Abstract
The primary objective of this cross-sectional study was to examine the associations of self-reported health, happiness, marital happiness, frequency of sexual activity, and number of partners from a multinational survey of individuals who are consensually non-monogamous (CNM) or open to being CNM, completed in 2012 with 4062 respondents. We compared data from this survey with the 2010–2014 US General Social Surveys (GSS). This study explored these variables and their predictors by gender (including 612 non-binary-gendered CNM individuals), marital status, number of partners, sexual frequency, age, education, and income and were broken down by behavioral sexual orientation, marital status, and other relevant categories. Respondents in our CNM sample generally reported being as healthy (sometimes healthier; e.g., all respondents M–W Z = 7.66, p < .001, η2 = 0.007), happy (frequently happier; e.g., multiple-partnered Z = 15.43, p < .001, η2 = 0.069), happy in their marriages (in some cases happier; e.g., multiple-partnered females Z = 2.61, p = .009, η2 = 0.067), and reported having more frequent sexual activity (e.g., all Z = 29.54, p < .001, η2 = 0.094) with more partners (e.g., all Z = 60.75, p < .001, η2 = 0.393) compared to corresponding individuals within the GSS. This study contributes to knowledge about commonalities and differences between the general population and those who are CNM regarding health, happiness, and happiness in marriage, including differences in optimal number of sexual partners and sexual frequency.
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Notes
For example, in another CNM data set from 2000, actual partner numbers were provided for up to 99 partners in the past year. Those who had 99 or more partners in the past year were coded as 99. The average (mean) of the range for 11–20 partners in that data set was 14.75. The mean of the range for 21–100, excluding 99 was 27.89.
References
Anderson, R. M. (2013). Positive sexuality and its impact on overall well-being. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 56(2), 208–214. https://doi.org/10.1007/s00103-012-1607-z
Barash, D. P., & Lipton, J. E. (2001). The myth of monogamy: Fidelity and infidelity in animals and people. W. H. Freeman and Co. http://www.loc.gov/catdir/bios/hol056/2001023209.html
Barker, M. J. (2005). This is my partner, and this is my … partner’s partner: Constructing a polyamorous identity in a monogamous world. Journal of Constructivist Psychology, 18(1), 75–88. https://doi.org/10.1080/10720530590523107
Bartels, A., & Zeki, S. (2004). The neural correlates of maternal and romantic love. NeuroImage, 21(3), 1155–1166. https://doi.org/10.1016/j.neuroimage.2003.11.003
Benyamini, Y. (2011). Why does self-rated health predict mortality? An update on current knowledge and a research agenda for psychologists. Psychology and Health, 26(11), 1407–1413.
Blanchflower, D. G., & Oswald, A. J. (2004). Money, sex and happiness: An empirical study. Scandanavian Journal of Economics, 106(3), 393–415. https://doi.org/10.1111/j.1467-9442.2004.00369.x
Blanchflower, D. G., & Oswald, A. J. (2008). Is well-being U-shaped over the life cycle? Social Science and Medicine, 66(8), 1733–1749. https://doi.org/10.1016/j.socscimed.2008.01.030
Bove, A. (2017). Meta, more or less? Widener University.
Brown, G. R., Laland, K. N., & Mulder, M. B. (2009). Bateman’s principles and human sex roles. Trends in Ecology and Evolution, 24(6–14), 297–304. https://doi.org/10.1016/j.tree.2009.02.005
Brown, G. R., Laland, K. N., & Mulder, M. B. (2013). Erratum to “Bateman’s Ppinciples and human sex roles.” Trends in Ecology and Evolution, 28(10), 622. https://doi.org/10.1016/j.tree.2013.08.002
Carter, C. S. (1998). Neuroendocrine perspectives on social attachment and love. Psychoneuroendocrinology, 23(8), 779–818. https://doi.org/10.1016/S0306-4530(98)00055-9
Chapais, B. (2013). Monogamy, strongly bonded groups, and the evolution of human social structure. Evolionary Anthropology, 22(2), 52–65. https://doi.org/10.1002/evan.21345
Charnetski, C. J., & Brennan, F. X. (2004). Sexual frequency and salivary immunoglobulin A (IgA). Psychological Reports, 94(3 Pt 1), 839–844. https://doi.org/10.2466/pr0.94.3.839-844
Cheng, Z., & Smyth, R. (2015). Sex and happiness. Journal of Economic Behavior and Organization, 112, 26–32. https://doi.org/10.1016/j.jebo.2014.12.030
Clay, Z., & de Waal, F. B. M. (2015). Sex and strife: Post-conflict sexual contacts in Bonobos. Behaviour, 152(3–4), 313–334. https://doi.org/10.1163/1568539X-00003155
Collins, P. H. (1995). The social construction of black feminist thought. In B. Guy-Sheftall (Ed.), Words of fire: An anthology of African-American feminist thought (pp. 338–357). New Press.
