HIV-uninfected or infected men who have unprotected receptive anal intercourse URAI and douche in preparation for sex or following sex could unwittingly be increasing their chances of HIV transmission. Questions were posed both in formal language and vernacular in italics to increase comprehension. The practice is more popular among African American women in the US than among Latinas or European Americans and appears to be more frequent among those with multiple sex partners Koblin et al. First, to report the prevalence of douching behaviors in a sample of men at high risk for HIV transmission. Measures Demographic characteristics Respondents were asked to report their age, highest year of school completed, annual income including money earned off the books , and ethnic and racial group membership. Regression analyses found the association between HIV status and douching occasions persisted after controlling for demographic characteristics and number of URAI occasions. Rectal douching in preparation for sex is common among men who practice URAI.
Questions were posed both in formal language and vernacular in italics to increase comprehension. Of relevance for the present report are three questions on sexual behavior with men in the past two months: Sexual Behavior Respondents were asked to report their sexual behavior with men and women during the previous two months. The lack of willingness to change behavior, however, may rest on the absence of a product that could achieve similar desired effects to douching without its negative health consequences. Given the popularity of pre-coital douching and its frequency, a harmless rectal douche that could deliver a rectal microbicide could have great acceptability. By study design, respondents were recruited exclusively through the Internet and selected to include approximately equal numbers of European Americans, African Americans, Latinos, and Asian Pacific Islanders. We also stratified the sample to include about two thirds who reported both being HIV-negative and having had URAI in the previous year. Insights on what rectal douching practices precede or follow anal intercourse may help inform strategies to maximize the adoption and effectiveness of microbicide use among men who have sex with men MSM. Questions that were not applicable were automatically skipped by the computer program e. We then used hierachical logistic regression to assess whether HIV status was associated with demographic characteristics Model 1 , number of pre-coital douching occasions Model 2 , and number of URAI occasions Model 3. The practice is more popular among African American women in the US than among Latinas or European Americans and appears to be more frequent among those with multiple sex partners Koblin et al. Studies of vaginal douching practices are illustrative at this point. Topical microbicides, formulated as gels, foams, suppositories or films, are products currently under development for application inside the vagina or rectum before intercourse to prevent HIV transmission. Douching behavior Respondents were asked about frequency, reasons for, timing, and age of onset of douching behavior. Measures Demographic characteristics Respondents were asked to report their age, highest year of school completed, annual income including money earned off the books , and ethnic and racial group membership. Given that some douches disrupt the lining of the rectal mucosa, microbicides could see their potential effectiveness hampered if douching practices associated with intercourse are poorly understood. This population could benefit from alternatives to condoms, such as rectal microbicides. On average, individuals meeting eligibility criteria were scheduled for a face-to-face interview three days after their initial screening. Results Sample characteristics One hundred twenty men were enrolled in the study. Those who did not identify as Hispanic or Latino were asked to report their race from the following categories: HIV-uninfected or infected men who have unprotected receptive anal intercourse URAI and douche in preparation for sex or following sex could unwittingly be increasing their chances of HIV transmission. First, to report the prevalence of douching behaviors in a sample of men at high risk for HIV transmission. Second, to analyze whether rectal douching behavior e. This was followed by a structured assessment that used Computer Assisted Self-Interview CASI to collect information on demographic characteristics of the respondent, his sexual behavior in the previous two months, rectal douching, and HIV-testing information of self and last-two-months partners. How many men fucked you in the ass without a condom? For ethnicity, respondents were asked to report if they considered themselves Latino or Hispanic.
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