Showing posts with label heterosexuality. Show all posts
Showing posts with label heterosexuality. Show all posts

Tuesday, February 19, 2013

Just Call Me Dylan

by Mike Peters
IRMA Intern

 Recently on the highly-active IRMA listserv we discussed the issue of "gay shame" and the increased depression, substance abuse, and suicidal tendencies that go along with that notion.  The original posting had to do with a sense of internalized homophobia within the gay community.  While members of our listserv debated the accuracy of the author's claims we questioned the author's own sense of internalized homophobia, the systemic nature of addiction and mental health, and how sexual health is packaged to the gay community, I felt conflicted about my own feelings on this piece.


Heterosexism is a systemic reality in many of our various social settings that each of us faces from time-to-time, and I can understand the sense of internalized homophobia.  It stands to reason that if we are socialized in a society that is systemically heterosexist, then the coming out process is not only a social endeavor but it also has to do with deconstructing one's own understanding of their self within the heterosexist system.  Perhaps a story will best illustrate this complicated notion.

While my previous blog post had to do with openly discussing anal sex with the soon-to-be in-laws, I can admittedly say that I have not always been the "open, silence-breaking feminist" that I am today.  I grew up in a small, conservative Ohio city in a religious household.  My parents are Christians of the Protestant, evangelical variety so there was very little discussion of sexuality outside the realm of heterosexual procreative norms.  That is to say, my brother and I were raised to be manly, upstanding Christian men that would make faithful husbands, providers, and fathers.  While my brother was much more interested in the typically "male past times" like baseball and martial arts courses, I was much more interested in drawing, photography, cooking, and swimming – so most of my parents' time was spent invested in my brothers activities as I spent more time drawing alone in the basement.  I was certainly a quiet child and would occasionally confide in my mother about my feelings, but was very fearful of upsetting my father.  Yes, stark contrast to the talkative activist of today.

By the time I had reached adolescence, I knew that I liked guys.  I didn't quite understand it and certainly couldn't talk to my parents because I thought that it was wrong.  I had heard my father talk about gays and lesbians before, describing them as "disgusting" and people that "should be dragged out into the streets and shot", so my fears were well-founded.  Plus, the images of homosexual men that I had seen, as discussed by my father and the church, presented them as promiscuous drunks that were only interested in sex and nothing substantial – they were something to avoid and be afraid of.  Things got even more difficult for me as I started to have feelings for another boy.  He ran cross country, so I joined the team to be around him.  We became quick friends and soon I learned that his home environment was very similar to mine, so it was nice to have someone that I could relate to.  We started to hang out with each other outside of cross country practice and soon I found out that he had feelings for me as well.  Neither of us really knew what to do with these feelings, so we dated secretly as we tried to understand ourselves.  We were conflicted, our families and respective church bodies had certainly hammered a less-than-favorable image of homosexuals into our minds and we didn't want to be like those images.  In fact, neither of us could even vocalize a simple "I am gay" out loud, because we just couldn't bring ourselves to that.  We just liked each other, that's not "gay"… we were just two guys that liked each other, that's it – at least that was how we tried to understand ourselves.

Perhaps I was a more daring teenager than my boyfriend, but when I was nearing the end of my sophomore year of high school and on the verge of turning sixteen, I decided that I wanted to start to feel connected to the gay community.  The problem was that my and his understanding of the gay community was that they were all bar-hopping, promiscuous folks, but I wanted to experience that.  He wanted nothing to do with it, so without his knowing I obtained a fake ID that said I was eighteen and gave me the fake name "Dylan Sanders".  Immediately I started going to the hole-in-the-wall gay bar downtown so I could go and dance.  I was a terribly awkward teenager, and I know that I couldn't dance to save my life, but I wanted to be a part of the gay community, so I figured that I would learn.  Soon I found myself getting free drinks from all kinds of guys and dancing for tips and under-the-table payments.  Honestly, I didn't like that I was going out and drinking so much, but I felt like that is what I had to do to be a part of the gay community – so I kept going and drinking down my feelings.  During my junior year of high school I started showing up to school hung over and attempting to do assignments for classes in the class before it was due.  Obviously, my grades were slipping and I continued to get more distant from my family.  My relationship with my boyfriend was getting more strained because he wasn't interested in going out to the bar.  We both were unhealthily assuming that to be gay we had to go out and drink and engage in other illicit activities, I was drinking dangerous amounts of alcohol and he was bottling up all of his emotions.  Even though we were following different paths, both of us continued to feel more and more conflicted about who we were and therefore more and more depressed.

