Ever Had Sexual Intercourse
Nationwide, 41.2% of all students; 40.9% of heterosexual students; 50.8% of gay, lesbian, and bisexual students; and 31.6%
of not sure students had ever had sexual intercourse (Table 66).
The prevalence of having ever had sexual intercourse was higher among gay, lesbian, and bisexual students (50.8%) than heterosexual students (40.9%) and not sure students (31.6%).
Among female students, the prevalence was higher among lesbian and bisexual students (52.2%) than heterosexual students (38.2%) and not sure students (28.4%) and higher among heterosexual students (38.2%) than not sure students (28.4%).
The prevalence also was higher among heterosexual male students (43.3%) than heterosexual female students (38.2%).
Across 23 states, the prevalence of having ever had sexual intercourse ranged from 28.9% to 46.2% (median: 38.3%) among heterosexual students; from 37.5% to 65.1%
(median: 52.8%) among gay, lesbian, and bisexual students;
and from 15.7% to 45.6% (median: 28.6%) among not sure students. Across 19 large urban school districts, the prevalence ranged from 24.8% to 51.1% (median: 38.1%) among heterosexual students; from 37.6% to 61.0% (median: 51.8%) among gay, lesbian, and bisexual students; and from 14.8% to 55.3% (median: 27.2%) among not sure students.
Nationwide, 78.5% of students who had sexual contact with only the opposite sex and 72.4% of students who had sexual contact with only the same sex or with both sexes had ever had sexual intercourse (students who had no sexual contact are excluded from these analyses). The prevalence of having ever had sexual intercourse was higher among students who had sexual contact with only the opposite sex (78.5%) than students who had sexual contact with only the same sex or with both sexes (72.4%). Among female students, the prevalence was higher among those who had sexual contact with only males (78.7%) than those who had sexual contact with only females or with both sexes (68.8%). The prevalence also was higher among male students who had sexual contact with only males or with both sexes (83.5%) than female students who had sexual contact with only females or with both sexes (68.8%).
Across 21 states, the prevalence of having ever had sexual intercourse ranged from 68.2% to 99.6% (median: 77.0%) among students who had sexual contact with only the opposite sex and from 66.0% to 98.6% (median: 77.8%) among students who had sexual contact with only the same sex or with both sexes. Across 19 large urban school districts, the prevalence ranged from 66.5% to 88.5% (median: 79.5%)
among students who had sexual contact with only the opposite sex and from 49.5% to 83.2% (median: 73.9%) among students who had sexual contact with only the same sex or with both sexes.
Had First Sexual Intercourse Before Age 13 Years Nationwide, 3.9% of all students; 3.4% of heterosexual students; 7.3% of gay, lesbian, and bisexual students; and 8.8% of not sure students had had sexual intercourse for the first time before age 13 years (Table 67). The prevalence of having had sexual intercourse before age 13 years was higher among gay, lesbian, and bisexual students (7.3%) and not sure students (8.8%) than heterosexual students (3.4%). Among female students, the prevalence was higher among lesbian and bisexual students (6.4%) and not sure students (4.6%) than heterosexual students (1.6%). Among male students, the prevalence was higher among not sure students (15.2%) than heterosexual students (5.1%). The prevalence also was higher among heterosexual male students (5.1%) than heterosexual female students (1.6%) and higher among not sure male students (15.2%) than not sure female students (4.6%).
Across 25 states, the prevalence of having had sexual intercourse before age 13 years ranged from 2.1% to 6.1%
(median: 2.7%) among heterosexual students; from 3.0%
to 14.3% (median: 7.9%) among gay, lesbian, and bisexual students; and from 3.1% to 14.3% (median: 9.2%) among not sure students. Across 19 large urban school districts, the prevalence ranged from 2.1% to 12.6% (median: 5.2%) among heterosexual students; from 2.6% to 14.9% (median: 8.6%) among gay, lesbian, and bisexual students; and from 0.0% to 18.7% (median: 5.8%) among not sure students.
