Anal Douche Practices and Willingness to Use a Rectal Microbicide Enema for HIV Prevention and Associated Factors Among an Internet Sample of HIV-Negative and HIV-Discordant Male Couples in the US. AIDS Behav 2016 Nov;20(11):2578-2587
Date
10/21/2016Pubmed ID
26597502Pubmed Central ID
PMC4877282DOI
10.1007/s10461-015-1250-4Scopus ID
2-s2.0-84947924795 (requires institutional sign-in at Scopus site) 8 CitationsAbstract
A significant proportion of MSM acquire HIV from their primary relationship partners. Rectal microbicides are currently being studied to determine their efficacy for HIV prevention, yet willingness to use rectal microbicides among male couples is largely unknown. Dyadic data from 333 HIV-negative and HIV-discordant male couples, representing 631 HIV-negative men, were used to assess anal douching practices and willingness to use a rectal microbicide for HIV prevention. 17 % of men douched 100 % of the time before having anal sex within their primary partner. Among those who had sex outside of their relationship, 36 % had douched 100 % of the time before having anal sex with a casual MSM partner. Most men (63 %) indicated a willingness to use a theoretically effective rectal microbicide prior to anal sex for HIV prevention. If found effective, rectal microbicides delivered as an anal douche may be an acceptable format for HIV prevention to some MSM who already engage in anal douching. Understanding current douching practices will be important in successfully promoting the uptake of rectal microbicides.
Author List
Mitchell JW, Sophus AI, Lee JY, Petroll AEAuthor
Andrew Petroll MD Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Administration, RectalAdult
Anti-Infective Agents
Enema
Female
HIV Infections
Homosexuality, Male
Humans
Internet
Male
Patient Acceptance of Health Care
Sexual Behavior
Sexual Partners
Therapeutic Irrigation
Unsafe Sex
