Journal articles: 'Anal sex'

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Åsard, Per-Erik. "Anal sex." Nature 359, no. 6392 (September 1992): 182. http://dx.doi.org/10.1038/359182b0.

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Naftalin, Richard J. "Anal sex and AIDS." Nature 360, no. 6399 (November 1992): 10. http://dx.doi.org/10.1038/360010c0.

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Fahs, Breanne, and Jax Gonzalez. "The front lines of the “back door”: Navigating (dis)engagement, coercion, and pleasure in women’s anal sex experiences." Feminism & Psychology 24, no. 4 (June 27, 2014): 500–520. http://dx.doi.org/10.1177/0959353514539648.

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Despite the frequent depiction of heterosexual anal sex in pornography, and growing indications that heterosexual couples engage in anal sex, almost no research has examined women’s subjective experiences with receptive anal sex with men. This study draws upon qualitative interviews with 20 American women (mean age = 34, SD = 13.35) from diverse ages and backgrounds to illuminate five themes in women’s narratives about receptive anal sex: (1) initial resistance followed by submission; (2) initial interest followed by withdrawal from subsequent anal sex experiences; (3) violence and coercion surrounding anal sex; (4) social norming (e.g. men’s male friends normalizing heterosexual anal sex; seeing anal sex as normative after watching pornography); and (5) pleasurable experiences with anal eroticism. Implications for the re-evaluation of consent, imagining a continuum of sexualized violence, heteronormative assumptions about access to and power over women, silences surrounding non-penetrative anal eroticism, and women’s (dis)engagement with anal sex are explored.

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McBride, Kimberly R., and J. Dennis Fortenberry. "Heterosexual Anal Sexuality and Anal Sex Behaviors: A Review." Journal of Sex Research 47, no. 2-3 (March 24, 2010): 123–36. http://dx.doi.org/10.1080/00224490903402538.

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de Zwart, Onno, Marty P. N. van Kerkhof, and Theo G. M. Sandfort. "Anal Sex and Gay Men." Journal of Psychology & Human Sexuality 10, no. 3-4 (August 19, 1998): 89–102. http://dx.doi.org/10.1300/j056v10n03_07.

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Lorian, Victor. "AIDS, ANAL SEX, AND HETEROSEXUALS." Lancet 331, no. 8594 (May 1988): 1111. http://dx.doi.org/10.1016/s0140-6736(88)91931-9.

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Pickles, James, Julia Hirst, Chloe Froggatt, and Megan Kenny. "Perceptions of Young Women Who Engage in Anal Sex: A Sociological Inquiry." Journal of Positive Sexuality 9, no. 1 (June 30, 2023): 14–21. http://dx.doi.org/10.51681/1.913.

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Despite data suggesting that anal sex is increasingly common among heterosexual individuals, women who engage in anal sex have had little attention in academic scholarship beyond medical fields. Research on anal sex is typically androcentric, with many key studies examining the dynamics of male-male sexual practices. Moreover, research reporting anal sex among young women is often accompanied with concerns around coercion and health risks. Taking a critical view, we argue that normative assumptions about anal sex may obscure or ignore other ways that women and others might engage in anal sex, and, given the emphasis on harm reduction, may obscure a range of reasons for involvement in anal sex. Through focus groups and individual interviews with a range of individuals (n=20) including sexual health practitioners and young people, aged 19-56 years, our qualitative pilot study generated detailed discussion on (1) how anal sex is perceived in general (‘what’ practices constitute anal sex, who might be involved, and why), and (2) specifically how it is perceived in relation to young women. This paper focuses on the second area and three resultant analytic themes: why women may engage in anal sex, women’s bodies and gendered agency, and sexual literacy. We conclude that meaningful sex and relationships education and sexual health services could usefully adopt a more nuanced appreciation of the range of practices that can comprise anal sex, and that some young women engage in anal sex for a variety of reasons (beyond coercion) including pleasure, bodily autonomy and relationship dynamics.

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Patra, Rajesh Kumar, Bidhubhusan Mahapatra, Dolly Kovvali, Laxminarayana Proddutoor, and Niranjan Saggurti. "Anal sex and associated HIV-related sexual risk factors among female sex workers in Andhra Pradesh, India." Sexual Health 9, no. 5 (2012): 430. http://dx.doi.org/10.1071/sh11155.

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Background This study aims to understand the correlates of anal sex practices among female sex workers (FSWs) and examine the association of anal sex with HIV-related sexual risk factors in Andhra Pradesh, India. Methods: A cross-sectional behavioural survey was conducted in 2011 among 795 FSWs aged 18 years or older. Probability-based cluster sampling was used to select respondents from sex work hotspots. Results: One-quarter (23%) of FSWs had practiced anal sex in the last year. The odds of practicing anal sex were higher among FSWs aged 35 years or more than in those aged less than 25 years (adjusted odds ratio (AOR): 2.05, P < 0.05), in those formerly married compared to those currently married (AOR: 1.88, P < 0.01), in those having an income only from sex work compared to those having additional sources of income (AOR: 1.54, P < 0.05), those reporting heavy alcohol consumption compared to those who did not (AOR: 2.80, P < 0.01) and those who experienced violence compared to those who had not (AOR: 2.80, P < 0.01). FSWs practicing anal sex were more likely to experience sexually transmissible infection (STI) related symptoms than those practicing only vaginal sex. There was no association between anal sex practice and condom use. Conclusions: Anal sex is associated with STI symptoms, a factor for HIV risk. HIV intervention programmes need to educate FSWs about the risks associated with anal sex.

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Cook, Stephanie H., Perry N. Halkitis, and Farzana Kapadia. "Relationship cognitions and longitudinal trajectories of sexual risk behavior among young gay and bisexual men: The P18 cohort study." Journal of Health Psychology 23, no. 14 (October 9, 2016): 1884–94. http://dx.doi.org/10.1177/1359105316671187.

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This study examines how romantic relationship cognitions are associated with changes of condomless anal sex among emerging adult gay and bisexual men. The sample was drawn from four waves of a prospective cohort study ( N = 598; Mage = 18.2). Results suggest that condomless anal sex increased over the emerging adulthood period. Romantic relationship fear was associated with increased receptive condomless anal sex. Perceptions of greater romantic relationship control increased the likelihood of having insertive and receptive condomless anal sex. Findings suggest that romantic relationship cognitions are important to consider when understanding longitudinal changes in condomless anal sex in this population.

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Liu, Jiaxiu, Xiaoni Zhong, Zhuo Lu, Bin Peng, Yan Zhang, Hao Liang, Jianghong Dai, Juying Zhang, and Ailong Huang. "Anxiety and Depression Associated with Anal Sexual Practices among HIV-Negative Men Who Have Sex with Men in Western China." International Journal of Environmental Research and Public Health 17, no. 2 (January 10, 2020): 464. http://dx.doi.org/10.3390/ijerph17020464.

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This study aimed to explore the prevalence and influencing factors of anxiety and depression among human immunodeficiency virus negative (HIV-negative) men who have sex with men (MSM) based on anal sex roles, so as to provide a scientific basis for the management of mental health conditions. Data were obtained from the baseline in a cohort study with a two-year follow-up period in western China. The Self-Rating Anxiety Scale and Center for Epidemiological Studies Depression Scale were used to assess anxiety and depression symptoms, respectively. The prevalence of anxiety and depression in 1771 MSM was 26.03% and 37.83%. Among them, 182 anal sex role “0” MSM who only had receptive anal sex with men reported the highest prevalence of anxiety and depression (31.32% and 46.15%), 467 anal sex role “1” MSM who only had insertive anal sex with men (22.27% and 32.76%), and 1122 anal sex role “0.5” MSM who engaged equally in both insertive and receptive anal sex intercourse with men (26.74% and 38.59%), respectively. Logistic regression analysis revealed that the influencing factors of anxiety include anal sex role “0”/”0.5”, low educational level, female sexual partners, frequently searching partners on the Internet, sexually transmitted diseases (STD) diagnosed by doctors, and no HIV counseling. Anal sex role “0”/”0.5”, rural area, casual male partners, female partners, STD diagnosed by doctors, frequently searching partners on the Internet, no HIV counseling, no condom use, and daily alcohol use were found to be associated with depression. In conclusion, early identification and intervention of anxiety and depression symptoms in HIV-negative MSM should be carried out, especially for anal sex role “0” MSM. Furthermore, key intervention and psychological counseling should be taken into consideration for MSM with a low education level, high-risk behaviors, and high-risk perceptions.

