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Sign In or Create an Account. Sign In. Advanced Search. Article Navigation. Close mobile search navigation Article Navigation. Volume Article Contents. HIV transmission risk through international anal sex intercourse: Oxford Academic.

Google Scholar. Richard G White. Marie-Claude Boily. Cite Citation. Permissions Icon Permissions. Abstract Background The human immunodeficiency virus HIV infectiousness of anal intercourse AI has not been systematically reviewed, despite its role driving HIV epidemics among men who have sex with men MSM and its potential contribution to heterosexual spread. Issue Section:.

Download all figures. View Metrics. Email alerts New issue alert. Advance article alerts. Article activity alert. Receive exclusive offers and updates from Oxford Academic. International anal sex on this topic Scaling up prevention programmes to international anal sex the sexual transmission of HIV in China.

Probability of HIV transmission through anal intercourse. There is also nude az girls international anal sex on heterosexual anal intercourse among drug-using subsamples, which has found a relationship between anal intercourse and both injection and non-injection drug use Bogart et al. Mackesy-Amiti et al. While this growing body of literature suggests that anal intercourse among heterosexual women may be more prevalent than previously assumed particularly among drug-abusing samples of womenthere is currently very little information about why these women are engaging in anal intercourse.

Bandura stated that human behavior is learned from watching and interacting with other human beings. Women internatlonal learn about anal intercourse through male sex partners, and then they may suggest anal intercourse with new sex partners for a variety of reasons, including a desire to be responsive to his desires or because she has learned to like anal intercourse from the experience with a previous sex partner.

Through these traditional gender roles and sexual scripts e. Gender and power theory, which focuses on the sexual division interntional labor, sexual division of power, and social norms associated with relationships between men and women, may also ijternational our understanding international anal sex heterosexual anal intercourse Connell, Their international anal sex includes alcohol and drug use and high-risk steady partners who have been linked to anal intercourse.

The current study anzl to examine why international anal sex women engage in anal intercourse.

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Due to the limited nature of previous research on this topic, we opted for a more exploratory approach aimed at uncovering the broad range of reasons that women had for engaging in anal intercourse. Focus group methods were internatkonal to uncover the wide range of reasons that drug-abusing women may have for engaging in heterosexual anal intercourse. Focus international anal sex are particularly well suited for uncovering a full range of opinions, experiences, or concerns about a topic Krueger, Focus groups were also preferred by the participating outpatient drug treatment program international anal sex participants were familiar with group find uk Jackson Alabama women to fuck and settings.

The majority had participated in some form international anal sex outpatient international anal sex treatment, but some of the women had never received formal treatment for their drug use. Further questioning revealed that all of the participants had had anal intercourse, but some did not count it as such if the man se not ejaculate or if the woman insisted he withdraw because of pain.

The resulting sample consisted of 32 women from diverse ethnic backgrounds: Following the recommendations of Kruegereach focus group consisted of 7—10 participants, and all focus international anal sex were conducted by the first author who has experience with group facilitation and has worked extensively with the population served at both the drug treatment center and CBRS. The focus groups were constituted so that all the women in each group were nude women over 50 the same ethnicity; group 1 was African American, group 2 was Latina, and group 3 was White, but group 4 was mixed with approximately equal proportions of African American and White women.

Upon arrival at the focus group location, participants were first informed about the nature of the study and all associated risks and benefits.

Informed consent was a two-stage process: The second stage consent process required the women to give separate consent to have the focus group digitally recorded for later transcription and coding.

Only women who were willing to consent at both stages, that is, to participate in the focus group and to allow the group to be recorded, participated in the final focus groups. None of the women refused to be audio taped. Women then answered a brief demographic questionnaire that elicited information on their age, self-reported ethnicity, and the number of biological children, whether international anal sex had had oral, vaginal, and anal intercourse at any point international anal sex their lifetime, and whether their last sexual encounter was with a man or a woman.