Nationwide, 6.4% of students who had sexual contact with only the opposite sex and 14.9% of students who had sexual contact with only the same sex or with both sexes had sexual intercourse for the first time before age 13 years (students who had no sexual contact are excluded from these analyses).
The prevalence of having had sexual intercourse before age 13 years was higher among students who had sexual contact with only the same sex or with both sexes (14.9%) than students who had sexual contact with only the opposite sex (6.4%). Among female students, the prevalence was higher among those who had sexual contact with only females or with both sexes (11.1%) than those who had sexual contact with only males (3.0%). Among male students, the prevalence was higher among those who had sexual contact with only males or with both sexes (26.6%) than those who had sexual contact with only females (9.1%). The prevalence also was higher among male students who had sexual contact with only females (9.1%) than female students who had sexual contact with only males (3.0%) and higher among male students who
had sexual contact with only males or with both sexes (26.6%) than female students who had sexual contact with only females or with both sexes (11.1%).
Across 23 states, the prevalence of having had sexual intercourse before age 13 years ranged from 4.2% to 13.4%
(median: 5.7%) among students who had sexual contact with only the opposite sex and from 5.8% to 23.0%
(median: 15.7%) among students who had sexual contact with only the same sex or with both sexes. Across 19 large urban school districts, the prevalence ranged from 6.8% to 23.0% (median: 10.5%) among students who had sexual contact with only the opposite sex and from 7.2% to 23.1%
(median: 13.5%) among students who had sexual contact with only the same sex or with both sexes.
Had Sexual Intercourse with Four or More Persons During Their Life
Nationwide, 11.5% of all students; 11.2% of heterosexual students; 14.7% of gay, lesbian, and bisexual students;
and 12.9% of not sure students had had sexual intercourse with four or more persons during their life (Table 68). The prevalence of having had sexual intercourse with four or more persons was higher among gay, lesbian, and bisexual students (14.7%) than heterosexual students (11.2%). Among female students, the prevalence was higher among lesbian and bisexual students (15.5%) than heterosexual students (7.9%) and not sure students (7.8%). The prevalence also was higher among heterosexual male students (14.1%) than heterosexual female students (7.9%) and higher among not sure male students (20.9%) than not sure female students (7.8%).
Across 24 states, the prevalence of having had sexual intercourse with four or more persons ranged from 5.7% to 15.8% (median: 8.9%) among heterosexual students; from 9.0% to 25.3% (median: 15.9%) among gay, lesbian, and bisexual students; and from 5.4% to 25.5% (median: 11.7%) among not sure students. Across 18 large urban school districts, the prevalence ranged from 5.6% to 18.8%
(median: 10.8%) among heterosexual students; from 5.4%
to 24.3% (median: 13.3%) among gay, lesbian, and bisexual students; and from 4.9% to 20.9% (median: 9.1%) among not sure students.
Nationwide, 20.9% of students who had sexual contact with only the opposite sex and 28.3% of students who had sexual contact with only the same sex or with both sexes had had sexual intercourse with four or more persons (students who had no sexual contact are excluded from these analyses).
The prevalence of having had sexual intercourse with four or more persons was higher among students who had sexual contact with only the same sex or with both sexes (28.3%) than students who had sexual contact with only the opposite sex
(20.9%). Among female students, the prevalence was higher among those who had sexual contact with only females or with both sexes (26.7%) than those who had sexual contact with only males (15.3%). The prevalence also was higher among male students who had sexual contact with only females (25.4%) than female students who had sexual contact with only males (15.3%).
Across 23 states, the prevalence of having had sexual intercourse with four or more persons ranged from 11.4%
to 28.6% (median: 17.5%) among students who had sexual contact with only the opposite sex and from 18.4% to 40.4%
(median: 28.5%) among students who had sexual contact with only the same sex or with both sexes. Across 18 large urban school districts, the prevalence ranged from 13.5%
to 32.7% (median: 21.7%) among students who had sexual contact with only the opposite sex and from 11.2% to 35.8%
(median: 24.8%) among students who had sexual contact with only the same sex or with both sexes.