This story continues, and it continues to a much darker place which is perhaps a story for another day.  But the original point still remains – our understanding of the gay community was that of the commonly-used stereotype that portrays the gay community as promiscuous drunks that engage in risky behaviors.  Truly, I spent my teenage years engaging in some incredibly risky behaviors and hated nearly every second of it.  I engaged in these behaviors because I felt that that is who I had to be to be gay and assumed that all gay men were just like that.  Plenty of heterosexual people enjoy all those behaviors, but we don't assume that all heterosexuals are dangerous, promiscuous deviants.  Now, I am not saying that going out, having drinks, and dancing is wrong – if that's what you're into, then that's fine.  But that certainly wasn't for me.  However, when all people are cast into a light that portrays them all as deviant others, then those people are robbed of their subjectivity and become objects.  This is where the power of the systemic reality of heterosexism comes into play.  My own internalized sense of homophobia and stereotyping led me to believe that to be gay I had to be someone that I wasn't.  In an effort to become the proud gay man that I am today I had to deconstruct the notion that all gay men liked to drink and party and that was tough for me to do as that was the only image I ever had.  Did I feel ashamed of the behaviors I was engaging in?  Yes, but that's because it wasn't what I liked to do but what I felt that I had to do.  Perhaps the roots of "gay shame" weave a much more complicated relationship between the self and larger systemic heterosexism.  If the images of gay men that I had seen growing up had been different, even if my father and church continued to say such negative things, perhaps I would have known sooner that they were wrong about LGBT people and perhaps that would have spared me so much heartache that I, in turn, internalized as what being gay meant.


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*Join IRMA's robust, highly-active. moderated, global listserv addressing rectal microbicide research and advocacy as well as other interesting new HIV prevention technologies by contacting us at rectalmicro@gmail.com. Joining our listserv automatically makes you a member of IRMA - a network of more than 1,100 advocates, scientists, policy makers and funders from all over the world.

*Please look for us on Facebook: www.facebook.com/InternationalRectalMicrobicideAdvocates, and you can follow us on Twitter: @rectalmicro.

*Also, please note that shared news items from other sources posted on this blog do not necessarily mean IRMA has taken any position on the article's content.

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Friday, August 24, 2012

Challenges for HIV Pre-Exposure Prophylaxis among Men Who Have Sex with Men in the United States

via PLoS Medicine, by Gordon Mansergh, Beryl A. Koblin, Patrick S. Sullivan


Summary Points:

Pre-exposure prophylaxis (PrEP) with anti-retroviral (ARV) medications is partially efficacious for preventing HIV infection among men who have sex with men (MSM) and heterosexuals.

As PrEP becomes available and prescribed for use among MSM a better understanding of willingness to use PrEP and avoidance of condom use are needed so that behavioral programs and counseling may be enhanced for maximum benefit.

Targeted messaging will be needed about ARV prophylaxis for various at risk populations, but the general message should be that condoms continue to be the most effective way to prevent HIV transmission through sex and that PrEP is an additional biomedical intervention.

As new effective biomedical intervention methods, such as PrEP, become available language about “protected” and “unprotected” sex, which used to exclusively mean condom use, will need to adapt.

Read the full article here.


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*Join IRMA's robust, highly-active. moderated, global listserv addressing rectal microbicide research and advocacy as well as other interesting new HIV prevention technologies by contacting us at rectalmicro@gmail.com. Joining our listserv automatically makes you a member of IRMA - a network of more than 1,100 advocates, scientists, policy makers and funders from all over the world.

*Please look for us on Facebook: www.facebook.com/InternationalRectalMicrobicideAdvocates, and you can follow us on Twitter: @rectalmicro.

*Also, please note that shared news items from other sources posted on this blog do not necessarily mean IRMA has taken any position on the article's content.
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Wednesday, August 15, 2012

The Bronze Eye Is Open: A Philosophy of Anal Sex

via Huffington Post, by Marten Weber

As anyone who has ever been skillfully buggered knows, anal sex -- at least for the prostate-endowed -- is the best invention since sliced bread. Straight men have recently discovered "prostate massage" and "prostate stimulation." According to a manufacturer of sex toys I interviewed for this piece, strap-ons have been their fastest-growing item for five years now. For every guy who has the guts (pun intended) to give it a try, way to go, bro! It is truly awesome if done right.

I realize that the politics and philosophy of female anal penetration are a lot more complicated, and I will leave them aside for now. It is the receptive male I am concerned with here, and the sexual revolution "from the bottom up."

Read the rest.


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*Join IRMA's robust, highly-active. moderated, global listserv addressing rectal microbicide research and advocacy as well as other interesting new HIV prevention technologies by contacting us at rectalmicro@gmail.com. Joining our listserv automatically makes you a member of IRMA - a network of more than 1,100 advocates, scientists, policy makers and funders from all over the world.

*Please look for us on Facebook: www.facebook.com/InternationalRectalMicrobicideAdvocates, and you can follow us on Twitter: @rectalmicro.

*Also, please note that shared news items from other sources posted on this blog do not necessarily mean IRMA has taken any position on the article's content.
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Thursday, August 9, 2012

Interim Guidance for Clinicians Considering the Use of Preexposure Prophylaxis for the Prevention of HIV Infection in Heterosexually Active Adults

via Morbidity and Mortality Weekly Report

In the United States, an estimated 48,100 new human immunodeficiency virus (HIV) infections occurred in 2009 (1). Of these, 27% were in heterosexual men and women who did not inject drugs, and 64% were in men who have sex with men (MSM), including 3% in MSM who inject drugs. In January 2011, following publication of evidence of safety and efficacy of daily oral tenofovir disoproxil fumarate 300 mg (TDF)/emtricitabine 200 mg (FTC) (Truvada, Gilead Sciences) as antiretroviral preexposure prophylaxis (PrEP) to reduce the risk for HIV acquisition among MSM in the iPrEx trial, CDC issued interim guidance to make available information and important initial cautions on the use of PrEP in this population.

