In 1992, a study conducted by the U.S. Centers for Disease Control and Prevention found that only 26% of men 18 to 59 and 20% of women 18 to 59 had engaged in heterosexual anal sex; a similar 2005 survey (also conducted by the U.S. Centers for Disease Control and Prevention) found a rising incidence of anal sex relations in the American heterosexual population. The survey showed that 40% of men and 35% of women between 25 and 44 had engaged in heterosexual anal sex.[42] In terms of overall numbers of survey respondents, seven times as many women as gay men said that they engaged in anal intercourse, with this figure reflecting the larger heterosexual population size.[43] According to the National Survey of Sexual Health and Behavior (NSSHB), although anal intercourse is reported by fewer women than other partnered sex behaviors, partnered women in the age groups between 18-49 are significantly more likely to report having anal sex in the past 90 days.[44]
In a 2007 report entitled Prevalence and Correlates of Heterosexual Anal and Oral Sex in Adolescents and Adults in the United States, published in the Journal of Infectious Disease, a national survey of Family Growth found that 34% men and 30% women reported ever participating in heterosexual anal sex. The percentage of participants reporting heterosexual anal sex was significantly higher among 20- to 24-year-olds and peaked among 30- to 34-year-olds.[45][46] Another survey in, 2008, focused on a much younger demographic of teenagers and young adults, aged 15–21. It found that 16% of 1350 surveyed had had this type of sex in the previous 3 months, with condoms being used 29% of the time.[47] However, given the subject matter, the survey hypothesized the prevalence was probably underestimated.
In 2009, Kimberly R. McBride published a clinical report in The Journal of Sex Research which stated that changing norms may affect the frequency of heterosexual anal sex behaviors and suggests that there is a role for the exotic in the sexual repertoires of some heterosexuals" "[F]or a certain number of heterosexuals, anal intercourse is pleasurable, exciting, and perhaps considered more intimate than vaginal sex...". McBride and her colleagues investigated the prevalence of non-intercourse anal sex behaviors among a sample of men (n=1,299) and women (n=1,919) compared to anal intercourse experience and found that 51% of men and 43% of women had participated in at least one act of oral–anal sex, manual–anal sex, or anal sex toy use.[45][48] McBride and Janssen found that the majority of men (n=631) and women (n=856) who reported heterosexual anal intercourse in the past 12 months were in exclusive, monogamous relationships: 69% and 73%, respectively.[45][48]
Figures for prevalence can vary amongst different demographics, regions, and nationalities. A 2001 French survey of five hundred female respondents concluded that a total of 29% had engaged in this practice, with one third of these confirming to have enjoyed the experience.[49] In contrast, in a 1999 South Korean survey of 586 women, 3.5% of respondents reported having had this type of sex.[50]
Figures for the prevalence of sexual behavior can also fluctuate over time. Edward O. Laumann's 1992 survey, reported in The Social Organization of Sexuality: Sexual Practices in the United States, found that about 20% of heterosexuals had engaged in male-to-female anal sex. Sex researcher Alfred Kinsey, working in the 1940s, had found that number to be closer to 40% at the time. More recently, a researcher from the University of British Columbia in 2005 put the number of heterosexuals who have engaged in this practice at between 30% and 50%.[51] According to Columbia University's health website Go Ask Alice!: "Studies indicate that about 25 percent of heterosexual couples have had anal sex at least once, and 10 percent regularly have anal penetration."[52]