Conley, T. D., Matsick, J. L., Moors, A. C., & Ziegler, A. (2017). Investigation of consensually nonmonogamous relationships: Theories, methods, and new directions. Perspectives on Psychological Science, 12(2), 205–232. https://doi.org/10.1177/1745691616667925
Conley, T. D., Matsick, J. L., Moors, A. C., Ziegler, A., & Rubin, J. D. (2015). Re-examining the effectiveness of monogamy as an Sti-preventive strategy. Preventive Medicine, 78, 23–28. https://doi.org/10.1016/j.ypmed.2015.06.006
Conley, T. D., Moors, A. C., Matsick, J. L., & Ziegler, A. (2011). [Prevalence of consensual non-monogamy in general samples]. Unpublished raw data.
Conley, T. D., Moors, A. C., Matsick, J. L., & Ziegler, A. (2013a). The fewer the merrier?: Assessing stigma surrounding consensually non-monogamous romantic relationships. Analyses of Social Issues and Public Policy, 13, 1–30. https://doi.org/10.1111/j.1530-2415.2012.01286.x
Conley, T. D., Moors, A. C., Ziegler, A., & Karathanasis, C. (2012). Unfaithful individuals are less likely to practice safer sex than openly nonmonogamous individuals. Journal of Sexual Medicine, 9(6), 1559–1565. https://doi.org/10.1111/j.1743-6109.2012.02712.x
Conley, T. D., Moors, A. C., Ziegler, A., Matsick, J. L., & Rubin, J. D. (2013b). Condom use errors among sexually unfaithful and consensually nonmonogamous individuals. Sexual Health, 10(5), 463–464. https://doi.org/10.1071/sh12194
Conley, T. D., Piemonte, J. L., Gusakova, S., & Rubin, J. D. (2018). Sexual satisfaction among individuals in monogamous and consensually non-monogamous relationships. Journal of Social and Personal Relationships, 35(4), 509–531. https://doi.org/10.1177/0265407517743078
Conley, T. D., Ziegler, A., Moors, A. C., Matsick, J. L., & Valentine, B. (2013c). A critical examination of popular assumptions about the benefits and outcomes of monogamous relationships. Personality and Social Psychology Review, 17(2), 124–141. https://doi.org/10.1177/1088868312467087
Copen, C. E., Chandra, A., & Febo-Vazquez, I. (2016). Sexual behavior, sexual attraction, and sexual orientation among adults aged 18–44 in the United States: Data from the 2011–2013 National Survey of Family Growth. National Health Statistics Report, 88, 1–14.
Cox, D. W. (2016). Exploring the health of consensually non-monogamous individuals: A mixed methods approach. Unpublished doctoral dissertation, University of Oklahoma, Norman, OK. https://shareok.org/handle/11244/47030
Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: a black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. University of Chicago Legal Forum, 1989, 139–167.
Crocker, W. H., & Crocker, J. (1994). The Canela: Bonding through kinship, ritual, and sex. Harcourt Brace College Publishers.
de Waal, F. B. M. (1995). Bonobo sex and society. Scientific American Mind, 20(3), 4.
DeLamater, J. D. (2012). Sexual expression in later life: A review and synthesis. Journal of Sex Research, 49(2/3), 125–141.