The demographic questionnaire was followed by a description of focus group procedures and ground rules. Following the recommendations of Kruegerthe focus group protocol consisted of five generally worded questions about heterosexual anal intercourse international anal sex male partners, how often it had occurred in their lifetime, the frequency of anal intercourse with their current or most recent sexual partner, the context in which the anal intercourse event took place type of partner, such as new, casual, and regularthe role international anal sex alcohol and illicit substances in facilitating the anal intercourse, and other relevant characteristics of the male partners known to be bisexual, previous incarceration history and any other information the women were willing to provide concerning the anal intercourse event itself e.

Participants were allowed to respond spontaneously to each question and were not required to seek permission to speak or speak in a designated order. Although each participant was not required to answer each question, the facilitator did encourage participation from all women and made efforts to elicit diverging perspectives.

The audio files produced by the recording equipment in MP3 format were transcribed international anal sex and imported into Dedoosean on-line qualitative analysis international anal sex that facilitates coding, sorting, and displaying mixed method 45 year old black woman.

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

In the second phase, a constant comparison method was used to group and organize the marginal codes conceptually. This inductive process resulted in a hierarchically organized codebook containing codes and subcodes that emerged from the data. In the third phase, Dedoose was used to mark excerpts from the transcripts. Excerpts were identified both conceptually based on the beginning and ending of a distinct idea and contextually including all necessary information for accurate interpretation.

The codebook was then uploaded to Dedoose and used to assign applicable codes to the excerpts. Dedoose was used to assess inter-rater reliability utilizing a random selection of one-third of the excerpts created by the second author. In most cases, disagreements involved omissions. This occurred when one person applied a code that was overlooked by the international anal sex person. When these omissions were counted lesbian in house disagreements, the kappa coefficient.

When these omissions were left out of the calculations, kappa increased to. All omissions and discrepancies were then discussed by the coders, and a consensus approach was used to assign final codes. Each of these codes international anal sex sample quotes are international anal sex in detail. The primary goal of the current study was to international anal sex a wide range of reasons as to why heterosexual, drug-abusing women engage in anal intercourse.

Results related to each of these research questions are described in more detail. Every time I have had anal sex it was because I was either extremely drunk international anal sex extremely loaded; every time I have had anal sex I was on drugs. African American, Group 1. Or you made the trip and you go into a motel and you bring all your stuff and you get high and then you are going to have sex. Hours of sex. Hours, hours, hours, yeah.

White, Group 3. Well most a marriage without sex that I know where I came from, homeless, which was under the freeway…everyone is kinky down there, you know. Cocaine makes us do what we would usually not.

International anal sex, you know, when you start using drugs and shit, it makes you do shit… you have certain boundaries and morals set and it makes you go beneath.

Latina, Group 2. Let me tell you, crack will make some people do anything…sell your baby, sell you. No, crack will make you do. It was the drugs that was the main thing escort service kitchener made me.

It got to be where he started doing this on a regular basis. And I guess because Asian star brothel did not speak up for myself, he sfx started taking international anal sex of me. International anal sex inyernational doing it to me in my booty—painfully! I suffer from depression and certain stuff iternational.

White, Group 4. I wanted it. I wanted to give it a try. It was done to express our love for qnal another intenational I wanted to like do. I wanted us both to try it. I wanted to do anything I. I wanted the ultimate workout and he gave it to me.

It has been my choice, you know…like, this international anal sex what I international anal sex, you know? I only like it in one certain position, so when it does happen, I am in control of how we do it because it is my body, you know? I tried it a couple of times, but I got paid a very large amount of money. I was so cracked out in the game that I knew I was going to get a hit when he got. It hurt! I am going to get a big hit when I get.

And I international anal sex this guy. And I became his woman because he had the dope. It was me and my husband. He asked, he was curious.

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We thought about it and then international anal sex went on internatiomal and did it. African American, Group 4. Like I tried it just to please my dude. I want to be the type of woman who does satisfy my man in any way…whatever desires he. No, no, my coochie international anal sex up here! My shit way up here! All the lights were on! Nigga, you see this!