Those recommendations remain valid for MSM, including MSM who also have sex with women (2). Since January 2011, data from studies of PrEP among heterosexual men and women have become available, and on July 16, 2012, the Food and Drug Administration (FDA) approved a label indication for reduction of risk for sexual acquisition of HIV infection among adults, including both heterosexuals and MSM.* This interim guidance includes consideration of the new information and addresses pregnancy and safety issues for heterosexually active adults at very high risk for sexual HIV acquisition that were not discussed in the previous interim guidance for the use of PrEP in MSM.

Read the rest.


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*Join IRMA's robust, highly-active. moderated, global listserv addressing rectal microbicide research and advocacy as well as other interesting new HIV prevention technologies by contacting us at rectalmicro@gmail.com. Joining our listserv automatically makes you a member of IRMA - a network of more than 1,100 advocates, scientists, policy makers and funders from all over the world.

*Please look for us on Facebook: www.facebook.com/InternationalRectalMicrobicideAdvocates, and you can follow us on Twitter: @rectalmicro.

*Also, please note that shared news items from other sources posted on this blog do not necessarily mean IRMA has taken any position on the article's content.
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Wednesday, July 11, 2012

Married 'Heterosexual' Kenyan Men Who Have Sex With Other Men Form Support Group

via Identity Kenya


A new group of otherwise heterosexual men who engage in sexual activity with other men has been formed to create awareness on HIV and also fight blackmail that most of their members have fallen prey to.

The group, Married Men Initiative (MMI), so far, boasts of fifty to sixty married men who meet regularly in social places to talk and interact.

‘Over 90% of the members are married to women; some have children from their marriages and the other 10% consists of men with girlfriends or are live-in marriages,’ said Samuel Kabuga*, one of the members to Identity Kenya.

Most of the members are deeply closeted out of fear of being outed and to avoid blackmailing by those who take advantage of their marital status. Apart from the risk of contracting HIV through unprotected anal sex, most married men face also face extortion from some of their boyfriends.

‘One of the main reasons we formed the group was to offer support and aid to those members who had fallen prey to blackmailers. These are people, who after sex, demand for money and knowing that we are married or in the closet, take advantage of that,’ said Otieno*, a member said.

Read the rest.


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*Join IRMA's robust, highly-active. moderated, global listserv addressing rectal microbicide research and advocacy as well as other interesting new HIV prevention technologies by contacting us at rectalmicro@gmail.com. Joining our listserv automatically makes you a member of IRMA - a network of more than 1,100 advocates, scientists, policy makers and funders from all over the world.

*Please look for us on Facebook: www.facebook.com/InternationalRectalMicrobicideAdvocates, and you can follow us on Twitter: @rectalmicro.

*Also, please note that shared news items from other sources posted on this blog do not necessarily mean IRMA has taken any position on the article's content.
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Tuesday, June 26, 2012

So You Want to be a Sex Writer? Tristan Taormino on Activism, Anal, and Quitting Law School


via SF Weekly, by Vanessa L. Pinto

Excerpt:

"I sent them a proposal for a book I called The Ultimate Guide to Anal Sex for Women. This was a book I wanted to have on my shelf. I'm someone who started having anal sex in college. I really loved it, and I knew I couldn't possibly be the only person out there that liked it."

Read the rest.

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*Join IRMA's robust, highly-active. moderated, global listserv addressing rectal microbicide research and advocacy as well as other interesting new HIV prevention technologies by contacting us at rectalmicro@gmail.com. Joining our listserv automatically makes you a member of IRMA - a network of more than 1,100 advocates, scientists, policy makers and funders from all over the world.

*Please look for us on Facebook: www.facebook.com/InternationalRectalMicrobicideAdvocates, and you can follow us on Twitter: @rectalmicro.

*Also, please note that shared news items from other sources posted on this blog do not necessarily mean IRMA has taken any position on the article's content.

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Tuesday, January 31, 2012

In Africa, Anal Sex Goes Hetero

by IRMA advocate Bisi Alimi (pictured in purple, with IRMA advocate Kadiri Audu at the recent Project ARM - Africa for Rectal Microbicides meeting held in Addis Ababa, Ethiopia.)

While I was in secondary school, I was always told that anal sex is something between two men. Many anti-gay activists have used this sexual practice as a means of attacking the gay movement. It is the core of the sodomy law in Africa and the buggery law in other part of the world.

However, recent studies have shown an increasing number of heterosexual people in Africa, mostly young people, are practising anal sex on a daily basis.
While the notion of sex in itself is a very difficult topic to tackle in the African setting, the mere fact that more and more straight couples in Africa are embarking on a rectal sexual journey for pleasure gives a call for concern – because most of this is unprotected by condoms. An act of unprotected anal intercourse is 10 to 20 times more likely to result in HIV transmission compared to an act of unprotected vaginal intercourse, due to the different biological characteristics of the rectum which make it much more susceptible to infection.

