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Journal of American College Health Volume 71, 2023 - Issue 4
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Major Articles

Prevalence and characteristics of choking/strangulation during sex: Findings from a probability survey of undergraduate students

Debby Herbenicka Department of Applied Health Science, School of Public Health, Indiana University, Bloomington, Indiana, USA;b The Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, USACorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-0352-2248
, PhD, MPHORCID Icon,
Tsung-chieh Fua Department of Applied Health Science, School of Public Health, Indiana University, Bloomington, Indiana, USA;b The Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, USAORCID Iconhttps://orcid.org/0000-0003-2118-7225
, PhD, ScMORCID Icon,
Callie Pattersona Department of Applied Health Science, School of Public Health, Indiana University, Bloomington, Indiana, USA;b The Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, USA
, MA,
Yael R. Rosenstock Gonzaleza Department of Applied Health Science, School of Public Health, Indiana University, Bloomington, Indiana, USA;b The Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, USA
, MA,
Maya Luetkeb The Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, USA;c Department of Epidemiology and Biostatistics, School of Public Health, Indiana University, Bloomington, Indiana, USAORCID Iconhttps://orcid.org/0000-0001-6793-245X
, MSPHORCID Icon,
Dubravka Svetina Valdiviad Department of Counseling and Educational Psychology, School of Education, Indiana University, Bloomington, Indiana, USA
, PhD, MA,
Heather Eastman-Muellera Department of Applied Health Science, School of Public Health, Indiana University, Bloomington, Indiana, USA;b The Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, USA
, PhD,
Lucia Guerra-Reyesa Department of Applied Health Science, School of Public Health, Indiana University, Bloomington, Indiana, USA;b The Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, USAORCID Iconhttps://orcid.org/0000-0003-3300-0720
, PhD, MPH, MAORCID Icon &
Molly Rosenbergb The Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, USA;c Department of Epidemiology and Biostatistics, School of Public Health, Indiana University, Bloomington, Indiana, USAORCID Iconhttps://orcid.org/0000-0001-6679-6791
, PhD, MPHORCID Icon show all
Pages 1059-1073 | Received 03 Aug 2020, Accepted 18 Apr 2021, Published online: 09 Jul 2021
 
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Abstract

Objective

In a random sample of undergraduate students, we aimed to: (1) establish the prevalence of choking and being choked; (2) examine demographic and situational predictors of being choked, and (3) examine demographic and situational predictors of choking someone.

Participants: 4168 randomly sampled undergraduates at a large public U.S. university.

Methods: A cross-sectional, confidential online survey.

Results: We found that 26.5% of women, 6.6% of men, and 22.3% of transgender and gender non-binary participants reported having been choked during their most recent sexual event. Additionally, 5.7% of women, 24.8% of men, and 25.9% of transgender and non-binary participants reported that they choked their partner at their most recent event. Choking was more prevalent among sexual minority students.

Conclusions: Choking is prevalent among undergraduate students; implications for college sexual health education are discussed.

Acknowledgments

The authors are grateful to the Indiana University School of Public Health for their generous support of this research.

Conflict of interest disclosure

The authors have no conflicts of interest to report. The authors confirm that the research presented in this article met the ethical guidelines, including adherence to the legal requirements, of the United States of America and received approval from the Institutional Review Board of Indiana University.

Funding

No funding was used to support this research and/or the preparation of the manuscript.

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