AIDS and heterosexual anal intercourse

1991 ◽  
Vol 20 (3) ◽  
pp. 233-276 ◽  
Author(s):  
Bruce Voeller
2013 ◽  
Author(s):  
Kristen L. Hess ◽  
Grace L. Reynolds ◽  
Dennis G. Fisher

2003 ◽  
Vol 14 (7) ◽  
pp. 431-436 ◽  
Author(s):  
Stuart Brody ◽  
John J Potterat

Public health authorities have long believed that the preponderance of AIDS cases in Africa are attributable to 'heterosexual transmission'; most people silently assume this rubric to indicate penile–vaginal intercourse only. Recent epidemiologic analyses suggest that the majority of HIV cases in sub-Saharan Africa may be due to non-sterile health care practices. The present paper reviews the anthropological, proctologic, and infectious disease literature, and argues that both homosexuality and heterosexual anal intercourse are more prevalent in Africa than has traditionally been believed. The authors hypothesize that perhaps the majority of HIV transmission not accounted for by iatrogenic exposure could be accounted for by unsuspected and unreported penile–anal intercourse. Given the authors' findings, properly conducted studies to measure this HIV transmission vector, while controlling for iatrogenic exposure confound, are clearly warranted in Africa and in countries with similar epidemiologic characteristics.


2009 ◽  
Vol 99 (6) ◽  
pp. 1131-1136 ◽  
Author(s):  
Celia M. Lescano ◽  
Christopher D. Houck ◽  
Larry K. Brown ◽  
Glenn Doherty ◽  
Ralph J. DiClemente ◽  
...  

Sexual Health ◽  
2013 ◽  
Vol 10 (6) ◽  
pp. 585
Author(s):  
Branwen Nia Owen ◽  
Paddy M. Brock ◽  
Zara Shubber ◽  
Rebecca F. Baggaley ◽  
Ailsa R. Butler ◽  
...  

Background Anal cancer incidence has increased over the past twenty years. Heterosexual anal intercourse (AI) is a risk factor for HPV and HIV infection but is under-researched and ill-understood. We compare AI practices among young, sexually active general population females and female sex workers (FSW). Methods: We searched PubMed for heterosexual AI studies among young females, including FSWs (mean age <25 years), to December 2012. Study estimates were pooled using a random-effects model. Results: Fifty-four studies (42 average-risk, 6 higher-risk, 6 FSWs) were included. Most studies among general population youth were conducted in North America using self-administered questionnaires. All FSW studies were conducted in Africa and Asia using face-to-face interviews (FTFI). Pooled estimates of lifetime AI prevalence were larger among average-risk (23.6%, 95% CI 20.4–26.7) and higher-risk youth (25.5%, 95% CI 11.7–39.2) than FSWs (12.8%, 95% CI 8.4–17.3), but highly heterogeneous (I2 >90%). However, pooled AI estimates by continent of average-risk youth (Asia = 13.9%, 95% CI = 1.7–29.5; Africa = 18.4%, 95% CI 0.9–35.8) were more similar to those of FSWs (Asia = 16.0%, 95% CI 10.3–21.6; Africa = 9.7%, 95% CI 3.8–15.7). Estimates of average-risk youth reporting via FTFI (12.1%, 95% CI 0.7–23.5) were likewise similar to those among FSWs (12.8%, 95% CI 8.4–17.3). Pooled AI prevalence estimates among FSWs were higher in studies conducted after 2001 than in earlier studies. Conclusions: AI is common among sexually active females and may be increasing; it could therefore be an important determinant of HPV transmission and anal cancers. AI is as or more common among the general population youth than young FSWs but this may be confounded by continent, interview method and other unmeasured variables.


2015 ◽  
Vol 19 (7) ◽  
pp. 1338-1360 ◽  
Author(s):  
Branwen N. Owen ◽  
Patrick M. Brock ◽  
Ailsa R. Butler ◽  
Michael Pickles ◽  
Marc Brisson ◽  
...  

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