

'Technical virginity' becomes part of teens' equation By Sharon Jayson, USA TODAY Ten years after Bill Clinton and Monica Lewinsky's relationship made oral sex a mainstream topic, there's still plenty of debate over whether oral sex is really sex. "There's not only confusion; there's fighting over it," says J. Dennis Fortenberry, a physician who specializes in adolescent medicine at the Indiana University School of Medicine. "People disagree fairly vehemently." The latest fuss is spurred by new federal data that found that more than half of 15- to 19-year-olds have received or given oral sex. Although the study by the Centers for Disease Control and Prevention did not ask the particulars of these encounters, research conducted in pre-Clinton times, along with more recent studies, suggests that teens largely fall on the "it's not sex" side. (Related story: Teens define sex in new ways) "Some adults say it is a form of sex, but kids don't really see it that way," says Natalie Fuller, 19, a sophomore at Orange Coast College in Costa Mesa, Calif. "For most teens, the only form of sex is penetration, and anything else doesn't count. You can have oral sex and be a virgin." Fuller was 16 when she, her brother and her mother co-wrote the book Promise You Won't Freak Out, which includes discussion of teen oral sex. The report released last month by the CDC shows that one-quarter of teens who have not had intercourse have had oral sex. The survey questions, administered via headphones and computer for maximum anonymity, clearly defined the actions to eliminate any ambiguity about the meaning of the term "oral sex." "The implications are that teens who define themselves as abstinent may be engaging in oral sex," says Jennifer Manlove, a senior research associate with the non-profit group Child Trends, which analyzed the federal data. Kyle Tarver, 17, a high school senior from Pikesville, Md., who was among an informal USA TODAY focus group of Maryland teenagers, says most teens who have had oral sex think of themselves as virgins. "If you were to ask someone if they were a virgin, they wouldn't include that they had given or gotten oral sex," he says. What students say sex means to them Opinions varied widely in a Kinsey Institute study of 599 college students from 29 states were asked: "Would you say you've had sex with someone if the first intimate behavior you engaged in was ..." Percentages who said yes for selected behaviors: Deep kissing



Women

2.9%



Men

1.4%



You touch person's genitals



Women

11.6%



Men

17.1% Person touches your genitals



Women

12.2%



Men

19.2% Oral contact with a person's genitals



Women

37.3%



Men

43.7% Oral contact with your genitals



Women

37.7%



Men

43.9% Intercourse



Women

99.7%



Men

99.2%



Source: Sanders, S.A. and Reinisch, J.M. (1999) "WOULD YOU SAY YOU HAD SEX IF?"; Journal of American Medical Association A study published in 1999 in the Journal of the American Medical Association examines the definition of sex based on a 1991 random sample of 599 college students from 29 states. Sixty percent said oral-genital contact did not constitute having sex. "That's the 'technical virginity' thing that's going on," says Stephanie Sanders, associate director of the Kinsey Institute for Research in Sex, Gender, and Reproduction at Indiana University and co-author of the study, which the researchers titled "Would You Say You 'Had Sex' If ...?" "There is not nearly as much conversation between two people and as much thought put into engaging in oral sex. That, in my mind, makes it a lot different," says Michael Levy, 17, a senior from Owings Mills, Md. What constitutes sex tends to be defined in a culture and varies with the times, Fortenberry says. "In certain times in the history of the world, certain kinds of kissing would be considered sex," he says. "Not too many years ago, a woman would have been considered a 'loose woman' if she kissed a person before marriage." But a new book from the Medical Institute for Sexual Health, an Austin-based non-profit that has worked for abstinence education with the Bush administration, doesn't waffle. In Questions Kids Ask About Sex, oral sex is clearly sex. "Sex occurs when one person touches another person's genitals and causes that person to get sexually excited," the book states. "A girl or boy who's had oral sex doesn't feel or think like a virgin anymore, because he or she has had a form of sex." Melissa Cox, who edited and contributed to the book, is a Denver-based medical writer who also edited a publication for Focus on the Family, an organization devoted to Christian family values. She says a medical panel for the institute determined that oral sex is sex because it places young people at risk for sexually transmitted diseases and infections, puts them at risk for long-term emotional harm and opens the door for other sexual activity. Not everyone agrees. "If you look at the information that they have, you might find it difficult to cite a basis for that, other than someone's opinion," says adolescent-medicine specialist Fortenberry. Teenagers say messages from the media make them feel that casual oral sex is normal and suggest that all teens are preoccupied with sex. "I feel like I see more commercials about casual sex than I do about how important it is to have a family and how important it is to be in a marriage instead of having sex with people from a bar," says Shanae Sheppard, a 17-year-old senior from Owings Mills, Md. Last week, the federal government announced $37 million in awards to 63 programs across the country aimed at encouraging young people to abstain from intercourse until marriage. But abstinence-only education may inadvertently reinforce the belief that oral sex isn't real sex, says John DeLamater, a sociology professor at the University of Wisconsin and editor of the Journal of Sex Research, a scholarly journal published by the Society for the Scientific Study of Sexuality. "We should be sending a message that sexual activity is much broader," he says. Because teens are focused on that narrow definition of sexual intercourse and the message is to postpone it until they are older, they tend to equate intercourse with adulthood, Tarver says. "Oral sex is not on a pedestal the way that regular sexual intercourse is," he says.