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Heywood, Wendy, and Anthony M. A. Smith. "Anal sex practices in heterosexual and male homosexual populations: a review of population-based data." Sexual Health 9, no. 6 (2012): 517. http://dx.doi.org/10.1071/sh12014.

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Anal sex is known to be an important risk factor for anal cancer. Yet compared with vaginal intercourse, little is known about anal sex practices in either heterosexual or male homosexual populations. Of the data that are available, it appears a significant and increasing minority of heterosexuals have ever practised anal intercourse. Among homosexual men, most, but not all, report anal sex, with large proportions of men engaging in both insertive and receptive anal intercourse. The most significant finding of the review was the dearth of population-based data, particularly relating to homosexual men.

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Štulhofer, Aleksandar, and Valerio Baćak. "Is anal sex a marker for sexual risk-taking? Results from a population-based study of young Croatian adults." Sexual Health 8, no. 3 (2011): 384. http://dx.doi.org/10.1071/sh10078.

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Background There is evidence that anal sex is becoming increasingly popular among heterosexual women and men. Several studies carried out in especially vulnerable populations (e.g. sex workers and low-income youth) suggested that anal sex may indicate a more general propensity to sexual risk-taking. Methods: To assess whether this epidemiologically important finding holds in the case of young adults from the general population, we analysed data from a cross-sectional probability survey carried out in 2010 on 1005 Croatian women and men aged 18–25. Results: Anal intercourse was reported by 36.5% of 861 sexually experienced participants (42.7% of men and 29.8% of women). About one-third of them (34%) used a condom at most recent anal intercourse. The experience of anal sex was significantly associated (P < 0.001) with all four indicators of sexual risk-taking (condom use at most recent vaginal intercourse, number of sexual partners in the past year, concurrent sexual relationships and anonymous sex in the past year), as well as with negative attitudes and beliefs about condom use (P < 0.01). Sexual sensation-seeking mediated the relationship between anal sex and some of the sexual risk-taking behaviours. Conclusion: According to the findings, heterosexual anal sex is directly and indirectly associated with increased behavioural risks of acquiring HIV and other sexually transmissible infections (STI). Sex education and STI prevention programs should focus on the importance of using protection when practicing anal sex.

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Clayden, Graham. "ANAL APPEARANCES AND CHILD SEX ABUSE." Lancet 329, no. 8533 (March 1987): 620–21. http://dx.doi.org/10.1016/s0140-6736(87)90252-2.

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Hensel, Devon J., J. Dennis Fortenberry, and Donald P. Orr. "Factors Associated with Event Level Anal Sex and Condom Use During Anal Sex Among Adolescent Women." Journal of Adolescent Health 46, no. 3 (March 2010): 232–37. http://dx.doi.org/10.1016/j.jadohealth.2009.06.025.

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Hebert, LE, SL Newton, and ME Webb. "“Never anything about anal sex whatsoever”: young women’s reflections on sources of information about anal sex." Contraception 96, no. 4 (October 2017): 303. http://dx.doi.org/10.1016/j.contraception.2017.07.151.

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Phillips, Tiffany R., Heidi Constantinou, Christopher K. Fairley, Catriona S. Bradshaw, Kate Maddaford, Marcus Y. Chen, Jane S. Hocking, and Eric P. F. Chow. "Oral, Vaginal and Anal Sexual Practices among Heterosexual Males and Females Attending a Sexual Health Clinic: A Cross-Sectional Survey in Melbourne, Australia." International Journal of Environmental Research and Public Health 18, no. 23 (December 1, 2021): 12668. http://dx.doi.org/10.3390/ijerph182312668.

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Sex practices among heterosexuals are not well studied. We aimed to explore sexual practices among heterosexuals attending a sexual health clinic. This cross-sectional survey was conducted at Melbourne Sexual Health Centre between March and April 2019. Data were collected on kissing, oral sex (fellatio or cunnilingus), vaginal sex, anal sex and rimming in the previous 3 months. Univariable and multivariable logistic regression analyses were performed to examine the associations between engaging in anal sex and other sex practices. There were 709 participants (333 men; 376 women) who were eligible and completed the survey (response rate was 24.6%). In the past 3 months, most participants had had vaginal sex (n = 677; 95.5%), with a mean of 3.0 (standard deviation (SD): 3.9) vaginal sex partners, and half reported engaging in condomless vaginal sex in the past 3 months (n = 358; 50.1%). A total of 135 (19.0%) participants had had anal sex, with a mean of 1.3 (SD: 1.0) anal sex partners, with 63.5% (n = 94) engaging in any condomless anal sex in the past 3 months. Most participants (n = 637, 89.8%) had received oral sex in the past 3 months; this proportion did not differ by age group or gender. Women (n = 351, 93.4%) were more likely to perform oral sex than men (n = 275; 82.6% men) (p < 0.001) and to have received rimming (26.6% women vs. 12.6% men; p < 0.001). Men were more likely to have performed rimming (25.5% men vs. 9.3% women; p < 0.001). After adjusting for age, number of partners and sexual practice, anal sex was associated with being ≥35 years (adjusted odds ratio (aOR): 2.3; 95% CI: 1.2–4.2), receiving rimming (aOR: 3.8; 95% CI: 2.4–6.0) and performing rimming (aOR: 2.8; 95% CI: 1.8–4.6). Rimming and anal sex are practiced by one-fifth or more of heterosexuals. Older heterosexuals were more likely to engage in anal sex and to perform rimming. Future research should consider the benefits of testing extragenital sites where appropriate.

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DiClemente, Ralph J., Gina M. Wingood, Richard A. Crosby, Laura F. Salazar, Sara Head, Eve Rose, Jessica McDermott Sales, and Angela M. Caliendo. "Anal sex is a behavioural marker for laboratory-confirmed vaginal sexually transmissible infections and HIV-associated risk among African-American female adolescents." Sexual Health 6, no. 2 (2009): 111. http://dx.doi.org/10.1071/sh08062.

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Background: African-American females are disproportionately affected by HIV and sexually transmissible infections (STIs). The prevalence of anal sex and its association with other sexual risk behaviours is understudied in this population. Methods: Participants were 715 African-American females, 15 to 21 years old, who had reported sexual activity in the previous 60 days. Data collection included an audiocomputer assisted self-interview (ACASI) and a self-collected vaginal swab specimen assayed using nucleic acid amplification tests to detect the presence of Chlamydia trachomatis and Neisseria gonorrhoeae, and real-time polymerase chain reaction assay to detect Trichomonas vaginalis. Results: Approximately 10.5% reported anal sex, at least once, during the 60 days before completing the computerised baseline assessment. The prevalence of any STI was significantly greater among adolescents reporting recent anal sex (40% tested positive for at least one of three laboratory-confirmed STIs) relative to those adolescents not reporting anal sex (27.5% STI prevalence). Of the 10 outcomes comprising the sexual risk profile, seven achieved bivariate significance, with each of the differences indicating greater risk for those recently engaging in anal sex. In multivariable controlled analyses, six of the seven measures retained statistical significance. Conclusions: African-American adolescent females who engage in penile-anal sex may experience an elevated risk of vaginally-acquired STIs. The findings suggest that, among those having penile-anal sex, several HIV/STI-associated sexual risk behaviours are significantly more prevalent. Thus, penile-anal sex may be an important proxy of overall sexual risk behaviours and can be readily assessed during paediatrician visits as part of a sexual history.

