Artigo Revisado por pares

Heterosexual and homosexual anal intercourse: an international perspective.

2001; Volume: 14; Issue: 1 Linguagem: Inglês

ISSN

1032-1012

Autores

Gordon S. Smith,

Tópico(s)

Adolescent Sexual and Reproductive Health

Resumo

This review discusses the social science and public health literature on anal intercourse between men, and between men and women, from a global perspective. Most studies on heterosexual anal intercourse have been conducted in Western countries. Population wide random sample surveys in these countries indicate that a significant minority, and sometimes a majority, of heterosexual men and women have ever engaged in anal intercourse. A smaller minority do so frequently. In some countries, such as in Latin America, anal intercourse is more common than in the West, as it is among subgroups within the West, such as specific ethnic groups, some sex workers and men who have sex with men and women. Anal intercourse is a central practice in sex between men in comparison to sex between men and women. Studies of gay men in Western countries indicate that between 70 per cent and 80 per cent have engaged in anal intercourse in the past six to 12 months. There is a paucity of data documenting homosexual sex in non-Western countries but it is apparent that in some countries, for example in Latin America and the Middle East, homosexual sex is socially constructed according to insertive and receptive gendered sex roles and does not typically correspond with gay identities. Also discussed are health aspects of anal intercourse, including physical trauma, the transmission of pathogens, maintaining anal health, and the need for health practitioners to address the practice during clinical consultations. (author abstract)

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