Currently Sexually Active
Nationwide, 30.1% of all students; 30.1% of heterosexual students; 35.1% of gay, lesbian, and bisexual students; and 22.9% of not sure students had had sexual intercourse with at least one person during the 3 months before the survey (i.e., currently sexually active) (Table 69). The prevalence of being currently sexually active was higher among gay, lesbian, and bisexual students (35.1%) than heterosexual students (30.1%) and not sure students (22.9%) and higher among heterosexual students (30.1%) than not sure students (22.9%). Among female students, the prevalence was higher among lesbian and bisexual students (36.3%) than heterosexual students (29.7%) and not sure students (18.1%) and higher among heterosexual students (29.7%) than not sure students (18.1%).
The prevalence also was higher among not sure male students (30.7%) than not sure female students (18.1%).
Across 25 states, the prevalence of being currently sexually active ranged from 21.4% to 34.5% (median: 28.0%) among heterosexual students; from 27.9% to 51.0% (median: 36.5%) among gay, lesbian, and bisexual students; and from 9.7% to 28.7% (median: 21.6%) among not sure students. Across 19 large urban school districts, the prevalence ranged from 17.8%
to 36.6% (median: 26.0%) among heterosexual students; from 23.2% to 46.3% (median: 33.0%) among gay, lesbian, and bisexual students; and from 8.6% to 36.6% (median: 16.6%) among not sure students.
Nationwide, 57.6% of students who had sexual contact with only the opposite sex and 51.9% of students who had sexual contact with only the same sex or with both sexes were currently sexually active (students who had no sexual contact are excluded from these analyses). The prevalence of being
currently sexually active was higher among students who had sexual contact with only the opposite sex (57.6%) than students who had sexual contact with only the same sex or with both sexes (51.9%). Among female students, the prevalence was higher among those who had sexual contact with only males (60.6%) than those who had sexual contact with only females or with both sexes (49.7%). The prevalence also was higher among female students who had sexual contact with only males (60.6%) than male students who had sexual contact with only females (55.3%).
Across 23 states, the prevalence of being currently sexually active ranged from 48.6% to 71.1% (median: 55.7%) among students who had sexual contact with only the opposite sex and from 43.4% to 73.2% (median: 55.2%) among students who had sexual contact with only the same sex or with both sexes.
Across 19 large urban school districts, the prevalence ranged from 45.5% to 64.6% (median: 53.5%) among students who had sexual contact with only the opposite sex and from 32.0%
to 62.7% (median: 50.6%) among students who had sexual contact with only the same sex or with both sexes.
Condom Use
Among the currently sexually active students nationwide, 56.9% of all those students; 57.8% of the heterosexual students; 47.5% of the gay, lesbian, and bisexual students; and 52.2% of the not sure students reported that either they or their partner had used a condom during last sexual intercourse (Table 70). The prevalence of having used a condom during last sexual intercourse was higher among heterosexual students (57.8%) than gay, lesbian, or bisexual students (47.5%). The prevalence also was higher among heterosexual male students (62.3%) than heterosexual female students (52.5%).
Across 25 states, the prevalence of having used a condom during last sexual intercourse ranged from 49.4% to 64.9%
(median: 59.9%) among heterosexual students; from 25.7%
to 72.4% (median: 39.1%) among gay, lesbian, and bisexual students; and from 32.2% to 52.6% (median: 45.0%) among not sure students. Across 19 large urban school districts, the prevalence ranged from 55.5% to 71.5% (median: 63.3%) among heterosexual students and from 25.2% to 57.2%
(median: 48.5%) among gay, lesbian, and bisexual students. The range and median are not available for not sure students because less than five large urban school districts had enough students in this subgroup for this variable to produce stable estimates.