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Phang, C., J. S. Hocking, C. K. Fairley, C. Bradshaw, P. Hayes, and M. Y. Chen. "26. MORE THAN JUST ANAL SEX: THE POTENTIAL FOR STI TRANSMISSION AMONG MEN VISITING SEX ON PREMISES VENUES IN MELBOURNE." Sexual Health 4, no. 4 (2007): 294. http://dx.doi.org/10.1071/shv4n4ab26.

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Objective: Sex On Premises Venues (SOPVs), where men have sex with other men, provide an environment where the transmission of sexually transmitted infections (STIs) is potentially enhanced. However, the extent to which SOPVs contribute to STI transmission is unknown. This study aimed to obtain detailed data on the types of sexual practices and frequency of these practices among men who have sex with men (MSM) visiting SOPVs in Melbourne, Australia. Methods: In a cross-sectional study, MSM visiting 6 Melbourne SOPVs between December 2006 and February 2007 were asked to complete an exit survey on the types of sexual practices and frequency of such practices they had engaged in at that visit. Of 447 men approached, 150 (34%) participated in the study. Results: The median age of participants was 42.5 years (range 20-79). Among participants who engaged in receptive oral sex (66%) and insertive oral sex (75%), the median number of such acts reported by each man during the visit was 2 (range 1-10) and 2 (range 1-10) respectively. Eleven men (7%) reported receptive oral sex with ejaculation into their mouth with a median of 1 act (range 1-3) per man. Among participants who engaged in receptive anal sex (19%) and insertive anal sex (38%), the median number of such acts per man during the visit was 1 (range 1-4) and 1 (range 1-8) respectively. Eleven men (7%) reported unprotected insertive anal sex with a median of 1 act (range 1-4) per man; 4 (3%) reported unprotected receptive sex. A substantial number of men who did not report any anal sex engaged in practices potentially capable of transmitting infections. Notably, 44 men (29%) reported unprotected rubbing or touching of their penis ('nudging') onto another man's anus without actual anal penetration with a total of 71 other men (median 1 act per man, range 1-10). When specifically asked, 17 (39%) of these men reported that they had not engaged in 'anal sex'. In addition, 32 men (21%) reported being the recipients of 'nudging' with 40 other men. Fourteen (44%) of these men reported not having had any 'anal sex'. Oro-anal sex, whether 'active' or 'passive', was reported by 57 (38%) of men, while 84 (56%) men reported anal penetration using fingers, whether receptive or insertive. A significant minority (11%) of men reported that their ability to have safe sex was compromised by the use of drugs or alcohol. Of note, 58 (39%) men reported having a regular male partner, with whom 23 (40%) had unprotected anal sex. And 13 (9%) reported having a regular female partner, with whom 10 (77%) reportedly had unprotected vaginal or anal sex. Conclusions: The potential for STI transmission between men visiting Melbourne SOPVs and to their partners outside these venues is high. The contribution of what might be perceived as 'safer' sex practices to the transmission of STIs among MSM may have been underrecognised.

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Lyons, Anthony, Anthony M. A. Smith, Jeffrey W. Grierson, and Henry von Doussa. "Australian men's sexual practices in saunas, sex clubs and other male sex on premises venues." Sexual Health 7, no. 2 (2010): 186. http://dx.doi.org/10.1071/sh09101.

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Background: Sex on premises venues (SOPVs) where men have sex with men have been implicated in the spread of sexually transmissible infections, but few studies have described men’s sexual encounters in SOPVs, particularly the degree to which men from different backgrounds engage in risky sexual practices. Methods: Interviewer administered surveys were conducted with 186 Australian men who have sex with men (MSM) within 48 h of visiting an SOPV. They reported their sexual practices, the characteristics of their partners and other circumstances surrounding their sexual encounters. Results: All analyses were based on the number of sexual encounters (n = 430). Oral sex was the most common practice, occurring in 74.9% of encounters, followed by massage, frottage or kissing (53.7%), solo or mutual masturbation (36.3%), and anal sex (32.1%). Multivariate analyses revealed age as a significant factor for having protected anal sex (P = 0.001), insertive anal sex (P = 0.004) and receptive anal sex (P < 0.001). These practices were more frequent in encounters among younger men, while masturbation (P = 0.03) was more frequent among older men. When men’s sexual partners were affected by alcohol, encounters were less likely to involve unprotected anal intercourse (P = 0.006) and more likely to involve massage, frottage or kissing (P = 0.009). Men disclosed their HIV status in only 7.7% of encounters. Conclusions: With the likelihood of risky sexual practices varying according to background, results from this study should be used to guide interventions aiming to promote safer sex in SOPVs.

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Hart, Trevor A., Syed W. Noor, Farideh Tavangar, Adhm Zahran, Shayna Skakoon-Sparling, Darrell H. S. Tan, Gilles Lambert, et al. "Human Immunodeficiency Virus Treatment Attitudes and Bacterial Sexually Transmitted Infections Among Gay and Bisexual Men." Sexually Transmitted Diseases 51, no. 3 (December 28, 2023): 178–85. http://dx.doi.org/10.1097/olq.0000000000001915.

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Backgrounds Positive attitudes toward human immunodeficiency virus (HIV) treatment, such as reduced concern about HIV transmissibility, are associated with sexual behaviors that may increase the risk of bacterial sexually transmitted infections (STIs) among gay, bisexual, and other men who have sex with men (GBM). We examined associations between HIV treatment attitudes and bacterial STI diagnoses among GBM in Canada's three largest cities. Methods We fit a structural equation model between HIV treatment attitudes and bacterial STI diagnoses via sexual behaviors in the Engage study's baseline data. We estimated direct and indirect paths between scores on HIV treatment attitudes and STIs via number of male anal sex partners, condomless anal sex, and oral sex. We conducted sub-analyses with participants stratified by HIV serostatus. Results Among 2449 GBM recruited in 2017 to 2019, there was a direct association between HIV treatment attitudes and current STI diagnoses (β = 0.13; 95% CI, 0.07–0.19; P < 0.001). The mediated model revealed a positive total indirect effect through 2 pathways: (1) engaging in condomless anal sex and (2) number of male anal sex partners and condomless anal sex. These 2 indirect pathways remained in the stratified mediation models for both HIV negative GBM and for GBM living with HIV. Conclusions The association between HIV treatment attitudes and diagnosed STIs is mediated through a higher number of male anal sex partners and condomless anal sex. The results highlight the importance of providers educating patients when providing effective STI counseling, testing, and prevention for GBM about how accurate HIV treatment attitudes may inadvertently be associated with the bacterial STI epidemic.

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Al Masyariqi, Ubaidillah. "HUKUMAN BAGI PELAKU PERKOSAAN MELALUI ANUS (ANAL SEX): PERSPEKTIF FIKIH JINAYAH DAN HUKUM PIDANA INDONESIA." International Journal Ihya' 'Ulum al-Din 19, no. 1 (September 7, 2017): 25. http://dx.doi.org/10.21580/ihya.18.1.1741.

