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Perceptions of Anal Intercourse Among Heterosexual Women: A Pilot Qualitative Study
Lyndsey S Benson1, Kelly C Gilmore1, Elizabeth A Micks1
1Department of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Women engage in heterosexual anal intercourse (HAI) for pleasure and curiosity, driven by partner dynamics and personal attitudes. Societal stigma affects disclosure but not intent, highlighting the need for non-judgmental healthcare counseling.
Area of Science:
- Sexual Health Research
- Sociology of Sexuality
- Psychology of Sexual Behavior
Background:
- Over one-third of U.S. women engage in heterosexual anal intercourse (HAI).
- Limited understanding exists regarding women's perceptions and motivations for HAI.
- This study addresses the gap in knowledge concerning women's experiences with HAI.
Purpose of the Study:
- To explore U.S. women's motivations for engaging in HAI.
- To investigate how women navigate HAI within sexual relationships.
- To understand the factors influencing women's intent to engage in HAI.
Main Methods:
- Semi-structured interviews conducted with 20 women (ages 18-50) who recently engaged in HAI.
- Interview guide informed by the Theory of Planned Behavior.
- Thematic content analysis used to identify salient themes.
Main Results:
- Attitudes, subjective norms, and perceived behavioral control influenced intent to engage in HAI.
- Key motivators included partner/personal pleasure, sexual curiosity, and experimentation.
- Partner trust and control influenced women's intent.
Conclusions:
- The Theory of Planned Behavior effectively explored factors influencing HAI intent.
- Negative societal norms regarding HAI impact disclosure, not intent.
- Open, non-judgmental counseling by healthcare providers is crucial to reduce stigma and improve sexual health.
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