Among the currently sexually active students nationwide, 58.3% of the students who had sexual contact with only the opposite sex and 44.7% of the male students who had sexual contact with only males and the male and female students who had sexual contact with both sexes had used a condom at last sexual intercourse (male and female students who had no
sexual contact and female students who had sexual contact with only females are excluded from these analyses). The prevalence of having used a condom during last sexual intercourse was higher among students who had sexual contact with only the opposite sex (58.3%) than male students who had sexual contact with only males and male and female students who had sexual contact with both sexes (44.7%). Among female students, the prevalence was higher among those who had sexual contact with only males (54.0%) than those who had sexual contact with both sexes (41.8%). The prevalence also was higher among male students who had sexual contact with only females (62.1%) than female students who had sexual contact with only males (54.0%).
Across 23 states, the prevalence of having used a condom during last sexual intercourse ranged from 50.7% to 65.4%
(median: 59.2%) among students who had sexual contact with only the opposite sex and from 22.8% to 55.5%
(median: 40.7%) among male students who had sexual contact with only males and male and female students who had sexual contact with both sexes. Across 19 large urban school districts, the prevalence ranged from 55.9% to 70.6% (median: 63.8%) among students who had sexual contact with only the opposite sex and from 25.8% to 57.0% (median: 46.2%) among male students who had sexual contact with only males and male and female students who had sexual contact with both sexes.
Birth Control Pill Use
Among the currently sexually active students nationwide, 18.2% of all those students; 18.7% of the heterosexual students;
14.8% of the gay, lesbian, and bisexual students; and 10.9%
of the not sure students reported that either they or their partner had used birth control pills to prevent pregnancy before last sexual intercourse (Table 71). Among female students, the prevalence of having used birth control pills before last sexual intercourse was higher among heterosexual students (22.1%) than lesbian and bisexual students (16.8%). Among male students, the prevalence was higher among heterosexual students (15.8%) than gay and bisexual students (8.2%) and not sure students (4.9%). The prevalence also was higher among heterosexual female students (22.1%) than heterosexual male students (15.8%) and higher among lesbian and bisexual female students (16.8%) than gay and bisexual male students (8.2%).
Across 24 states, the prevalence of having used birth control pills before last sexual intercourse ranged from 12.9% to 36.3%
(median: 21.9%) among heterosexual students; from 4.4%
to 25.4% (median: 13.4%) among gay, lesbian, and bisexual students; and from 11.5% to 27.8% (median: 17.6%) among not sure students. Across 18 large urban school districts, the prevalence ranged from 6.9% to 18.0% (median: 11.9%) among heterosexual students and from 1.2% to 27.1%
(median: 9.9%) among gay, lesbian, and bisexual students. The range and median are not available for not sure students because less than five large urban school districts had enough students in this subgroup for this variable to produce stable estimates.
Among the currently sexually active students nationwide, 18.6% of the students who had sexual contact with only the opposite sex and 18.6% of the students who had sexual contact with both sexes had used birth control pills before last sexual intercourse (students who had no sexual contact and students who had sexual contact with only the same sex are excluded from these analyses). Among male students, the prevalence of having used birth control pills before last sexual intercourse was higher among those who had sexual contact with only females (15.9%) than those who had sexual contact with both sexes (7.3%). The prevalence also was higher among female students who had sexual contact with only males (21.7%) than male students who had sexual contact with only females (15.9%) and higher among female students who had sexual contact with both sexes (21.4%) than male students who had sexual contact with both sexes (7.3%).
Across 23 states, the prevalence of having used birth control pills before last sexual intercourse ranged from 12.9% to 35.9% (median: 20.3%) among students who had sexual contact with only the opposite sex and from 3.2% to 32.3%
(median: 17.8%) among students who had sexual contact with both sexes. Across 18 large urban school districts, the prevalence ranged from 6.4% to 17.5% (median: 11.9%) among students who had sexual contact with only the opposite sex and from 1.7% to 35.7% (median: 12.1%) among students who had sexual contact with both sexes.
IUD or Implant Use
Among the currently sexually active students nationwide, 3.3% of all those students; 3.1% of the heterosexual students;
3.7% of the gay, lesbian, and bisexual students; and 7.0% of the not sure students reported that either they or their partner had used an IUD (such as Mirena or ParaGard) or implant (such as Implanon or Nexplanon) to prevent pregnancy before last sexual intercourse (Table 72). The prevalence of having used an IUD or implant before last sexual intercourse was higher among heterosexual female students (4.2%) than heterosexual male students (2.1%).