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This article examines anal rape, one of the most often ignored by modern criminal jurists. There are two things studied, namely how Indonesian criminal law view penalties for rape perpetrators through anal (anal sex)? And what about jināyāh jurisprudence about punishment for rape perpetrators through anal (anal sex)? This article is a library research. The data obtained were analyzed by analytical descriptive method and content analysis. After that, it is computed based on the perspective of criminal law and fiqh law. The results of the study yielded two findings. First, in criminal law, anal sex rape is juridically categorized as obscene acts, so the perpetrator is only sentenced to a maximum of 9 years in prison, 3 years lighter than the threat of intra vaginal rape for 12 years. Secondly, in jināyāh jurisprudence, if based on jikhur ulama's jurisprudence, the penalty for anal sex rape perpetrators is ḥadd zina punishment and coupled with the penalty of payment of dowry to the victim, there is no difference with intra vaginal rape penalty. If based on the doctrine of al-Ḥanafiyyah cleric, then the punishment for the perpetrators of anal sex rape is ta'zīr penalty, but there is no penalty of dowry payment. --- Artikel ini mengkaji tentang salah satu bentuk perkosaan, yang paling sering diabaikan oleh para ahli hukum pidana di abad modern ini, yaitu perkosaan melalui anus (anal sex). Ada dua hal yang dikaji, yaitu bagaimana pandangan hukum pidana Indonesia tentang hukuman bagi pelaku perkosaan melalui anus (anal sex)? Dan bagaimana pandangan fikih jināyāh tentang hukuman bagi pelaku perkosaan melalui anus (anal sex)? Artikel ini merupakan penelitian kepustakaan (library research). Data-yang diperoleh dianalisa berdasarkan metode deskriptif analitis dan content analysis. Setelah itu, dikomparasikan berdasarkan sudut pandang hukum pidana dan hukum fikih. Hasil studi menghasilkan dua temuan. Pertama, di dalam hukum pidana, perkosaan anal sex secara yuridis dikategorikan sebagai perbuatan cabul, sehingga pelakunya hanya diganjar hukuman maksimal 9 tahun penjara, 3 tahun lebih ringan dibandingkan dengan ancaman pidana perkosaan intra vaginal selama 12 tahun. Kedua, di dalam fikih jināyāh, jika mendasarkan pada fikih jumhur ulama, hukuman bagi pelaku perkosaan anal sex adalah hukuman ḥadd zina dan ditambah dengan hukuman pembayaran mahar kepada korban, tidak ada perbedaan dengan hukuman perkosaan intra vaginal. Jika mendasarkan pada doktrin ulama al-Ḥanafiyyah, maka hukuman bagi pelaku perkosaan anal sex adalah hukuman taʻzīr, namun tidak terdapat hukuman pembayaran mahar.

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Pereira, Henrique, and Graça Esgalhado. "Sexually Explicit Online Media Use and Sexual Behavior among Sexual Minority Men in Portugal." Behavioral Sciences 11, no. 3 (March 18, 2021): 38. http://dx.doi.org/10.3390/bs11030038.

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Introduction: This study aimed to describe sexually explicit online media (SEOM) use among men who have sex with men (MSM) in Portugal and to examine any associations between exposure to SEOM depicting unprotected anal intercourse and engaging in unprotected anal sex. Methods: This study recruited 1577 MSM living in Portugal with Internet access, who ranged in age from 18 to 74 years old (Mage = 35.69, SDage = 11.16). Participants were recruited via websites, e-mail and social media. 67.3% (n = 1061) of sample participants self-identified as gay, and 32.7% (n = 516) claimed to be bisexual. The survey included four categories of questions/measurements, encompassing demographic information, SEOM use, explicit imagery of protected/unprotected anal sex and sexual behavior. Results: The study results suggest that Portuguese MSM frequently use SEOM and that they possess a stated preference for SEOM displaying unprotected anal sex. Furthermore, this study’s findings indicate that self-identified gay men more frequently engage in unprotected sex than self-identified bisexual men. Finally, the study revealed that a preference for viewing SEOM displaying unprotected sex and higher levels of arousal attributed to direct SEOM exposure are significant predictors of having receptive anal sex without condoms.

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Caballero-Hoyos, Ramiro, Joel Monárrez-Espino, María Guadalupe Ramírez-Ortíz, and Francisco Martín Cárdenas-Medina. "Factors Associated with Unprotected Anal Sex among Men Who Have Sex with Men in Mexico." Infectious Disease Reports 14, no. 4 (July 21, 2022): 547–57. http://dx.doi.org/10.3390/idr14040058.

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The global prevalence of HIV is notably higher in men who have sex with men (MSM) compared with other male populations. Unprotected anal intercourse is the riskiest sexual behavior for HIV acquisition and/or transmission among this minority population. The purpose of the study was to identify if the syndemic of psychosocial stressors and experienced stigma are predictors of unprotected anal sex in Mexican MSM. A cross-sectional analytic study was carried out. It included adults residing in Manzanillo, Mexico, with oral/anal sex practices within the last year. Informed consent was given by 142 participants selected using snowball sampling. Collected data included sociodemographic characteristics, psychosocial stressors, experienced stigma, HIV knowledge, knowing a friend/acquaintance living with HIV/AIDS, and sexual risk behaviors. Adjusted logistic regression was used to identify predictors of unprotected anal sex within the last six months. Presence of syndemic of psychosocial stressors, drug use during sex, having friends/acquaintances with HIV/AIDS, and experiencing high stigma were positively associated; high level of HIV knowledge was negatively linked. Reducing psychosocial stressors and integrating stigma-mitigation strategies are key elements to reduce HIV transmission.

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Johansson, Klara, Kristina Ingemarsdotter Persson, Charlotte Deogan, and Ziad El-Khatib. "Factors associated with condom use and HIV testing among young men who have sex with men: a cross-sectional survey in a random online sample in Sweden." Sexually Transmitted Infections 94, no. 6 (May 17, 2018): 427–33. http://dx.doi.org/10.1136/sextrans-2017-053369.

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ObjectivesThe objectives are to analyse social determinants of sexual health behaviour (condom use and HIV testing) among young, internet-active, cis men who have sex with men (MSM) in a high-income country. The aspects of sexual health behaviour analysed here are condomless anal intercourse with one or more new or casual partner(s), condomless anal intercourse during the most recent sex with a man and HIV testing.MethodsA randomised sample of men active on Sweden’s main online community for Lesbian, Gay, Bisexual and Trans people responded to an online survey (response rate 19%). A subsample of young people, aged 15–29, was analysed (effective sample 597–669) using multivariable logistic regression with respect to factors associated with condomless anal intercourse with one or more new or casual partner(s), condomless anal intercourse at most recent sex and not having had a test for HIV.ResultsLow education, being single and living in a metropolitan area were found to be independently associated with condomless anal intercourse with new or casual partner(s). Sex with a steady partner was associated with condomless anal intercourse during the most recent sex. Knowledge of where to get tested, high education, being born outside Sweden and condomless anal intercourse with new or casual sex partner(s) were independently associated with having been tested for HIV.ConclusionsThe factors associated with sexual health behaviour among young MSM are complex, and preventive messages need to be tailored accordingly.

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ZHANG, T., H. LIN, V. MINHAS, W. ZHU, C. WOOD, and N. HE. "Prevalence and correlates of Kaposi's sarcoma-associated herpesvirus infection in a sample of men who have sex with men in eastern China." Epidemiology and Infection 141, no. 9 (October 31, 2012): 1823–30. http://dx.doi.org/10.1017/s0950268812002361.

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SUMMARYThis study aimed to determine the seroprevalence of Kaposi's sarcoma-associated herpesvirus (KSHV) and related factors in men who have sex with men (MSM) in China. A total of 208 subjects were recruited from eastern China from 2008 to 2009. Plasma samples were collected and screened for KSHV, HIV and syphilis. Overall, KSHV seroprevalence was 32·7% in the subjects. About 92·7% of subjects reported having ever had anal sex with a man, of whom 67·8% had receptive anal sex and 77·9% had insertive anal sex. About 93·1% of the study participants reported having had oral sex with a man, of whom 76·0% had receptive oral sex and 56·7% had insertive oral sex. KSHV seropositivity was independently associated with receptive anal sex [odds ratio (OR) 2·68, 95% confidence interval (CI) 1·15–6·23], syphilis (OR 3·25, 95% CI 1·56–6·76) and HSV-2 infection (OR 2·40, 95% CI 1·09–5·26). KSHV infection is highly prevalent and is probably sexually transmitted among MSM in eastern China.

