Anal Intercourse Among Young Heterosexuals in Three Sexually Transmitted Disease Clinics in the United States
Objective: To examine factors associated with heterosexual anal intercourse (AI). Methods: Between 2001 and 2004, 1084 heterosexual adults aged 18 to 26 attending public sexually transmitted disease clinics in Seattle, New Orleans, and St Louis were interviewed using computer-assisted self interview...
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| Veröffentlicht in: | Sexually transmitted diseases 2009-04, Vol.36 (4), p.193-198 |
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| creator | Gorbach, Pamina M. Manhart, Lisa E. Hess, Kristen L. Stoner, Bradley P. Martin, David H. Holmes, King K. |
| description | Objective: To examine factors associated with heterosexual anal intercourse (AI). Methods: Between 2001 and 2004, 1084 heterosexual adults aged 18 to 26 attending public sexually transmitted disease clinics in Seattle, New Orleans, and St Louis were interviewed using computer-assisted self interview and tested for STIs; Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis, and genital herpes (HSV-2). Characteristics associated with AI were identified using logistic regression. Results: Overall 400 (37%) reported ever having had AI, 266 (28.9%) reported AI with at least 1 of their last 3 partners, and 19% reported AI with their last partner. Fewer women than men reported condom use at last AI (26% vs. 45%, P 3 lifetime sex partners [AOR 2.8 (1.56-5.07)] among women, and sex on the same day as meeting a partner [AOR 2.0 (1.33-3.06]) among men. AI with the last partner was associated with sex toy use [AOR 5.6 (2.63-12.0)] and having concurrent partners [AOR 2.2 (1.21-4.11)] among men, and with sex within a week of meeting [AOR 2.4 (1.28-4.37)], believing the partner was concurrent (AOR 1.9 [1.12-3.22]), and sex toy use [AOR 5.7 (2.31-14.0)] among women. Prevalent vaginal and urethral sexually transmitted infections were not associated with AI. Conclusions: Many young heterosexuals attending sexually transmitted disease clinics reported AI, which was associated with other sexual risk behaviors, suggesting a confluence of risks for HTV infection. |
| doi_str_mv | 10.1097/OLQ.0b013e3181901ccf |
| format | Article |
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Methods: Between 2001 and 2004, 1084 heterosexual adults aged 18 to 26 attending public sexually transmitted disease clinics in Seattle, New Orleans, and St Louis were interviewed using computer-assisted self interview and tested for STIs; Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis, and genital herpes (HSV-2). Characteristics associated with AI were identified using logistic regression. Results: Overall 400 (37%) reported ever having had AI, 266 (28.9%) reported AI with at least 1 of their last 3 partners, and 19% reported AI with their last partner. Fewer women than men reported condom use at last AI (26% vs. 45%, P <0.001). Ever having AI was associated with sex on the same day as meeting a partner [AOR 3.9 (95% CI, 2.46-6.21)], receiving money for sex [AOR 2.8 (1.405.45)], and > 3 lifetime sex partners [AOR 2.8 (1.56-5.07)] among women, and sex on the same day as meeting a partner [AOR 2.0 (1.33-3.06]) among men. AI with the last partner was associated with sex toy use [AOR 5.6 (2.63-12.0)] and having concurrent partners [AOR 2.2 (1.21-4.11)] among men, and with sex within a week of meeting [AOR 2.4 (1.28-4.37)], believing the partner was concurrent (AOR 1.9 [1.12-3.22]), and sex toy use [AOR 5.7 (2.31-14.0)] among women. Prevalent vaginal and urethral sexually transmitted infections were not associated with AI. Conclusions: Many young heterosexuals attending sexually transmitted disease clinics reported AI, which was associated with other sexual risk behaviors, suggesting a confluence of risks for HTV infection.</description><identifier>ISSN: 0148-5717</identifier><identifier>EISSN: 1537-4521</identifier><identifier>DOI: 10.1097/OLQ.0b013e3181901ccf</identifier><identifier>PMID: 19265740</identifier><identifier>CODEN: STRDDM</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Adult ; Ambulatory Care Facilities ; Biological and medical sciences ; Disease transmission ; Epidemiology. Vaccinations ; Female ; General aspects ; Heterosexuality ; Human infectious diseases. Experimental studies and models ; Humans ; Infectious diseases ; Interviews as Topic ; Male ; Medical sciences ; Missouri - epidemiology ; New Orleans - epidemiology ; Risk-Taking ; Sexual behavior ; Sexual Behavior - statistics & numerical data ; Sexual Partners ; Sexuality ; Sexually transmitted diseases ; Sexually Transmitted Diseases - diagnosis ; Sexually Transmitted Diseases - epidemiology ; Sexually Transmitted Diseases - prevention & control ; STD ; Washington - epidemiology ; Young Adult</subject><ispartof>Sexually transmitted diseases, 2009-04, Vol.36 (4), p.193-198</ispartof><rights>Copyright © 2009 American Sexually Transmitted Diseases Association</rights><rights>2009 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Apr 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-d16bec802c389b9e5a04a5a57097b881e56dcf262a1fa1a5353baed842ca9daa3</citedby><cites>FETCH-LOGICAL-c462t-d16bec802c389b9e5a04a5a57097b881e56dcf262a1fa1a5353baed842ca9daa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44969260$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44969260$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,30976,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21284352$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19265740$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gorbach, Pamina M.</creatorcontrib><creatorcontrib>Manhart, Lisa E.</creatorcontrib><creatorcontrib>Hess, Kristen L.</creatorcontrib><creatorcontrib>Stoner, Bradley P.</creatorcontrib><creatorcontrib>Martin, David H.</creatorcontrib><creatorcontrib>Holmes, King K.</creatorcontrib><title>Anal Intercourse Among Young Heterosexuals in Three Sexually Transmitted Disease Clinics in the United States</title><title>Sexually transmitted diseases</title><addtitle>Sex Transm Dis</addtitle><description>Objective: To examine factors associated with heterosexual anal intercourse (AI). Methods: Between 2001 and 2004, 1084 heterosexual adults aged 18 to 26 attending public sexually transmitted disease clinics in Seattle, New Orleans, and St Louis were interviewed using computer-assisted self interview and tested for STIs; Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis, and genital herpes (HSV-2). Characteristics associated with AI were identified using logistic regression. Results: Overall 400 (37%) reported ever having had AI, 266 (28.9%) reported AI with at least 1 of their last 3 partners, and 19% reported AI with their last partner. Fewer women than men reported condom use at last AI (26% vs. 45%, P <0.001). Ever having AI was associated with sex on the same day as meeting a partner [AOR 3.9 (95% CI, 2.46-6.21)], receiving money for sex [AOR 2.8 (1.405.45)], and > 3 lifetime sex partners [AOR 2.8 (1.56-5.07)] among women, and sex on the same day as meeting a partner [AOR 2.0 (1.33-3.06]) among men. AI with the last partner was associated with sex toy use [AOR 5.6 (2.63-12.0)] and having concurrent partners [AOR 2.2 (1.21-4.11)] among men, and with sex within a week of meeting [AOR 2.4 (1.28-4.37)], believing the partner was concurrent (AOR 1.9 [1.12-3.22]), and sex toy use [AOR 5.7 (2.31-14.0)] among women. Prevalent vaginal and urethral sexually transmitted infections were not associated with AI. Conclusions: Many young heterosexuals attending sexually transmitted disease clinics reported AI, which was associated with other sexual risk behaviors, suggesting a confluence of risks for HTV infection.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Ambulatory Care Facilities</subject><subject>Biological and medical sciences</subject><subject>Disease transmission</subject><subject>Epidemiology. Vaccinations</subject><subject>Female</subject><subject>General aspects</subject><subject>Heterosexuality</subject><subject>Human infectious diseases. Experimental studies and models</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Missouri - epidemiology</subject><subject>New Orleans - epidemiology</subject><subject>Risk-Taking</subject><subject>Sexual behavior</subject><subject>Sexual Behavior - statistics & numerical data</subject><subject>Sexual Partners</subject><subject>Sexuality</subject><subject>Sexually transmitted diseases</subject><subject>Sexually Transmitted Diseases - diagnosis</subject><subject>Sexually Transmitted Diseases - epidemiology</subject><subject>Sexually Transmitted Diseases - prevention & control</subject><subject>STD</subject><subject>Washington - epidemiology</subject><subject>Young Adult</subject><issn>0148-5717</issn><issn>1537-4521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kVtr3DAQhUVpaLZp_0FbTKHNk1NdLflx2V4SWAglm4c-mbE8brT4kkg2NP--s9klgTzkRUIz3xxG5zD2QfAzwUv77XL9-4zXXChUwomSC-_bV2whjLK5NlK8ZgsutMuNFfaYvU1py3dvLt6wY1HKwljNF6xfDtBlF8OE0Y9zTJgt-3H4m_0ZZzrPkepjwn8zdCkLQ7a5iYjZ1UOhu882EYbUh2nCJvseEgLNr7owBP9ATzeYXQ9h172aYML0jh21pITvD_cJu_75Y7M6z9eXvy5Wy3XudSGnvBFFjd5x6ZUr6xINcA0GjKV_184JNEXjW1lIEC0IMMqoGrBxWnooGwB1wk73urdxvJsxTVUfkseugwHHOVXWaDJMK07k1xfJwnIjndQEfn4GbskvMi9VUkpFy1pHkN5DnlxLEdvqNoYe4n0leLVLraLUquep0ding_Zc99g8DR1iIuDLAYDkoWvJdh_SIyeFdFoZSdzHPbdN0xgf-1qXBUlx9R-0WKsw</recordid><startdate>20090401</startdate><enddate>20090401</enddate><creator>Gorbach, Pamina M.</creator><creator>Manhart, Lisa E.</creator><creator>Hess, Kristen L.</creator><creator>Stoner, Bradley P.</creator><creator>Martin, David H.</creator><creator>Holmes, King K.