Receptive Anal Intercourse: Impact on Colorectal and Urologic Diagnoses.

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH LGBT health Pub Date : 2024-07-05 DOI:10.1089/lgbt.2023.0469
Thomas W Gaither, Tara Shahrvini, Nathan W Vincent, Marcia Russell, Mark S Litwin
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Abstract

Purpose: We evaluated the relationship between lifetime receptive anal intercourse (RAI) and the risk of common colorectal and urologic diagnoses. Methods: We conducted an internet-based survey on sensations during RAI between July 2022 and March 2023. We used multivariable logistic regression to assess the independent impact of lifetime RAI exposure on the diagnosis of common urologic and colorectal conditions. Participants completed a main survey and were invited to complete randomly assigned patient-reported outcome measures (PROMs), which measured pelvic symptoms, mental health symptoms, and sexual satisfaction. Results: In total, 1100 participants completed the main survey and 416 completed the PROMs. Participants of the main survey ranged from 18 to 78 years old and the median age of the sample was 32 years. There was no significant association between lifetime RAI exposure and any medical diagnosis, except for anal fissures, which increased linearly with additional RAI exposure. Both sexual satisfaction and mental health symptoms improved with RAI exposure. Conclusions: RAI was not associated with most of the colorectal and urologic diagnoses tested and was associated with fewer mental symptoms and increased sexual satisfaction. Development of anal fissures may be directly related to trauma of the anal canal from penetration.

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接受性肛交:对结肠直肠和泌尿系统诊断的影响。
目的:我们评估了终生接受性肛交(RAI)与常见结直肠和泌尿系统疾病诊断风险之间的关系。方法:我们在互联网上对 RAI 期间的感觉进行了调查:我们在 2022 年 7 月至 2023 年 3 月期间通过互联网对 RAI 期间的感觉进行了调查。我们使用多变量逻辑回归评估终生 RAI 暴露对常见泌尿系统和结直肠疾病诊断的独立影响。参与者完成了一项主要调查,并被邀请完成随机分配的患者报告结果测量(PROMs),该测量可测量骨盆症状、心理健康症状和性满意度。结果:共有 1100 名参与者完成了主要调查,416 名参与者完成了 PROMs。主调查的参与者年龄从 18 岁到 78 岁不等,样本年龄中位数为 32 岁。除肛裂外,一生中接触过的 RAI 与任何医疗诊断之间均无明显关联,而肛裂会随着接触 RAI 的增加而呈线性增加。性满意度和心理健康症状都会随着 RAI 暴露的增加而改善。结论:RAI 与所检测的大多数结直肠和泌尿系统诊断无关,而与较少的精神症状和较高的性满意度有关。肛裂的发生可能与插入造成的肛管创伤直接相关。
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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
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