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Karim, S. S., and G. Ramjee. "Anal sex and HIV transmission in women." American Journal of Public Health 88, no. 8 (August 1998): 1265–66. http://dx.doi.org/10.2105/ajph.88.8.1265-a.

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Wiebe, Ellen R. "Who uses anal sex for birth control?" International Journal of Gynecology & Obstetrics 117, no. 2 (February 27, 2012): 185–86. http://dx.doi.org/10.1016/j.ijgo.2011.12.018.

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Wiebe, E. "Who uses anal sex for birth control?" Contraception 84, no. 3 (September 2011): 317–18. http://dx.doi.org/10.1016/j.contraception.2011.05.060.

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Koh, K. C., K. Kanagalingam, F. T. Tai, and A. Kamarulzaman. "Sexual Practices and HIV Prevalence amongst Men Who Have Sex with Men at a Community-Based Voluntary Counseling and Testing Centre in Malaysia." ISRN Infectious Diseases 2013 (December 24, 2013): 1–6. http://dx.doi.org/10.5402/2013/247545.

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We describe the sexual practices and condom usage of men who have sex with men (MSM) at a community-based anonymous voluntary counseling and testing centre in Kuala Lumpur, Malaysia. This study is a first for Malaysia in this context. 433 MSM clients disclosed their sexual practices and condom use in the preceding 6 months using a self-reported questionnaire during pre-HIV test counseling at the centre. The mean age was 29.7 years, and 356 were homosexuals while 77 were bisexuals. Forty tested HIV positive (9.2%). 387 (94.9%) of 408 clients had anal sex, 395 (97.8%) of 404 clients had oral sex, while 43 (18.4%) of 233 clients had vaginal sex which revealed that even men who identified themselves as homosexuals do practice vaginal sex. Having multiple sexual partners is common (mean 11.6 partners per client). 259 (59.8%) had unprotected sex within the last 6 months. Consistent condom use rates during vaginal, anal, and oral sex were 20%, 23.5%, and 1.3%, respectively. The odds ratio of testing HIV positive with inconsistent condom use during anal sex was 3.7 (). Clients who used condoms inconsistently during anal sex are more likely to be HIV positive.

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Walcheck, Morgan T., Kristina A. Matkowskyj, Anne Turco, Simon Blaine-Sauer, Manabu Nukaya, Jessica Noel, Oline K. Ronnekleiv, and Sean M. Ronnekleiv-Kelly. "Sex-dependent development of Kras-induced anal squamous cell carcinoma in mice." PLOS ONE 16, no. 11 (November 4, 2021): e0259245. http://dx.doi.org/10.1371/journal.pone.0259245.

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Anal squamous cell carcinoma (SCC) will be diagnosed in an estimated 9,080 adults in the United States this year, and rates have been rising over the last several decades. Most people that develop anal SCC have associated human papillomavirus (HPV) infection (~85–95%), with approximately 5–15% of anal SCC cases occurring in HPV-negative patients from unknown etiology. This study identified and characterized the Kras-driven, female sex hormone-dependent development of anal squamous cell carcinoma (SCC) in the LSL-KrasG12D; Pdx1-Cre (KC) mouse model that is not dependent on papillomavirus infection. One hundred percent of female KC mice develop anal SCC, while no male KC mice develop tumors. Both male and female KC anal tissue express Pdx1 and Cre-recombinase mRNA, and the activated mutant KrasG12D gene. Although the driver gene mutation KrasG12D is present in anus of both sexes, only female KC mice develop Kras-mutant induced anal SCC. To understand the sex-dependent differences, KC male mice were castrated and KC female mice were ovariectomized. Castrated KC males displayed an unchanged phenotype with no anal tumor formation. In contrast, ovariectomized KC females demonstrated a marked reduction in anal SCC development, with only 15% developing anal SCC. Finally, exogenous administration of estrogen rescued the tumor development in ovariectomized KC female mice and induced tumor development in castrated KC males. These results confirm that the anal SCC is estrogen mediated. The delineation of the role of female sex hormones in mediating mutant Kras to drive anal SCC pathogenesis highlights a subtype of anal SCC that is independent of papillomavirus infection. These findings may have clinical applicability for the papillomavirus-negative subset of anal SCC patients that typically respond poorly to standard of care chemoradiation.

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Siegler, Aaron J., Lauren Ahlschlager, Elizabeth M. Rosenthal, Patrick S. Sullivan, Colleen F. Kelley, Eli S. Rosenberg, Travis H. Sanchez, Reneé H. Moore, C. Christina Mehta, and Michael P. Cecil. "Utility of a US Food and Drug Administration (FDA) label indication for condoms for anal sex." Sexual Health 17, no. 1 (2020): 91. http://dx.doi.org/10.1071/sh18152.

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Condoms are highly effective for HIV prevention, yet are not currently indicated by the US Food and Drug Administration (FDA) for anal sex. We surveyed a national sample of men who have sex with men to assess whether FDA label indication could affect anticipated condom use, and to determine levels of perceived condom failure for anal sex. We found that 69% of respondents anticipated that a label indication change would increase their likelihood of condom use. Median perceived failure was 15%. We anticipate that these results may aid the FDA in developing standards for a label indication for anal sex.

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Nyitray, Alan G. "The epidemiology of anal human papillomavirus infection among women and men having sex with women." Sexual Health 9, no. 6 (2012): 538. http://dx.doi.org/10.1071/sh12021.

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The goal of this review is to summarise epidemiological data that support an understanding of the natural history of anal human papillomavirus (HPV) among women and men having sex with women (MSW). HPV is a common infection of the anal canal among women and MSW. Although there have been a limited number of studies to date, both oncogenic and nononcogenic HPV genotypes commonly occur among these populations even when individuals do not report receptive anal sex. Genotype distribution is quite diverse, with recent studies typically detecting more than two dozen genotypes in the anal canal in samples of women and MSW. Factors most consistently associated with HPV in the anal canal among both women and MSW are lifetime number of sexual partners and detection of HPV at the genitals. The common finding of genotypic concordance between the genitals and anal canal in women and MSW, and the infectious nature of HPV, in addition to a limited number of studies offering empirical evidence of anal-to-genital self-inoculation and evidence of HPV hand carriage, may help explain the detection of HPV in the anal canal outside the context of receptive anal sex. HPV vaccination has been shown to reduce anal HPV infection among women and is also a promising prevention strategy among MSW.

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Li, Peiyang, Tanwei Yuan, Zhenyu Wang, Ruonan Huang, Xiaojun Meng, Kechun Zhang, Guanghui Wang, et al. "Rectal douching among men who have sex with men in six cities in China: a cross-sectional study." Sexual Health 17, no. 5 (2020): 437. http://dx.doi.org/10.1071/sh19239.

