*Prof. Strauss and Prof. Kröger share last authorship; Department of Clinical Psychology, Psychotherapy and Diagnostics, Technical University at Brunswick; The Criminological Research Institute of Lower Saxony; Institute of Psychosocial Medicine and Psychotherapy, University Hospital, Friedrich-Schiller-University Jena; Institute of Psychology, University of Hildesheim.
Dtsch Arztebl Int. 2017 Aug 21;114(33-34):545-550. doi: 10.3238/arztebl.2017.0545.
There have not been any population-based surveys in Germany to date on the frequency of various types of sexual behavior. The topic is of interdisciplinary interest, particularly with respect to the prevention and treatment of sexually transmitted infections.
Within the context of a survey that dealt with multiple topics, information was obtained from 2524 persons about their sexual orientation, sexual practices, sexual contacts outside relationships, and contraception.
Most of the participating women (82%) and men (86%) described themselves as heterosexual. Most respondents (88%) said they had engaged in vaginal intercourse at least once, and approximately half said they had engaged in oral intercourse at least once (either actively or passively). 4% of the men and 17% of the women said they had been the receptive partner in anal intercourse at least once. 5% of the respondents said they had had unprotected sexual intercourse outside their primary partnership on a single occasion, and 8% said they had done so more than once; only 2% of these persons said they always used a condom during sexual intercourse with their primary partner. Among persons reporting unprotected intercourse outside their primary partnership, 25% said they had undergone a medical examination afterward because of concern about a possible sexually transmitted infection.
Among some groups of persons, routine sexual-medicine examinations may help contain the spread of sexually transmitted infections. One component of such examinations should be sensitive questioning about the types of sexual behavior that are associated with a high risk of infection. Information should be provided about the potential modes of transmission, including unprotected vaginal, oral, and anal intercourse outside the primary partnership.
目前德国还没有任何基于人群的调查来研究各种性行为的频率。这个话题具有跨学科的意义，特别是对于性传播感染的预防和治疗。
在一项涉及多个主题的调查中，我们从 2524 名参与者那里获得了有关他们的性取向、性行为、性关系之外的性接触和避孕措施的信息。
大多数参与调查的女性（82%）和男性（86%）描述自己为异性恋。大多数受访者（88%）表示他们至少有过一次性交，大约一半的人表示他们至少有过一次性交（主动或被动）。4%的男性和 17%的女性表示他们至少有过一次接受肛门性交的经历。5%的受访者表示他们曾经在单一性伴侣之外发生过无保护性行为，8%的人表示不止一次；只有 2%的人在与主要伴侣发生性行为时总是使用避孕套。在报告有过无保护性行为的人当中，25%的人因为担心可能感染性传播感染而在事后进行了医学检查。
在某些人群中，常规的性医学检查可能有助于控制性传播感染的传播。这些检查的一个组成部分应该是对与高感染风险相关的性行为类型进行敏感询问。应该提供有关潜在传播途径的信息，包括无保护的阴道、口腔和肛门性交，以及主要伴侣之外的性接触。
