Prevalence and types of rectal douches used for anal intercourse: results from an international survey.
Prevalence and types of rectal douches used for anal intercourse: results from an international survey.
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DOI：
10.1186/1471-2334-14-95
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发表时间：
2014-02-21
影响因子：
3.7
通讯作者：
Gorbach PM
中科院分区：
文献类型：
--
作者：
Javanbakht M;Stahlman S;Pickett J;LeBlanc MA;Gorbach PM
肛交 (AI) 中使用的直肠产品可能会促进性传播感染/艾滋病毒的传播。然而，关于人工智能人群的直肠冲洗行为的数据有限。我们检查了报告人工智能的内容、产品类型、直肠冲洗做法和风险行为。从 2011 年 8 月到 2012 年 5 月，1,725 名女性和男性在过去 3 个月内完成了一项关于直肠冲洗做法的互联网调查。该调查有英语、法语、德语、普通话、葡萄牙语、俄语、西班牙语和泰语版本，其中包括与人工智能相关的性行为问题，包括直肠冲洗。使用卡方方法评估直肠冲洗实践的差异，并使用逻辑回归分析评估报告的冲洗实践与其他因素（包括年龄和报告的性传播感染病史）之间的关联。受访者来自 112 个国家，大部分为男性 (88%)，来自北美 (55%) 或欧洲 (22%)。在 1,339 名受访者 (66%) 中，大多数 (83%) 表示在接受 AI 之前总是/几乎总是进行直肠冲洗。大多数直肠冲洗者报告使用非商业/自制产品（93%），其中水是最常用的产品（82%）。 31% 使用商业产品，其中最常见的产品是生理盐水 (56%)。直肠冲洗因人口和危险行为而异。男性中直肠冲洗的患病率较高（70% vs. 32%；p值 < .01），报告性行为中物质使用的人（74% vs. 46%；p< .01），以及报告过去一年中性传播感染的人（69% vs. 57% p值 < .01）或曾经检测过艾滋病毒阳性的人（72% vs. 57%）。 53%；p 值 < .01)。在多变量分析中，根据年龄、性别、地区、安全套和润滑剂的使用、物质使用以及 HIV 状况进行调整后，与非灌洗者相比，灌洗者在过去一年中报告性传播感染的几率增加了 74% [调整后的比值比 (AOR) = 1.74； 95% CI 1.01-3.00]。鉴于在接受性 AI 之前进行直肠冲洗很常见，而且由于直肠冲洗与其他性危险行为有关，因此这种做法对包括 HIV 在内的 STI 传播和感染的贡献可能很重要。
Rectal products used with anal intercourse (AI) may facilitate transmission of STIs/HIV. However, there is limited data on rectal douching behavior in populations practicing AI. We examined the content, types of products, rectal douching practices and risk behaviors among those reporting AI. From August 2011 to May 2012, 1,725 women and men reporting receptive AI in the past 3 months completed an internet-based survey on rectal douching practices. The survey was available in English, French, German, Mandarin, Portuguese, Russian, Spanish, and Thai and included questions on sexual behaviors associated with AI including rectal douching. Differences by rectal douching practices were evaluated using chi-square methods and associations between reported douching practices and other factors including age and reported STI history were evaluated using logistic regression analysis. Respondents represented 112 countries, were mostly male (88%), and from North America (55%) or Europe (22%). Among the 1,339 respondents (66%) who reported rectal douching, most (83%) reported always/almost always douching before receptive AI. The majority of rectal douchers reported using non-commercial/homemade products (93%), with water being the most commonly used product (82%). Commercial products were used by 31%, with the most common product being saline-based (56%). Rectal douching varied by demographic and risk behaviors. The prevalence of rectal douching was higher among men (70% vs. 32%; p-value < .01), those reporting substance-use with sex (74% vs. 46%; p-value < .01), and those reporting an STI in the past year (69% vs. 57% p-value < .01) or ever testing HIV-positive (72% vs. 53%; p-value < .01). In multivariable analysis, adjusting for age, gender, region, condom and lubricant use, substance use, and HIV-status, douchers had a 74% increased odds of reporting STI in the past year as compared to non-douchers [adjusted odds ratio (AOR) = 1.74; 95% CI 1.01-3.00]. Given that rectal douching before receptive AI is common and because rectal douching was associated with other sexual risk behaviors the contribution of this practice to the transmission and acquisition of STIs including HIV may be important.
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影响因子：
3.1
作者：
Gorbach PM;Weiss RE;Fuchs E;Jeffries RA;Hezerah M;Brown S;Voskanian A;Robbie E;Anton P;Cranston RD
通讯作者：
Cranston RD
影响因子：
4.9
作者：
Calabrese, Sarah K.;Rosenberger, Joshua G.;Reece, Michael
通讯作者：
Reece, Michael
影响因子：
4.4
作者：
Carballo-Dieguez, Alex;Bauermeister, Jose A.;Remien, Robert H.
通讯作者：
Remien, Robert H.
影响因子：
5
作者：
COATES, RA;CALZAVARA, LM;SOSKOLNE, CL
通讯作者：
SOSKOLNE, CL
阿片类药物引起的肠功能障碍：患病率，病理生理和负担。
影响因子：
2.6
作者：
Panchal, S J;Muller-Schwefe, P;Wurzelmann, J I
通讯作者：
Wurzelmann, J I