Heterosexual Anal and Oral Sex in Adolescents and Adults in the United States, 2011-2015.
Heterosexual Anal and Oral Sex in Adolescents and Adults in the United States, 2011-2015.
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DOI：
10.1097/olq.0000000000000889
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发表时间：
2018-12
影响因子：
3.1
通讯作者：
Aral SO
中科院分区：
文献类型：
--
作者：
Habel MA;Leichliter JS;Dittus PJ;Spicknall IH;Aral SO
异性肛交和口交与性传播疾病（STD）的获得和传播有关。随着美国常见的可报告性传播疾病（衣原体、淋病和梅毒）不断增加，了解最近的口交和肛交行为非常重要。我们调查了 15 至 44 岁的男性和女性中异性肛交和口交、相关安全套的使用以及有多个性伙伴的患病率和相关性。大约三分之一的女性和男性曾经进行过肛交，其中包括 11% 的青少年（15-19 岁）。大多数女性和男性曾经接受过或给予过口交（>75%）。分别有 6% 和 7% 的女性和 7% 的女性和男性在最近一次口交时使用了安全套，而 20% 和 30% 的女性和男性在最近一次肛交时使用了安全套。过去一年拥有多个性伴侣在青少年、从未结婚或曾经结婚的人以及拥有非一夫一妻制伴侣的人中最为常见。不到 10% 的人报告在过去一年有多个肛交伴侣。相当一部分人有多个口交或肛交伴侣；按种族/民族划分，黑人女性和男性的口交伴侣比例最高。肛交和口交是常见的性行为。鉴于这些行为中安全套的使用率较低，遵循性风险评估的建议非常重要。关于口交和肛交期间性传播疾病和人类免疫缺陷病毒感染风险的定制信息可能会使青少年、单身人士和离婚人士受益。未来关于异性恋者生殖器外性传播疾病检测的好处的讨论可能会有用。
Heterosexual anal and oral sex are related to the acquisition and transmission of sexually transmitted diseases (STDs). As common reportable STDs (chlamydia, gonorrhea, and syphilis) in the United States are increasing, it is important to understand recent oral and anal sexual behaviors. We examined the prevalence and correlates of heterosexual anal and oral sex, associated condom use, and having multiple partners among men and women aged 15 to 44 years. Approximately one third of women and men had ever engaged in anal sex, including 11% of adolescents (15–19 years). Most women and men had ever received or given oral sex (at >75%). Six percent and 7% of women and men, respectively, used a condom at last oral sex compared with 20% and 30% who used a condom at last anal sex. Having multiple sex partners in the past year was most common among adolescents, never or formerly married persons, and those who had a nonmonogamous partner. Less than 10% reported multiple anal sex partners in the past year. A substantial minority had multiple oral or anal sex partners; black women and men had the highest reports of oral sex partners by race/ethnicity. Anal and oral sex are common sexual practices. Given the low rates of condom use during these behaviors, it is important that recommendations for sexual risk assessments are followed. Tailored messaging regarding risk for STD and human immunodeficiency virus acquisition during oral and anal sex may benefit adolescents, singles, and divorced individuals. Future discussions regarding the benefits of extragenital STD testing for heterosexuals may be useful.