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Background Rectal douching, which is a common practice among men who have sex men (MSM) as a preparation for anal sex, may potentially increase the risk of HIV infection. However, little is known about the practice of rectal douching among Chinese MSM. This study investigated the characteristics of rectal douching and factors associated with rectal douching. Methods: Between January and March 2019, MSM aged ≥18 years in six cities in China were recruited to the study. Participants were asked to complete a self-administered online questionnaire. Chi-squared tests and multivariable logistic regression were used to examine factors associated with rectal douching by calculating odds ratios (ORs) and 95% confidence intervals (CIs). Results: Of 485 MSM in this study, 278 (57.3%) practiced rectal douching in the preceding 6 months. The most common reasons for douching before and after anal sex were hygiene/cleanliness (78.6% and 66.1% respectively) and HIV/STI prevention (8.5% and 17.4% respectively). The most used enemas and equipment before and after anal sex were tap water (73.5% and 70.2% respectively) and showerhead hoses (76.1% and 75.2% respectively). Men who engaged in both insertive and receptive anal sex (OR 8.84; 95% CI 4.52–17.30), exclusively receptive anal sex (OR 6.56; 95% CI 3.55–12.13), condom-less anal intercourse (OR 1.64; 95% CI 1.03–2.63) and anal sex after alcohol use (OR 1.54; 95% CI 1.00–2.35) were more likely to perform douching. Conclusion: Rectal douching is common in MSM, some of whom may not realise the potential risks associated with douching. The co-occurrence of douching and other high-risk behaviours would make MSM more vulnerable to HIV. Health education aimed at informing MSM of the potential risks and addressing the high prevalence of douching are urgently needed.

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Pysmenna, Olga, Stan Korotchenko, and Su-I. Hou. "To Use or Not to Use?: A Mixed Methods Study on Predictors and Barriers of Condom Use Among College Students." International Journal of Multiple Research Approaches 12, no. 2 (August 31, 2020): 216–33. http://dx.doi.org/10.29034/ijmra.v12n2a4.

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Unprotected anal sex is one of the highest-risk sexual behaviors associated with high rates of STIs. College students often engage in sexual risky behaviors without consistently using condoms. This study examined predictors of condom use among students who engaged in anal sex (n = 242) at an American Southeastern university. Using a convergent research design, researchers used both quantitative and qualitative data to answer the research question. The quantitative data showed that partner communication and gender were statistically significant predictors of condom use. Qualitative results indicated the importance of communication between partners and knowledge of a partner’s HIV status. Qualitative data also revealed that experiential attitudes are an important factor of condom non-use in anal sex. Merged results illustrated that students tend not to use condoms during anal sex overall and the importance of communication between partners.

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Miyazaki, Tamako, Takashi Nishimura, Tetsuro Yamashita, and Masao Miyazaki. "Olfactory discrimination of anal sac secretions in the domestic cat and the chemical profiles of the volatile compounds." Journal of Ethology 36, no. 1 (November 16, 2017): 99–105. http://dx.doi.org/10.1007/s10164-017-0532-x.

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Abstract Scent emitted from anal sac secretions provides important signals for most Carnivora. Their secretions emit a variety of volatile compounds, some of which function as chemical signals with information about the scent owners. The domestic cat has a pair of anal sac glands to secrete a pungent liquid. Their anal sac secretions may give information about sex, reproductive state, and recognition of individuals. However, little is known about the volatile compounds emitted from anal sac secretions and their biological functions in cats. In this study, we examined the volatile chemical profiles of anal sac secretions in cats and their olfactory ability to discriminate intraspecific anal sac secretions. Analysis with gas chromatography–mass spectrometry showed that the major volatile compounds were short-chain free fatty acids, whose contents varied among individuals, as well as other carnivores. There was no sex difference in the volatile profiles. In temporal analyses of individual anal sac secretions performed 2 months apart, the profiles were highly conserved within individuals. Habituation–dishabituation tests showed that cats can distinguish individual differences in the odor of anal sac secretions. These results suggest that cats utilize short-chain free fatty acids emitted from anal sac secretions to obtain scent information for individual recognition rather than species or sex recognition.

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Melendez-Torres, GJ, Ford Hickson, David Reid, Peter Weatherburn, and Chris Bonell. "Findings from within-subjects comparisons of drug use and sexual risk behaviour in men who have sex with men in England." International Journal of STD & AIDS 28, no. 3 (July 10, 2016): 250–58. http://dx.doi.org/10.1177/0956462416642125.

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Epidemiological evidence for the encounter-level association between sexualised drug use and unprotected anal intercourse in men who have sex with men is unclear and has not examined men who have sex with men in England. To estimate this association, we compared dyadic sexual encounters within respondents. We used encounter-level data from a longitudinal online survey of men who have sex with men living in England and multilevel models to test univariate and multivariate associations between any respondent or partner drug use, specific respondent drug use, additional situational characteristics and unprotected anal intercourse. Based on 6742 encounters from 2142 men who have sex with men, respondent drug use and respondent use of certain specific drugs were associated with increased unprotected anal intercourse odds. In univariate models, partner drug use was associated with increased unprotected anal intercourse odds, but in multivariate models, only non-specific knowledge of partner drug use was associated with the same. Encounters with non-regular-and-steady partners or that were not HIV-seroconcordant were associated with decreased unprotected anal intercourse odds. This is the first within-subjects comparison of drug use and unprotected anal intercourse conducted on a sample from England, and the largest of its kind. Findings are consistent with other studies, though associations between drug use and unprotected anal intercourse are shaped by social contexts that may change over time.

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Kutner, Bryan A., Jane M. Simoni, Will DeWitt, Michael M. Gaisa, and Theodorus G. M. Sandfort. "Gay and Bisexual Men Who Report Anal Sex Stigma Alongside Discomfort Discussing Anal Sex with Health Workers Are Less Likely to Have Ever Received an Anal Examination or Anal Swab." LGBT Health 9, no. 2 (March 1, 2022): 103–13. http://dx.doi.org/10.1089/lgbt.2021.0104.

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Muñoz-Laboy, Miguel, Vagner de Almeida, Luis do Nascimento, and Richard Parker. "Promoting Sexual Health Through Action Research Among Young Male Sex Workers in RIO De Janeiro, Brazil." Practicing Anthropology 26, no. 2 (April 1, 2004): 30–34. http://dx.doi.org/10.17730/praa.26.2.0326783465724k53.

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AIDS in Brazil, as in many parts of the world, has been an epidemic characterized by multiple parallel-localized epidemics. Youth, particularly young men who have sex with men (YMSM), are amongst the most vulnerable populations for HIV infection in Brazil. Furthermore, our research findings from the early 1990s suggested that significantly higher levels of continued unprotected anal sex among occurred among young men under the age of 24 as opposed to older men in the sample. While 22.0% of the entire sample reported receptive anal sex without a condom, 41.5% those under the age of 24 reported receptive anal sex without a condom. Conversely, while 73.0% of the sample as a whole reported using a condom for insertive anal sex, only 53.4% of those under the age of 24 reported condom use for insertive anal sex (Parker, R. and Terto, V. 2001). Sub-sequent analyses from survey and ethnographic data suggested that a range of different cultural and sociological factors, including socio-economic status, race, and gender performance were all relevant factors affecting levels of risk-related behavior, with higher levels of risk consistently being reported by young men from poorer, more marginalized backgrounds from the favelas (shantytowns) and subúrbios (outlying or peri-urban poor neighborhoods) in which the correlations between poverty and communities of color typical in Brazilian society are especially strong.

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Tóth, Béla, Zoltán Sápi, Dénes Bánhegyi, Márta Marschalkó, and Sarolta Kárpáti. "Anal cytology." Orvosi Hetilap 156, no. 1 (January 2015): 24–27. http://dx.doi.org/10.1556/oh.2015.30080.

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Introduction: The incidence of anal cancer has increased in recent decades, particularly among human immunodeficiency virus infected men who have sex with men. Anal intraepithelial neoplasia is a potential precursor lesion of anal cancer. Anal cytology is the primary screening test for anal intraeptithelial neoplasia. Aim: The authors aimed to analyze the results of anal cytology of patients with human immunodeficiency virus infection at the National Centre of STD, Department of Dermatology, Dermatooncology and Venereology, Semmelweis University. Method: 155 anal cytological examinations were performed in 140 patients between November 1, 2012 and August 31, 2014. Results: 44% of patients were found to have anal dysplasia, and only 1.6% of patients had high-grade lesions. This rate is lower as compared to published studies including larger number of patients. Conclusions: The study underlines the necessity of screening for anal lesions in the population at-risk. Orv. Hetil., 2015, 156(1), 24–27.

