Shayo Elizabeth H, Kalinga Akili A, Senkoro Kesheni P, Msovela Judith, Mgina Erick J, Shija Angela E, Materu Godlisten, Kilima Stella P, Mboera Leonard E G, Massaga Julius J
National Institute for Medical Research Headquarters, P.O. Box 9653, Dar es Salaam, Tanzania.
Tukuyu Medical Research Centre, P.O. Box 538, Tukuyu, Tanzania.
BMC Res Notes. 2017 Mar 27;10(1):140. doi: 10.1186/s13104-017-2452-9.
Female anal sex is a receptive type of sexual practice among heterosexual couples where the penis is inserted into the anus of a female partner. In the Western world, a number of studies and interventions have been carried out on anal sex among men due to its potential risks to HIV transmission. In African countries, including Tanzania, there is dearth of information on the risks inherent in practices associated with female anal sex in the general population. The objective of this study was to determine the prevalence and risk factors associated with female anal sex in fuelling HIV transmission in selected districts of Tanzania.
This study was conducted in four districts of Tanzania of Kinondoni, Tanga Urban, Makete and Siha. Both quantitative and qualitative methods i.e. household interviews and focus group discussions were employed in data collection. Study participants included community members of aged 15 and above such as heads of the household, adolescents, bar workers and commercial sex workers.
A total of 903 individuals were interviewed, 60.6% of whom were females. When respondents were asked to indicate whether they had ever been tempted to practise FAS, 167 (18.5%) reported to have been tempted in the past 12 months. Of these, 44 (26.3%) respondents had at least practised FAS. Risky practices associated with FAS were forced sex, multiple partners, frequency of engaging in FAS, low use of condoms during FAS, low rates of HIV testing among partakers, poor perception of the risks to acquire HIV through FAS and use of lubricants.
In this population, the frequency of FAS practice was rather low. And yet, FAS practice attendant risk factors are likely to exacerbate HIV transmission. As such, there is a need for further exploratory studies to determine and document drivers of FAS. In addition, public health education should be provided with regard to the risks of contracting HIV associated with FAS practices.
女性肛交是异性恋伴侣间一种接受性的性行为方式，即阴茎插入女性伴侣的肛门。在西方世界，由于肛交对艾滋病毒传播存在潜在风险，已针对男性肛交开展了多项研究和干预措施。在包括坦桑尼亚在内的非洲国家，普通人群中与女性肛交相关行为的内在风险信息匮乏。本研究的目的是确定坦桑尼亚选定地区女性肛交的流行率及其与艾滋病毒传播相关的风险因素。
本研究在坦桑尼亚的四个地区进行，即基农多尼、坦噶市、马凯特和西哈。采用定量和定性方法，即通过家庭访谈和焦点小组讨论来收集数据。研究参与者包括15岁及以上的社区成员，如户主、青少年、酒吧工作人员和商业性工作者。
共采访了903人，其中60.6%为女性。当询问受访者是否曾有尝试进行女性肛交的想法时，167人（18.5%）报告在过去12个月内有过这种想法。其中，44人（26.3%）的受访者至少进行过女性肛交。与女性肛交相关的危险行为包括强迫性行为、多个性伴侣、女性肛交的频率、女性肛交期间避孕套使用率低、参与者中艾滋病毒检测率低、对通过女性肛交感染艾滋病毒风险的认知不足以及使用润滑剂。
在这一人群中，女性肛交的频率相当低。然而，女性肛交相关的风险因素可能会加剧艾滋病毒的传播。因此，需要进一步开展探索性研究以确定并记录女性肛交的驱动因素。此外，应开展关于与女性肛交行为相关的感染艾滋病毒风险的公共卫生教育。
