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. 2019 Apr 5;7(2):129–144. doi: 10.1016/j.esxm.2019.02.002

Table 1.

Prevalence rates of BDSM interests in the general population

Study Sample size (M/F) Population Age range Method of assessment Results Remarks
Renaud & Byers16, 17 n = 292 (148/144) Undergraduate students (Canada) 17–45 Self-developed rating scale, 56 items More than 90% of the group reported both positive and negative cognitions of sexual submission. Women had more frequent positive cognitions of sexual submission than men.
72% of the men and 59% of the women had fantasies of being tied up, and 65% of the men and 58% of the women had fantasies of tying up a partner; 60% of the men and 31% of the women indicated positive thoughts of whipping or spanking someone, whereas 44% of the men and 35% of the women indicated positive thoughts of being whipped.
The authors used a self-developed rating scale asking for sexual cognitions, including cognitions on sexual submission, whipping, spanking, and hurting partner. It did not ask for actual experiences with BDSM-themed practices. Only included heterosexual students (mean age = 19.8 y).
Richters et al18, 19 n = 19.307 (9.729/9.578) General population Australia 16–59 Computer-assisted telephone interviews 2.0% of the men and 1.4% of the women indicated to have engaged in BDSM in the last 12 months. Prevalence was higher in gay/lesbian (4.4%) and bisexual (14.2%) individuals A single question was asked in the interview: "In the last 12 months have you been involved in B&D or S&M? That’s bondage and discipline, sadomasochism, or dominance and submission"
Långström & Seto20 n = 2,450 (1,279/1,171) General population Sweden 18–60 Self-administered questionnaire as part of larger survey Sadomasochistic behavior in 2.2% of the total sample The survey asked about sadomasochistic behavior, and, as such, did not include bondage, discipline, dominance, and submission. Focus of analysis was on other aspects of sexuality
Jozifkova & Flegr21 n= 864 (398/466) General population with access to Czech largest internet portal / Internet trap method Unequal sexual partnership was chosen by 51% of the men and 42% of the women. Men chose submissive-woman depictions approximately 2.6 times more frequently than dominant-woman. Women chose either submissive- or dominant-man depictions with equal frequency. A banner was offered attached to the e-mail account of members of general population. After clicking on the banner, the participant had to choose an icon displaying different hierarchical positions between partners. Presumably, 0.41% of the men and 0.27% of the women participated, thus accounting for an immense participation bias. No age limits were defined for participation.
Holvoet et al3 n = 1,027 (459/565)
(n= 3 indicated other sex)
General population Belgium 18–65 Internet survey including 54 BDSM-related activity items 47% had performed at least 1 BDSM-related activity, and additional 22% had fantasies about it. 12.5% indicated performing at least 1 BDSM related activity on a regular basis. 7.6% self-identified as BDSM practitioner. When asked for activities at least experienced once, movement restriction and use of blindfold elicited highest interest (20–24%). Submissive kneeling, whipping, hitting a partner in sexual context (6–11%) The authors used a self-developed questionnaire to assess interest in a wide range of BDSM-related activities, which included items that on their own may not define a BDSM activity as such (eg, blindfolding, movement restriction, use of ice cubes, etc)
Herbenick et al22 n = 2,021 (975/1,046) General population USA 18–91 Internet survey including some BDSM related questions Playful whipping (6% in past year; 15% lifetime); spanking (17.2% in past year; 31.9% lifetime); tying up/being tied up (4.5% in last year; 21.1% lifetime); gone to BDSM party (1.1% past year; 3.4% lifetime). 29.3% found tying up partner or being tied up (very or somewhat) appealing. Experiencing pain as part of sex was very or somewhat appealing to 11.4%. Use of blindfolds (very to somewhat) appealing in 34.9%. This large-scale survey focused on a broad range of sexual behavior but included some BDSM-themed questions.
Joyal & Carpentier23 n = 1,040 (475/565) General population Canada 18–64 2 survey methods: online survey (n = 543) vs telephone interview (n = 500) A desire for masochism was indicated by 23.8% (19.2% in men, 27.8% in women), whereas, for sadism, this was present in 7.1% (9.5% in men, 5.1% in women).
Actual experience (once in lifetime) was confirmed by 19.2% for masochism (men: 13.9% vs women: 23.7%), whereas this was the case in 5.5% for sadism (men: 7.4%; women: 3.9%). Levels indicated for masochism were significantly higher when assessed by internet survey compared to telephone interview.
Masochism was questioned by “Have you ever been sexually aroused while suffering, being dominated, or being humiliated?”; sadism was assessed by the question “Have you ever been sexually aroused by making someone suffer or by dominating or psychologically or physically humiliating another person?”

B&D = bondage and discipline; BDSM = bondage and discipline, dominance and submission, and sadism and masochism; M/F = male/female; S&M = sadism and masochism; / = information not available.