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National Survey of Sexual Attitudes and Lifestyles

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The National Survey of Sexual Attitudes and Lifestyles (Natsal) are a series of surveys of people in the Great Britain regarding their sexual behaviour and patterns, and are among the largest scientific studies of sexual behaviours in the world.[1] The rounds of surveys completed to date are Natsal-1 (1990–1991) and Natsal-2 (2000–2001) and Natsal-3 (2010–2012), as well as Natsal-COVID (2020-2021).[2] Data collection for Natsal-4 is taking place from September 2022 to December 2023.[3] Natsal-4's Principal Co-investigators are Pam Sonnenberg and Cath Mercer, both professors at University College, London.[4]

Natsal's findings are widely used in research and policy making, and have influenced public health policy in areas such as: The National Sexual Health & HIV Strategy in England; the Scottish Sexual Health Strategy (2005-) and the Welsh Sexual Health Strategy, The Teenage Pregnancy Strategy (2000-2010), the National Chlamydia Screening Programme (NCSP), the national human papillomavirus (HPV) immunisation programme in 2008/9, the statutory provision of personal, social, health and economic education (PHSE) education in schools in 2009, Sexual health campaigns such as "Sex: worth talking about" in 2010, and the National Institute for Health and Clinical Excellence (NICE) guidelines on long acting contraception (2006).[5]

History

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The first Natsal survey was carried out in 1990, in response to the urgent need of understanding sexual practices in the context of the HIV/AIDS epidemic.[6] The Principal Investigator of Natsal-1, Natsal-2 and Natsal-3 was Anne Johnson, a professor at University College, London,[7] and co-leader Kaye Wellings, a professor at the London School of Hygiene & Tropical Medicine.[8]

The Natsal-3 survey revealed, among other things, that British people are having sex less often than they did 20 years ago,[9] but that same-sex experiences between women were growing more numerous.[10]

Key publications

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  • Mercer, Catherine H.; Clifton, Soazig; Riddell, Julie; Tanton, Clare; Freeman, Lily; Copas, Andrew J.; Dema, Emily; Pérez, Raquel Bosó; Gibbs, Jo; Macdowall, Wendy; Menezes, Dee; Ridge, Mary-Clare; Bonell, Chris; Sonnenberg, Pam; Field, Nigel (2022-11-01). "Impacts of COVID-19 on sexual behaviour in Britain: findings from a large, quasi-representative survey (Natsal-COVID)". Sexually Transmitted Infections. 98 (7): 469–477. doi:10.1136/sextrans-2021-055210. ISSN 1368-4973. PMC 8687784. PMID 34916335.
  • Johnson, Anne M; Mercer, Catherine H; Erens, Bob; Copas, Andrew J; McManus, Sally; Wellings, Kaye; Fenton, Kevin A; Korovessis, Christos; Macdowall, Wendy (2001). "Sexual behaviour in Britain: partnerships, practices, and HIV risk behaviours". The Lancet. 358 (9296): 1835–1842. doi:10.1016/s0140-6736(01)06883-0. PMID 11741621. S2CID 37954044.
  • Mercer, Catherine H; Tanton, Clare; Prah, Philip; Erens, Bob; Sonnenberg, Pam; Clifton, Soazig; Macdowall, Wendy; Lewis, Ruth; Field, Nigel (2013). "Changes in sexual attitudes and lifestyles in Britain through the life course and over time: findings from the National Surveys of Sexual Attitudes and Lifestyles (Natsal)". The Lancet. 382 (9907): 1781–1794. doi:10.1016/s0140-6736(13)62035-8. PMC 3899021. PMID 24286784.
  • Wellings, Kaye; Nanchahal, Kiran; Macdowall, Wendy; McManus, Sally; Erens, Bob; Mercer, Catherine H; Johnson, Anne M; Copas, Andrew J; Korovessis, Christos; Fenton, Kevin A; Field, Julia (December 2001). "Sexual behaviour in Britain: early heterosexual experience". The Lancet. 358 (9296): 1843–1850. doi:10.1016/S0140-6736(01)06885-4. PMID 11741623. S2CID 35905955.
  • Fenton, Kevin A; Korovessis, Christos; Johnson, Anne M; McCadden, Angela; McManus, Sally; Wellings, Kaye; Mercer, Catherine H; Carder, Caroline; Copas, Andrew J; Nanchahal, Kiran; Macdowall, Wendy; Ridgway, Geoff; Field, Julia; Erens, Bob (December 2001). "Sexual behaviour in Britain: reported sexually transmitted infections and prevalent genital Chlamydia trachomatis infection". The Lancet. 358 (9296): 1851–1854. doi:10.1016/S0140-6736(01)06886-6. PMID 11741624. S2CID 26108172.

References

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Further reading

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