Prevalence and Correlates of Rectal Douching and Enema Use Among Black Sexual Minority Men and Black Transwomen in the Deep South

Derek T. Dangerfield, Darrin Johnson, Shemeka Hamlin-Palmer, Dorothy C. Browne, Kenneth H. Mayer, De Marc A. Hickson

Research output: Contribution to journalArticle

Abstract

HIV/STI disparities are highest among Black sexual minority men (BSMM) and Black transwomen (BTW) in the Deep South. Exploring the prevalence and correlates of rectal douching and enema use could provide insights into risk factors and HIV/STI prevention opportunities among these groups. This study explored the prevalence and correlates of rectal douching and enema using Poisson regression models among 375 BSMM and BTW in Jackson, MS, and Atlanta GA. Approximately 95% reported their gender as male/man; 5.6% self-identified as transwomen. Most reported being single (73.1%) and were unemployed (56.0%); 36.1% were previously diagnosed with HIV. In multivariable models, BSMM and BTW who reported that their typical sexual position during anal sex was “bottom” (aPR = 2.39, 95% CI = 1.48, 3.84) or “versatile” (aPR = 2.46, 95% CI = 1.44, 4.17) had a higher prevalence of rectal douching and enema use than those who reported “top.” Deeper understanding of the contexts of rectal douching, enema use, and sexual positioning practices is needed.

Original languageEnglish (US)
Pages (from-to)1915-1922
Number of pages8
JournalArchives of Sexual Behavior
Volume49
Issue number6
DOIs
StatePublished - Aug 1 2020

Keywords

  • HIV
  • Men who have sex with men
  • Rectal douching
  • Sexual orientation
  • Sexually transmitted infections
  • Transgender

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Psychology(all)

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