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Diwyami, Ni Putu, and A. A. Bagus Suryantara. "Home / Archives / Vol. 7 No. 02 (2021): Oktober : Jurnal Kesehatan Medika Udayana / Articles Literature Review: Peran Perilaku Seks Anal Berisiko pada Laki Seks dengan Laki (LSL) terhadap Transmisi HIV." Jurnal Kesehatan Medika Udayana 7, no. 2 (October 31, 2021): 84–92. http://dx.doi.org/10.47859/jmu.v7i02.63.

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Background: This study is a literature study that employed descriptive qualitative research design with a library research approach to describe the risk of unsafe anal sex roles behavior among men who have sex with men (MSM) towards HIV transmission. In this literature study, the researcher used various written resources to obtain the data such as journal articles that were relevant to the present study. Purpose: This study focused on measuring the prevalence of risky anal sex roles among MSM and the risk of those roles towards HIV transmission. Result: The results of this study showed that the unsafe anal sex behavior among MSM towards HIV transmission was highly founded in the receptive role compared to the insertive role or versatile role. Conclusion: MSM who performed the receptive role during the unsafe anal sex were more exhibited by young MSM. In order to decrease the risk of sexual behavior among MSM, it is necessary to start it over young MSM. Therefore, the increasing incidence of HIV among MSM can be controlled as well.

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Moscicki, Anna-Barbara, Yifei Ma, Sepideh Farhat, Julie Jay, Evelyn Hanson, Susanna Benningfield, Janet Jonte, Cheryl Godwin-Medina, Robert Wilson, and Stephen Shiboski. "27. Natural history of anal HPV in heterosexual women and risks associated with persistence." Sexual Health 10, no. 6 (2013): 583. http://dx.doi.org/10.1071/shv10n6ab27.

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Background Anal cancer is more common in women than in men, yet little is known about the natural history of HPV in women. The objective was to examine the natural history of anal HPV in heterosexual women and to examine risk factors associated with persistence. Methods: Young women participating in a HPV cohort study were seen at 4-month intervals for cervical and anal testing for HPV DNA. The distribution of time to clearance was estimated using the Kaplan–Meier approach, and risks for persistence assessed using Cox regression models. Results: Seventy-five women (mean age 23.5 ± 4.1 years) who tested positive for anal HPV were followed for a mean of 84.5 ± 44.9 months. By 3 years, 82.5% of anal non-16 high risk (HR) HPV, 82.6% of low risk (LR) HPV and 76.2% of HPV16 infections had cleared. By 3 years, only 36.4% of women had become negative for all HPV types. In the multivariable model, concurrent cervical HPV 16 (P = 0.009) or any HR HPV (P = 0.046) detection, weekly alcohol use (P = 0.018), anal touching during sex (P = 0.034), and ever having anal sex (P = 0.06) were associated with HPV 16 persistence. Having a new sex partner (P < 0.001) and condom use during vaginal sex (P = 0.06) were associated with clearance. Similar associations were found for clearance all HR HPV infections. Only concomitant cervical HPV infection was associated with non-16 HR HPV persistence. Conclusions: The majority of anal HPV infections cleared within 3 years. HPV 16 infections were slower to clear than other HR HPV, consistent with its role in anal cancer. Sexual behaviour was associated with persistence, suggesting that education and behavioural interventions may decrease persistence and the risk of anal cancer.

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Cavallari, Eugenio Nelson, Giancarlo Ceccarelli, Letizia Santinelli, Giuseppe Pietro Innocenti, Gabriella De Girolamo, Cristian Borrazzo, Ornella Spagnolello, et al. "Clinical Effects of Oral Bacteriotherapy on Anal HPV Infection and Related Dysplasia in HIV-Positive MSM: Results from the “HPVinHIV” Trial." Biomedicines 9, no. 11 (November 22, 2021): 1738. http://dx.doi.org/10.3390/biomedicines9111738.

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Background. Anal HPV infection, anal dysplasia and, ultimately, anal cancer are particularly common in HIV-infected men who have sex with men. Treatment of anal dysplasia, aiming to prevent evolution to squamous cell carcinoma of the anus, is currently limited to direct ablation and/or application of topical therapy. The aim of the present study is to investigate the effect of oral bacteriotherapy (Vivomixx® in EU, Visbiome® in USA) on anal HPV infection and HPV-related dysplasia of the anal canal in HIV-infected men who have sex with men. Methods. In this randomized, placebo-controlled, quadruple-blinded trial (NCT04099433), HIV-positive men who have sex with men with anal HPV infection and HPV-related dysplasia were randomized to receive oral bacteriotherapy or placebo for 6 months. Anal HPV test, anal cytology and high resolution anoscopy with biopsies of anal lesions were performed at baseline and at the end of the study. Safety and tolerability of oral bacteriotherapy were also evaluated. Interim analysis results were presented. Results. 20 participants concluded the study procedures to date. No serious adverse events were reported. In respect to participants randomized to placebo, individuals in the experimental arm showed higher rate of anal dysplasia regression (p = 0.002), lower rate of onset of new anal dysplasia (p = 0.023) and lower rates of worsening of persistent lesions (p = 0.004). Clearance of anal HPV infection was more frequently observed in the bacteriotherapy group (p = 0.067). Conclusion. Being an interim analysis, we limit ourselves to report the preliminary results of the current study. We refer the conclusions relating to the possible effectiveness of the intervention to the analysis of the definitive data.

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Chow, Eric P. F., Rebecca Wigan, Anna McNulty, Charlotte Bell, Mandy Johnson, Lewis Marshall, David G. Regan, et al. "Early sexual experiences of teenage heterosexual males in Australia: a cross-sectional survey." BMJ Open 7, no. 10 (October 2017): e016779. http://dx.doi.org/10.1136/bmjopen-2017-016779.

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ObjectiveThere are limited data on the patterns of early sexual behaviours among Australian teenage heterosexual boys. This study describes the nature and onset of early sexual experiences in this population through a cross-sectional survey.DesignA cross-sectional survey between 2014 and 2015SettingMajor sexual health clinics and community sources across AustraliaParticipantsHeterosexual men aged 17–19 yearsResultsThere were 191 men in the study with a median age of 19.1 years. Median age at first oral sex was 16.4 years (IQR: 15.5–17.7) and 16.9 years (IQR: 16.0–18.0) for first vaginal sex. Most men had engaged in oral sex (89.5%) and vaginal sex (91.6%) in the previous 12 months with 32.6% reporting condom use at last vaginal sex. Of the total lifetime female partners for vaginal sex reported by men as a group (n=1187): 54.3% (n=645) were the same age as the man, 28.3% (n=336) were a year or more younger and 17.4% (n=206) were a year or more older. Prior anal sex with females was reported by 22% with 47% reporting condom use at last anal sex. Median age at first anal sex was 18.2 years (IQR: 17.3–18.8). Anal sex with a female was associated with having five or more lifetime female sexual partners for oral and vaginal sex.ConclusionsThese data provide insights into the trajectory of sexual behaviours experienced by teenage heterosexual boys following sexual debut, findings which can inform programme promoting sexual health among teenage boys.

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Xia, Danni, Yingjie Chen, Ruijie Chang, Chen Xu, Xiaoyue Yu, Yujie Liu, Hui Chen, et al. "Psychosocial Problems and Condomless Anal Sex among Transgender Women in Two Cities of China: Study Based on the Syndemic Framework." International Journal of Environmental Research and Public Health 19, no. 23 (December 2, 2022): 16161. http://dx.doi.org/10.3390/ijerph192316161.

