A Maltese Perspective of Sex: a Maltese cross-sectional study
Sexual health is an essential part of overall well-being. Yet, until recently, little was known about how people in Malta understand, experience, and talk about sex. A Maltese Perspective of Sex: a Maltese cross-sectional study is the first major academic research to explore this subject among adults in Malta. By collecting and analysing local data, the study opens the door to more informed conversations around relationships, intimacy, and sexual well-being.
In collaboration with

Matthew Bartolo, Vincent Marmara, Danica Cassar, Arianna Miclet, A Maltese Perspective of Sex: a Maltese cross-sectional study, Sexual Medicine, Volume 13, Issue 1, February 2025, qfae095, https://doi.org/10.1093/sexmed/qfae095
About the Study
This ground-breaking research was led by Matthew Bartolo (Willingness), Vincent Marmara, Danica Cassar, and Arianna Miclet. The team surveyed 400 randomly selected Maltese adults using computer-assisted telephone interviews. The results were published in the international, peer-reviewed journal Sexual Medicine in February 2025 and are indexed on PubMed.
Key Findings
- Only 26.9% of respondents defined sex as “a sexual act between two persons”; a similar proportion (26.8%) saw it as “an act of love.” Very few defined sex in terms of pleasure or intimacy.
- The average sexual frequency was 5.7 times per month, slightly higher than the British average.
- 61.7% of respondents felt very comfortable discussing sexual matters with their partner, but only 26.6% were comfortable discussing such topics with friends.
- Sexual satisfaction was closely linked to sexual frequency, but not to the duration of sexual activity.
- Most Maltese participants described themselves as satisfied with their sex life.
Why Is This Study Important?
This is the first time sexual attitudes and behaviours in Malta have been studied at this scale. Previous information about sex in Malta often relied on assumptions or international data. By focusing on local voices, this study gives Maltese people, professionals, and policymakers reliable information to improve sexual health education and support.
The findings also reveal how cultural factors influence how sex is viewed and discussed. For instance, the fact that “pleasure” and “intimacy” were rarely mentioned in definitions of sex suggests the strong role of tradition and values in Malta.

Presented at the 17th European Federation of Sexology Congress, Bologna
Sharing our research on an international stage highlights Willingness’s ongoing contribution to sexual health knowledge, both locally and abroad.
Practical Implications
- For Individuals: The results highlight the importance of open communication in relationships. Most people are comfortable speaking to their partners but not with others, which may limit opportunities to seek help or advice.
- For Professionals: Health practitioners, educators, and therapists can use this data to shape more relevant sexual health services and educational materials for Malta.
- For Policy: Policymakers can draw on this research to guide public health initiatives and promote a more open, informed dialogue on sexuality.
Making Research Accessible to All
We recognise that research should be available and understandable for everyone. Therefore, we developed a dedicated project to communicate our findings to the general public visually. For this reason, you can visit the Sex Clinic Malta Research Page for accessible summaries and infographics. In this way, we make complex information clear and practical for the Maltese community.
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