1Alpert Medical School of Brown University, Providence, RI; 2Program in Women's Oncology, Division of Research, Department of Obstetrics and Gynecology, Women & Infants Hospital, Alpert Medical School of Brown University, Providence, RI; 3Division of Research, Department of Obstetrics and Gynecology, Women & Infants Hospital, Alpert Medical School of Brown University, Providence, RI; 4Department of Obstetrics and Gynecology, Women & Infants Hospital, Alpert Medical School of Brown University, Providence, RI; and 5Program in Women's Oncology, Department of Obstetrics and Gynecology, Women & Infants Hospital, Alpert Medical School of Brown University, Providence, RI.
J Low Genit Tract Dis. 2017 Jul;21(3):184-188. doi: 10.1097/LGT.0000000000000317.
Human papillomavirus is a multifocal infection that can involve the cervix, vagina, vulva, anus, and oropharynx. Our study aimed to determine whether standard sexual history questions regarding anal intercourse identify women participating in anal-related sexual practices.
A cross-sectional survey was conducted at the dysplasia clinic of a large academic medical center. Women presenting with human papillomavirus-related cervical, vulvar, or vaginal abnormalities were eligible. Participants completed a self-administered sexual history questionnaire that included standard sexual history questions and more detailed questions about sexual practices. Additional demographic information was obtained from chart review.
A total of 149 eligible women were approached, 125 (84%) consented and enrolled (ages = 21-65 years). Forty-seven (44%) reported participating in some type of anal-related sexual practice: anal fingering, oral-anal penetration, or anal intercourse. Of those participating in anal-related practices, 5 (11%) reported only anal fingering or oral-anal penetration. Thus, adding the new anal questions detected an additional 5% of women with high-risk anal behaviors that may have been missed by the standard question (p = .06). Seventy-nine women (63%) reported receiving oral penetration of the vagina, and 102 (82%) reported receiving vaginal fingering. Fifty-nine women (47%) used sex toys: 58 (98%) used sex toys vaginally, with 5 (8.5%) using them also anally.
Women are willing to report their participation in a range of sexual practices. Of those who participated in anal practices, 11% did not have anal intercourse. Adding additional sexual health questions to clinical intake forms may enable clinicians to better counsel their patients on risky sexual behaviors.
人乳头瘤病毒是一种多灶性感染，可以累及宫颈、阴道、外阴、肛门和口咽。我们的研究旨在确定标准的肛门性交史问题是否能识别参与肛门相关性行为的女性。
在一家大型学术医疗中心的发育不良诊所进行了横断面调查。有宫颈、外阴或阴道人乳头瘤病毒相关异常的女性有资格参加。参与者完成了一份自我管理的性史问卷，其中包括标准性史问题和关于性行为的更详细问题。从图表审查中获得了其他人口统计学信息。
共接触了 149 名符合条件的女性，其中 125 名（84%）同意并参与（年龄 21-65 岁）。47 名（44%）报告参与了某种类型的肛门相关性行为：肛门指压、口腔-肛门穿透或肛门性交。在参与肛门相关行为的人中，有 5 人（11%）仅报告了肛门指压或口腔-肛门穿透。因此，增加新的肛门问题检测到了 5%的有高危肛门行为的女性，这些女性可能被标准问题漏掉了（p=0.06）。79 名女性（63%）报告接受过阴道的口腔穿透，102 名女性（82%）报告接受过阴道指压。59 名女性（47%）使用过性玩具：58 名（98%）阴道使用性玩具，其中 5 名（8.5%）也肛门使用性玩具。
女性愿意报告她们参与的一系列性行为。在那些参与肛门行为的人中，有 11%没有肛门性交。在临床摄入表中增加额外的性健康问题可以使临床医生更好地就危险性行为为患者提供咨询。
