![]() ![]() Interest in anal intercourse has also come from research in human immunodeficiency virus (HIV) transmission. The increase in the reporting of anal intercourse among heterosexuals has implications for public health efforts to educate individuals about the risks of sexually transmitted infections, including those that may be transmitted through anal contact (Fleming & Wasserheit, 1999 Gorbach et al., 2009 Gross et al., 2000 Halperin, 1999 Javanbakht et al., 2010 Tian et al., 2008). Currently in the United States, there are no states that have laws criminalizing anal intercourse (Kelvin, Smith, Mantell, & Stein, 2009). ![]() There may now be less stigma attached to anal intercourse, and respondents to these general population surveys may be more comfortable admitting to the behavior (Mosher, Chandra, & Jones, 2005). It is not possible to know from these surveys whether the prevalence of anal intercourse is actually increasing, or as some would suggest that the sexual repertoire of Americans has expanded to include anal intercourse, along with oral and vaginal sex (Leichliter, 2008 McBride & Fortenberry, 2010). In the United States, general population surveys have suggested that the prevalence of anal intercourse among heterosexuals has increased over time (Leichliter, 2008). Recent interest in heterosexual anal intercourse has been generated from several research perspectives. Even those women who found pleasure in AI expressed a preference for vaginal intercourse. Pain during AI was mitigated by the use of lubricants or illicit drugs. The majority of AI episodes were unplanned and not discussed prior to initiation. Many of the women also endorsed positive emotional experiences of AI, including that it was more intimate than vaginal sex, and that it was something they reserved only for special partners. Positive physical experiences included liking the sensation. ![]() Negative emotional experiences of AI included feelings of shame, disgust, and being offended by something her male partner did, such as spitting on his penis for lubrication. Among the negative physical experiences of AI were pain and disliking the sensation, and uncomfortable side effects, such as bleeding of the rectum. Past experience with AI including emotional and physical reactions was identified. The riskiness of AI was assessed within relationship contexts. Women’s reasons for engaging in anal intercourse with a male partner can be described in broad categories including that the women wanted to have anal intercourse, either because of their own desire, to please a male partner, or they were responding to a quid pro quo situation. All groups were digitally recorded for transcription transcripts were analyzed using the methods of grounded theory to determine themes. Four focus groups which comprised women from diverse ethnicities were conducted. This study used qualitative methods to assess why women engage in heterosexual anal (receptive) intercourse (AI) with a male partner. ![]()
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