Generation Z
In some cases, teens reported that anal penetration happened accidentally, because they "slipped. The researchers said describing events as "slips" may enable men and women to avoid confronting the possibility that a non-consensual penetration was deliberate.
The researchers found that many interviewed teenagers didn't know it is possible to get a sexually transmitted disease STD from unprotected anal sex.
Some actually said that getting an STD via anal sex was impossible, or less likely than for vaginal intercourse, according to the study.
The researchers also found that condoms don't seem to be a frequent element in anal sex, and when they were used, it was for hygiene purposes not STD prevention.
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Furthermore, open discussion of the risks involved in all types of sexual intercourse by school nurses and health educators is recommended with this age group despite sensitivities surrounding sexual health issues.
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Learn more: PMC Disclaimer PMC Copyright Notice. J Sch Health. Author manuscript; available in PMC Feb PMCID: PMC NIHMSID: NIHMS Christine M.
Markham , PhD, a Melissa Fleschler Peskin , PhD, b Robert C. Addy , MA, c Elizabeth R. Baumler , PhD, d and Susan R.
Tortolero , PhD e. Markham a Assistant Professor, ude. Melissa Fleschler Peskin b Assistant Professor, ude.
Robert C. Addy c Data Analyst, ude. Social context, sexual risk perceptions and stigma: HIV vulnerability among male sex workers in Mombasa, Kenya.
Jul, [ Google Scholar ] Pettifor AE, Rees HV, Kleinschmidt I, Steffenson AE, MacPhail C, Hlongwa-Madikizela L, Padian NS.
Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household survey. Taverns, bars and shebeens: Sexual risk and HIV within homosocial spaces among Black men who have sex with men in South African townships; Poster session presented at the International AIDS Conference; Washington, DC.
Jul, [ Google Scholar ] Reddy V, Sandfort T, Rispel L, editors. Cape Town, South Africa: HSRC Press; You become afraid to tell them that you are gay: Health service utilization by men who have sex with men in South African cities.
Sexual difficulties, concerns, and satisfaction in homosexual men: An empirical study with implications for HIV prevention.
Anodyspareunia, the unacknowledged sexual dysfunction: A validation study of painful receptive anal intercourse and its psychosexual concomitants in homosexual men.
Sexual problems in gay men: An overview of empirical research. Annual Review of Sex Research. Jul, [ Google Scholar ] Sandfort T, Parker R, Gyamerah A, Lane T, Reddy V.
Sexual identity, gender, and sexual practices in South African men who have sex with men. South African national HIV prevalence, incidence, behaviour and communication survey A turning tide among teenagers?
Cape Town: HSRC Press; HIV and AIDS and STI Strategic Plan for South Africa, — Statistics South Africa. Census Retrieved from www. Should we take anodyspareunia seriously?
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We also did not adjust our analyses for multiple testing and all the potential confounding variables of the association between anal incontinence and FI may not have been queried in a broad study of health factors such as NHANES.
Lastly, stool consistency assessment was only asked for the usual or most common type and may not represent the more episodic changes in stool consistency that may occur with FI episodes.
These results provide initial epidemiologic evidence supporting a link between anal intercourse and FI among both men and women.
These results provide evidence to inform discussions between patients and providers with regard to the association between FI and anal intercourse.
Future studies evaluating multicomponent interventions to improve FI could consider counseling regarding the association of anal intercourse and FI as part of standard practice.
Financial support: This study was supported in part from a Veterans Health Administration Career Development Award CDA-2 to Alayne D.
Markland and Camille P. Vaughan 1 IK2 RX Specific author contributions: Conception, initiation, and writing: Alayne D.
Markland; conception, writing and editing of manuscript: Gena C. Dunivan, Camille P. Vaughan and Rebecca G. Rebecca G. Rogers receives royalties from UptoDate and McGraw Hill for educational writings; she is the DSMB chair for the TRANSFORM trial sponsored by American Medical Systems.
Gena C. Dunivan receives research support from Pelvalon. Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation. As a library, NLM provides access to scientific literature.
Connect to Spotify. A new version of Last. Related Tags Add tags. Similar Artists Play all. The US and UK have hinted they could take military action against Yemen's Houthi rebels, after they repelled the largest attack yet on Red Sea shipping.
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Despite higher overall prevalence of anal intercourse in women, men reporting anal intercourse had a higher prevalence of FI than women After controlling for other known factors for FI in adults, anal intercourse was associated with an increased odds of having FI in both men and women.
Better recognition of factors that may contribute to FI may open dialogue and improve discussion of two taboo topics in the healthcare setting: individual sexual practices and accidental bowel leakage Despite public concern, little work has examined anal intercourse as a possible risk factor for FI in the scientific community.
Studies have mainly focused on the relationship between anorectal structure and function and anal intercourse among men with mixed results.
Lower anal resting pressure has been noted among men who engaged in anal intercourse 5 , 6. However, studies have had inconsistent results regarding lower maximum squeeze pressures and the complaint of FI in men who practice anal intercourse 5 , 6.
These studies had small numbers of men who had anal intercourse, 40 and 14—respectively. Data on the effects of anal intercourse on anorectal structure and function among women are lacking.