Dixson, A. F. (2012). Primate sexuality: Comparative studies of the prosimians, monkeys, apes, and humans (2nd ed.). Oxford University Press.
Ebrahim, S., May, M., Shlomo, Y. B., McCarron, P., Frankel, S., Yarnell, J., & Smith, G. D. (2002). Sexual intercourse and risk of ischaemic stroke and coronary heart disease: The Caerphilly Study. Journal of Epidemiology and Community Health, 56(2), 99–102.
Fairbrother, N., Hart, T. A., & Fairbrother, M. (2019). Open relationship prevalence, characteristics, and correlates in a nationally representative sample of Canadian adults. Journal of Sex Research, 56, 695–704. https://doi.org/10.1080/00224499.2019.1580667
Fallis, E. E., Rehman, U. S., Woody, E. Z., & Purdon, C. (2016). The longitudinal association of relationship satisfaction and sexual satisfaction in long-term relationships. Journal of Family Psychology, 30(7), 822–831. https://doi.org/10.1037/fam0000205
Fischtein, D., Herold, E., & Desmarais, S. (2007). How much does gender explain in sexual attitudes and behaviors? A survey of Canadian adults. Archives of Sexual Behavior, 36(3), 451–461. https://doi.org/10.1007/s10508-006-9157-9
Fisher, H. E. (2016). Anatomy of love: A natural history of mating, marriage, and why we stray (Completely revised and updated ed.). W. W. Norton & Company.
Fleckenstein, J. R., & Cox, D. W. (2015). The association of an open relationship orientation with health and happiness in a sample of older US adults. Sexual and Relationship Therapy, 30(1), 94–116. https://doi.org/10.1080/14681994.2014.976997
Franks, P., Gold, M. R., & Fiscella, K. (2003). Sociodemographics, self-rated health, and mortality in the US. Social Science and Medicine, 56(12), 2505–2514. https://doi.org/10.1016/S0277-9536(02)00281-2
Gass, K., Hoff, C. C., Stephenson, R., & Sullivan, P. S. (2012). Sexual agreements in the partnerships of internet-using men who have sex with men. AIDS Care, 24(10), 1255–1263. https://doi.org/10.1080/09540121.2012.656571
Giles, G. G., Severi, G., English, D. R., McCredie, M. R. E., Borland, R., Boyle, P., & Hopper, J. L. (2003). Sexual factors and prostate cancer. BJU International, 92(3), 211–216. https://doi.org/10.1046/j.1464-410X.2003.04319.x
Grøntvedt, T. V., Kennair, L. E. O., & Bendixen, M. (2020). How intercourse frequency is affected by relationship length, relationship quality, and sexual strategies using couple data. Evolutionary Behavioral Sciences, 14(2), 147–159. https://doi.org/10.1037/ebs0000173
Guastella, A. J., Mitchell, P. B., & Dadds, M. R. (2008a). Oxytocin increases gaze to the eye region of human faces. Biological Psychiatry, 63(1), 3–5. https://doi.org/10.1016/j.biopsych.2007.06.026
Guastella, A. J., Mitchell, P. B., & Mathews, F. (2008b). Oxytocin enhances the encoding of positive social memories in humans. Biological Psychiatry, 64(3), 256–258. https://doi.org/10.1016/j.biopsych.2008.02.008
Haupert, M. L., Gesselman, A. N., Moors, A. C., Fisher, H. E., & Garcia, J. R. (2017). Prevalence of experiences with consensual nonmonogamous relationships: Findings from two national samples of single Americans. Journal of Sex and Marital Therapy, 43(5), 424–440. https://doi.org/10.1080/0092623X.2016.1178675
Hosking, W. (2014). Australian gay men’s satisfaction with sexual agreements: The roles of relationship quality, jealousy, and monogamy attitudes. Archives of Sexual Behavior, 43(4), 823–832. https://doi.org/10.1007/s10508-013-0197-7
Hrdy, S. B. (2009). Mothers and others: The evolutionary origins of mutual understanding. Belknap Press of Harvard University Press. http://www.loc.gov/catdir/toc/fy0905/2008052936.html
IBM. (2016). SPSS 24. In IBM SPSS IBM.com. https://www.ibm.com/support/knowledgecenter/en/SSLVMB_24.0.0/spss/product_landing.html
Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21–37. https://doi.org/10.2307/2955359
Karraker, A., DeLamater, J., & Schwartz, C. R. (2011). Sexual frequency decline from midlife to later life. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 66B(4), 502–512. https://doi.org/10.1093/geronb/gbr058
Kashdan, T. B., Goodman, F. R., Stiksma, M., Milius, C. R., & McKnight, P. E. (2018). Sexuality leads to boosts in mood and meaning in life with no evidence for the reverse direction: A daily diary investigation. Emotion, 18(4), 563–576.