I got a hairy coochie! He inteenational some ass! We were doing regular sex and then he ask me for my booty. And he said, well, scort girls houston me give you a massage.

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And I was like, yeah, I got sore legs. Go ahead and give me a massage. Sex store knoxville put lotion on my legs and massaged them on up and up my thighs. And he got to the booty and massaged it. Then the next thing you know—BAM! He went on and hit it.

Then he was real smooth with it. I said, oh, this motherfucker has experience with this thing. No condoms! No lubrication! He would international anal sex me and put me in a choke hold, I could hardly sed, you know? The very first two times International anal sex ever had sex I was raped and I was sodomized.

I have had intrenational sex because I was on my period…I just put a tampon in and then yeah. International anal sex a medical standpoint, Beautiful wife want sex tonight Mukilteo think anal sex is very dangerous because once the tissue breaks, it goes straight to the bloodstream. It is risky and I think it is because they be so excited that you have international anal sex slow them down…you have to slow them down and let them know, hey, you know, this is a little bit different.

It is risky. It is very risky. You feel me? Because it is not proper.

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The last one that I was with that I found out had been messing around with other men… I thank God that I never caught anything from. Cause I was at international anal sex most risk of catching HIV ever most in my life with. I know from my personal experience, um, the last person that I was with, um, well, I had anal sex with. And I had like lots of sex with. International anal sex it was all gay sauna in san francisco the influence.

But, um, I put myself at risk with him, cause, uh, International anal sex found out that he has had like multiple partners of both sexes. I take it, international anal sex, if I get it, I get it. If I get that cold, I get it, and I suffer the consequences. My first time was with my boyfriend who snal out to be my husband.

We were dating and my first time was with. I trusted.

But I mean, I kept on going international anal sex to him, running back international anal sex him, running back to. You could have made me aware. Personally, I like it; Zex wanted the ultimate workout and he gave it to me; I do like to have my salad tossed. Catch me on my come. I love to fuck on hot egypt women come.

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That is like the best sex. Hold up, hold up. I mean, to me it was pleasurable.

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But, like I said, we used a condom and a lubricant. And we took our time, you international anal sex You have to totally, totally, totally relax. Party. Yeah, it was very painful. Like, for the first couple of times I tried it, like it felt, seriously it felt like, this is what I thought: It was like it just hurt.

It was very, very painful. I hate anal sex, it is very painful. My experience was like, as soon as this motherfucker got done fucking me in the ass, I had to go to the toilet. Then, when I took a shit, I wiped my shit and there was blood on the fucking thing.

For real, for international anal sex, my saying to this day is exit. To internationsl, I not only felt sore, but it was international anal sex. It felt like I did something wrong. It felt wrong. The anal sex for me internxtional like hard. Ses the one time that I did do it, Internatkonal was drunk and it was fucking shoved in and it hurt. And I was like, it ladies seeking sex tonight Alexandria Minnesota all bad.

Latina, Group 3. They just want to do it without…they push you all hard instead of going soft…They are focused on themselves and what international anal sex imternational and internatinal, not realizing that it will hurt us more than.

We started with the rubber, but it seemed like the rubber was irritating me. Even with the lubricant, it was just too. It kind of traumatized me. The current study sought to understand why heterosexual women engage in anal intercourse, their international anal sex of risks associated with anal intercourse, and their physical and emotional reactions to anal intercourse.

Results from a series of four focus groups with iinternational recruited from a community-based HIV and STI testing program and an outpatient drug treatment program suggested that women had a wide range of views on anal intercourse with a man and motivations for having anal intercourse. That the majority of women reported that they had anal sex because they were high is not surprising, given the sample of women, which was international anal sex from a drug treatment and STI testing facility. This current study also beautiful people magazine a relationship between anal intercourse, xex use, and sexual pleasure among women.

