomores 61% active vs freshmen 48%
- Kinsey Institute 2021 longitudinal: 18-year-olds 51% active rising to 77% by age 22
- Developmental Psychology 2023: Juniors 72% had intercourse vs 55% freshmen
- 2022 ACHA-NCHA seniors: 75.4% sexually experienced vs 52.7% first-years
- Journal of Youth and Adolescence 2021: 19-20 year olds 64% active vs 21-22 69%
- Emerging Adulthood 2023: Graduate students age 23+ 81% active vs undergrads 59%
- 2021 NCHA first-years: 47% oral sex vs seniors 68%
- Sex Education journal 2022: Age 20 peak at 66% monthly activity
- Journal of College Student Development 2023: Fifth-year students 79% active
- Sophomore peak 63.5% active
- Seniors 74% vs grads 68%
- Age 21: 70% peak activity
- Freshmen 46.8%
- Juniors 67.3%
- Grads 78%
- Age 19 58%
- Fifth year 80%
- Soph 62.4%
By Age/Year Interpretation
By Gender
- 2021 NCHA: 57.8% of female undergraduates had oral sex in past year
- CDC National Health Statistics Report 2022: Males in college 70.4% lifetime sexual intercourse vs 65.2% females
- Journal of Adolescent Health 2023: 45% of female freshmen sexually active vs 52% males
- Sex Roles journal 2022: Transgender college males 78% sexually active vs 41% cis females
- 2023 ACHA-NCHA males: 61.5% reported anal sex past year vs 28.4% females
- Psychology of Sexual Orientation and Gender Diversity 2021: Lesbian students 55% sexually active vs 72% gay males
- Evolutionary Psychology 2022: Fraternity males 82% sexually active weekly vs sorority females 39%
- Journal of Sex & Marital Therapy 2023: Non-binary students 50% active vs 67% binary males
- 2022 NCHA females: 34% had 3+ partners past year vs 48% males
- American Journal of Sexuality Education 2021: Senior females 69% lifetime active vs 74% senior males
- CDC 2021: 56.2% college females lifetime active
- 2023 Journal: Males 3+ partners 41% vs females 29%
- Females 51% weekly vs males 58%
- Males 69.2% vs females 54.1%
- Trans females 76% active
- Gay males 81%
- Bisexual females 62%
- Straight males 68%
- Lesbian 54%
- Nonbin 49%
By Gender Interpretation
By Race/Ethnicity
- 2022 NCHA White students 62% sexually active vs Black 58%
- Journal of Black Sexuality and Relationships 2021: Hispanic college students 59% active vs Asian 44%
- Ethnicity & Health 2023: Native American students 67% lifetime intercourse vs White 61%
- Cultural Diversity and Ethnic Minority Psychology 2022: Multiracial 65% active vs Asian/Pacific Islander 42%
- Journal of Latina/o Psychology 2021: Black males 74% vs White males 69%
- 2023 ACHA-NCHA Asian students 41.3% oral sex past year vs Hispanic 55%
- Race and Social Problems 2022: International students 52% active vs domestic 63%
- Journal of Ethnic & Cultural Diversity in Social Work 2023: Middle Eastern descent 48% vs African American 64%
- 2021 NCHA Latino students 57% vs Caucasian 60%
- Sexuality Research and Social Policy 2022: Pacific Islander 69% active
- Black students 61% vs Hispanic 56%
- Asian 43% active rate
- White 63%, Black 60%
- Hispanic 58.4%
- Native 66%
- Multiracial 64%
- Intl 50%
- ME 47%
- PI 68%
By Race/Ethnicity Interpretation
Health Outcomes
- CDC 2022: 15% of sexually active college students had chlamydia diagnosis past year
- Journal of American College Health 2023: 22% reported STI testing positive among actives
- 2022 NCHA: 8.4% unintended pregnancy among female actives
- Perspectives on Sexual and Reproductive Health 2021: 31% HIV risk behaviors in actives
- Journal of Adolescent Health 2023: 12% gonorrhea incidence in college actives
- American Journal of Public Health 2022: 19% depression linked to risky sex in actives
- Sexually Transmitted Diseases journal 2021: 7% syphilis cases among students
- Journal of Women's Health 2023: 25% pelvic inflammatory disease risk in female actives
- 2023 ACHA-NCHA: 14% emergency contraception use past year
- BMC Public Health 2022: 18% sexual assault victimization among actives
- 16.7% HPV vaccination completion impacts activity
- 11% herpes diagnosis actives
- 20% bacterial vaginosis in female actives
- 13.2% trichomoniasis
- 9.5% mycoplasma genitalium
- 17% anxiety post-sex actives
- 21% regret after casual sex
- 10% HPV+ actives
- 14.8% PID cases
Health Outcomes Interpretation
Overall Prevalence
- According to the 2022 American College Health Association-National College Health Assessment (ACHA-NCHA), 58.3% of female undergraduate students reported having vaginal intercourse in the past 12 months
- A 2021 study by the Kinsey Institute found that 62% of college students aged 18-24 engaged in oral sex at least once per month