What do we know?

According to Morenike Ukpong, at IRMA’s recently concluded Project ARM - Africa for Rectal Microbicides strategic meeting in Addis Ababa held in advance of the 2011 ICASA, over 12% of young people in Nigeria are practising anal intercourse. In different studies done across Africa on the prevalence of anal sexual practice among heterosexuals, similar results were found.

An anonymous survey of 2,593 men and 1,818 women in Cape Town conducted by Kalichman et. al (2009) found out that 14% of men and 10% of women have engaged in anal sex in the last 3 months. Of this, only 67% of the men and only 50% of the women used condoms.

Rates among truck drivers in South Africa are also very high (Ramjee et. al 2002).

A recent study found that 42% of truck drivers are consistently engaging in anal intercourse with female sex workers. Not surprisingly, a high percentage of female sex workers reported ever having practiced anal intercourse. A recent study in Kenya reports 40% of female sex workers said they had practiced anal intercourse at least once (Schwandt et. all 2006).

This is not the end of revealing data. In Lane et. all (2006) , results showed that young people between the ages of 15-24 in South Africa engage in anal sexual behaviour. There is only a small difference between the sexes, with 5.5% of young males engaging in anal sexual behaviour and 5.3% of females.

More interesting is Matasha (1998). This study found that among primary school pupils in Tanzania, 9% had anal sex as their first sexual experience.

Taken together, these studies show that there is previously unknown frequent anal sexual behaviour among heterosexuals. However, the focus on anal sex and health for many years has been the limited to gay/MSM communities.

What are we getting wrong?

The focus of HIV prevention in Africa has always been primarily targeted at vaginal sex, and thereby prevention messages have by and large been to use condoms. We are now finding though that as straight people engage in anal sex, the likelihood of using condoms diminishes. For many, anal intercourse may be a form of virginity protection, or as a means to prevent pregnancy, and there is a common belief that anal intercourse carries no risk for HIV infection.

Dr. Karim of the famous CAPRISA 004 study argued that this sexual behaviour- when unprotected - could be driving a sizable amount of new HIV infections in Africa. In agreeing with him, I asked the question “is it time for us to broaden our scope of what HIV transmission looks like in Africa?”

If we still argue that HIV transmission in Africa is mainly heterosexual, are we assuming that the risk is only from unprotected vaginal intercourse? Or are we going to acknowledge the prevalence of unprotected anal intercourse among heterosexuals and address heterosexual transmission more broadly and honestly?

Not only we are overlooking the reality and the prevalence of this sexual behaviour among the general heterosexual population, but we are also missing the chance to reassess our prevention strategy and provide safer anal intercourse education irrespective of gender or sexual orientation.

Coupled with the myth that only MSM practice anal intercourse is a troublesome lack of knowledge about the ways to practice safer anal intercourse. One area in particular where accurate knowledge is lacking is the safe use of lubricants. In a presentation at the Project ARM strategic meeting by Brian Kanyemba from the Desmond Tutu HIV Foundation, he said that many people were using all kinds of things as a lubricant: olive oil, Vaseline, Vicks and even mayonnaise - none of which are condom-compatible.

Gay and straight couples need to know the facts about anal intercourse, and need condoms and condom-compatible lubricants to engage in this behaviour in a safer way.

Hope, and the future

Anal sex is a pleasurable sexual activity, and it can be safe when certain conditions are met. One of these conditions is using condoms with condom-compatible lubrication.

Another answer to safer anal sex is rectal microbicides - which would be a lube or a gel with anti-HIV properties.

The development of a safe and effective rectal microbicides could help everyone engaging in anal sex have a more pleasurable and safer sexual experience.

It is important to know however that it is not a replacement for condom use, but could be used as an additional option for protection. Ideally, one day we will have rectal microbicides that not only protect against HIV, but other STDs as well.

This sounds very promising, but while there is ongoing research, there is no microbicide product out there in the market yet. That does not mean we should not be hopeful.

As we drive towards zero HIV infection, it is also important we started looking at other prevention technologies that will be very easy for people to use without actually affecting their established sexual behaviours.

As IRMA’s rectal microbicides advocates sat down to work at the Project ARM meeting in Addis, one of the interesting things that came out was the need to intensify advocacy for rectal microbicides in many ways. This includes engaging with our community to let people know that anal sex is a human behaviour, both homosexual and heterosexual.

There is increasing need for information on anal sex and health and active involvement of NGOs in Africa. This campaign should also include NGOs working with African communities all over the world. We should also start the discussion with women, both young and old, that there is a need for more education around safer anal sex.

Rectal microbicides are looking like the part of future of HIV prevention, but for this dream to be achieved there is the need for everyone to be involved in the process – on both the research and advocacy fronts.

From civil societies to clinicians, doctors to government officials, international organizations and funders the world over, we need to all join the fight.

But while we await the rectal microbicides reality, we should not forget that when we talk anal sex, we should also scream… AND LUBE!!

As without the right use of the right lube, anal sex will not only be painful and unpleasant, but also puts the receptive partner in greater danger of receiving sexually transmitted infections- including HIV.

