Official websites use. Share sensitive information only on official, secure websites. Corresponding Author: Devon J. Hensel, Ph. To examine the distribution of and factors associated with event-level heterosexual anal sex and of event-level condom use during anal sex among adolescent women.
Data were taken from daily sexual diaries; generalized estimating equation logistic regression assessed the likelihood of anal sex or condom use during anal sex on a given day. Heterosexual anal intercourse is a small but non-random event-level component in adolescent women's sexual behavior.
Mood, partner and situational factors predicted anal sex, but not condom use during anal sex; within-day and recent behavior factors were the strongest influences on both outcomes. Our findings suggest the importance of providers' screening adolescent women patients during office visits about anal sex and about condom use during anal sex, as well as asking questions about the context of these behaviors to appropriately tailor risk reduction counseling.
Among women and adolescents, heterosexual anal sex is factor in the acquisition of several sexually transmitted infections STIs , including human immunodeficiency virus HIV. Fewer adult women note anal sex in the past year or in the past three months 13 and about half of college aged women report anal sex in the past month.
Although less is known about the association of mood and emotion with anal sex, studies have shown that enhanced states of positive and negative mood, as well as increased partner support, are associated with event-level vaginal sex in different populations.
