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Male and female participants were asked “Have you done any of the following?

” and presented with the following sexual behaviors: “A female gave me oral sex (gave me head)”; “A male gave me oral sex (gave me head)”; “I gave oral sex to a female (I gave head)”; “I gave oral sex to a male (I gave head)”; “I masturbated with another person”; “Someone put their penis in my anus (butt)”; and “I had vaginal intercourse (penis in vagina).” Male participants were also asked about the following: “I put my penis in someone's anus (butt).” In addition, participants were also asked if the indicated partnered sexual behaviors occurred during their most recent sexual experience (answering yes/no for each behavior).

Specifically, participants were presented with a list of sexual behaviors and asked “Have you done any of the following?

” The subsequent cue relevant to masturbation read “I masturbated alone (stimulated your body for sexual pleasure, whether or not you had an orgasm).” This item addressed specific time periods: past 3 months, past year, and lifetime.

Once the panels were established, adults within a panel received a recruitment message from Knowledge Networks providing a description of the NSSHB and an invitation to participate.

Individuals who agreed to participate were provided with computer hardware and access to the Internet, if needed.

In males, masturbation was associated with condom use, but in females it was not.Such understanding informs clinical approaches for addressing concerns about masturbation and demonstrates potentially important linkages between masturbation and other sexual health behaviors.Data were obtained from The National Survey of Sexual Health and Behavior (NSSHB), a population-based cross-sectional survey, to assess solo and partnered sexual behaviors conducted from March 2009 through May 2009 among adult and adolescent participants recruited via Knowledge Networks research panels (Menlo Park, California).Recent masturbation also increased with age in males: 67.6% of 17-year-olds reported masturbation in the past month, compared with 42.9% of 14-year-olds.In females, prior masturbation increased with age (58% at age 17 years compared with 43.3% at age 14 years), but recent masturbation did not.Knowledge Networks panels were established based on random-digit dialing methods and address-based sampling.

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