Anal sex is great, condom use is pleasure, but don’t forget AND LUBE.




[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

Thursday, December 29, 2011

Anal sex increasingly popular among heterosexuals

 via NY Mag, by Em and Lo

Every couple of years, another once-scandalous sex taboo starts making its way toward the commonplace. A decade ago, blow jobs were what people whispered about; then three-ways became the naughty bedroom act. Now, it’s anal sex—but according to the Centers for Disease Control’s National Survey of Family Growth, it’s rapidly becoming a regular feature of hetero couples’ horizontal activities.

The survey, released last year, showed that 38.2 percent of men between 20 and 39 and 32.6 percent of women ages 18 to 44 engage in heterosexual anal sex. Compare that with the CDC’s 1992 National Health and Social Life survey, which found that only 25.6 percent of men 18 to 59 and 20.4 percent of women 18 to 59 indulged in it.

Anecdotal research also demonstrates curiosity is on the rise. Babeland’s anal-sex workshops are now held three or four times a year, instead of once, and they’re filled with straight couples. “More and more, people are devoting themselves to learning about anal pleasure,” says Carolyn Riccardi, education coordinator for Babeland’s New York retail stores. “Male-to-female anal sex has been happening since the dawn of time,” she says. “What’s different now is that women are actively learning how to enjoy it and have fun with it.”

Read the rest.


[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

Monday, May 2, 2011

A comparison of condom use errors and problems for heterosexual anal and vaginal intercourse

via International Journal of STD and AIDS

Abstract

Condom use errors and problems were compared for anal and vaginal intercourse among a convenience sample of heterosexual men aged 18–66 years (n = 757). Men completed an online questionnaire for the last male condom use event for penile–anal (10.4%) or penile–vaginal (89.6%) intercourse. The prevalence of condom use errors and problems was similar regardless of intercourse type with a few exceptions; those reporting anal intercourse were significantly more likely to report using water-based (P < 0.001) and oil-based (P = 0.037) lubricant and to remove condoms before sex was finished (P < 0.001). The large majority of the sample (93.8%) reported at least one of the nine errors assessed and almost half (46.2%) reported at least one of the seven problems, indicating that many adults may need assistance with these issues. Condom use promotion programmes designed for heterosexual adults are needed that address condom use errors and problems for penile–anal as well as penile–vaginal intercourse.

[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

Tuesday, January 11, 2011

Heterosexual Anal Sex Experiences Among Puerto Rican and Black Young Adults

Heterosexual Anal Sex Experiences Among Puerto Rican and Black Young Adults
Health providers should address it openly and, when appropriate, as a positive sexual and emotional experience.
Perspectives on Sexual & Reproductive Health Vol. 42; No. 4: doi:10.1363    (12..10):: Marion Carter; Dare Henry-Moss; Linda Hock-Long; Anna Bergdall; Karen Andes

Summary via U.S. Centers for Disease Control and Prevention

The authors introduced the study by noting that heterosexual anal sex, which poses risks for STDs, "is not uncommon in the United States." "However, who engages in it and why are not well understood, particularly among young adults."

In Hartford, Conn., and Philadelphia from 2006 to 2008, data on topics related to sexual health were collected via survey (483 respondents) and qualitative interviews (70 individuals) from black and Puerto Rican persons ages 18 to 25. Predictors of anal sex with the most recent serious heterosexual partner were assessed by bivariate and multivariate analyses. The team analyzed interview transcripts to assess experiences with anal sex and reasons for engaging or abstaining.

Anal sex was reported by 34 percent of survey respondents. It was more common with serious (22 percent) as opposed to casual (8 percent) partners. Black participants were less likely than Puerto Rican respondents to report anal sex (odds ratio, 0.3); women were more likely than men to report anal sex (2.9).

The qualitative cohort found perceptions of anal sex as painful and unappealing were the predominant reasons for abstaining. Sexual pleasure and, in serious relationships, intimacy were the main reasons cited for engaging in it. During anal sex, condom use "was rare and was motivated by STD or hygiene concerns."

"Heterosexual anal sex is not an infrequent behavior and should be considered in a broad sexual health context, not simply as an indicator of STD risk," the authors concluded. "Health providers should address it openly and, when appropriate, as a positive sexual and emotional experience."


[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

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

Womens Health Issues. 2010 Nov-Dec;20(6):414-9.

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

Reynolds GL, Fisher DG, Napper LE, Fremming BW, Jansen MA.

California State University, Long Beach, Center for Behavioral Research and Services, Long Beach, California 90813, USA. greynol2@csulb.edu

Abstract

BACKGROUND: This study examined reported heterosexual receptive anal intercourse (HRAI) in a sample of women recruited from HIV prevention providers in Los Angeles County.

METHODS: The majority of women surveyed were Latina and the modal age was 19 years. Women reporting HRAI were more likely to use both injected and non injected drugs and to have sexual partners who injected drugs.