Konow, J., & Earley, J. (2008). The hedonistic paradox: Is homo economics happier? Journal of Public Economics, 92(1), 1–33. https://doi.org/10.1016/j.jpubeco.2007.04.006
Labuda, D., Lefebvre, J.-F., Nadeau, P., & Roy-Gagnon, M.-H. (2010). Female-to-male breeding ratio in modern humans: An analysis based on historical recombinations. American Journal of Human Genetics, 86(3), 353–363. https://doi.org/10.1016/j.ajhg.2010.01.029
Laumann, E.O., Gagnon, J. H., Michael, R. T., & Michaels, S. (1994). The social organization of sexuality: Sexual practices in the United States. University of Chicago Press.
Levine, E. C., Herbenick, D., Martinez, O., Fu, T.-C., & Dodge, B. (2018). Open relationships, nonconsensual nonmonogamy, and monogamy among U.S. adults: Findings from the 2012 National Survey of Sexual Health and Behavior. Archives of Sexual Behavior, 47(5), 1439–1450. https://doi.org/10.1007/s10508-018-1178-7
Loewenstein, G., Krishnamurti, T., Kopsic, J., & McDonald, D. (2015). Does increased sexual frequency enhance happiness? Journal of Economic Behavior and Organization, 116, 206–218. https://doi.org/10.1016/j.jebo.2015.04.021
Lorenz, T. K., Heiman, J. R., & Demas, G. E. (2018). Interactions among sexual activity, menstrual cycle phase, and immune function in healthy women. Journal of Sex Research, 55(9), 1087–1095. https://doi.org/10.1080/00224499.2017.1394961
Low, B. S. (1988). Measures of polygyny in humans. Current Anthropology, 29(1), 189–194.
Maunder, L., Schoemaker, D., & Pruessner, J. C. (2017). Frequency of penile-vaginal intercourse is associated with verbal recognition performance in adult women. Archives of Sexual Behavior, 46(2), 441–453. https://doi.org/10.1007/s10508-016-0890-4
McNulty, J. K., Wenner, C. A., & Fisher, T. D. (2016). Longitudinal associations among relationship satisfaction, sexual satisfaction, and frequency of sex in early marriage. Archives of Sexual Behavior, 45(1), 85–97. https://doi.org/10.1007/s10508-014-0444-6
McPhillips, K., Braun, V., & Gavey, N. (2001). Defining (hetero)sex: How imperative is the “coital imperative”? Women’s Studies International Forum, 24(2), 229–240. https://doi.org/10.1016/S0277-5395(01)00160-1
Meehan, C. L. (2005). The effects of residential locality on parental and allopai ental investment among the Aka foragers of the Central African Republic. Human Nature, 16(1), 58–80.
