First experiences of sexual intercourse were examined among university students. Participants completed a questionnaire regarding their sexual behavior and reaction to first sex. In the first paper, sexual health indicators were reported, such as age at first intercourse, contraception and protection against sexually transmitted infections (STI), and rates of STI and pregnancy as a result of first sex. In the second paper, gender similarities and differences were explored on reported aspects of first sex within a social constructionist framework. The third paper is a poster, which was presented at the 9th European Society of Contraception Seminar in 2007, and highlights gender differences in emotional reaction to first sex. Results indicate a relatively positive view of sexual behavior and a possible convergence of social scripts for men and women. However, gender differences still occur for affective reactions to first intercourse. Overall, results reflect the dominant cultural and political climate within Canada. / Counselling Psychology

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This dissertation presents three separate studies examining the effects of an individual's emotional response to their sexual initiation and their current feelings of sexual guilt. First, a systematic review of the literature is presented. From this review it was shown that previous research has found that an individual's response to his/her FSI experience has the potential to lead to later negative mental, physical and sexual health outcomes. However, limitations existed among and between studies. It was determined that a new measure of FSI emotional response was needed to minimize the limitations of previous measures which can be used consistently in future research. Criteria for such a measure are discussed. Second a new measure of an individual emotional response to his/her sexual initiation experience was constructed using the conclusions of the previous review of the literature. The validity of this measure was examined among a mixed gender sample of participants, asking participants to rate emotions currently and at the time of the event, using more sophisticated statistical analyses than previous research. Results provided evidence for the appropriateness of the measure as well as support for utilizing both time periods of questioning. It was found that individuals were able to make a distinction between these two time periods, providing separate and distinct factor structures. Implications of these results are discussed. Finally, utilizing the newly constructed measure, a structural equation model was created to examine the relationship between FSI emotional response and current sexual guilt. An individual's emotional response to his/her sexual initiation experience was found to be associated with his/her current degree of sexual guilt. Despite previous research suggesting the importance of the individual's age at the time of the sexual initiation event, it was found in the current study that this FSI emotional response was more strongly related to sexual guilt than age at FSI. The results highlight important relationships that must be further explored to better understand how youth and young adults respond to their sexual initiation and how this impacts their later sexual, physical, and mental health.

Syfte: Att undersöka sexualvanor och alkohol- eller drogintag vid samlag bland unga män i Sverige samt se om det finns några skillnader mellan svenska män (n=170) och utlandsfödda män (n=20) i dessa frågor. Syftet var även att undersöka hur det första samlaget upplevdes. Metod: Män i åldern 15-29 (n=190) som besökte RFSU-kliniken i Stockholm under en viss period tillfrågades om deltagande i en enkätundersökning. Resultat: Totalt 81,3% (n=154) av deltagarna hade haft sex utan att använda kondom vid samlag med ny partner under de senaste 12 månaderna. Det fanns inga skillnader mellan svenska och utländska mäns sexualvanor och alkoholintag vid samlag. Över hälften av deltagarna hade inte druckit någon alkohol vid första samlaget (n=111) eller senaste samlaget (n=117), men 64,8% ansåg att de någongång hade haft samlag under alkoholpåverkan som de sedan ångrat. Slutsats: Vid sexdebuten var 59% (n=111) av deltagarna nyktra och partnern var något äldre. Få av deltagarna var påverkade av droger/alkohol i samband med samlag. Av männen hade 50,6 % (n=96) varit tillsammans med sin partner mindre än en vecka vid sin sexdebut, vilket kan innebära att antalet ”one-night stands” har ökat. De flesta deltagarna upplevde de samlag de haft som ganska bra. Inga skillnader mellan svenska och utländska män påvisades. / Aim: To investigate sexual behavior and alcohol or drug use during sexual intercourse among young men in Sweden and see if there are any differences between Swedish and foreign-born men. The aim was also to examine how the first intercourse was experienced. Method: Men aged 15-29 who visited the RFSU Clinic in Stockholm during a certain period were asked about participation in a survey. Results: 81, 3% (n=154) of the participants had had sex without using condom during sexual intercourse with a new partner during the past 12 months. There were no differences between Swedish men´s and foreign-born men’s sexual habits and alcohol intake during intercourse. Over half of the participants had not drunk any alcohol for the first intercource (n=111) or last intercourse (n=117), but 64, 8 % believed they had ever had intercourse in the influence of alcohol which they later regretted. Conclusion: At the sexual debut 59% (n=111) of the participants were sober and the partner was slightly older. Few of the participants were influenced of drugs/alcohol when they had sex. Of the men, 50,6 (n=96) had been with their partner less than a week at their sexual debut, which may mean that the number of “one-night stands” has increased. The participants felt that the sex they have had was pretty good. No differences between Swedish and foreign men were found.

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