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Studies examining the association between psychosocial problems and condomless anal sex (CAS) among transgender women (TGW) are rare. In this study, close attention was paid to the effect of co-occurring psychosocial problems on sexual risk behaviors. A cross-sectional study, including 247 TGW, was conducted in Kunming and Shenyang, China. The prevalence of condomless anal sex among TGW in the previous 6 months was 30.8%. Most of the psychosocial factors were associated with one another in bivariate logistic regression models. Low self-esteem (ORm = 2.99, 95% CI = 1.25–7.18), sexual compulsivity (ORm = 2.13, 95% CI = 1.13–4.00), and intimate partner violence (ORm = 2.21, 95% CI = 1.19–4.11) were discovered to be related to condomless anal sex in the multivariate regression model. No significant interactive effects of the syndemic factors on condomless anal sex were detected. More programmatic and effective HIV prevention interventions targeting psychosocial problems are required to reduce HIV infection within the population.

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Milošević, Miloš, Mario Poljak, and Boštjan Mlakar. "Anal HPV infection in Slovenian men who have sex with men." Open Medicine 5, no. 6 (December 1, 2010): 698–703. http://dx.doi.org/10.2478/s11536-010-0019-4.

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AbstractAnal human papillomavirus (HPV) infection commonly affects men who have sex with men (MSM) and is associated with the development of anal cancer, with the highest prevalence in MSM who are positive for human immunodeficiency virus (HIV). The purpose of this study was to determine the prevalence of anal HPV infection and genotype distribution in Slovenian MSM and its correlation with behavioral patterns in order to predict the possible impact of quadrivalent HPV vaccine in this population. To our knowledge, this is the first study of prevalence and genotype distribution of anal HPV infection in MSM from any of the Eastern European countries. The study included 136 MSM who visited two outpatient offices from January 2007 through December 2008. All participants were clinically examined and tested for HIV, and anal swabs were taken for HPV testing. The results showed a high prevalence of anal HPV infection in both HIV-negative (75%) and HIV-positive (95%) MSM. Promiscuity and use of “poppers” (alkyl nitrites taken for recreational purposes through direct inhalation) were clearly associated with a higher prevalence of anal HPV infection. The four most common HPV genotypes were 6, 11, 16, and 18. The prevalence of anal HPV infection in Slovenian MSM is higher in comparison with other studies. Quadrivalent HPV vaccine could have great potential in this population.

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Al-Ajlouni, Yazan A., Su H. Park, John A. Schneider, William C. Goedel, H. Rhodes Hambrick, DeMarc A. Hickson, Michael N. Cantor, and Dustin T. Duncan. "Partner meeting venue typology and sexual risk behaviors among French men who have sex with men." International Journal of STD & AIDS 29, no. 13 (July 4, 2018): 1282–88. http://dx.doi.org/10.1177/0956462418775524.

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Previous research has given considerable attention to venues where men who have sex with men (MSM) meet their sex partners. However, no previous study examined a vast range of sexual risk behaviors. The objective of this study was to examine the association between the types of venues for meeting sexual partners, condomless anal intercourse, engagement in group sex, and HIV and sexually transmitted infection (STI) risk among a sample of MSM. Users of a popular geosocial-networking app in Paris were provided an advertisement with text encouraging them to complete an anonymous web-based survey ( n = 580), which included questions about sex-seeking venues, condomless anal intercourse, HIV status and STI history, and sociodemographic characteristics. A log-binomial model was used to assess association between venues (i.e. public venues [gay clubs, bars, and discos], cruising venues [such as gay saunas, beaches, and parks], and internet-based venues [internet chat sites and geosocial-networking apps]), condomless anal intercourse, engagement in group sex, and HIV infection as well as infection with other STIs, after adjustment for sociodemographics. In multivariable models, attending cruising venues was associated with condomless receptive anal intercourse (adjusted relative risk [aRR] = 1.47; 95% confidence interval [CI] = 1.20–1.81), any kind of condomless anal intercourse (aRR = 1.34; 95% CI = 1.14–1.58), an STI (aRR = 1.50; 95% CI = 1.09–2.05), engagement in group sex (aRR = 1.42; 95% CI = 1.27–1.59), and multiple partners for both condomless insertive (aRR = 2.00; 95% CI = 1.38–2.88), and receptive (aRR = 1.70; 95% CI = 1.23–2.36) anal intercourse, STI infection (aRR = 1.50, 95% CI = 1.09–2.05) and HIV infection (aRR = 1.76; 95% CI = 1.05–2.96). No associations were found with other venue types and sexual risk behaviors, STIs, and HIV infection, except for group sex, which was associated with all venue types. Use of cruising where the primary aim is to have sex was found to be associated with risky sexual behavior. Risky behavior reduction strategies such as preexposure prophylaxis campaigns should be targeted to MSM who frequent cruising venues.

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Tucker, Saroj, Parimi Prabhakar, Pankaj Anand, Rama Krishna, and Swarup Panyam. "Exploring dynamics of anal sex among female sex workers in Andhra Pradesh." Indian Journal of Sexually Transmitted Diseases and AIDS 33, no. 1 (2012): 9. http://dx.doi.org/10.4103/0253-7184.93787.

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Edwards, S. "Heterosexual Transmission of HIV Facilitated by Anal Sex and Sex During Menses." Family Planning Perspectives 24, no. 5 (September 1992): 237. http://dx.doi.org/10.2307/2135882.

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Navarro Correal, E., L. Marín Sanchez, M. Mañosa Círia, and E. Domènech. "N33 Experience of inflammatory bowel disease patients in relation to the practice of anal intercourse." Journal of Crohn's and Colitis 18, Supplement_1 (January 1, 2024): i2241. http://dx.doi.org/10.1093/ecco-jcc/jjad212.1405.

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Abstract Background Sexual health should be part of the management of people with chronic diseases. Receptive anal intercourse is a relatively common practice, and in Inflammatory Bowel Disease (IBD) it can be clearly compromised by the perianal and rectal involvement that many patients present. Understanding the experience of people with IBD in relation to anal intercourse will provide information to help them live their sexuality in a full and healthy way. Methods Observational, descriptive, cross-sectional study. Creation of ad-hoc online questionnaire through the REDCap platform. The study population was people between 18 and 75 years with IBD who have or have had sexual intercourse. The survey was distributed through social networks, advanced practice nurses and patient associations (ACCU). The study was approved by the Ethical Committee for Clinical Research of Hospital Universitari Germans Trias i Pujol, (reference PI-22-255, approval date November 11, 2022) Results 1111 surveys answered, 766 (68.8%) completed. Mean agewas 41.86 years (SD10.32), 560 (73.3%) were women, and 50% had a university education. Sixty per cent (460) have Crohn's disease and 765 people (75.4%) are on immunosuppressive treatment. 22.4% (171) report perianal disease. 34.8% (266) practice anal sex, of these more than 60% do not use a condom during anal sex. 7.6% clean their bowels, 32.4% dilate their anus beforehand, and 60.5% use lubricants. Injuries, tearing and bleeding are reported after anal sex, with 78.5% of women reporting pain. More than 30% think that anal sex increases the urge to go to the toilet and 22% think that it worsens their IBD. Conclusion As nurses results obtained in this study direct us towards two main themes. We have to be aware of focusing on health education for the prevention of sexually transmitted diseases and the prevention of possible complications produced by anal sex.

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Ndinda, Catherine, Chiweni Chimbwete, Nuala McGrath, and Robert Pool. "Perceptions of anal sex in rural South Africa." Culture, Health & Sexuality 10, no. 2 (February 2008): 205–12. http://dx.doi.org/10.1080/13691050600988416.

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Journal articles on the topic 'Anal sex'

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