Dutch Sex Survey: Men Riskier, Women Test More for STDs (2026)

New data suggests a disparity in sexual health practices between young men and women, with men in their 20s reporting more frequent unprotected sex with casual partners than their female counterparts. Simultaneously, the research indicates women are more proactive when it comes to sexually transmitted infection (STI) testing. The findings, released this week by the Netherlands’ Central Bureau of Statistics (CBS), in collaboration with the National Institute for Public Health and the Environment (RIVM) and sexual health organizations Rutgers and Soa Aids Nederland, highlight ongoing differences in risk awareness and preventative behaviors.

Contraceptive Use Remains High Among Women

a significant majority – over three-quarters – of sexually active women aged 16 to 50 utilize some form of contraception. The most common methods are the contraceptive pill, and condoms. This figure rises to 85% among those under 30, indicating a strong understanding of reproductive health and a commitment to preventing unintended pregnancies within that age group. The CBS data doesn’t detail why contraceptive use is so high, but it’s consistent with broader trends in developed nations where access to family planning resources is readily available.

A Gendered Pattern of Risk

The survey revealed that 5% of men reported having sex without a condom with a casual partner in the past 12 months. Crucially, this behavior was concentrated among those in their 20s. This contrasts with testing rates: while there was no significant difference in the number of men and women getting tested for HIV, over twice as many women in their 20s sought testing for other STIs during the same period. This suggests a potential gap in awareness or perceived risk among young men, or a difference in how men and women approach sexual health screening.

It’s important to note that the study doesn’t explore the reasons behind these differences. Factors could include societal expectations, differing levels of comfort discussing sexual health, or variations in perceived vulnerability to STIs. Further research is needed to understand the underlying causes and develop targeted interventions.

Testing Trends and Age Groups

The data also showed a trend in STI testing rates based on age. 7% of individuals in their 30s had an HIV test in the last year, compared to 5% of those in their 20s. This could reflect a greater awareness of long-term health risks as people age, or a response to changing sexual behaviors. The higher rate of STI testing among women in their 20s, however, remains a notable finding.

Understanding the Data: Limitations and Context

The CBS survey provides valuable insights into sexual health behaviors in the Netherlands, but it’s essential to consider its limitations. The data relies on self-reporting, which can be subject to recall bias or social desirability bias – individuals may not accurately remember past behaviors or may underreport risky activities. The study also doesn’t establish a causal relationship between gender and unprotected sex; it simply identifies a correlation.

the term “casual partner” is not precisely defined in the survey, which could lead to variations in interpretation. It’s also important to remember that these findings are specific to the Netherlands and may not be generalizable to other populations. For more information on STI testing and prevention, the Soa Aids Nederland website provides comprehensive resources.

The Broader Landscape of Sexual Health

The findings align with broader public health concerns about STI rates globally. The World Health Organization (WHO) estimates that over one million sexually transmitted infections are acquired every day worldwide. The WHO emphasizes the importance of comprehensive sexual health education, access to condoms, and regular STI screening as key strategies for prevention.

What Happens Next: Surveillance and Prevention Efforts

The CBS, RIVM, Rutgers, and Soa Aids Nederland will continue to monitor sexual health trends in the Netherlands through ongoing surveillance programs. This data will inform the development and refinement of public health interventions aimed at reducing STI transmission and promoting safer sexual practices. The organizations are likely to explore the reasons behind the observed gender differences in risk behavior and testing rates, potentially through qualitative research or targeted surveys.

Public health officials will also focus on raising awareness about the importance of consistent condom use and regular STI testing, particularly among young men. Efforts may include targeted campaigns on social media, educational programs in schools and universities, and increased access to sexual health services. The Dutch government is also committed to ensuring that all residents have access to affordable and comprehensive sexual health care.

addressing the disparities in sexual health behaviors requires a multi-faceted approach that combines education, prevention, and access to care.