Archives of Sexual Behavior

, Volume 39, Issue 4, pp 959–967 | Cite as

Correlates of Heterosexual Anal Intercourse Among Substance-Using Club-Goers

  • Gladys E. Ibañez
  • Steven P. Kurtz
  • Hilary L. Surratt
  • James A. Inciardi
Original Paper

Abstract

Anal sexual intercourse represents the highest transmission risk for infection with the human immunodeficiency virus (HIV), yet much of what we know about anal sex is based on men who have sex with men (MSM). Less is known about heterosexual adults who practice anal sex, especially those who may be at risk for HIV such as substance users. The present study examined the demographic, sexual behaviors, substance use, and psychosocial correlates of recent anal intercourse among a heterosexual young adult sample of nightclub goers who also use substances. Data were drawn from an on-going natural history study of participants (n = 597) in Miami’s club scene who use club drugs, use prescription medications for non-medical reasons, and were regular attendees of nightclubs. Participants who reported anal sex (n = 118) were more likely to be male, of moderate income, Latino, trade sex, have unprotected sex, and report victimization. Event-based and qualitative studies are needed to better understand the context in which anal sex occurs. Interventions that target heterosexual populations should include discussion about the risks of anal sex.

Keywords

Anal sex Drug use Heterosexual Mental health Sexual risk 

References

  1. Baldwin, J., & Baldwin, J. (2000). Heterosexual intercourse: An understudied, high-risk sexual behavior. Archives of Sexual Behavior, 29, 357–373.CrossRefPubMedGoogle Scholar
  2. Centers for Disease Control and Prevention. (2004). HIV Testing Survey, 2002. Atlanta, GA: U.S. Department of Health and Human Services. HIV/AIDS Special Surveillance Report 5. Retrieved from http://www.cdc.gov/hiv/topics/surveillance/resources/reports/2004spec_no5/table 17.htm.
  3. Centers for Disease Control and Prevention. (2005, January 21). Antiretroviral postexposure prophylaxis after sexual, injection-drug use, or other nonoccupational exposure to HIV in the United States. Morbidity and Mortality Weekly Reports, 54, RR-2.Google Scholar
  4. Centers for Disease Control and Prevention. (2006, March 17). Methamphetamine use and HIV risk behaviors among heterosexual men: Preliminary results from five northern California counties, December 2001–November 2003. Morbidity and Mortality Weekly Reports, 55, 273–277.Google Scholar
  5. Davila, Y. R., & Brackley, M. H. (1999). Mexican and Mexican American women in a battered women’s shelter: Barriers to condom negotiation for HIV/AIDS prevention. Issues in Mental Health Nursing, 20, 333–355.CrossRefPubMedGoogle Scholar
  6. Dennis, M. L., Titus, J. C., White, M. K., Unsicker, J. I., & Hodgkins, D. (2002). Global Appraisal of Individual Needs-Initial (GAIN-I). Bloomington, IL: Chestnut Health Systems.Google Scholar
  7. Dixon, D., Peters, M., & Saul, J. (2003). HIV sexual risk behavior among Puerto Rican women. Health Care for Women International, 24, 529–543.PubMedGoogle Scholar
  8. Erickson, P. I., Bastani, R., Maxwell, A. E., Marcus, A. C., Capell, F. J., & Yan, K. X. (1995). Prevalence of anal sex among heterosexuals in California and its relationship to other AIDS risk behaviors. AIDS Education and Prevention, 7, 477–493.PubMedGoogle Scholar
  9. Ferguson, A., & Morris, C. (2003). Assessing the role of anal intercourse in the epidemiology of AIDS in Africa. International Journal of STD and AIDS, 14, 856.CrossRefPubMedGoogle Scholar
  10. Flannery, D., Ellingson, L., Votaw, K. S., & Schaefer, E. A. (2003). Anal intercourse and sexual risk factors among college women, 1993–2000. American Journal of Health Behaviors, 27, 228–234.Google Scholar
  11. Florida Department of Health (FDOH), Bureau of HIV/AIDS. (2006). HIV/AIDS: United States vs. Florida fact sheet. Retrieved at http://www.doh.state.fl.us/disease_ctrl/aids/updates/facts/2006_US_VS_FL_Fact_Sheet.pdfCD.
