Women's Sexual Behavior Research Articles

Radiotherapy and treatment of cervical cancer – sexuality implications

IntroductionCancer of the uterine cervix represents 10% of malignant tumors affecting women. Despite occupying fifth place in the global mortality rate it is described with the highest healing potential. One of the most used treatments is radiotherapy, which has a particularly significant impact on women's quality of life, especially in their sexuality. Biological and psychic factors are suggested as possible etiologies for sexual dysfunction situations. Changes in body image may arouse feelings of shame and low self-esteem. In what concerns biology, vaginal stenosis is referred as a cause of vaginism and vaginal bleeding, with consequent decrease in libido and pleasure.ObjectiveDescribe the implications in the sexuality of women with cancer of the uterine cervix after radiotherapy.MethodsA literature search using the PubMed and Scielo databases of scientific articles published in the last 10 years.ResultsIn the literature, there are significant changes in sexual behavior in women with cervical cancer in the period after radiotherapy. A large percentage reveals sexual abstinence and an equally significant part presents sexual dysfunction caused by lack of lubrication, arousal and orgasm. Moreover, it is reported decreased libido and sexual pleasure, vaginal bleeding and vaginism. On the other hand, there is a small account of cases in which it is mentioned increase libido and pleasure.ConclusionDespite the high probability of healing this disease, the patients’ quality of life after advanced stages of radiotherapy, should be a source of concern, especially with regard to sexuality.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Early sexual initiation and multiple sexual partners among Vietnamese women: analysis from the Multiple Indicator Cluster Survey, 2011

IntroductionUnder current HIV transmission mechanisms operating in Vietnam, women are seen as victims of their male partners. Having multiple sexual partners is one of the well-known risk factors for HIV infection. However, little is known about women's risky sexual behaviour and their vulnerability to HIV in Vietnam. This study aims to explore association between early sexual initiation and the number of lifetime sexual partners in Vietnamese women. Although the Vietnamese culture is socially conservative in this area, identifying women's risky sexual behaviour is important for the protection of women at risk of HIV and other sexually transmitted diseases.DesignA total of 8,791 women, who reported having had sexual intercourse, were included in this analysis of data from the 2011 Multiple Indicator Cluster Survey in Vietnam. Data were collected using two-stage strata sampling, first at the national level and second across six geographical regions (n=8,791). Multivariable logistic regressions describe association between early initiation of a sexual activity and lifetime multiple sexual partners.ResultsEarly sexual intercourse was significantly associated with having lifetime multiple sexual partners. Women who were aged 19 or younger at first sexual intercourse were over five times more likely to have multiple sexual partners, compared with women whose first sexual intercourse was after marriage; aged 10–14 years (OR=5.9; 95% CI=1.9–18.8) at first intercourse; and aged 15–19 years (OR=5.4; 95% CI=4.0–7.2) at first intercourse. There was significant association with having multiple sexual partners for women of lower household wealth and urban residence, but the association with educational attainment was not strong.ConclusionsThe study results call for health and education policies to encourage the postponement of early sexual activity in young Vietnamese women as protection against risky sexual behaviour later in life.

HIV seropositivity and sexuality: cessation of sexual relations among men and women living with HIV in five countries

ABSTRACTThe sexuality of people living with HIV (PLHIV) is a key issue in the fight against HIV, as it influences both the dynamic of the epidemic and the quality of life of PLHIV. The present study examined the factors associated with cessation of sexual relations after HIV diagnosis among men and women in five countries: Mali, Morocco, Democratic Republic of the Congo, Romania and Ecuador. A community-based cross-sectional study was implemented by a mixed consortium [researchers/community-based organizations (CBO)]. Trained CBO members interviewed 1500 PLHIV in contact with CBOs using a 125-item questionnaire. A weighted multivariate logistic regression and a separate gender analysis were performed. Among the 1413 participants, 471 (33%) declared that they stopped having sexual relations after their HIV diagnosis, including 318 women (42%) and 153 men (23%) (p < .001). Concerning women, variables associated with the cessation of sexual relations in the final multivariate model were mainly related with relational factors and the possibility of getting social support (e.g., needing help to disclose HIV serostatus, feeling lonely every day, not finding support in CBOs, not being in a couple). Men's sexual activity was more associated with their representations and their perception of the infection (e.g., thinking they will have their HIV infection for the rest of their life, perceiving the HIV infection as a mystery, perceiving the infection as serious). Furthermore, the following variables were associated with both men and women sexual behaviours: being older, having suffered from serious social consequences after serostatus disclosure and not being able to regularly discuss about HIV with their steady partner. Results suggested clear differences between men and women regarding cessation of sexual relations and highlighted the importance of implementing gender-based tailored interventions that promote safe and satisfying sexuality, as it is known to have a positive impact on the overall well-being of PLHIV.

