History Of Receptive Anal Intercourse Research Articles

The High Prevalence of Unsafe Sexual Behaviors Among Acute Psychiatric Inpatients Implications for AIDS Prevention

We conducted a study to determine the prevalence and sociodemographic distribution of unsafe sexual behaviors among psychiatric inpatients and to investigate an association between crack cocaine use and these behaviors. Two hundred thirty-nine patients admitted to two Philadelphia hospitals during a 12-month period were interviewed to obtain a detailed sexual history and substance abuse history. A history of multiple sex partners was reported by 42.6% of male patients and 13.0% of female patients (p < .01). A history of receptive anal intercourse in the past 6 months was reported by 11.6% of females and 2.1% of males (p < .05). Only about half the study subjects who were sexually active reported ever using a condom during the past 6 months. Crack cocaine use among males and cocaine use among females was statistically significantly associated with a history of having sex with a high risk partner. This study draws attention to the role of crack cocaine and other types of cocaine in the spread of human immunodeficiency virus infection in this population and the need for intensive acquired immunodeficiency syndrome prevention programs on inpatient psychiatric units.

Human papillomavirus-associated anogenital neoplasia and other solid tumors in human immunodeficiency virus-infected individuals.

The incidence and variety of solid tumors reported among human immunodeficiency virus (HIV)-infected individuals are increasing. Among the most common of these tumors are anogenital malignant and premalignant tumors associated with human papillomavirus infection. Cervical intraepithelial neoplasia is one such human papillomavirus-associated lesion and appears to be more common among women with HIV infection than HIV-negative women. Cervical intraepithelial neoplasia also appears to progress more rapidly among HIV-positive women, and these women are at high risk for progression to invasive cervical cancer in the absence of rigorous screening, treatment, and follow-up. Likewise, HIV-positive men with a history of receptive anal intercourse have a high prevalence of anal intraepithelial neoplasia and a rapidly increasing incidence of invasive anal cancer. The approach to the prevention of anal cancer is similar to that of cervical cancer, although experience with diagnostic and treatment measures is still limited for anal disease. As individuals with advanced immunosuppression live longer due to improvements in the medical therapy for HIV infection, it is expected that the incidence of human papillomavirus-associated neoplasia, as well as that of other tumors, will continue to increase.