  12. Gates, G. J., & Sonenstein, F. L. (2000). Heterosexual genital sexual activity among adolescent males: 1988 and 1995. Family Planning Perspectives, 32, 295–297, 304.Google Scholar
  13. Gorbach, P. M., Manhart, L. E., Hess, K. L., Stoner, B. P., Martin, D. H., & Holmes, K. K. (2009). Anal intercourse among young heterosexuals in three sexually transmitted disease clinics in the United States. Sexually Transmitted Diseases, 36, 193–198.CrossRefPubMedGoogle Scholar
  14. Gross, M., Holte, S. E., Marmor, M., Mwatha, A., Koblin, B. A., Mayer, K. H., et al. (2000). Anal sex among HIV-seronegative women at high risk of HIV exposure. Journal of Acquired Immune Deficiency Syndromes, 24, 393–398.PubMedGoogle Scholar
  15. Halperin, D. T. (1999). Heterosexual anal intercourse: Prevalence, cultural factors, and HIV infection and other health risks, Part I. AIDS Patient Care and STDs, 13, 717–730.CrossRefPubMedGoogle Scholar
  16. Halperin, D. T., Shiboski, S. C., Palefsky, J. M., & Padian, N. S. (2002, July 7). High level of HIV-1 infection from anal intercourse: A neglected risk factor in heterosexual AIDS prevention. Paper presented at the 2002 International Conference on AIDS. Abstract retrieved from http://www.gateway.nlm.nih.gov/MeetingAbstracts/ma?f=102253533.html.
  17. Heckathorn, D. D. (1997). Respondent-driven sampling: A new approach to the study of hidden populations. Social Problems, 44, 174–199.CrossRefGoogle Scholar
  18. Heckathorn, D. D., Semaan, S., Broadhead, R. S., & Hughes, J. J. (2002). Extensions of respondent-driven sampling: A new approach to the study of injection drug users aged 18–25. AIDS and Behavior, 6, 55–67.CrossRefGoogle Scholar
  19. Houston, A. M., Fang, J., Husman, C., & Peralta, L. (2007). More than just vaginal intercourse: Anal intercourse and condom use patterns in the context of “main” and “casual” sexual relationships among urban minority adolescent females. Journal of Pediatric and Adolescent Gynecology, 20, 299–304.CrossRefPubMedGoogle Scholar
  20. Kalichman, S. C., Heckman, T., & Kelly, J. A. (1996). Sensation seeking as an explanation for the association between substance use and HIV-related risky sexual behaviors. Archives of Sexual Behavior, 25, 141–154.CrossRefPubMedGoogle Scholar
  21. Karim, S. S. A., & Ramjee, G. (1998). Anal sex and HIV transmission in women. American Journal of Public Health, 88, 1265–1266.CrossRefPubMedGoogle Scholar
  22. Laumann, E. O., Gagnon, J. H., Michael, R. T., & Michaels, S. (1994). The social organization of sexuality: Sexual practices in the United States. Chicago: University of Chicago Press.Google Scholar
  23. Lorvick, J., Bluthenthal, R. N., Scott, A., Gilbert, M., Riehman, K. S., Anderson, R. L., et al. (2006). Secondary syringe exchange among users of 23 California syringe exchange programs. Substance Use and Misuse, 41, 865–882.CrossRefPubMedGoogle Scholar
  24. Lorvick, J., Martinez, A., Gee, L., & Kral, A. H. (2006). Sexual and injection risk among women who inject methamphetamine in San Francisco. Journal of Urban Health, 83, 497–505.CrossRefPubMedGoogle Scholar
  25. Marin, B. V., & Gomez, C. A. (1997). Latino culture and sex: Implications for HIV prevention. In J. G. Garcia & M. C. Zea (Eds.), Psychological interventions and research with Latino populations (pp. 73–93). Needham Heights, MA: Allyn & Bacon.Google Scholar
  26. McElrath, K. (2005). MDMA and sexual behavior: Ecstasy users’ perceptions about sexuality and risk. Substance Use and Misuse, 40, 1461–1477.CrossRefPubMedGoogle Scholar
  27. Misegades, L., Page-Shafer, K., Halperin, D., McFarland, W., & The YWS Study Investigators Group. (2001). Anal intercourse among young low-income women in California: An overlooked risk factor for HIV? AIDS, 15, 534–535.CrossRefPubMedGoogle Scholar
  28. Mosher, W. D., Chandra, A., & Jones, J. (2005). Sexual behavior and selected health measures: Men and women 15–44 years of age, United States, 2002. Advance Data from Vital and Health Statistics, 362, 1–56.PubMedGoogle Scholar
