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Journal of Sex & Marital Therapy Volume 48, 2022 - Issue 3
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Articles

Non-Fatal Strangulation/Choking During Sex and Its Associations with Mental Health: Findings from an Undergraduate Probability Survey

Debby Herbenicka Department of Applied Health Science, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA;b The Center for Sexual Health Promotion, Indiana University School of Public Health, Indiana University, Bloomington, IN, USACorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-0352-2248
ORCID Icon,
Tsung-chieh Fua Department of Applied Health Science, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA;b The Center for Sexual Health Promotion, Indiana University School of Public Health, Indiana University, Bloomington, IN, USAORCID Iconhttps://orcid.org/0000-0003-2118-7225
ORCID Icon,
Keisuke Kawatac Department of Kinesiology, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA;d Program in Neuroscience, Division of Clinical and Translational Neuroscience, College of Arts and Sciences, Indiana University, Bloomington, IN, USA
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Heather Eastman-Muellera Department of Applied Health Science, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA;b The Center for Sexual Health Promotion, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA
,
Lucia Guerra-Reyesa Department of Applied Health Science, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA;b The Center for Sexual Health Promotion, Indiana University School of Public Health, Indiana University, Bloomington, IN, USAORCID Iconhttps://orcid.org/0000-0003-3300-0720
ORCID Icon,
Molly Rosenbergb The Center for Sexual Health Promotion, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA;e Department of Epidemiology and Biostatistics, Indiana University School of Public Health, Indiana University, Bloomington, IN, USAORCID Iconhttps://orcid.org/0000-0001-6679-6791
ORCID Icon &
Dubravka Svetina Valdiviaf Department of Counseling and Educational Psychology, School of Education, Indiana University, Bloomington, IN, USA
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Pages 238-250 | Published online: 01 Oct 2021
 
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Abstract

Choking/strangulation during sex is prevalent among young adults in the United States. We examined associations between having ever been choked and participants’ current mental health symptoms (e.g., feeling depressed, anxious, sad, lonely) in the prior 30 days and in the prior year. Participants were 4352 randomly sampled undergraduates who completed a confidential online survey and reported lifetime partnered sexual activity. 33.6% of women and 6.0% of men reported having been choked more than five times. After adjusting for demographic characteristics, having been choked remained significantly associated with all four mental health outcomes, except for overwhelming anxiety among men.

Acknowledgment

We are grateful to the Indiana University School of Public Health for support of our research.

Disclosure statement

The authors report no conflict of interest.

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