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Rectal douching and lubricant use among global web-survey respondents

Rectal douching and lubricant use among global web-survey respondents. Shauna Stahlman, Marjan Javanbakht, Jim Pickett, Marc-Andre LeBlanc, Pamina Gorbach. Background.

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Rectal douching and lubricant use among global web-survey respondents

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  1. Rectal douching and lubricant use among global web-survey respondents Shauna Stahlman, Marjan Javanbakht, Jim Pickett, Marc-Andre LeBlanc, Pamina Gorbach

  2. Background • The acceptability of rectal microbicides formulated as gels or lubricants (lubes) may be affected by other rectal hygiene behaviors such as douching • We examined lube use and sexual risk behaviors among those who reported anal intercourse (AI), in order to assess whether these practices differed by rectal douching practice

  3. Objectives To determine: • Are douchers more likely to use lube than non-douchers? • Are douchers practicing more risky sexual behaviors than non-douchers, and if so which behaviors? • Are douchers at a higher risk for sexually transmitted infections (STIs) than non-douchers?

  4. Methods • Anonymous web-based survey posted on IRMA’s website • Distributed via listservs • Respondents from August-October 2011 • >=18 yrs old • AI in past 3 months • Survey was available in English, Spanish, French, Chinese, and Russian

  5. Survey questions • Demographics (age, gender, country) • AI in past 3 months • Douche in past 3 months • Commercial/homemade product information • Frequency of use and reasons for use • Risk behaviors • # and type of partners, drug use • Frequency of condom and lube use for receptive AI • STI history

  6. Characteristics of survey respondents • 926 total responses • Responses from 56 countries, majority from North America (66%) or Europe (19%) • 82% male, 16% female and 2% transgender • Mean age = 38 years (range 18-75) • 708 reported AI in the past 3 months and included in the analysis

  7. Sample characteristics, those reporting AI (N=708)

  8. Characteristics of rectal douchers, past 3 months (N=440)

  9. Sexual risk behaviors and STI history by douching status, among survey respondents reporting AI *chi-square test, p<.01 **Wilcoxon rank-sum test, p<.01

  10. Characteristics associated with report of any rectal douching *p<0.05

  11. Conclusions • Rectal douching was positively associated with lube use regardless of age, number of sexual partners, illicit drug use, STI history, and HIV status • Rectal microbicides formulated as gels or lubes may be an acceptable risk-reduction method for rectal douchers, because lube use is already common practice • Rectal douchers may be more likely than non-douchers to benefit from lube-like microbicide intervention • Future analyses will examine trends by region, gender, partner type

  12. How do you douche? Or don't? Visit www.rectalmicrobicides.org

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