Other reasons noted by the women were that they desired anal intercourse; they wanted to please their partner; they wanted to avoid vaginal sex; the aanl was an exchange or quid pro quo one; and situations where the woman did not specifically consent, either because of low self-esteem or coercion.

Even in consensual situations, we found that the majority of anal intercourse episodes reported on in this study were initiated by the men, in some cases surprising the women, who either did not expect anal intercourse during the specific encounter or had never done it.

Several women said that the men international anal sex to have anal intercourse with them in order to initiate them into something they had never experienced.

In our study, several women endorsed the idea that their international anal sex partners wanted to facilitate an experience for the women that they had never had before and that anal intercourse was one such new, perhaps exotic experience. The idea of anal sex being reserved for special partners contradicts findings of Mackesy-Amiti et al. Our findings also suggest that a substantial minority of participants never actively consented to having anal intercourse verbally and explicitly.

The explicit use of verbal consent international anal sex the internarional of women may reflect a traditional conceptualization of women as sexual gatekeepers and provides support for the role of traditional etotic massage Elizabeth New Jersey norms interntional heterosexual international anal sex intercourse behavior. Work by Jozkowski and Peterson reported that a small minority of college-aged men used deception for both vaginal and anal intercourse.

Malamuth intenrational that some men are willing to engage in aggressive, even coercive sexual old man ladyboy, especially if they are unlikely to be caught. The women may have been less likely to overtly refuse the anal intercourse anak she was under the influence of drugs.

Minieri et al. Harawa, Belmont k you were hot, Kim, and Cunningham reported that more African Americans spend greater parts of their lives single not married or cohabitating than international anal sex Whites sx Latinos, and this is especially true for women. Previous research has internatiknal that this lack of partners leads to African American women engaging in and accepting condom-less sex, thus lending support for gender and power frameworks to inform our understanding of anal intercourse.

Our results indicate that women might consent to anal intercourse because of these same factors. Bland et al. Results suggested that a substantial number of the women perceived internationa intercourse to be risky after the fact, but international anal sex variety of situational factors deterred from their ability to view anal intercourse as risky in the moment, including being in the heat of the moment, trusting their partners, and substance use.

Article in International journal of gynaecology and obstetrics: the official Studies suggest that \10 % of men disliked having anal sex with. Does per-act HIV-1 transmission risk through anal sex vary by gender? (5) Women's Global Health Imperative, RTI International, San. Background The human immunodeficiency virus (HIV) infectiousness of anal intercourse (AI) has not International Journal of Epidemiology.

Reynolds, Latimore, and Fisher reported that sex while high and HIV risk perception were positively associated with international anal sex intercourse in women. Despite some well-publicized scientific studies of the risks of HIV infection from heterosexual anal intercourse, the women interviewed for this study were vague about exactly how their male partners might be placing them at risk. The women acknowledged that gay and bisexual men were a source of HIV infection, and that men who had been to prison and who might have had sex with international anal sex man were a source of risk for women.

The women did not mention the risks of HIV infection from sex with an injection drug user, though many acknowledged both injection and non-injection drug use by male partners with whom they had had anal intercourse. The research literature makes clear distinctions between risks among men who have sex with men from insertive anal intercourse compared international anal sex receptive anal intercourse, but the women did not.

Findings from the current study suggest that only a handful of the participants actually enjoyed anal intercourse. Pain as an insurmountable barrier to anal intercourse is consistent with the study by Stulhofer and Adkukovic Even among the participants who did seem to enjoy anal intercourse, most expressed an explicit preference for vaginal intercourse over anal intercourse and described several specific factors which needed to be in place for them to enjoy the anal intercourse experience.

Women who enjoyed anal intercourse specified the need for a partner who was experienced in the use of lubricants and who used them to make anal intercourse more pleasurable for the women. Conversely, women with male partners who were more egocentric about their international anal sex needs, or lacking experience with lubricant use, or both, during the encounter almost unanimously described the encounter as painful.

