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Midwestern rural adolescents' anal intercourse experience
Joseph A Dake1, James H Price, Molly McKinney
1Department of Health and Rehabilitative Services, University of Toledo, Toledo, Ohio 43606, USA. jdake@utnet.utoledo.edu
Summary
Seven percent of rural adolescents engaged in anal sex, with higher rates in high school students. Previous sexual intercourse and oral sex were significant risk factors for anal sexual activity in this population.
Area of Science:
- Adolescent Health
- Sexual Health Research
- Rural Health Disparities
Background:
- Limited research exists on anal intercourse prevalence among rural adolescents, particularly in the Midwest.
- Previous studies often focused on urban or minority populations, leaving a gap in understanding rural youth sexual behaviors.
Purpose of the Study:
- To determine the prevalence of anal intercourse among Midwestern rural adolescents.
- To identify associated risk behaviors for anal sexual activity in this demographic.
Main Methods:
- A survey based on the Youth Risk Behavior Survey was administered to 820 rural middle and high school students (grades 6-12).
- Stratified random sampling of schools (n=17) across two rural counties was employed.
- Data analysis included Fisher's exact test and multiple logistic regression.
Main Results:
- Out of 778 respondents, 7% reported engaging in anal sex, with prevalence higher in high school (10.9%) than middle school (1.6%).
- Ever having had sexual intercourse (adjusted odds ratio [AOR]=14.5) and ever having had oral sex (AOR=6.0) were significantly associated with anal sexual activity.
Conclusions:
- Anal sexual activity is present in the sexual experiences of some rural adolescents.
- Findings underscore the need for inclusive sex education in rural schools to address the reality of anal sex among students.
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