Mild intestinal discomfort was also experienced as an aftereffect of anal intercourse, such as in disrupted bowel movements. Physical Pleasure In considering the motivations for women to engage in high-risk sexual behaviors such as unprotected anal intercourse, it is important not to overlook female desire 24 , 31 , I had taken into consideration that we are both HIV negative, so the only thing is not to get pregnant. Aldine de Gruyter; When good sex is safer sex. In the following example, the participant recalls an occasion when she had non-consensual anal sex with a man whom she did not know very well:
Nevertheless, there is evidence to suggest that anal intercourse is also widely practiced by women in the US 1 — 4. Erickson PI, et al. An overlooked risk factor for HIV? Limitations Our findings must be interpreted within the limitations of this study. The mean age of the participants was For example, engaging in an unusual practice with her casual sexual partner made one participant feel more desirable: The interview guide consisted of open-ended questions and follow-up probes developed by the co-investigators to assess the psychological, social, and cultural factors associated with anal sex, as per the study objectives. Interventions to promote safer anal sex must find a way to increase the use of barrier methods without decreasing perceived intimacy between sexual partners. This may be done by emphasizing the intimate nature of anal intercourse, even when accompanied by condom use. Study Procedures Eligible and interested participants reported to the clinic for a one-time, face-to-face meeting with a female interviewer. However, another participant Valeria, 41, Hispanic said that she regularly had anal sex with a man whose other partner was HIV-positive. Indeed, even in our small sample, the subgroup of women who had experienced non-consensual anal sex tended to report lower annual incomes than those who had not, though we did not test for statistical significance. To avoid sounding confrontational, our interviewer did not ask participants why they continued to practice unprotected anal intercourse with partners of unknown or positive HIV status, despite the risks involved. And we did it in the big recliner chair. Results from a ten-year study. How safe do you think anal sex is when it comes to HIV? Among our participants, pleasure-seeking behavior, encompassing both physical arousal and emotional desire, emerged as a factor associated with a greater willingness to both engage in and request anal intercourse from male partners. Nevertheless, as we did not survey a control group of women who engaged in low-risk, protected anal intercourse, it may be difficult to draw conclusions about the relationship between sexual risk-taking and pleasure-seeking behaviors from our sample alone. The following participant, when asked if she had been pressured to have anal sex by her non-exclusive partner, distinguished between male initiative and male pressure: Anal intercourse among young low-income women in California: In a Different Voice: According to Simon and Gagnon 21 , in choosing to practice certain sexual behaviors over others, individuals are guided by cultural scenarios that proscribe specific courses of action. Knerr W, Philpott A. It hurt and it felt good at the same time. Heterosexual transmission of human immunodeficiencyvirus: Sexual and drug-using practices of HIV-positive men who frequent public and commercial sex environments.
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