Sexual behaviour and risk of sexually transmitted infections in young female healthcare students in Spain.

Background. Several authors have examined the risk for sexually transmitted infections (STI), but no study has yet analyzed it solely in relation with sexual behaviour in women. We analyzed the association of sexual behaviour with STI risk in female university students of healthcare sciences.Methods. We designed a cross-sectional study assessing over three months vaginal intercourse with a man. The study involved 175 female university students, without a stable partner, studying healthcare sciences in Spain. Main outcome variable: STI risk (not always using male condoms). Secondary variables: sexual behaviour, method of orgasm, desire to increase the frequency of sexual relations, desire to have more variety in sexual relations, frequency of sexual intercourse with the partner, and age. The information was collected with an original questionnaire. A logistic regression model was used to estimate the adjusted odds ratios (ORs) in order to analyze the association between the STI risk and the study variables.Results. Of the 175 women, 52 were positive for STI risk (29.7%, 95% CI [22.9–36.5%]). Factors significantly associated with STI risk (p < 0.05) included: orgasm (not having orgasms →OR = 7.01, 95% CI [1.49–33.00]; several methods →OR = 0.77, 95% CI [0.31–1.90]; one single method →OR = 1; p = 0.008) and desiring an increased frequency of sexual activities (OR = 0.27, 95% CI [0.13–0.59], p < 0.001).Conclusions. Women’s desire for sexual activities and their sexual function were significant predictors of their risk for STI. Information about sexual function is an intrinsic aspect of sexual behaviour and should be taken into consideration when seeking approaches to reduce risks for STI.

Using Participatory Research to Work With Women from Ethnic Minorities at Risk for HIV Living In Industrialized Countries

The purpose of this paper is to demonstrate the utility of participatory approaches for working with ethnic minority women at risk of contracting HIV living in industrialized countries. The literature suggests that these women's sexual risk behaviors should be analyzed taking into account in the social context that reduces their power to negotiate condom use.

Attachment Dysfunction and Relationship Preoccupation

Insecure attachment has been associated with short-term mating strategies and higher numbers of extra-dyadic affairs. Research has found that insecure attachment is also related to sexual addiction. A sample of people seeking treatment for sexual addiction (N = 4,492) was used to explore the prevalence of attachment styles in such a population, and the degree to which insecure attachment predicts relationship preoccupation, and preoccupation with isolated sexual pursuits, both measured by the SDI-4.0 Preoccupation scales. Preoccupied and fearful avoidant attachment were the most prevalent attachment styles in this sample. Results found that anxious attachment was better than avoidant attachment in predicting relationship preoccupation and isolated fantasizing in both men and women, while avoidant attachment was a statistically significant predictor of relationship preoccupation, but more strongly predicted isolated sexual behaviors. In structural equation models women's sexual cycling behaviors were better predicted by anxious attachment, whereas men's sexual cycling behaviors were equally related to anxious and avoidant attachment. Anxious attachment was a better predictor of men's sexual aversion, but in women aversion was better predicted by avoidant attachment. The relevance of these findings for clinical applications is discussed.

Human Papillomavirus Vaccination at a Time of Changing Sexual Behavior.

Human papillomavirus (HPV) prevalence varies widely worldwide. We used a transmission model to show links between age-specific sexual patterns and HPV vaccination effectiveness. We considered rural India and the United States as examples of 2 heterosexual populations with traditional age-specific sexual behavior and gender-similar age-specific sexual behavior, respectively. We simulated these populations by using age-specific rates of sexual activity and age differences between sexual partners and found that transitions from traditional to gender-similar sexual behavior in women <35 years of age can result in increased (2.6-fold in our study) HPV16 prevalence. Our model shows that reductions in HPV16 prevalence are larger if vaccination occurs in populations before transitions in sexual behavior and that increased risk for HPV infection attributable to transition is preventable by early vaccination. Our study highlights the importance of using time-limited opportunities to introduce HPV vaccination in traditional populations before changes in age-specific sexual patterns occur.

