Frequency, patterns, and preferences of lubricant use during anal intercourse within male sexual partnerships in Lima, Peru
Implications for a rectal microbicide HIV prevention intervention
Bibliographic Data
Understanding current practices of lubricant use during anal intercourse can help to assess the contexts for the introduction of topical rectal microbicides as an HIV prevention tool for men who have sex with men (MSM). We used quantitative and qualitative methods to assess: current patterns of lubricant use; preferred characteristics of commercial lubricant formulations; and social and behavioral contexts of lubricant use within male sexual partnerships in Lima, Peru. Between 2007 and 2008, we conducted a quantitative behavioral survey with 547 MSM followed by qualitative individual and group interviews with 36 MSM from Lima, Peru. Approximately half of all participants in the quantitative survey (50.3%) reported using commercial lubricant during intercourse occasionally or consistently during the preceding two months, with lack of availability at the time of intercourse the most commonly reported reason for non-use. No clear preferences regarding the color, smell, taste, or viscosity of commercial lubricants were identified, and all participants who reported using a commercial lubricant used the same product ("Love-Lub"). In the qualitative analysis, participants characterized lubricant use as a sexual practice consistently controlled by the receptive partner, who typically obtained and applied lubricant independently, with or without the consent of the insertive partner. Quantitative findings supported this differential pattern of lubricant use, with men who reported sexual identities or roles consistent with receptive anal intercourse, including unprotected receptive intercourse, more likely to report lubricant use than MSM who claimed an exclusively insertive sexual role. Given the social, behavioral, and biological factors contributing to increased vulnerability for HIV and STI acquisition by the receptive partner in anal intercourse, delivery of a topical rectal microbicide as a lubricant formulation could provide an important HIV prevention resource for at-risk MSM in Lima, Peru
Anal intercourse · Developmental psychology · Environmental health · Family medicine · Gynecology · Lubricant · Men who have sex with men · Microbicides for sexually transmitted diseases · Population · Sexual intercourse · Sociology · Syphilis · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · Engineering · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology
Impact of conflict and displacement on risk behaviours amongst people who inject drugs in Kabul, Afghanistan
Sexual Motivation, Sexual Transactions and Sexual Risk Behaviors in Men who have Sex with Men in Dar es Salaam, Tanzania
Patterns of a Rectal Microbicide Placebo Gel Use in a Preparatory Stage for a Phase I Trial Among Young Men Who Have Sex with Men
Prevalence and correlates of willingness to participate in a rectal microbicide trial among men who have sex with men in Bangkok
Commercial lubricant use among HIV-negative men who have sex with men in Los Angeles
Breakage is the norm
Lessons for Rectal Microbicide Development From an Acceptability Trial of a Placebo Gel Applied Prior to Receptive Anal Intercourse
This Will Not Enter Me”
Lubricant Use Among Men Who Have Sex With Men Reporting Anal Intercourse in Bangkok, Thailand
| Unique citing works | 9 |
|---|---|
| Citations per year | 0,75 |
| Citation span | 2014 - 2017 (4) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 8 |