RESULTS: Factors associated with HRAI in a multivariate regression model included use of methamphetamine; use of alcohol before, during, or after sex; and use of dental services at the interview agency. Factors inversely associated with heterosexual anal sex were being African American (compared with Latina) and endorsing the use of condoms for episodes of vaginal sex from start to finish.

CONCLUSION: HIV prevention providers in Los Angeles County should be aware of the need for basic prevention messages concerning condom use and injection behavior in young Latina women.



[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

Wednesday, December 29, 2010

Age-Specific Prevalence of and Risk Factors for Anal Human Papillomavirus (HPV) among Men Who Have Sex with Women and Men Who Have Sex with Men

via The Journal of Infectious Diseases

Background

An increasing incidence of anal cancer among men suggests a need to better understand anal canal human papillomavirus (HPV) infection among human immunodeficiency virus–negative men.

Methods

Genotyping for HPV was conducted on cells from the anal canal among men who have sex with women (MSW) and men who have sex with men (MSM), aged 18–70 years, from Brazil, Mexico, and the United States. Factors associated with anal HPV infection were assessed using multivariable logistic regression.

Results

The prevalence of any HPV type and oncogenic HPV types did not differ by city. Anal canal HPV prevalence was 12.2% among 1305 MSW and 47.2% among 176 MSM. Among MSW, reporting a lifetime number of ≥10 female sex partners, a primary sexual relationship <1 year in duration, and a prior hepatitis B diagnosis were independently associated with detection of any anal HPV in multivariable analysis. Among MSM, a younger age, reporting ≥2 male anal sex partners in the past 3 months, and never using a condom for anal sex in the past 6 months were independently associated with detection of any anal HPV in multivariable analysis.

Conclusions

Number of sex partners was associated with anal HPV infection in both MSW and MSM. Anal HPV infection in men may be mediated by age, duration of sexual relationship, and condom use.

Read the full article.

[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

External Genital Human Papillomavirus Prevalence and Associated Factors Among Heterosexual Men on 5 Continents

via The Journal of Infectious Diseases

Background

We examined the baseline prevalence of penile, scrotal, and perineal/perianal human papillomavirus (HPV) in heterosexual men (HM). We also evaluated baseline characteristics of HM to assess factors associated with prevalent HPV detection.

Methods

We tested serum samples from 3463 HM aged 16–24 years with 1–5 lifetime female sexual partners for antibodies to HPV 6, 11, 16, and 18. We collected baseline swab specimens for the detection of DNA of HPV 6, 11, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, and 59 from 3 areas: penile, scrotal, and perineal/perianal. Risk factors for prevalent HPV DNA detection were evaluated.

Results

The prevalence of any tested HPV type was 18.7% at the penis, 13.1% at the scrotum, 7.9% at the perineal/perianal region, and 21.0% at any site. Having >3 lifetime female sexual partners had the greatest impact on HPV prevalence: odds ratio (OR) 3.2 (95% confidence interval (CI) 2.1–4.9) for HPV 6, 11, 16, and 18; and OR 4.5 (95% CI 3.3–6.1) for all HPV types tested. HPV DNA detection was highest in Africa. Neither condom usage nor circumcision was associated with HPV DNA prevalence.

Conclusion

Genital-HPV DNA detection is common in young, sexually active HM. We found HPV to be most prevalent in African men and least prevalent in men from the Asia-Pacific region. Increased numbers of sexual partners was an important risk factor for HPV DNA prevalence.

Read the full article.


[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

Tuesday, June 8, 2010

Prevalence and Correlates of Heterosexual Anal Intercourse Among Clients Attending Public Sexually Transmitted Disease Clinics in Los Angeles County

via Sexually Transmitted Diseases 
June 2010 - Volume 37 - Issue 6 - pp 369-376
doi: 10.1097/OLQ.0b013e3181cbf77d
 Javanbakht, Marjan PhD; Guerry, Sarah MD; Gorbach, Pamina M. DrPH; Stirland, Ali MBChB; Chien, Michael PhD(c); Anton, Peter MD; Kerndt, Peter R. MD

Objective:

To identify demographic and behavioral correlates of heterosexual anal intercourse (AI), as well as associations with sexually transmitted infections (STI) among clients attending public sexually transmitted disease (STD) clinics.

Methods:

We conducted a cross-sectional study of clients attending 13 public STD clinics in Los Angeles County, CA. Data collected included information on demographics, types of sexual contact, substance use, other risk behaviors, and STI results.

Results:

Overall, 10% of heterosexual men (n = 1,978) and 10% of women (n = 1,364) reported AI with an opposite sex partner in the 90 days preceding their clinic visit. Women who engaged in AI were more likely to report exchange of drugs or money for sex (adjusted odds ratio [AOR] = 2.80; 95% confidence interval [CI]: 1.95–4.02], substance use (AOR = 1.35; 95% CI: 1.17–1.55), and less likely to be African American (AOR = 0.53; 95% CI: 0.43–0.65). Among men, African American men were less likely to report heterosexual AI (AOR = 0.70; 95% CI: 0.60–0.82), while Hispanic men (AOR = 1.50; 95% CI: 1.29–1.76) were more likely to report heterosexual AI when compared to white men. Other factors associated with AI among men included exchange of drugs/money for sex, anonymous sex, and sex with an injection drug user. Among both men and women factors associated with AI varied by race/ethnicity.

