Frequency, Method, Intensity, and Health Sequelae of Sexual Choking Among U.S. Undergraduate and Graduate Students - PubMed (original) (raw)

Frequency, Method, Intensity, and Health Sequelae of Sexual Choking Among U.S. Undergraduate and Graduate Students

Debby Herbenick et al. Arch Sex Behav. 2022 Aug.

Abstract

Although sexual choking is now prevalent, little is known about how people engage in choking in terms of frequency, intensity, method, or potential health sequelae. In a campus-representative survey of undergraduate and graduate students, we aimed to: (1) describe the prevalence of ever having choked/been choked as part of sex; (2) examine the characteristics of choking one's sexual partners (e.g., age at first experience, number of partners, frequency, intensity, method); (3) examine the characteristics of having been choked during sex; and (4) assess immediate responses of having been choked including the extent to which frequency and method (e.g., hand, ligature, limb) of having been choked predicts the range of responses endorsed by participants. A total of 4254 randomly sampled students (2668 undergraduate, 1576 graduate) completed a confidential online survey during Spring 2021. The mean age of first choking/being choked was about 19, with more undergraduates than graduate students reporting first choking/being choked in adolescence. Women and transgender/gender non-binary participants were significantly more likely to have been choked than men. Participants more often reported the use of hands compared to limbs or ligature. Common responses to being choked were pleasurable sensations/euphoria (81.7%), a head rush (43.8%), feeling like they could not breathe (43.0%), difficulty swallowing (38.9%), unable to speak (37.6%), and watery eyes (37.2%). About 15% had noticed neck bruising and 3% had lost consciousness from being choked. Greater frequency and intensity of being choked was associated with reports of more physical responses as was use of limb (arm, leg) or ligature.

Keywords: BDSM; Choking during sex; Manual strangulation; Non-fatal strangulation; Sexual behavior.

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Conflict of interest statement

All authors declare that they have no conflict of interest.

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References

    1. American College Health Association. (2020). American College Health Association-National College Health Assessment II: Undergraduate Student Reference Group Executive Summary Spring. Retrieved on July 13, 2021 from: https://www.acha.org/NCHA/ACHA-NCHA_Data/Publications_and_Reports/NCHA/D...
    1. Armstrong M, Strack GB. Recognition and documentation of strangulation crimes: A review. JAMA Otolaryngology-Head & Neck Surgery. 2016;142(9):891–897. doi: 10.1001/jamaoto.2016.0293. - DOI - PubMed
    1. Attrino, A.G. (2019). Killer strangled her and posted pic on Snapchat before calling for help, officials allege. NJ.com,https://www.nj.com/bergen/2019/11/killer-strangled-her-and-posted-pic-on...
    1. Baxendale E, Roche K, Stephens S. An examination of autoerotic asphyxiation in a community sample. Canadian Journal of Human Sexuality. 2019;28(3):292–303. doi: 10.3138/cjhs.2018-0047. - DOI
    1. Bay-Cheng LY. Agency is everywhere, but agency is not enough: A conceptual analysis of young women’s sexual agency. Journal of Sex Research. 2019;56(4–5):462–474. doi: 10.1080/00224499.2019.1578330. - DOI - PubMed

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