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Preference and practices relating to lubricant use during anal intercourse: implications for rectal microbicides
Marjan Javanbakht1, Ryan Murphy, Pamina Gorbach
1School of Public Health, Department of Epidemiology, University of California, Los Angeles, Box 957353, 10880 Wilshire Boulevard, Suite 1800, Los Angeles, CA 90095-7353, USA. javan@ucla.edu
Sexual Health
|May 15, 2010
Summary
Rectal lubricants are commonly used during anal intercourse (AI), but barriers to their use, such as cost and sexual preference, vary significantly by age and region. Understanding these factors is crucial for the future acceptance of rectal microbicides for HIV prevention.
Area of Science:
- Sexual health research
- Public health interventions
- HIV/STI prevention
Background:
- Acceptability of rectal microbicides for HIV and sexually transmitted infections (STIs) prevention is critical.
- Understanding barriers to lubricant use for anal intercourse (AI) can inform the introduction of rectal microbicides.
- Lubricant-like rectal microbicides have potential due to existing lubricant use patterns.
Purpose of the Study:
- To assess anal intercourse (AI) and lubricant use patterns.
- To identify preferences and barriers related to lubricant use.
- To inform the development and marketing of rectal microbicides.
Main Methods:
- An internet-based survey was utilized.
- A 25-item questionnaire assessed AI and lubricant use, preferences, and barriers.
- Data from 6124 respondents reporting AI were analyzed.
Main Results:
- The majority of AI respondents were male (93%), over 25 years old (80%), and from North America (70%).
- Consistent lubricant use was reported by over half of respondents, while consistent condom use was lower (35%).
- Barriers to non-use varied: younger men cited cost, while European, Latin American, and Asian respondents cited sexual preference.
Conclusions:
- Rectal lubricants are widely used, but barriers differ by age and region.
- A lubricant-like rectal microbicide could be acceptable and aid HIV prevention.
- Targeted marketing and education are necessary to improve the use and acceptability of rectal microbicides.
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