</creator><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope></search><sort><creationdate>20090401</creationdate><title>Anal Intercourse Among Young Heterosexuals in Three Sexually Transmitted Disease Clinics in the United States</title><author>Gorbach, Pamina M. ; Manhart, Lisa E. ; Hess, Kristen L. ; Stoner, Bradley P. ; Martin, David H. ; Holmes, King K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-d16bec802c389b9e5a04a5a57097b881e56dcf262a1fa1a5353baed842ca9daa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Ambulatory Care Facilities</topic><topic>Biological and medical sciences</topic><topic>Disease transmission</topic><topic>Epidemiology. Vaccinations</topic><topic>Female</topic><topic>General aspects</topic><topic>Heterosexuality</topic><topic>Human infectious diseases. Experimental studies and models</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Missouri - epidemiology</topic><topic>New Orleans - epidemiology</topic><topic>Risk-Taking</topic><topic>Sexual behavior</topic><topic>Sexual Behavior - statistics & numerical data</topic><topic>Sexual Partners</topic><topic>Sexuality</topic><topic>Sexually transmitted diseases</topic><topic>Sexually Transmitted Diseases - diagnosis</topic><topic>Sexually Transmitted Diseases - epidemiology</topic><topic>Sexually Transmitted Diseases - prevention & control</topic><topic>STD</topic><topic>Washington - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gorbach, Pamina M.</creatorcontrib><creatorcontrib>Manhart, Lisa E.</creatorcontrib><creatorcontrib>Hess, Kristen L.</creatorcontrib><creatorcontrib>Stoner, Bradley P.</creatorcontrib><creatorcontrib>Martin, David H.</creatorcontrib><creatorcontrib>Holmes, King K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><jtitle>Sexually transmitted diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gorbach, Pamina M.</au><au>Manhart, Lisa E.</au><au>Hess, Kristen L.</au><au>Stoner, Bradley P.</au><au>Martin, David H.</au><au>Holmes, King K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anal Intercourse Among Young Heterosexuals in Three Sexually Transmitted Disease Clinics in the United States</atitle><jtitle>Sexually transmitted diseases</jtitle><addtitle>Sex Transm Dis</addtitle><date>2009-04-01</date><risdate>2009</risdate><volume>36</volume><issue>4</issue><spage>193</spage><epage>198</epage><pages>193-198</pages><issn>0148-5717</issn><eissn>1537-4521</eissn><coden>STRDDM</coden><abstract>Objective: To examine factors associated with heterosexual anal intercourse (AI). Methods: Between 2001 and 2004, 1084 heterosexual adults aged 18 to 26 attending public sexually transmitted disease clinics in Seattle, New Orleans, and St Louis were interviewed using computer-assisted self interview and tested for STIs; Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis, and genital herpes (HSV-2). Characteristics associated with AI were identified using logistic regression. Results: Overall 400 (37%) reported ever having had AI, 266 (28.9%) reported AI with at least 1 of their last 3 partners, and 19% reported AI with their last partner. Fewer women than men reported condom use at last AI (26% vs. 45%, P <0.001). Ever having AI was associated with sex on the same day as meeting a partner [AOR 3.9 (95% CI, 2.46-6.21)], receiving money for sex [AOR 2.8 (1.405.45)], and > 3 lifetime sex partners [AOR 2.8 (1.56-5.07)] among women, and sex on the same day as meeting a partner [AOR 2.0 (1.33-3.06]) among men. AI with the last partner was associated with sex toy use [AOR 5.6 (2.63-12.0)] and having concurrent partners [AOR 2.2 (1.21-4.11)] among men, and with sex within a week of meeting [AOR 2.4 (1.28-4.37)], believing the partner was concurrent (AOR 1.9 [1.12-3.22]), and sex toy use [AOR 5.7 (2.31-14.0)] among women. Prevalent vaginal and urethral sexually transmitted infections were not associated with AI. Conclusions: Many young heterosexuals attending sexually transmitted disease clinics reported AI, which was associated with other sexual risk behaviors, suggesting a confluence of risks for HTV infection.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>19265740</pmid><doi>10.1097/OLQ.0b013e3181901ccf</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Ambulatory Care Facilities Biological and medical sciences Disease transmission Epidemiology. Vaccinations Female General aspects Heterosexuality Human infectious diseases. Experimental studies and models Humans Infectious diseases Interviews as Topic Male Medical sciences Missouri - epidemiology New Orleans - epidemiology Risk-Taking Sexual behavior Sexual Behavior - statistics & numerical data Sexual Partners Sexuality Sexually transmitted diseases Sexually Transmitted Diseases - diagnosis Sexually Transmitted Diseases - epidemiology Sexually Transmitted Diseases - prevention & control STD Washington - epidemiology Young Adult |
| title | Anal Intercourse Among Young Heterosexuals in Three Sexually Transmitted Disease Clinics in the United States |
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