Heterosexual anal sex: part of an expanding sexual repertoire?

@article{Leichliter2008HeterosexualAS,
  title={Heterosexual anal sex: part of an expanding sexual repertoire?},
  author={Jami S. Leichliter},
  journal={Sexually transmitted diseases},
  year={2008},
  volume={35 11},
  pages={
          910-1
        }
}
  • J. Leichliter
  • Published 1 November 2008
  • Psychology, Medicine
  • Sexually transmitted diseases
As late as 1991, heterosexual anal sex was rarely mentioned in the scientific literature as a factor in the transmission of sexually transmitted diseases (STD) including human immunodeficiency virus (HIV).1 When heterosexual anal sex was discussed, its prevalence among heterosexuals and its role in heterosexual transmission of HIV was debated1; however, in the late 1980s, studies began to identify heterosexual anal sex as a factor in male-tofemale transmission of HIV.2 In fact, studies found… 

Contribution of Anal Sex to HIV Prevalence Among Heterosexuals: A Modeling Analysis

Despite uncertainties in model inputs, a substantial portion of the HIV burden among heterosexuals appears to be attributable to anal sex, and providing information about the relative risk of anal sex compared with vaginal sex may help reduce HIV incidence in heterosexuals.

Exploring dynamics of anal sex among female sex workers in Andhra Pradesh

There is frequent anal sex, inconsistent condom and infrequent lubricant usage, economic and physical coercion, and low awareness of STI/HIV transmission risk among FSW, which have serious implications for HIV prevention programmes.

Heterosexual anal intercourse among community and clinical settings in Cape Town, South Africa

The low prevalence of anal intercourse among heterosexual individuals may be offset by its greater efficiency for transmitting HIV, which should be discussed in heterosexual HIV prevention programming.

Gender Differences in Heterosexual Anal Sex Practices Among Women and Men in Substance Abuse Treatment

In a logistic regression model generated to identify associations between HAI and variables previously shown to be related to high risk sexual behavior, being younger, bisexual, and White were significantly associated with HAI.

Heterosexual anal sex experiences among Puerto Rican and black young adults.

CONTEXT Heterosexual anal sex is not uncommon in the United States, and it poses risk for STDs. However, who engages in it and why are not well understood, particularly among young adults. METHODS

Individual, Partner, and Partnership Level Correlates of Anal Sex Among Youth in Baltimore City

It is concluded that anal sex is a prevalent risk behavior among heterosexual youth and is associated with a range of factors at the individual and partnership levels, and can inform public health campaigns targeting youth at risk for STIs.

Individual, Partner, and Partnership Level Correlates of Anal Sex Among Youth in Baltimore City

It is concluded that anal sex is a prevalent risk behavior among heterosexual youth and is associated with a range of factors at the individual and partnership levels and can inform public health campaigns targeting youth at risk for STIs.

Anal sex and associated HIV-related sexual risk factors among female sex workers in Andhra Pradesh, India.

Anal sex is associated with STI symptoms, a factor for HIV risk, and HIV intervention programmes need to educate FSWs about the risks associated with anal sex.

HIV antibody testing and its correlates among heterosexual attendees of sexually transmitted disease clinics in China

There is a need for more targeted, intensive behavioural interventions to promote HIV antibody testing in this population of heterosexual sexually transmitted disease clinic attendees in China.

Heterosexual anal sex reported by women receiving HIV prevention services in Los Angeles County.

References

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Heterosexual anal intercourse: prevalence, cultural factors, and HIV infection and other health risks, Part I.

This review examines anal sex among the general population, including its prevalence in various world regions, related sociocultural factors, and other associated health problems including anorectal STDs, Hepatitis B infection, and HPV-related anal cancer in women.

Prevalence and correlates of heterosexual anal and oral sex in adolescents and adults in the United States.

It would be beneficial to track the prevalence of heterosexual anal and oral sex and associated condom use on a more frequent basis.

Heterosexual Anal Sex Activity in the Year After an STD Clinic Visit

Heterosexual patients in STD clinic patients were commonly engaged in heterosexual anal sex, and most of them never used condoms during anal sex.

Heterosexual transmission of HIV in a cohort of couples in New York City

This study demonstrates that health of the index, anal intercourse and bleeding as a result of intercourse are the major determinants of sexual transmission of HIV to women in couples.

Heterosexual Anal Intercourse: An Understudied, High-Risk Sexual Behavior

Overall, people who engage in anal intercourse take more sexual risks when engaging in vaginal intercourse than do people without anal experience, and they use condoms less for anal than vaginal intercourse.

Anal sex among HIV-seronegative women at high risk of HIV exposure. The HIVNET Vaccine Preparedness Study 2 Protocol Team.

Women were more likely to report anal sex by A-CASI than during interviewer-administered risk assessments and a less biased method of ascertainment may account for the large proportion of women reporting anal sex.

Male-to-female transmission of human immunodeficiency virus.

Neither condom use, total number of sexual partners since 1978, nor lifetime number of sexually transmitted diseases was associated with infection.

Changes in Sexual Behavior and STD Prevalence Among Heterosexual STD Clinic Attendees: 1993–1995 Versus 1999–2000

Despite substantial promotion of safer sex behaviors over the past decade, many risk behaviors were stable over time, and some behaviors, such as unprotected anal sex, appeared substantially higher and the prevalence of common bacterial STDs appeared to have decreased appreciably.

The bisexual bridge revisited: sexual risk behavior among men who have sex with men and women, San Francisco, 1998–2003

Although elements of a 'bisexual bridge' are present, it is noted an encouraging decrease in risk from 2001 to 2003.