Across 24 states, the prevalence of having used an IUD or implant before last sexual intercourse ranged from 1.0% to 6.4% (median: 3.3%) among heterosexual students; from 0.0%
to 10.2% (median: 4.2%) among gay, lesbian, and bisexual students; and from 0.4% to 6.9% (median: 3.6%) among not sure students. Across 18 large urban school districts, the prevalence ranged from 0.5% to 17.9% (median: 1.8%) among heterosexual students and from 0.0% to 15.2% (median: 3.3%)
among gay, lesbian, and bisexual students. The range and median are not available for not sure students because less than five large urban school districts had enough students in this subgroup for this variable to produce stable estimates.
Among the currently sexually active students nationwide, 3.0% of the students who had sexual contact with only the opposite sex and 6.5% of the students who had sexual contact with both sexes had used an IUD or implant before last sexual intercourse (students who had no sexual contact and students who had sexual contact with only the same sex are excluded from these analyses). The prevalence of having used an IUD or implant before last sexual intercourse was higher among female students who had sexual contact with only males (4.0%) than male students who had sexual contact with only females (2.2%).
Across 23 states, the prevalence of having used an IUD or implant before last sexual intercourse ranged from 1.0%
to 6.3% (median: 3.2%) among students who had sexual contact with only the opposite sex and from 0.0% to 13.5%
(median: 3.3%) among students who had sexual contact with both sexes. Across 18 large urban school districts, the prevalence ranged from 0.5% to 16.4% (median: 1.8%) among students who had sexual contact with only the opposite sex and from 0.0% to 27.9% (median: 3.1%) among students who had sexual contact with both sexes.
Shot, Patch, or Birth Control Ring Use
Among the currently sexually active students nationwide, 5.3% of all those students; 5.3% of the heterosexual students;
5.8% of the gay, lesbian, and bisexual students; and 6.5% of the not sure students reported that either they or their partner had used a shot (such as Depo-Provera), patch (such as OrthoEvra), or birth control ring (such as NuvaRing) to prevent pregnancy before last sexual intercourse (Table 73). Among male students, the prevalence of having used a shot, patch, or birth control ring before last sexual intercourse was higher among heterosexual students (2.9%) than gay or bisexual students (0.3%). The prevalence also was higher among heterosexual female students (8.0%) than heterosexual male students (2.9%) and higher among lesbian and bisexual female students (7.4%) than gay and bisexual male students (0.3%).
Across 24 states, the prevalence of having used a shot, patch, or birth control ring before last sexual intercourse ranged from 1.5% to 9.5% (median: 5.0%) among heterosexual students;
from 1.4% to 14.6% (median: 6.3%) among gay, lesbian, and bisexual students; and from 0.0% to 9.8% (median: 3.8%) among not sure students. Across 18 large urban school districts, the prevalence ranged from 1.0% to 11.4% (median: 4.5%) among heterosexual students and from 0.0% to 8.4%
(median: 3.4%) among gay, lesbian, and bisexual students. The range and median are not available for not sure students because
less than five large urban school districts had enough students in this subgroup for this variable to produce stable estimates.
Among the currently sexually active students nationwide, 5.4% of the students who had sexual contact with only the opposite sex and 5.8% of the students who had sexual contact with both sexes had used a shot, patch, or birth control ring before last sexual intercourse (students who had no sexual contact and students who had sexual contact with only the same sex are excluded from these analyses). The prevalence of having used a shot, patch, or birth control ring before last
Among the currently sexually active students nationwide, 5.4% of the students who had sexual contact with only the opposite sex and 5.8% of the students who had sexual contact with both sexes had used a shot, patch, or birth control ring before last sexual intercourse (students who had no sexual contact and students who had sexual contact with only the same sex are excluded from these analyses). The prevalence of having used a shot, patch, or birth control ring before last