P10.19 Can hsv-2 seropositivity be used as a biological marker of sexual behaviour? findings from a seroprevalence survey in england

Introduction Reliable measures of sexual behaviour aid understanding of differences in sexually transmitted infections between groups or over time, but are often difficult or infeasible to collect. Antibody to herpes simplex virus type 2 (HSV-2) has been proposed as a marker of sexual behaviour. We investigated the seroepidemiology of HSV-2 in England to explore the use of HSV-2 as such a marker. Methods Anonymised sera from 16–44 year-old participants in the Health Survey for England (HSE) in 2010 and 2012, a series of nationally-representative household surveys, were tested for anti-HSV-2 antibodies using the HerpeSelect2 IgG ELISA. Factors associated with seropositivity were investigated using logistic regression Results HSV-2 seropositivity increased with age up to 15% (95% CI: 11%–19%) in women and 9% (6%–14%) in men aged 40–44 years. Seropositivity was higher in those with more sexual partners over the lifetime in women (1.4% in those with 0 vs. 14% in those with ≥10 lifetime sexual partners, p = 0.018) but not in men (5% vs. 7%, p = 0.683). There was no difference by number of partners in the last year or by recent condom use. Women of black or black British ethnicity had around 3-times higher odds of being seropositive than those of white ethnicity (24% vs. 10%, odds ratio [OR]:2.96, 95% CI: 1.16–7.54; p = 0.023). No difference by ethnicity was noted among men. Conclusion Our findings suggest antibodies to HSV-2 may be a useful marker for number of lifetime sexual partners in women but not in men. There was less evidence to support the use of HSV-2 as a marker for recent sexual risk behaviour. These data can be used to power future analyses using HSV-2 as a marker of sexual behaviour in women. Although detailed analyses by ethnicity were limited by sample size, the differential risk of seropositivity by ethnicity is of interest and warrants further investigation. Disclosure of interest statement The study was funded by the Health Protection Agency (now part of Public Health England). No pharmaceutical or diagnostic company grants were received in the development of this study.

Jewish women's sexual behaviour and sexualized abuse during the Nazi era

Consideration of Jewish women's lives and experiences during the Holocaust became a priority only late in the 20th century. Scholars focused on women's roles as homemakers, wives, breadwinners, supporters and resistors, with little, if any, attention paid to their reproductive or sexual lives. Many considered that the Rassenschande laws shielded Jewish women from the worst horrors of rape and sexual abuse leading to little investigation of this issue. Women were reluctant to speak of such intimate events, and researchers were hesitant to ask about them for fear of causing further hurt. Concern for the sensationalizing of women's experiences also inhibited investigation of this aspect of women's lives. Significant acts of emotional, sexual and physical abuse of women, were, however, perpetrated by the Nazis and others against men and women, Jews and non-Jews, including humiliating nudity, rape and physical abuse. This article focuses on Jewish women's sexual experiences as expressed in diaries, memoirs and testimonies. It explores the variety of interactions that occurred, ranging from loving relationships that emerged despite extremely difficult living conditions, to sexualized humiliation, sexual exchange, rape and sexually related brutality. Recognizing the extent of women's adverse sexual experiences, and their aftermath, acknowledges their lives and honours their experiences.

Community Influences on Married Women’s Safer Sex Negotiation Attitudes in Bangladesh: A Multilevel Analysis

The influence of disadvantaged or deprived community on individuals' health risk-behaviors is increasingly being documented in a growing body of literature. However, little is known about the effects of community characteristics on women's sexual attitudes and behaviors. To examine community effects on married women's safer sex negotiation attitudes, we analyzed cross-sectional data from the 2011 Bangladesh Demographic and Health Surveys on a sample of 15,134 married women in 600 communities. We estimated two multilevel logistic regression models. Model 1, which included only individual-level variables, showed that women's autonomy/empowerment, age, and HIV knowledge had significant associations with their safer sex negotiation attitudes. We did not find any socioeconomic status gradient in safer sex negotiation attitudes at the individual level. Adding community-level variables in Model 2 significantly improved the fit of the model. Strikingly, we found that higher community-level poverty was associated with greater positive safer sex negotiation attitudes. Prevailing gender norms and overall women's empowerment in the community also had significant effects. While research on community influences calls for focusing on disadvantaged communities, our research highlights the importance of not underestimating the challenges that married women in economically privileged communities may face in negotiating safer sex. To have sufficient and equitable impact on married women's sexual and reproductive health, sexual and reproductive health promotion policies and programs need to be directed to women in wealthier communities as well.

