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Meuwly M, Auderset D, Stadelmann S, Suris JC, Barrense-Dias Y. Anal Intercourse among Heterosexual Young Adults: A Population-Based Survey in Switzerland. JOURNAL OF SEX RESEARCH 2021; 58:1061-1068. [PMID: 33428468 DOI: 10.1080/00224499.2020.1866481] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Anal intercourse (AI) among heterosexuals is an understudied and taboo subject. This 2017 Swiss national study aimed to describe the characteristics and motivations of heterosexual young adults practicing AI. Participants with any same-sex experience, same-sex attraction or non-heterosexual identity were excluded. The Federal Statistical Office provided the initial sample and potential participants were recruited through postal mail inviting them to an online survey (response rate 15.1%). The sample comprised 3892 participants (52% males; 54% of the overall sample, mean age 26.3 years). Overall, 55% of women and 56% of men had never experienced AI, 17% and 12% had done it once and 28% and 32% more than once, respectively. We found that participants engaging in AI had higher odds of practicing intercourse while intoxicated, being younger at first sexual experience, not using a condom at last intercourse and reporting a history of sexual transmitted infections. The main reason reported by both genders for engaging in their first AI was being curious followed by being in love. In conclusion, AI is a widespread practice among heterosexual young adults and health professionals should be especially attentive to it.
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Affiliation(s)
- Marion Meuwly
- Department of Epidemiology and Health Systems, Research Group on Adolescent Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne
| | - Diane Auderset
- Department of Epidemiology and Health Systems, Research Group on Adolescent Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne
| | - Sophie Stadelmann
- Department of Epidemiology and Health Systems, Research Group on Adolescent Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne
| | - Joan-Carles Suris
- Department of Epidemiology and Health Systems, Research Group on Adolescent Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne
| | - Yara Barrense-Dias
- Department of Epidemiology and Health Systems, Research Group on Adolescent Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne
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Wignall L, Scoats R, Anderson E, Morales L. A qualitative study of heterosexual men's attitudes toward and practices of receiving anal stimulation. CULTURE, HEALTH & SEXUALITY 2020; 22:675-689. [PMID: 31251120 DOI: 10.1080/13691058.2019.1627584] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Accepted: 06/01/2019] [Indexed: 06/09/2023]
Abstract
This study examines the practice of and attitudes toward anal sexual stimulation among 30 heterosexual undergraduate men attending a UK university. While scientific and popular belief throughout the twentieth century has considered anal pleasure to be only for gay or gender non-conforming men, we find participants discuss such pleasure openly, and some have explored physically receiving anal pleasure. Participants did not stigmatise sexual pleasure derived from anal play, challenging cultural narratives that conflate anal receptivity with being gay. We document how ignorance around the best practices for anal sex may impede pleasure and the further exploration of sexual pleasure and highlight areas where sexual health and education interventions may be beneficial.
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Affiliation(s)
- Liam Wignall
- Department of Psychology, Bournemouth University, Bournemouth, UK
| | - Ryan Scoats
- Centre for Social Care, Health and Related Research, Birmingham City University, Birmingham, UK
| | - Eric Anderson
- Department of Sport, Exercise and Health, Winchester University, Winchester, UK
| | - Luis Morales
- Department of Sport, Exercise and Health, Winchester University, Winchester, UK
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3
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Konkle-Parker D, Fouquier K, Portz K, Wheeless L, Arnold T, Harris C, Turan J. Women's decision-making about self-protection during sexual activity in the deep south of the USA: a grounded theory study. CULTURE, HEALTH & SEXUALITY 2018; 20:84-98. [PMID: 28621176 PMCID: PMC5718927 DOI: 10.1080/13691058.2017.1331468] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Many women continue to become infected with HIV, particularly in the Southeastern USA, despite widespread knowledge about methods to prevent its sexual transmission. This grounded theory investigation examined the decision-making process women use to guide their use or non-use of self-protective measures when engaging in sexual activity. Participants included women in the Mississippi cohort of the Women's Interagency HIV Study who were infected with or at high risk for HIV. Theoretical sampling was used to recruit a sample of 20 primarily African American women aged between 26 and 56 years, living in rural and urban areas. Data were analysed using constant comparative method to generate a theory of the process that guided women's self-protective decisions. Three key themes were identified: (1) sexual silence, an overall context of silence around sexuality in their communities and relationships; (2) the importance of relationships with male partners, including concepts of 'love and trust', 'filling the void' and 'don't rock the boat'; and (3) perceptions of risk, including 'it never crossed my mind', 'it couldn't happen to me' and 'assumptions about HIV'. These themes impacted on women's understandings of HIV-related risk, making it difficult to put self-protection above other interests and diminishing their motivation to protect themselves.