Conclusions:

Recent heterosexual AI was reported by a nontrivial proportion of clients seen at public STD clinics. Those who reported AI were also more likely to report risk behaviors that place them at high-risk for transmitting or acquiring STIs/HIV.

Source.


Wednesday, June 2, 2010

Safer Anal Sex for Women - Targeting HIV Prevention Messages for Women Who Engage in Anal Sex

via About.com, by Mark Cichocki, R.N.

As we look at the data; as we examine the trends; it's clear to me that many people are falling short of what's needed to address the problem of unprotected anal sex among straight and gay women.


Since the onset of the HIV epidemic researchers from the Centers for Disease Control (CDC) have conducted numerous studies to calculate and identify behaviors that offer the highest risk of HIV infection. A study conducted in 1999 found that receptive unprotected anal sex carried the highest risk of HIV infection. That makes sense if you think about it. The anal mucosa are very friable and easily damaged especially during anal sex; an act that in relative terms can be very traumatic to the anal mucosa. It's for this reason that numerous prevention messages are targeted to people who engage in unsafe anal sex. However, while safer anal sex messages are targeted to gay men, prevention programs often overlook another group of people who engage in anal sex; namely women, straight, bisexual, and gay.

Read the rest.

Friday, April 30, 2010

Anal HPV in hetero men common

via Health24.com

Contrary to what's traditionally been believed, anal infection with the virus that causes genital warts is common in heterosexual men, a new study confirms.

Until recent years, there had been little interest in studying the prevalence of anal infection with the human papillomavirus (HPV) in men who have sex exclusively, or primarily, with women -- the belief being that they were unlikely to harbour an anal infection.

However, in the new study, researchers found that among 902 men from the US, Mexico and Brazil, 12% had an anal HPV infection.

All had had sex exclusively with women in recent months, though some said they had had sex with a man in the past -- ranging from 6.5% of the US men to 17% of the Brazilian men.

Read the rest. 

Tuesday, April 20, 2010

Gen Y women facing pressure to have sex

via Sydney Morning Herald, by Mary-Anne Toy


Excerpt:
Melbourne psychologist and sex therapist Sarah Calleja says the bombardment of sexual imagery and concepts through music videos and other media was giving young girls the message that anal sex is common and oral sex is no longer even first base and was encouraging boys to be aggressive sexually.
Read the whole item.

Sunday, April 11, 2010

Factors Associated With Event-Level Anal Sex and Condom Use During Anal Sex Among Adolescent Women

Source

Hensel DJ, Fortenberry JD, Orr DP. Factors associated with event level anal
sex and condom use during anal sex among adolescent women. J Adolesc Health. 2010 Mar;46(3):232-7. Epub 2009 Aug 28.

In the current study, the team set out to examine the distribution of and factors associated with event-level heterosexual anal sex, and of event-level condom use during anal sex, in a group of adolescent women.

A total of 387 women, ages 14 to 17 at enrollment, were recruited from primary care clinics for a longitudinal study of STDs and sexual behavior. Data were taken from daily sexual diaries; the likelihood of anal sex or condom use during anal sex on any given day was assessed using generalized estimating equation logistic regression.

"Heterosexual anal intercourse is a small but nonrandom event-level component in adolescent women's sexual behavior," the authors wrote. Approximately 30 percent of anal sex episodes were condom-protected. Mood, partner, and situational factors predicted anal sex but not condom use during anal sex. The strongest influences on both outcomes were within-day and recent behavior factors.

"Our findings suggest the importance of providers' screening adolescent women patients during office visits about anal sex and about condom use during anal sex, as well as asking questions about the context of these behaviors to appropriately tailor risk reduction counseling," the authors concluded.

Monday, March 8, 2010

Chicago Female Condom Campaign Wants You to “Put A Ring On It!”

Health organizations launch citywide campaign to mark National Women and Girls HIV/AIDS Awareness Day and increase awareness, availability of female condoms

Both women and men engage in anal sex and the female condom is a great prevention tool to keep both partners safe and satisfied.
 
CHICAGO, IL (3/8/10) – An ubiquitous nugget of pop culture advice (“Put a ring on it!”) is the tagline of a new public awareness campaign launched today by a coalition of health organizations that aims to increase the use of a new-and-improved female condom among both women and men.

Timed to coincide with the observance of National Women and Girls HIV/AIDS Awareness Day (March 10), the initiative is the brainchild of the Chicago Female Condom Campaign, a coalition of HIV/AIDS, reproductive justice, women’s health, and gay men’s health organizations that is working to boost awareness, accessibility and availability of female condoms.

The female condom is currently the only barrier method that can be controlled by the receptive partner, allowing both women and men to take control of their health in preventing unintended pregnancies and sexually transmitted infections (STIs) including HIV, the virus that causes AIDS.

This kind of prevention option is urgently needed to keep Chicagoans healthy as numbers for STIs continue to rise. Cook County ranks first, second, and third nationwide for gonorrhea, chlamydia, and syphilis, respectively, and reported approximately 1,500 new HIV cases in 2008, state health figures show.