'Elderly years cause a Total dispaire of Conception': Old Age, Sex and Infertility in Early Modern England.

Although the history of old age has been studied in much greater detail in recent years, the subject of sexuality in old age remains relatively under-explored. This article examines early modern ideas about old bodies and sex in relation to fertility, to argue that because old bodies were understood as either infertile (post-menopausal women) or sub-fertile (old men) they were therefore characterised as unsuitable, undesirable and inappropriate sexual partners. Perceptions of old bodies, their sexual abilities, desirability and behaviour were remarkably consistent from the sixteenth through to the eighteenth century. The ridiculing of old men and women's sexual behaviour that permeated contemporary culture in stories, ballads and jokes, alongside medical literature that characterised old bodies as sexually unappetising as well as unreproductive, carried the message that sexual activity was not for the old, and in large part because they were infertile.

Effects of Gender Group Norms on the Endorsement of Same-Sex Attraction, Behavior, and Identity

Previous studies have often revealed differences between the acknowledgment of same-sex attraction and rates of bisexual or homosexual identification. This study contends that social influences (including the perception that same-sex sexual attraction is not gender normative) as well as prejudice toward bisexual persons (biphobia), may help explain this discrepancy. In this study, the authors tested whether, in line with a social identity approach, manipulating social factors regarding the gender normativity of bisexuality influenced participants’ self-perceptions of their sexualities and expression of biphobia. Male and female participants (N = 416) were randomly assigned to read one of two narratives comprising fictitious neurological research evidence, which claimed that their own gender was more naturally bisexual than the other gender (Condition 1), whereas a control group (Condition 2) did not receive any information regarding the gender normativity of bisexuality. Results indicated that men endorsed significantly more same-sex attraction when bisexuality was presented as being more normative for their gender. Gender-normative information produced no significant difference in terms of men's sexual behavior and identity, or women's sexual attraction, behavior, and identity. Results also indicated no significant differences between conditions in biphobia toward bisexual persons of either gender. Irrespective of condition, male and female participants endorsed significantly more biphobia toward bisexual men than bisexual women.

Sexual Behavior and Contraceptive Use among 18- to 19-Year-Old Adolescent Women by Weight Status: A Longitudinal Analysis

To describe the association between weight status and sexual practices among 18- to 19-year-old women. We analyzed a population-based longitudinal study of 18- to 19-year-old women residing in a Michigan county at cohort inception. Weekly journal surveys measured sexual practices, including contraceptive behaviors. Outcomes included proportion of weeks with a partner, proportion of weeks with sexual intercourse, number of partners, average length of relationships, proportion of weeks with contraception use, and proportion of weeks where contraception was used consistently. We examined 26,545 journal surveys from 900 women over the first study year. Ordinary least squares regression models for each outcome examined differences by weight status, controlling for sociodemographic characteristics. The mean proportion of weeks in which adolescents reported sexual intercourse was 52%; there was no difference by weight status. Among weeks in which adolescents reported sexual activity, obese adolescents had a lower proportion of weeks where any contraception was used compared with normal weight adolescents (84% vs 91%, P = .011). Among weeks in which adolescents reported sexual activity and contraceptive use, obese adolescents had a lower proportion of weeks with consistent contraceptive use (68% vs 78%, P = .016) and oral contraceptive pill use (27% vs 45%, P = .001) compared with normal weight adolescents. All other relationships by weight status were not statistically significant. In this longitudinal study, obese adolescent women were less likely to use contraception, and less likely to use it consistently when compared with normal weight peers. Findings suggest obesity may be an important factor associated with adolescent women's sexual behavior.

Longitudinal Associations among Discordant Sexual Orientation Dimensions and Hazardous Drinking in a Cohort of Sexual Minority Women.

