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Rectal Douching Prevalence and Practices Among Peruvian Men Who have Sex with Men and Transwomen: Implications for

Jerome T Galea1,2, Janni J Kinsler3, Sarah McLean4

  • 1Socios En Salud, Lima, Peru. jerome.galea.09@ucl.ac.uk.

AIDS and Behavior
|October 14, 2015
PubMed

Insights

Rectal douching is common among Peruvian men who have sex with men (MSM) and transwomen (TW). This practice, often using simple methods, supports the potential for rectal microbicide (RM) douches to prevent HIV.

Area of Science:

  • Public Health
  • Infectious Disease Prevention
  • Sexual Health Research

Background:

  • Peruvian men who have sex with men (MSM) and transwomen (TW) are populations at risk for HIV infection.
  • Rectal microbicides (RM) delivered as rectal douches show promise for HIV prevention.
  • Understanding rectal douching practices is crucial for developing and implementing RM douches.

Purpose of the Study:

  • To determine the prevalence of rectal douching among Peruvian MSM and TW.
  • To identify factors associated with rectal douching in these populations.
  • To assess the potential for uptake of rectal microbicide douches.

Main Methods:

  • A self-administered interview was used to collect data.
  • The study included a convenience sample of 415 Peruvian MSM and 68 TW.
  • Prevalence and associated factors of rectal douching in the past 6 months were examined.

Main Results:

  • 18% of participants reported rectal douching in the previous 6 months.
  • Douching methods included commercial kits, bottles, or enema bags with water, soap, or saltwater.
  • Receptive or mixed insertive/receptive anal sex roles were associated with douche use.

Conclusions:

  • Rectal douching practices among Peruvian MSM and TW are comparable to other regions.
  • The findings support the feasibility of rectal douche-formulated RM for HIV prevention in these populations.
  • Further research can inform the development and implementation of rectal microbicides for Peruvian MSM and TW.
Keywords:
EnemaHIVMSMMicrobicideRectal doucheTranswomen

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