African Americans comprise just 15 percent of the Illinois population yet account for 54 percent of the state’s total HIV infections, according to state health data. Just as gay men of color bear the brunt of the HIV epidemic, African-American women are disproportionately impacted by HIV, accounting for 68 percent of all Illinois women diagnosed with HIV in 2008, while Latinas account for 10 percent.


“For many women and men, condom negotiation in the bedroom isn’t an option,” said AIDS Foundation of Chicago policy manager Jessica Terlikowski, who leads the female condom campaign. “The campaign is working to ensure that Chicagoans know about this highly effective safer sex tool and that service providers are equipped with the skills and knowledge to effectively promote it. The way we see it, five little words could save your life: Put a ring on it!”

The female condom is lubricated, and shaped like an open-ended tube, with a removable inner ring and an attached outer ring. The inner ring stays anchored to the cervix during vaginal sex. When used for anal sex, the inner ring can be left in, or taken out, depending on individual preference. The outer ring then covers the surface area around the vaginal or anal opening, providing increased protection against STIs that are spread by skin-to-skin contact. These unique features gave birth to the campaign’s hip tagline.

Like male condoms, there has been no research on the effectiveness of female condoms for anal sex. The Chicago Female Condom Campaign, however, as well as many leading public health organizations, confidently promotes the use of female condoms for safer anal sex.

“In a way, it’s unfortunate that it is called the female condom since it is really a tool for the receptive partner, and is a great prevention option during anal sex for both women and men,” said advocate Zoe Lehman of the Chicago Women’s AIDS Project, a founding organization of the campaign.

“Both women and men engage in anal sex and the female condom is a great prevention tool to keep both partners safe and satisfied.”

The Chicago Female Condom Campaign is spreading its “Put a ring on it!” message through its website, ringonit.org, a Facebook fan page and a Twitter account (twitter.com/ChiFemaleCondom). The campaign has also produced stylish palm cards, a “411 on Female Condoms” brochure with easy-to-read diagrams, and a tip sheet for health care providers on how to talk to patients about female condoms, all of which can be ordered for FREE through ringonit.org.

In May 1993, the Food and Drug Administration (FDA) approved the first generation of the female condom, known as FC1 (Female Condom 1). The current, second-generation version known as FC2, was approved by the FDA in February 2009, and is made of a more affordable, hypo-allergenic synthetic rubber (instead of latex), making it a viable option for people with latex allergies. FC2 is also 30 percent cheaper than FC1.

The campaign has partnered with agencies across the city to distribute female condoms for free, and is currently reaching out to public health clinics, health care providers, family planning centers, and other community-based organizations to encourage bulk purchasing. Female condoms can be purchased in bulk through the campaign, at a cost of $.75 each, an incentive that campaign organizers hope will spur greater availability of the product.

“Female condoms provide a sense of power for women because they are able to choose to protect themselves. You don’t need to leave it to the guy,” said Dolores Benton, female condom enthusiast, and case manager for the Pediatric AIDS Chicago Prevention Initiative, a member organization of the campaign. “It’s not difficult to put it in. It’s a piece of cake.”

In the meantime, the Chicago Female Condom Campaign continues to take its message on the road. Through in-person trainings, campaign members equip service providers with the skills to positively promote female condoms, including knowledge of the correct ways to use them and where to access them.

Fox News (Chicago) coverage:



Three in-person trainings are scheduled to take place this week.  
  • The 411 on Female Condoms: Training for Case Managers and Prevention Educators
    Wednesday, March 10 from 9:00 a.m. to 1:00 p.m.
    AIDS Foundation of Chicago, 200 W. Jackson Blvd., Suite 2200, Chicago, IL
     
  • Protect Your Success
    Wednesday, March 10 from 2:00 p.m. to 5:00 p.m.
    Young Women's Leadership Charter School, 2641 S. Calumet Blvd., Chicago, IL
     
  • How 2 Get Down Political Education Training
    Friday, March 12 at 12:30 p.m.
    Lincoln Library, 326 S. 7th St., Springfield, IL
     
  • Condom Hunt & Demonstration
    Friday, March 10 from 4:30 to 6:00 p.m.
    1823 W. 17th Street, Chicago, IL
The Chicago Female Condom Campaign is a coalition of HIV/AIDS, reproductive justice, women’s health, and gay men’s health organizations dedicated to increasing access, affordability, availability, awareness, and utilization of female condoms.

Wednesday, December 23, 2009

HIV prevention for UK Africans should prioritise work with men

by Roger Pebody, via Aidsmap

Men were less likely than women
to have tested for HIV,
to have diagnosed HIV and
to know where to test for HIV. 



Men, not women, should be prioritised by health promoters working with African communities in England, researchers reported earlier this month. The findings from the latest BASS Line survey suggest that men are more likely than women to report sexual risk behaviours, to have lower levels of knowledge and are less likely to have been tested for HIV.

The researchers also recommend that work with men pays particular attention to the needs of men who have sex with both men and women, and those who only have sex with men. In addition, there are high levels of need among those with limited schooling.



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