The current study has limitations worth noting. First, as with many qualitative approaches, the sample size was small. This, and the fact that the majority of participants were ethnic minority women recruited through community-based International anal sex testing and outpatient drug treatment programs, limits the generalizability of the findings.

However, given the statistics on HIV incidence and prevalence in minority women, the sample was also a strength international anal sex the study as these are the women who are most at risk for HIV infection gay margate south africa unprotected heterosexual anal intercourse. Focus groups are international anal sex suited to identifying the range and limits of a specific experience.

But it is important to remember the limits of focus group data. While focus groups are very good at uncovering the range of experience, they are not good at uncovering how common any one experience might be. This is because not every person was asked or required to answer every question. Participation was also limited to English-speaking women, and participants international anal sex low-income women.

Additionally, the women were vietman sex to discuss a stigmatized behavior in a focus group setting.

Why Women Engage in Anal Intercourse: Results from a Qualitative Study | SpringerLink

Therefore, this study does not necessarily represent ladies want nsa PA Hamburg 19526 views of women who may feel uncomfortable discussing anal intercourse in a group setting. There was also a methodological finding in this study concerning how questions about anal sex and anal intercourse are phrased. A small number of anxl gave contradictory answers to the screening questions concerning penile-anal penetration international anal sex anal intercourse.

This suggests that questions must be carefully worded when studying this behavior. This study international anal sex insight for international anal sex how women perceive receptive anal intercourse with male partners and why they engage in anal intercourse. Future research should focus on two of the findings from this study.

Second, more international anal sex is needed on the gray area of consent or lack thereof for novel or exotic sexual behaviors that are unplanned and perhaps new experiences. What constitutes consent for a new experience such as anal intercourse, the first time it happens?

Or when it dating vegan unplanned and not discussed prior to engaging in sexual activity? Whether the most recent experience of anal intercourse is negative or positive may determine whether the international anal sex will engage in anal intercourse in the future, but does international anal sex really answer the question as to whether she consented to it the first time.

Given the potential health risks ssex anal intercourse, further inquiry into this sexual behavior is warranted. Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided international anal sex original author s and the source are credited.

Skip to main content Skip to sections. Advertisement Hide. Download PDF. Why Women Engage in Anal Intercourse: Results from a International anal sex Study.

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Open Access. First Online: Introduction Recent interest in heterosexual anal intercourse has been generated from several international anal sex perspectives. Data Analysis The audio files produced by the recording equipment in MP3 format were transcribed verbatim and imported into Dedoosean on-line qualitative analysis program that facilitates coding, sorting, and displaying mixed any women looking for 9 inches tonight data.

Sfx can be seen in Internstional. Open image in new window. In some of these cases, the women described being more interested in anal intercourse when they were high, suggesting that substance use increased their own sexual desire: White, Group 3 Well most everyone that I know where I came from, homeless, which was under the freeway…everyone is kinky down there, you know.

In other cases, the women described drugs as making international anal sex do something they would not ordinarily international anal sex, suggesting that they were only willing to engage in anal intercourse when they were high enough to overcome their inhibitions and personal boundaries: Latina, Group 2 Let me tell you, crack will make some people do anything…sell your baby, sell you.

Still others explained that having anal intercourse without using substances would be too painful so they are only willing to have anal intercourse when they are high: Thus, while the woman may have granted permission implicitly by not refusing outright, anal intercourse was not something she decided to do in any conscious international anal sex.

In some of these cases, women simply described engaging in anal intercourse because they personally enjoy international anal sex I do it for enjoyment. White, Group 4 I wanted it. In other cases, women described only enjoying anal intercourse in specific circumstances such as with people they know and trust very well: Others described only having anal intercourse in certain positions or when certain international anal sex were met: African American, Group 1 It has been my choice, you know…like, this is what I want, you know?

For example, some of the women agreed to have anal intercourse in exchange for money: Others agreed to christian love quotes for wife anal intercourse in exchange for drugs: In some of these cases, the women agreed to have anal intercourse because the man directly asked or begged them to: