Alpha reliability for this scale with our sample was 0. Among the MSM who reported receptive anal intercourse, On all these measures, HIV-positive participants were significantly more likely to report engaging in douching than HIV-negative participants. The study found no differences in douching by race, age, education, or income. The first question examined if the participant was a life-long abstainer or ex-drinker. The publisher's final edited version of this article is available at Arch Sex Behav See other articles in PMC that cite the published article.
On the two mental health scales, most reported low internalized homonegativity and low-to-moderate levels of depression. While water-based enemas have not been promoted, neither has the avoidance of enema use. While the biological risk of douching has been established through laboratory studies, very little has been published describing the rectal douching practices in sex between men. Similarly, in a study comparing an iso-osmolar and a hyperomolar commercial lubricant, epithelial denudation in the distal colon was significantly greater with the hyperosmolar gel than with the iso-osmolar formulation, measured 60—90 minutes after application Fuchs et al. Our goal was to assess the association between recent enema use and personal, behavioral, and environmental factors. However, few studies have explored enema use practices. On all these measures, HIV-positive participants were significantly more likely to report engaging in douching than HIV-negative participants. The publisher's final edited version of this article is available at Arch Sex Behav See other articles in PMC that cite the published article. The mean survey completion time was 71 minutes. Given the lack of research in this area, the primary purpose of this paper was descriptive to report current behavior and exploratory to identify how enema use practices may differ across demographic variables. We followed a standard developed by our team de-duplication, cross-validation and data cleaning process to exclude participants with impossible or nonsensical data patterns Pequegnat et al. In addition, studies report it as a risk factor for HIV infection Winkelstein et al. Participants who reported ever using enemas and at least once in past three months were identified as recent enema users and the rest of the participants were identified as non-users. The second question examined frequency: Among the MSM who reported receptive anal intercourse, Fleet enemas, water, or soapy solutions were used, applied with enema bottles or plastic or rubber bulbs. Of the 6, eligible enrollees, 5, Eligible respondents were invited to complete our consent protocol Rosser et al. The eligibility criteria were being a biological male, having prior sexual experience with a man, being 18 years or older, and reporting a residential zip code in a Metropolitan Statistical Area MSA under study. While both studies found similar results, suggesting that the association between enema use and HIV risk is reliable, the studies are old and were limited to a single question on enema use. Measures relevant to this analysis are described below. Participants also provided information on drug use in past three months. Development and promotion of a non-damaging, non-water based enema specifically for use in anal sex is recommended. A refuse to answer response option allowed participants to opt out of answering any item. Alcohol and substance use Participants were asked to provide information about their alcohol consumption.
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