Introduction
In 2024, a landmark report titled “Sexual Decline” released by a prominent American family research institution revealed a troubling trend: sexual activity frequency in the United States has plummeted to its lowest recorded levels, even falling below figures observed during the COVID-19 pandemic. Based on comprehensive national survey data, only 37% of Americans aged 18 to 64 report engaging in sexual activity at least once per week—a stark drop from 55% recorded in 1990. More alarmingly, nearly a quarter of young adults aged 18 to 29 reported having no sexual activity in the past year, doubling the rate from 2010. This article explores the multifactorial causes of this widespread sexual decline, its health ramifications, and pragmatic measures to support sexual well-being in a rapidly changing social landscape.
