Erickson P I, Bastani R, Maxwell A E, Marcus A C, Capell F J, Yan K X
Department of Anthropology, University of Connecticut, Storrs 06269-2176, USA.
AIDS Educ Prev. 1995 Dec;7(6):477-93.
This paper describes the prevalence of anal sex among heterosexual adults in California and investigates the relationship of anal sex to other risk behaviors associated with AIDS and STDs. The study consisted of telephone interviews with a household probability sample of 3,545 California adults undersampling those age 44 and older. Seven percent of the sexually active respondents, 8% of males, and 6% of females reported having anal sex at least once a month during the year prior to the survey. Of these, most engage in this activity one to five times per month, and about 60% report never using condoms. Younger respondents and those who were not married were more likely to report anal intercourse. Respondents who had anal sex were more likely to report standard AIDS risks and lifestyle risks associated with STDs, and to engage in recreational use of drugs and alcohol. Both anal sex and condom use during anal intercourse were poorly predicted by these demographic and risk variables. It is concluded that a non-trivial proportion of California heterosexual adults engages in anal sex regularly, most without condoms, and those who have anal sex are more likely to have other risk behaviors associated with AIDS and STDs. These results suggest that anal sex must be addressed specifically in clinical and educational programs designed to reduce the spread of AIDS.
本文描述了加利福尼亚州异性恋成年人中肛交的流行情况，并调查了肛交与其他与艾滋病和性传播疾病相关的危险行为之间的关系。该研究包括对3545名加利福尼亚成年人进行电话访谈，这些成年人是通过家庭概率抽样选取的，对44岁及以上的人群抽样不足。在性活跃的受访者中，7%的人、8%的男性和6%的女性报告在调查前一年中每月至少进行一次肛交。其中，大多数人每月进行1至5次这种行为，约60%的人报告从未使用过避孕套。较年轻的受访者和未婚者更有可能报告有肛交行为。进行肛交的受访者更有可能报告与艾滋病相关的标准风险和与性传播疾病相关的生活方式风险，以及进行药物和酒精的娱乐性使用。这些人口统计学和风险变量对肛交行为和肛交时使用避孕套的情况预测效果都很差。研究得出结论，加利福尼亚州有相当比例的异性恋成年人经常进行肛交，大多数人不使用避孕套，而进行肛交的人更有可能有其他与艾滋病和性传播疾病相关的危险行为。这些结果表明，在旨在减少艾滋病传播的临床和教育项目中，必须专门针对肛交问题进行处理。