Meehan, C. (2009). Maternal time allocation in two cooperative childrearing societies. Human Nature, 20(4), 375–393. https://doi.org/10.1007/s12110-009-9076-2
Miilunpalo, S., Vuori, I., Oja, P., Pasanen, M., & Urponen, H. (1997). Self-rated health status as a health measure: The predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. Journal of Clinical Epidemiology, 50(5), 517–528. https://doi.org/10.1016/S0895-4356(97)00045-0
Mogilski, J. K., Memering, S. L., Welling, L. L. M., & Shackelford, T. K. (2017). Monogamy versus consensual non-monogamy: Alternative approaches to pursuing a strategically pluralistic mating strategy. Archives of Sexual Behavior, 46, 407–417. https://doi.org/10.1007/s10508-015-0658-2
Moors, A. C. (2017). Has the American public’s interest in information related to relationships beyond “the couple” increased over time? Journal of Sex Research, 54, 677–684. https://doi.org/10.1080/00224499.2016.1178208
Moors, A. C., Matsick, J. L., & Schechinger, H. A. (2017). Unique and shared relationship benefits of consensually non-monogamous and monogamous relationships. European Psychologist, 22(1), 55–71. https://doi.org/10.1027/1016-9040/a000278
Muise, A., Schimmack, U., & Impett, E. A. (2016). Sexual frequency predicts greater well-being. Social Psychological and Personality Science, 7, 295–302. https://doi.org/10.1177/1948550615616462
Musick, K., & Bumpass, L. (2012). Reexamining the case for marriage: Union formation and changes in well-being. Journal of Marriage and Family, 74(1), 1–18. https://doi.org/10.1111/j.1741-3737.2011.00873.x
Newman, J. C., Des Jarlais, D. C., Turner, C. F., Gribble, J., Cooley, P., & Paone, D. (2002). The Differential Effects of Face-to-Face and Computer Interview Modes. American Journal of Public Health, 92(2), 294–297. https://pubmed.ncbi.nlm.nih.gov/11818309
Oswald, A. J. (1997). Happiness and economic performance. The Economic Journal, 107(445), 1815–1831. https://doi.org/10.1111/j.1468-0297.1997.tb00085.x
Palagi, E. (2006). Social play in Bonobos (Pan paniscus) and Chimpanzees (Pan troglodytes): Implications for natural social systems and interindividual relationships. American Journal of Physical Anthropology, 129(3), 418–426. https://doi.org/10.1002/ajpa.20289
Pathela, P., Hajat, A., Schillinger, J., Blank, S., & Mostashari, F. (2006). Discordance between sexual behavior and self-reported sexual identity: A population-based survey of New York City men. Annals of Internal Medicine, 145(6), 416–425. https://doi.org/10.7326/0003-4819-145-6-200609190-00005%m16983129
Reczek, C., Liu, H., & Spiker, R. (2017). Self-rated health at the intersection of sexual identity and union status. Social Science Research, 63, 242–252. https://doi.org/10.1016/j.ssresearch.2016.09.013
Rider, J., Wilson, K., Kelly, R., Ebot, E., Giovannucci, E., & Mucci, L. (2015). PD6-07 ejaculation frequency and risk of prostate cancer: Updated results from the health professionals follow-up study. Journal of Urology, 193(4S), e148. https://doi.org/10.1016/j.juro.2015.02.802
Ritchie, A., & Barker, M. (2007). Hot bi babes and feminist families: Polyamorous women speak out. Lesbian and Gay Psychology Review, 8(2), 141–151.