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Affiliation(s)
- Deborah Konkle-Parker
- Department of Medicine/Infectious Diseases, University of MS Medical Center, Jackson, MS, USA
| | | | - Kaitlin Portz
- Department of Pshychology, Jackson State University, Jackson, MS, USA
| | - Linnie Wheeless
- Department of Pshychology, Jackson State University, Jackson, MS, USA
| | - Trisha Arnold
- Department of Pshychology, Jackson State University, Jackson, MS, USA
| | - Courtney Harris
- Department of Pshychology, Jackson State University, Jackson, MS, USA
| | - Janet Turan
- Department of Health Care Organization and Policy, University of Alabama, Birmingham, AL, USA
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4
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McBride KR, Sanders SA, Hill BJ, Reinisch JM. Heterosexual Women's and Men's Labeling of Anal Behaviors as Having "Had Sex". JOURNAL OF SEX RESEARCH 2017; 54:1166-1170. [PMID: 28276936 DOI: 10.1080/00224499.2017.1289362] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This study explored labeling of penile-anal intercourse (PAI), manual-anal (MA), and oral-anal (OA) behaviors as having "had sex" among heterosexual men and women with such experience residing in the United States (n = 3,218). Adult men and women completed an online questionnaire assessing sexual behaviors and whether each counted as having had sex. With the exception of anal intercourse, there was high variation in whether a behavior was labeled having had sex. There was not consensus on which anal sexual behaviors constituted having had sex, with attitudes varying across age, gender, and behavioral experience. Those who were older, male, and had the specific behavioral experience were more likely to label it as having had sex. Behaviorally specific assessments of the various anal behaviors as part of the sexual repertoire is critical to more accurate evaluation of sexual histories and assessment of risks to sexual health.
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Affiliation(s)
- Kimberly R McBride
- a School of Population Health , University of Toledo
- b Department of Women's and Gender Studies , University of Toledo
| | - Stephanie A Sanders
- c Department of Gender Studies , Indiana University , Bloomington
- d Kinsey Institute for Research in Sex, Gender, and Reproduction
| | - Brandon J Hill
- e Center for Interdisciplinary Inquiry and Innovation in Sexual and Reproductive Health (Ci3), Department of Obstetrics and Gynecology , University of Chicago
| | - June M Reinisch
- f Kinsey Institute for Research in Sex, Gender, and Reproduction , Bloomington
- g Institute of Preventive Medicine, Danish Epidemiological Science Center , University of Copenhagen; and Museum of Sex , New York City
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Weissman J, Kanamori M, Dévieux JG, Trepka MJ, De La Rosa M. HIV Risk Reduction Interventions Among Substance-Abusing Reproductive-Age Women: A Systematic Review. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2017; 29:121-140. [PMID: 28467160 PMCID: PMC5536169 DOI: 10.1521/aeap.2017.29.2.121] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
HIV/AIDS is one of the leading causes of death among reproductive-age women throughout the world, and substance abuse plays a major role in HIV infection. We conducted a systematic review, in accordance with the 2015 Preferred Items for Reporting Systematic Reviews and Meta-analysis tool, to assess HIV risk-reduction intervention studies among reproductive-age women who abuse substances. We initially identified 6,506 articles during our search and, after screening titles and abstracts, examining articles in greater detail, and finally excluding those rated methodologically weak, a total of 10 studies were included in this review. Studies that incorporated behavioral skills training into the intervention and were based on theoretical model(s) were the most effective in general at decreasing sex and drug risk behaviors. Additional HIV risk-reduction intervention research with improved methodological designs is warranted to determine the most efficacious HIV risk-reduction intervention for reproductive-age women who abuse substances.
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Affiliation(s)
- Jessica Weissman
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, Miami, Florida
- Robert Stempel College of Public Health & Social Work, Florida International University
| | - Mariano Kanamori
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, Miami, Florida
| | - Jessy G Dévieux
- Robert Stempel College of Public Health & Social Work, Florida International University
| | - Mary Jo Trepka
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, Miami, Florida
- Robert Stempel College of Public Health & Social Work, Florida International University
| | - Mario De La Rosa
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, Miami, Florida
- Robert Stempel College of Public Health & Social Work, Florida International University
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