@article{82ee202ec56c421b89c0dd9627ffc777,
title = "Rectal Douching Among Men Who Have Sex with Men in Paris: Implications for HIV/STI Risk Behaviors and Rectal Microbicide Development",
abstract = "Rectal douching is a common but potentially risky practice among MSM; MSM who douche may be ideal candidates for rectal microbicides as HIV prevention. Herein we explored rectal douching and its association with condomless receptive anal intercourse (CRAI), group sex, rates of HIV and other STIs, and likelihood to use rectal microbicide gels. We recruited a sample of 580 MSM from a geosocial-networking smartphone application in Paris, France in 2016. Regression models estimated adjusted risk ratios (aRRs) for associations between rectal douche use and (1) engagement in CRAI, (2) group sex, (3) self-reported HIV and STI diagnoses, and (4) likelihood to use rectal microbicide gels for HIV prevention. 54.3% of respondents used a rectal douche or enema in the preceding 3 months. Douching was significantly associated with CRAI (aRR: 1.77), participation in group sex (aRR: 1.42), HIV infection (aRR: 3.40), STI diagnosis (aRR: 1.73), and likelihood to use rectal microbicide gels (aRR: 1.78). Rectal douching is common among MSM, particularly those who practice CRAI, and rectal microbicide gels may be an acceptable mode of HIV prevention for MSM who use rectal douches.",
keywords = "Enema, HIV prevention, Men who have sex with men, Rectal douching, Rectal microbicides",
author = "Hambrick, {H. Rhodes} and Park, {Su Hyun} and Goedel, {William C.} and Morganstein, {Jace G.} and Kreski, {Noah T.} and Ofole Mgbako and Duncan, {Dustin T.}",
note = "Funding Information: Resumen Los hombres que tienen sexo con otros hombres (MSM – por sus siglas en ingl{\'e}s, men who have sex with men) suelen usar duchas rectales antes de sexo anal, pero este pr{\'a}ctica es potencialmente arriesgado; MSM quienes usan duchas rectales pueden ser candidatos ideales para microbicidas rectales como manera de prevenci{\'o}n del VIH. En esta investigaci{\'o}n exploramos el uso de duchas rectales entre MSM y su asociaci{\'o}n con sexo anal receptivo sin condones (CRAI – por sus siglas en ingl{\'e}s, condomless receptive anal intercourse), el sexo en grupo, tasas del VIH y otras infecciones de transmisi{\'o}n sexual, y la probabilidad de usar geles microbicidas rectales. Recultamos una muestra de 580 MSM de usuarios de una aplicaci{\'o}n de red social en Par{\'i}s, Francia en el 2016. Modelos de regresi{\'o}n estimaron {\'i}ndices de riesgo ajustados (aRR – por sus siglas en ingl{\'e}s, adjusted risk ratio) para asociaciones entre el uso de duchas rectales y (1) practicando CRAI, (2) el sexo en grupo, (3) tasas del VIH y de otras infecciones de trans-misi{\'o}n sexual autoinformadas, y (4) probabilidad de usar una microbicida rectal en gel para la prevenci{\'o}n del VIH. 54,3% de nuestra muestra hab{\'i}a usado una ducha o enema rectal durante las 3 meses anteriores. El uso de duchas rectales ten{\'i}a una asociaci{\'o}n con CRAI (aRR: 1.77), par-ticipaci{\'o}n en sexo en grupo (aRR: 1.42), infecci{\'o}n con el VIH (aRR: 3.40) y con otras enfermedades de transmisi{\'o}n Funding Information: Funding Dr. Dustin Duncan was funded in part by National Institutes of Health Grants R01MH112406, R21MH110190, and R03DA039748 and the Centers for Disease Control and Prevention grant U01PS005122. This work was supported by Dr. Dustin Duncan{\textquoteright}s New York University School of Medicine Start-Up Research Fund. Publisher Copyright: {\textcopyright} 2017, Springer Science+Business Media, LLC.",
year = "2018",
month = feb,
day = "1",
doi = "10.1007/s10461-017-1873-8",
language = "English (US)",
volume = "22",
pages = "379--387",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "2",
}