Rubel, A. N., & Bogaert, A. F. (2015). Consensual nonmonogamy: Psychological well-being and relationship quality correlates. Journal of Sex Research, 52, 961–982. https://doi.org/10.1080/00224499.2014.942722
Rubin, A. M. (1982). Sexually open versus sexually exclusive marriage: A comparison of dyadic adjustment. Alternative Lifestyles, 5(2), 101–108. https://doi.org/10.1007/BF01083247
Ryan, C., & Jethá, C. (2010). Sex at dawn: The prehistoric origins of modern sexuality (1st ed.). Harper. http://www.loc.gov/catdir/enhancements/fy1012/2009045457-b.html
Schoenfeld, E. A., Loving, T. J., Pope, M. T., Huston, T. L., & Štulhofer, A. (2017). Does sex really matter? Examining the connections between spouses’ nonsexual behaviors, sexual frequency, sexual satisfaction, and marital satisfaction. Archives of Sexual Behavior, 46(2), 489–501. https://doi.org/10.1007/s10508-015-0672-4
Séguin, L. J., Blais, M., Goyer, M.-F., Adam, B. D., Lavoie, F., Rodrigue, C., & Magontier, C. (2017). Examining relationship quality across three types of relationship agreements. Sexualities, 20(1–2), 86–104. https://doi.org/10.1177/1363460716649337
Smith, T. W. (1979). Happiness: time trends, seasonal variations, intersurvey differences, and other mysteries. Social Psychology Quarterly, 42(1), 18–30. https://doi.org/10.2307/3033870
Twenge, J. M., Krizan, Z., & Hisler, G. (2017). Decreases in self-reported sleep duration among U.S. adolescents 2009–2015 and association with new media screen time. Sleep Medicine, 39, 47–53. https://doi.org/10.1016/j.sleep.2017.08.013
Umberson, D. J., Williams, K., Powers, D. A., Liu, H., & Needham, B. (2006). You make me sick: Marital quality and health over the life course. Journal of Health and Social Behavior, 47(1), 1–16. https://doi.org/10.2307/30040295
Uvnäs-Moberg, K. (1998). Oxytocin may mediate the benefits of positive social interaction and emotions. Psychoneuroendocrinology, 23(8), 819–835. https://doi.org/10.1016/S0306-4530(98)00056-0
Valiant, G. L. (1993). Life events, happiness and depression: The half empty cup. Personality and Individual Differences, 15(4), 447–453. https://doi.org/10.1016/0191-8869(93)90072-B
van Anders, S. M. (2015). Beyond sexual orientation: Integrating gender/sex and diverse sexualities via sexual configurations theory. Archives of Sexual Behavior, 44(5), 1177–1213. https://doi.org/10.1007/s10508-015-0490-8
Wadsworth, T. (2014). Sex and the pursuit of happiness: How other people’s sex lives are related to our sense of well-being. Social Indicators Research, 116(1), 115–135. https://doi.org/10.1007/s11205-013-0267-1
Waite, L. J., & Gallagher, M. (2000). The case for marriage: Why married people are happier, healthier, and better off financially (1st ed.). Doubleday. http://www.loc.gov/catdir/description/random046/00022672.html
Wellings, K., Palmer, M. J., Machiyama, K., & Slaymaker, E. (2019). Changes in, and factors associated with, frequency of sex in Britain: Evidence from three national surveys of sexual attitudes and lifestyles (Natsal). British Medical Journal, 365, l1525. https://doi.org/10.1136/bmj.l1525
Whisman, M. A., & Snyder, D. K. (2007). Sexual infidelity in a national survey of American women: Differences in prevalence and correlates as a function of method of assessment. Journal of Family Psychology, 21(2), 147–154. https://pubmed.ncbi.nlm.nih.gov/17605537/
Yeh, H.-C., Lorenz, F. O., Wickrama, K. A. S., Conger, R. D., & Elder, G. H., Jr. (2006). Relationships among sexual satisfaction, marital quality, and marital instability at midlife. Journal of Family Psychology, 20(2), 339–343. https://doi.org/10.1037/0893-3200.20.2.339
Zeki, S. (2007). The neurobiology of love. FEBS Letters, 581(14), 2575–2579. https://doi.org/10.1016/j.febslet.2007.03.094
Ziliak, S. T., & McCloskey, D. N. (2008). The cult of statistical significance: How the standard error costs us jobs, justice, and lives. University of Michigan Press. Table of contents only http://www.loc.gov/catdir/toc/ecip0726/2007035401.html
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Cox, D.W., Fleckenstein, J.R. & Sims-Cox, L.R. Comparing the Self-Reported Health, Happiness, and Marital Happiness of a Multinational Sample of Consensually Non-Monogamous Adults with Those of the U.S. General Population: Additional Comparisons by Gender, Number of Sexual Partners, Frequency of Sex, and Marital Status. Arch Sex Behav 50, 1287–1309 (2021). https://doi.org/10.1007/s10508-021-01973-2
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DOI: https://doi.org/10.1007/s10508-021-01973-2