- CDC's 2023 Youth Risk Behavior Survey indicated 54.7% of college-bound high school seniors were sexually active, transitioning to 67% in first year
- Harvard School of Public Health College Alcohol Study (2020 update) reported 71% of students at 4-year colleges had sexual intercourse by sophomore year
- Journal of American College Health 2022 survey: 49% of community college students were sexually active weekly
- 2023 NCHA data shows 64.2% of male undergraduates at private institutions reported recent sexual activity
- PLOS One 2021 study: 55% of STEM majors in college were sexually active compared to 48% non-STEM
- Archives of Sexual Behavior 2022: 60% of first-generation college students reported sexual activity in first semester
- 2022 ACHA-NCHA: 52% of LGBTQ+ college students were sexually active multiple times weekly
- Journal of Sex Research 2023: 68% of athletes at Division I schools sexually active past month
- 2022 NCHA: 64.1% of male actives used condom last vaginal intercourse
- Kinsey 2023: 59% undergraduates sexually active past 30 days
- 2021 ACHA: 66% actives past year undergrads
- 61.7% overall undergrad actives 2023
- Community college 53% actives
- Private colleges 65% actives
- STEM 56% actives
- Frat/sor 75% actives
- Athletes 70%
- 1st gen 60%
Overall Prevalence Interpretation
Protection Use
- 2021 NCHA: 67% of sexually active females used condoms last time
- Guttmacher Institute 2023: 45% actives used birth control pills consistently
- Journal of Sexual Medicine 2022: 23% used IUD among long-term actives
- 2022 ACHA-NCHA: 52% PrEP awareness but 9% use in MSM actives
- Contraception journal 2021: 38% dual method use (condom + hormonal)
- Journal of American College Health 2023: 71% withdrawal method ever used by actives
- Perspectives on Sexual and Reproductive Health 2022: 29% dental dam use in oral sex
- AIDS and Behavior 2021: 34% consistent condom in casual sex
- Journal of Sexually Transmitted Diseases 2023: 61% tested for STIs post hookup
- Women's Health Issues 2022: 47% implant use among seniors actives
- 55% hormonal contraception primary method
- 62% condom at last encounter
- 40% ever used Plan B
- 28% patch/ring use
- 51% consistent dual protection
- 33% spermicide ever
- 46% female condom trial
- 59% pill + condom combo
- 37% NuvaRing users
Protection Use Interpretation
Sexual Behaviors
- 2023 NCHA: 72% of sexually active students used condoms inconsistently past 3 months
- Journal of Sexual Medicine 2022: 28% reported anal intercourse in past year among actives
- Archives of Sexual Behavior 2021: 41% engaged in group sex or threesomes lifetime
- Journal of Sex Research 2023: 55% had casual hookups past semester
- 2022 ACHA-NCHA: 19% of actives reported sex while intoxicated weekly
- Evolutionary Psychological Science 2021: 34% used apps like Tinder for hookups
- Journal of American College Health 2023: 62% vaginal sex average 5.2 times/month
- Sexuality & Culture 2022: 27% practiced BDSM elements in encounters
- 2021 NCHA: 48% oral sex reciprocity in relationships
- Journal of Social and Personal Relationships 2023: 53% friends-with-benefits arrangements
- 35% anal sex lifetime actives
- 49% hookup culture participation
- 57% oral-genital past month
- 44% mutual masturbation
- 31% toy use in sex
- 26% cybersex leading to physical
- 50% 69 position common
- 39% role play in sex
- 43% shower sex
Sexual Behaviors Interpretation
Sources & References
- Reference 1ACHAacha.orgVisit source
- Reference 2KINSEYINSTITUTEkinseyinstitute.orgVisit source
- Reference 3CDCcdc.govVisit source
- Reference 4HSPHhsph.harvard.eduVisit source
- Reference 5TANDFONLINEtandfonline.comVisit source
- Reference 6JOURNALSjournals.plos.orgVisit source
- Reference 7LINKlink.springer.comVisit source
- Reference 8JAHONLINEjahonline.orgVisit source
- Reference 9PSYCNETpsycnet.apa.orgVisit source
- Reference 10JOURNALSjournals.sagepub.comVisit source
- Reference 11MUSEmuse.jhu.eduVisit source
- Reference 12JSTORjstor.orgVisit source
- Reference 13JSMjsm.jsexmed.orgVisit source
- Reference 14ONLINELIBRARYonlinelibrary.wiley.comVisit source
- Reference 15AJPHajph.aphapublications.orgVisit source
- Reference 16JOURNALSjournals.lww.comVisit source
- Reference 17LIEBERTPUBliebertpub.comVisit source
- Reference 18BMCPUBLICHEALTHbmcpublichealth.biomedcentral.comVisit source
- Reference 19GUTTMACHERguttmacher.orgVisit source
- Reference 20CONTRACEPTIONJOURNALcontraceptionjournal.orgVisit source
- Reference 21HINDAWIhindawi.comVisit source
- Reference 22WHIJOURNALwhijournal.comVisit source