We examined differences between sexual minority women's (SMW's) sexual identity and sexual behavior or sexual attraction as potential contributors to hazardous drinking across a 10-year period. Data are from a longitudinal study examining drinking and drinking-related problems in a diverse, community-based sample of self-identified SMW (Wave 1: n = 447; Wave 2: n = 384; Wave 3: n = 354). Longitudinal cross-lagged models showed that SMW who report higher levels of identity-behavior or identity-attraction discordance may be at greater risk of concurrent and subsequent hazardous drinking. Results of multigroup models suggest that sexual orientation discordance is a more potent risk factor for risky drinking outcomes among SMW in older adulthood than in younger adulthood. Findings support that discordance between sexual orientation dimensions may contribute to hazardous drinking among SMW and provide evidence that cognitive-behavioral consistency is important for individuals expressing diverse and fluid sexual identities, attraction, and behavior.

History of Childhood Abuse, Drinking Motives, Alcohol Use, and Sexual Risk Behavior Among STD Clinic Patients in St. Petersburg, Russia: A Cross-Sectional Study.

The relationship between level of childhood abuse (physical and emotional) and sexual risk behavior of sexually transmitted disease clinic patients in St. Petersburg, Russia was examined through path analyses. Mediating variables investigated were: Alcohol Use Disorder Identification Test (AUDIT), drinking motives (for social interaction, to enhance mood, to facilitate sexual encounters), intimate partner violence (IPV), anxiety, and depression symptoms. Results showed a significant indirect effect of childhood abuse on women's sexual risk behavior: higher level of childhood abuse was associated with a greater likelihood of IPV, motivations to drink, leading to higher AUDIT scores and correlated to higher likelihood of having multiple, new or casual sexual partner(s). No significant effect was identified in paths to condom use. Among men, childhood abuse had no significant effect on sexual risk behavior. Reduction in alcohol-related sexual risk behavior may be achieved by addressing the effects of childhood abuse among female participants.

Sensual, erotic, and sexual behaviors of women from the "kink" community.

Unconventional sensual, erotic, and sexual behaviors (herein referred to as kink behaviors) investigated by academia are based largely on clinical and criminal cases, and most published, peer-reviewed, quantitative research on these behaviors is based almost exclusively on male participants. For this study, information was collected and analyzed from 1580 female participants recruited from the kink community, using a non-clinical and non-criminal sample. We explored and described the preferences and diversity of more than 126 sensual, erotic, and sexual behaviors found among these participants, along with recommendations for continued research. Gaining a better understanding of the breadth and depth of activities engaged in by female kink practitioners could benefit educators, counselors, therapists, medical doctors, and other professionals when interacting with members of the kink community.

Changes in the sexual function during pregnancy.

The physiological changes during each trimester of pregnancy have a significant impact on women's sexual behavior. The aim of the work was to assess changes in the sexual function during pregnancy. The prospective study encompassed 520 pregnant women aged between 18 and 45, of whom 168 were qualified for the final analysis. The research tool was a purpose-designed research questionnaire and the standardized Female Sexual Function Index. To assess changes in the sexual function among pregnant women aged 18-45 in the three pregnancy trimesters. All the studied parameters, i.e., desire, arousal, lubrication, orgasm, satisfaction, and pain, decreased significantly with the progression of pregnancy. Analyzing the frequency of sexual intercourse in the studied group before and during pregnancy, a statistically significant decrease (P<0.000001) was observed. Sexual desire changed statistically significantly (P=0.0004). The direction of change concerned decreased sexual desire in the three trimesters compared with the situation before pregnancy. Statistical significance was demonstrated for: decreased sexual desire (P=0.00007), partner's reluctance (P=0.002), and pregnancy-related changes in appearance (P=0.03). Sexual function was compromised and sexual activity decreased as the pregnancy progressed. Changes in the domains of arousal, lubrication, and orgasm were particularly notable in primaparae in the third trimester of pregnancy. Unsatisfying partner relationship was a significant factor affecting the quality of sexual life during pregnancy.

“True Indian Muslin” and the Politics of Consumption in Jane Austen’s Northanger Abbey

