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Women who have anal sex: Pleasure or pressure? Implications for HIV prevention

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Women who have anal sex: Pleasure or pressure? Implications for HIV prevention

Anal intercourse is a highly efficient mode of HIV transmission. Nevertheless, there is evidence to suggest that anal intercourse is also widely practiced by women in the US 1 — 4. Given that anal intercourse is associated with higher rates of heterosexual HIV transmission than vaginal intercourse 10 — 13 , women who engage in unprotected anal intercourse with sexual partners of unknown or seropositive status may be at greater risk for acquiring HIV than women who do not practice anal intercourse or who use protection while doing so. Additionally, Halperin 1 found that women who engaged in anal intercourse were less likely to use condoms during anal intercourse than during vaginal intercourse. Most studies of heterosexual HIV transmission fail to distinguish between vaginal and anal intercourse in their assessments of coital acts, thus continuing to overlook anal intercourse as a potential source of HIV transmission. This oversight may be due to cultural taboos surrounding anal intercourse, including its association with homosexuality and its perceived lack of hygiene 1. A number of researchers have already pointed to the need for increased attention to anal intercourse as an understudied source of HIV transmission from seropositive men to their seronegative female partners 1 , 3 , 6 ,
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Sexual penetration

Anal sex or anal intercourse is generally the insertion and thrusting of the erect penis into a person's anus , or anus and rectum , for sexual pleasure. While anal sex is commonly associated with male homosexuality , research shows that not all gay men engage in anal sex and that it is not uncommon in heterosexual relationships. As with most forms of sexual activity, anal sex participants risk contracting sexually transmitted infections STIs. Anal sex is considered a high-risk sexual practice because of the vulnerability of the anus and rectum.
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Sexual penetration is the insertion of a body part or other object into a body orifice , such as the vagina , anus or mouth , as part of human sexual activity or animal sexual behavior. The term is most commonly used in statute law in the context of proscribing certain sexual activities. Terms such as " sexual intercourse " or " carnal knowledge " are more commonly found in older statutes, while many modern criminal statutes use the term "sexual penetration" because it is a broad term encompassing unless otherwise qualified any form of penetrative sexual activity, including digital i. Some jurisdictions refer to some forms of penetration as "acts of indecency ", or other terminology. When a penis is inserted into a vagina, it is generally called vaginal or sexual intercourse.
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