  29. Needle, R., McCubbin, H., & Lorence, J. (1985). A test of non-respondent bias in a family-based study: A research note. International Journal of the Addictions, 20, 763–769.PubMedGoogle Scholar
  30. Ompad, D. C., Strathdee, S. A., Celentano, D. D., Latkin, C., Poduska, J. M., Kellam, S. G., et al. (2006). Predictors of early initiation of vaginal and oral sex among urban young adults in Baltimore, Maryland. Archives of Sexual Behavior, 35, 53–65.CrossRefPubMedGoogle Scholar
  31. Parry, C., Petersen, P., Dewing, S., Carney, T., Needle, R., Kroeger, K., & Treger, L. (2008). Rapid assessment of drug-related HIV risk among men who have sex with men in three South African cities. Drug and Alcohol Dependence, 95, 45–53.CrossRefPubMedGoogle Scholar
  32. Powis, B., Griffiths, P., Gossop, M., & Strang, J. (1995). Heterosexual anal intercourse, health risks and drug use: A review with special attention to drug users. Drug and Alcohol Review, 14, 223–229.CrossRefPubMedGoogle Scholar
  33. Quadagno, D., Sly, D. F., Harrison, D. F., Eberstein, I. W., & Soler, H. R. (1998). Ethnic differences in sexual decisions and sexual behavior. Archives of Sexual Behavior, 27, 57–75.CrossRefPubMedGoogle Scholar
  34. Reinisch, J. M., Hill, C. A., Sanders, S. A., & Ziemba-Davis, M. (1995). High-risk sexual behavior at a midwestern university: A confirmatory survey. Family Planning Perspectives, 27, 79–82.CrossRefPubMedGoogle Scholar
  35. Reinisch, J. M., Sanders, S. A., Hill, C. A., & Ziemba-Davis, M. (1992). High-risk sexual behavior among heterosexual undergraduates at a Midwestern university. Family Planning Perspectives, 24, 116–121.CrossRefPubMedGoogle Scholar
  36. Reynolds, G. L., Latimore, A. D., & Fisher, D. G. (2008). Heterosexual anal sex among female drug users: U.S. national compared to local Long Beach, California data. AIDS and Behavior, 12, 796–805.CrossRefPubMedGoogle Scholar
  37. Sobell, L. C., & Sobell, M. B. (1990). Self reports across addiction behaviors: Issues and future directions in clinical and research settings. Behavioral Assessment, 12, 1–4.CrossRefGoogle Scholar
  38. Stadler, J. J., Delany, S., & Mntambo, M. (2007). Sexual coercion and sexual desire: Ambivalent meanings of heterosexual anal sex in Soweto, South Africa. AIDS Care, 19, 1189–1193.CrossRefPubMedGoogle Scholar
  39. Stephens, R. C. (1972). The truthfulness of addict participants in research projects. International Journal of the Addictions, 7, 549–558.PubMedGoogle Scholar
  40. Strang, J., Powis, B., Griffiths, P., & Gossop, M. (1994). Heterosexual vaginal and anal intercourse amongst London heroin and cocaine users. International Journal of STD and AIDS, 5, 133–136.PubMedGoogle Scholar
  41. Sumnall, H. R., Beynon, C. M., Conchie, S. M., Riley, S. C. E., & Cole, J. C. (2007). An investigation of the subjective experiences of sex after alcohol or drug intoxication. Journal of Psychopharmacology, 21, 525–537.CrossRefPubMedGoogle Scholar
  42. Zuckerman, M. (1979). Sensation seeking and risk taking. In C. E. Izard (Ed.), Emotions in personality and psychopathology (pp. 163–197). New York: Plenum Press.Google Scholar
  43. Zule, W. A., Costenbader, E., Coomes, C. M., Meyer, W. J., Riehman, K., Poehlman, J., et al. (2007). Stimulant use and sexual risk behaviors for HIV in rural North Carolina. Journal of Rural Health, 23, 73–78.CrossRefPubMedGoogle Scholar
  44. Zule, W. A., Costenbader, E. C., Meyer, W. J., & Wechsberg, W. M. (2007). Methamphetamine use and risky sexual behaviors during heterosexual encounters. Sexually Transmitted Diseases, 34, 689–694.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Gladys E. Ibañez
    • 1
  • Steven P. Kurtz
    • 1
  • Hilary L. Surratt
    • 1
  • James A. Inciardi
    • 1
  1. 1.Center for Drug and Alcohol StudiesUniversity of DelawareCoral GablesUSA

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