In Jane Austen's Northanger Abbey (1817), Henry Tilney and Catherine Moreland's first flirtation occasions a lengthy discourse on muslin. Demonstrating a curiously nuanced attention to women's dress, Henry speculates that Catherine will document their meeting in her journal by referring to her sprigged robe with blue trimmings (15)* The two are soon interrupted by Catherine's chaperone, Mrs. Allen, whose pin has torn a hole in her gown; unfortunately the dress is a favorite of Mrs. Allen's, even though, as she confesses, cost but nine shillings a (16). Examining Mrs. Allen's damaged muslin, Henry remarks that he would have guessed the fabric's cost exactly, to which the astonished Mrs. Allen replies, Do you sir? (16). Henry does, in fact, understand and understands them particularly well, as he proves to his incredulous female audience (16). He boasts:I always buy my own cravats, and am allowed to be an judge; and my sister has often trusted me in the choice of a gown. I bought for her the other day, and it was pronounced to be a prodigious bargain by every lady who saw it. I gave but five shillings a yard for it, and a muslin. (16)What does it mean for Austen's hero to understand muslins, and moreover, to emphasize his penchant for those of the true Indian variety? I argue that Henry's preference for muslins constitutes a particular mode of imperial connoisseurship, a masculine aesthetic taste that performed an important regulatory function both within the metropole and abroad. As Eugenia Zuroski Jenkins has pointed out, the literature of the long eighteenth century often frames problems of national identity, global economy, and political power as privatized problems of taste, virtue, and individual desire (3). More than a personal aesthetic preference, Henry's fashionable taste indicates his adherence to a new masculine identity based upon conspicuous consumption rather than inherited or landed wealth.1 This consumerist identity developed in response to Britain's imperial expansion, which had engendered the importation and eventual domestication of muslin.Both Mary Hafner-Laney and Claire Hughes have addressed Henry's interest in muslin, though neither considers the significance of this commodity's origin or the ideologies that influence Henry's consumption of it. Hafner-Laney claims that Henry and Mrs. Allen's exchange about evinces Austen's enduring interest in fashion and underscores the fact that early nineteenth-century dresses were made, rather than bought off the rack (137). Hughes offers a more detailed reading of muslin's material and symbolic significance and argues that Henry selflessly transgresses gender boundaries to supplement Mrs. Allen's inadequate education of Catherine, emerging from the text as one of Austen's most attractive heroes (196). I would elaborate upon Hughes's reading of Henry and propose that his interest in true muslin indicates not only his personal investment in Catherine's education, but also his political allegiance to larger structures of imperial and patriarchal oppression.Through his self-appointed position as an excellent judge of the market, Henry controls both female commodity consumption and virtue, policing women's sexual purity through his interpretation of their dress. Distinguishing between and imitative equips Henry to separate honest women from artificial women and to subordinate all women to his expertise. Henry converts his knowledge of feminine fashion into patriarchal power, construing his regulation of women's social and sexual behavior as benevolent and necessary. Likewise, British merchants of the period exploited and eventually undermined the textile industry by appropriating weavers' knowledge of muslin. Just as Henry casts his criticisms of women's dress as a mode of generous instruction, British merchants, industrial spies, and officials often present their calculating surveillance of weavers as paternalistic aid. …

Gender, Sexual Health Seeking Behavior, and HIV/AIDS Among Tarok Women in North-Central Nigeria

In this study, which was part of a larger project I undertook in North-central Nigeria, I explored the differences in the sexual health seeking behavior of Tarok women and men and how these differences affect the spread of HIV. With the help of three research assistants, I conducted 16 in-depth interviews and 24 focus group discussions in four Tarok communities in North-central Nigeria. I found certain negative effects of gender inequality on women's sexual health seeking behavior in particular, a situation that has adverse implications for HIV acquisition and transmission. I therefore concluded that addressing the challenges of gender inequality is imperative for a sustained fight against HIV and AIDS in Nigeria.

Combining strategies: Using evidence-based interventions to build a more effective treatment program

Results: 140/189 women (74%) of the women completing the baseline interview consented to the daily diary study. Mean participation time was 62 days. The within subjects process was supported because days on which a woman reported receptive heterosexual anal intercourse with a male partner were also days on which she was more likely to also report vaginal intercourse (OR=3.65, CI 1.039, 12.791), using methamphetamine (OR=1.90, CI 1.008, 3.584), using cocaine (OR=4.46, CI 1.357, 14.641), giving oral sex (OR=2.02, CI 1.016, 4.032), receiving oral sex (OR=4.19, CI 1.889, 9.287) and wanting sex (OR=1.39, CI 1.056, 1.837). Conclusions: This study identified predictors of daily anal intercourse that suggest that women may have problems moderating risky sexual behavior on days when they also engage in illicit drug use. Stimulant use was associated with positive mood (wanting to have sex) as well as multiple sexual behaviors in women. Financial support:CaliforniaHIVResearchProgramgrant ID10CSULB-008 funded this project.