Exner T M, Correale J, Carballo-Diéguez A, Salomon L, Morrow K M, Dolezal C, Mayer K
New York State Psychiatric Institute, HIV Center for Clinical and Behavioral Studies, Columbia University, New York, NY 10032, USA.
AIDS Educ Prev. 2008 Apr;20(2):148-59. doi: 10.1521/aeap.2008.20.2.148.
To gain insight into practices that may inform formulation and use of rectal microbicides, in-depth interviews were conducted with an ethnically diverse sample of 28 women who engage in anal intercourse. Microbicides are compounds under development to decrease sexually transmitted infections. Most women practiced anal sex in conjunction with vaginal intercourse. Anal sex typically was not preplanned, and few women reported preparation. Condom use was rare. Most women relied on saliva, vaginal fluids, prelubricated condoms, or used no lubrication at last intercourse. Women were uncertain about the amount of lubricant used during sex, with typical estimates of 1 to 2 teaspoons. This may prove challenging to the formulation and promotion of rectal microbicides, as substantially higher amounts may be required. Additional challenges include infrequent use of packaged lubricants, and typical male lubricant application, which may make women's control of rectal microbicides more difficult. Women overwhelmingly expressed interest in rectal microbicides.
为深入了解可能为直肠杀菌剂的配方和使用提供参考的做法，我们对28名有肛交行为、种族各异的女性进行了深度访谈。杀菌剂是正在研发的用于减少性传播感染的化合物。大多数女性在进行阴道性交的同时也会进行肛交。肛交通常并非预先计划好的，很少有女性表示会做准备。使用避孕套的情况很少见。大多数女性在最近一次性交时依靠唾液、阴道分泌物、预润滑避孕套，或者不使用任何润滑剂。女性不确定性交时使用的润滑剂量，通常估计为1至2茶匙。这可能会给直肠杀菌剂的配方和推广带来挑战，因为可能需要大量更多的润滑剂。其他挑战包括很少使用包装好的润滑剂，以及男性通常涂抹润滑剂的方式，这可能会使女性更难控制直肠杀菌剂的使用。绝大多数女性对直肠杀菌剂表示出兴趣。