Biologic plausibility exists for anal intercourse as a risk factor for FI. The internal anal sphincter contributes to the majority of the anal resting pressure.
Anal intercourse could dilate and eventually stretch the internal and external anal sphincters leading to damage of these structures, as demonstrated by the lower resting pressure.
This lower pressure and possible damage to the internal and external anal sphincters could lead to FI via muscle atrophy and sensory deficits.
Smaller clinical cohort studies have found than women with and without FI have lower anal pressures than men 18 , We did not see differences in the FISI scores among those with and without the self-report of anal intercourse.
FI severity, as measured by the FISI scores, only measures the frequency of stool loss and the type of leakage including flatus, mucus, liquid, or solid stool.
FISI scores do not take into account fecal urgency or the conditions when FI occurs, such as passive leakage or urgency leakage.
Anal intercourse may affect urgency or passive FI more than the type of leakage that occurs. Scrobble from Spotify? Connect to Spotify Dismiss.
Early sexual initiation and subsequent sex-related risks among urban minority youth: the Reach for Health Study. Fam Plann Perspect.
Coker AL, Richter DL, Valois RF, Mckeown RE, Garrison CZ, Vincent ML. Correlates and consequences of early initiation of sexual intercourse.
Flanigan CM. Sexual activity among girls under age findings from the National Survey of Family Growth. In: Albert B, Brown S, Flanigan CM, editors.
National Campaign to Prevent Teen Pregnancy; Washington, DC: Santelli JS, Brener ND, Lowry R, Bhatt A, Zabin LS.
Multiple sexual partners among U. Boekeloo BO, Howard DE. Oral sexual experience among young adolescents receiving general health examinations.
Am J Health Behav. Prinstein MJ, Meade CS, Cohen GL. J Pediatr Psychol. Brady SS, Halpern-Felsher BL. Cornell JL, Halpern-Felsher BL.
Adolescents tell us why teens have oral sex. J Adolesc Health. So, I'm afraid the simplest thing to say [is] 'watch this space'. He was referring to a statement put out a week ago by the UK, US, Australia, Bahrain, Belgium, Canada, Denmark, Germany, Italy, Japan, Netherlands, New Zealand, South Korea and Singapore, who launched "Operation Prosperity Guardian" last month to protect Red Sea shipping.
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Little is known about painful receptive anal intercourse RAI and its relationship to HIV risk and protective behaviors among men who have sex with men MSM.
The purpose of this study was to identify attributions for and responses to painful RAI among Black MSM in South African townships. In-depth interviews were conducted with 81 Black MSM ages 20—39 years who were purposively recruited from four townships.
The semi-structured interviews addressed sexual behavior and identity, alcohol use, and safer sex. Pain during RAI was brought up by many participants without specific prompting from the interviewer.
Analysis of the interview transcripts revealed that pain was a common feature of first RAI experiences but was not limited to first-time experiences.
The participants attributed pain during RAI to partner characteristics, interpersonal dynamics, lack of lubricant, and alcohol use or non-use.
The main strategies participants used to address pain during RAI were setting sexual boundaries and lubricant use; a small number of participants reported purposefully consuming alcohol to prevent the pain associated with RAI.
Despite some empirical studies of painful sex experiences in samples of men who have sex with men MSM in North America and Europe, and some attention within HIV research among MSM in Africa, our understanding of pain during anal intercourse remains limited, particularly in relation to HIV risk and protective behaviors among MSM.
This study presents findings from qualitative research with Black MSM in South Africa; their experiences of and attributions for painful receptive anal intercourse RAI are discussed, as are their responses to RAI in terms of HIV risk and protective behaviors.
Pain can occur during anal penetration when the external anal sphincter is not relaxed; because the anus does not self-lubricate, lubricating substances are also needed to reduce pain from friction Hollows, Other causes of pain during anal penetration may be sexually transmitted infections STIs such as herpes, or other anal health issues such as fissures and hemorrhoids Hollows, Experiences of pain during RAI are not uncommon and vary on different dimensions e.
Pain during RAI may be either situational i. In a sample of primarily white, gay-identified men in the U.
Among African MSM, pain related to RAI has not been assessed per se; the focus instead has been on related outcomes that are considered indicators of HIV and STI transmission risk.
Such symptoms could result from or precede incidents of painful RAI. In the African context, factors that are unique vulnerabilities for MSM elevate the issue of painful RAI from one of individual to public health significance.
Against the backdrop of the criminalization of homosexuality and high HIV prevalence in many African countries, African MSM face substantial barriers in accessing culturally appropriate and competent sexual health care.
In some cases this leads men to self-medicate, seek treatment from unqualified health workers, or not be forthright about their symptoms when seeking treatment Okal et al.
African MSM also have restricted access to condom-compatible lubricants Baral et al. Poor access to lubricants and STI treatment may make it harder for MSM to minimize pain during RAI and increase their likelihood of contracting or transmitting HIV and other STIs.
Attributions for and responses to painful RAI among MSM have been assessed in only a few studies. Belgian MSM rated the lack of lubrication and of anal foreplay as the most important factors predicting pain during RAI Vansintejan et al.
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