Sex Anal Teen 1080

Sex Anal Teen 1080

Dashboard
Publications
Account settings
Log out

Journal List

HHS Author Manuscripts

PMC5231615

Am J Gastroenterol. Author manuscript; available in PMC 2017 Feb 1.
Find articles by Alayne D. Markland
Find articles by Camille P. Vaughan
1 Birmingham Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, Birmingham, Alabama, USA
2 Atlanta Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, Atlanta, Georgia, USA
3 Department of Medicine, Division of Gerontology, Geriatrics, and Palliative Care, UAB Center for Aging, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
4 Department of Obstetrics and Gynecology, Division of Urogynecology, University of New Mexico, Albuquerque, New Mexico, USA
5 Department of Medicine, Division of General Medicine and Geriatrics, Emory University, Atlanta, Georgia, USA
Correspondence: Alayne D. Markland, DO, MSc, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, VA Medical Center, GRECC/11G, 700 19th St S., Birmingham, Alabama 35233, USA. ude.cmbau@dnalkrama
The publisher's final edited version of this article is available at Am J Gastroenterol
a Proportion (95% CI) unless noted.
a Multivariable logistic regression models with step-wise backward elimination models controlling for age (decade categories as per Table 1 ), race/ethnicity, education, family income, BMI, loose stool consistency (Bristol Stool Form Scale Type 6 and 7), comorbidity count, and depression (PHQ-9 scores ≥10).
b Hysterectomy and number of live births included in model for women.
Fecal incontinence has a prevalence of 8% among adults; with equal prevalence rates among older men and women.
Risk factors for fecal incontinence that are similar among women and men include comorbidity and loose stool consistency.
Decreased anal sphincter pressures may be related to anal intercourse in small clinical series data.
Women and men who practice anal intercourse have higher rates of fecal incontinence.
Men who practiced anal intercourse had higher odds of having fecal incontinence than women.
Assessment of sexual behaviors may be important consideration among adults with fecal incontinence.
1. Baggaley RF, Dimitrov D, Owen BN, et al. Heterosexual anal intercourse: a neglected risk factor for HIV? Am J Reproduct Immunol. 2013; 69 :95–105. [ PMC free article ] [ PubMed ] [ Google Scholar ]
2. Owen BN, Brock PM, Butler AR, et al. Prevalence and frequency of heterosexual anal intercourse among young people: a systematic review and meta-analysis. AIDS Behav. 2015; 19 :1338–60. [ PubMed ] [ Google Scholar ]
3. Stulhofer A, Ajdukovic D. A mixed-methods exploration of women’s experiences of anal intercourse: meanings related to pain and pleasure. Arch Sex Behav. 2013; 42 :1053–62. [ PubMed ] [ Google Scholar ]
4. Prestage G, Mao L, Fogarty A, et al. How has the sexual behaviour of gay men changed since the onset of AIDS: 1986–2003. Aust N Z J Public Health. 2005; 29 :530–5. [ PubMed ] [ Google Scholar ]
5. Chun AB, Rose S, Mitrani C, et al. Anal sphincter structure and function in homosexual males engaging in anoreceptive intercourse. Am J Gastroenterol. 1997; 92 :465–8. [ PubMed ] [ Google Scholar ]
6. Miles AJ, Allen-Mersh TG, Wastell C. Effect of anoreceptive intercourse on anorectal function. J Royal Soc Med. 1993; 86 :144–7. [ PMC free article ] [ PubMed ] [ Google Scholar ]
7. Cichowski SB, Komesu YM, Dunivan GC, et al. The association between fecal incontinence and sexual activity and function in women attending a tertiary referral center. Int Urogynecol J. 2013; 24 :1489–94. [ PMC free article ] [ PubMed ] [ Google Scholar ]
8. Imhoff LR, Brown JS, Creasman JM, et al. Fecal incontinence decreases sexual quality of life, but does not prevent sexual activity in women. Dis Colon Rectum. 2012; 55 :1059–65. [ PMC free article ] [ PubMed ] [ Google Scholar ]
9. Trowbridge ER, Morgan D, Trowbridge MJ, et al. Sexual function, quality of life, and severity of anal incontinence after anal sphincteroplasty. Am J Obstet Gynecol. 2006; 195 :1753–7. [ PubMed ] [ Google Scholar ]
10. Pauls RN, Silva WA, Rooney CM, et al. Sexual function following anal sphincteroplasty for fecal incontinence. Am J Obstet Gynecol. 2007; 197 :618. [ PubMed ] [ Google Scholar ]
11. Riss S, Stift A, Teleky B, et al. Long-term anorectal and sexual function after overlapping anterior anal sphincter repair: a case-match study. Dis Colon Rectum. 2009; 52 :1095–100. [ PubMed ] [ Google Scholar ]
12. Rockwood TH, Church JM, Fleshman JW, et al. Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence: the fecal incontinence severity index. Dis Colon Rectum. 1999; 42 :1525–32. [ PubMed ] [ Google Scholar ]
13. Heaton KW, Radvan J, Cripps H, et al. Defecation frequency and timing, and stool form in the general population: a prospective study. Gut. 1992; 33 :818–24. [ PMC free article ] [ PubMed ] [ Google Scholar ]
14. Whitehead WE, Borrud L, Goode PS, et al. Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology. 2009; 137 :517. [ PMC free article ] [ PubMed ] [ Google Scholar ]
15. Weiss CO, Boyd CM, Yu Q, et al. Patterns of prevalent major chronic disease among older adults in the United States. JAMA. 2007; 298 :1160–2. [ PubMed ] [ Google Scholar ]
16. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16 :606–13. [ PMC free article ] [ PubMed ] [ Google Scholar ]
17. Satcher D, Hook EW, III , et al. Sexual health in america: Improving patient care and public health. JAMA. 2015; 314 :765–6. [ PubMed ] [ Google Scholar ]
18. Mitrani C, Chun A, Desautels S, et al. Anorectal manometric characteristics in men and women with idiopathic fecal incontinence. J Clin Gastroenterol. 1998; 26 :175–8. [ PubMed ] [ Google Scholar ]
19. Williams AB, Cheetham MJ, Bartram CI, et al. Gender differences in the longitudinal pressure profile of the anal canal related to anatomical structure as demonstrated on three-dimensional anal endosonography. Br J Surg. 2000; 87 :1674–9. [ PubMed ] [ Google Scholar ]
20. Mayer KH, Bekker LG, Stall R, et al. Comprehensive clinical care for men who have sex with men: an integrated approach. Lancet. 2012; 380 :378–87. [ PMC free article ] [ PubMed ] [ Google Scholar ]
21. Cichowski SB, Dunivan GC, Rogers RG, et al. Standard compared with mnemonic counseling for fecal incontinence: a randomized controlled trial. Obstet Gynecol. 2015; 125 :1063–70. [ PMC free article ] [ PubMed ] [ Google Scholar ]
1. Baggaley RF, Dimitrov D, Owen BN, et al. Heterosexual anal intercourse: a neglected risk factor for HIV? Am J Reproduct Immunol. 2013; 69 :95–105. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
4. Prestage G, Mao L, Fogarty A, et al. How has the sexual behaviour of gay men changed since the onset of AIDS: 1986–2003. Aust N Z J Public Health. 2005; 29 :530–5. [ PubMed ] [ Google Scholar ] [ Ref list ]
5. Chun AB, Rose S, Mitrani C, et al. Anal sphincter structure and function in homosexual males engaging in anoreceptive intercourse. Am J Gastroenterol. 1997; 92 :465–8. [ PubMed ] [ Google Scholar ] [ Ref list ]
6. Miles AJ, Allen-Mersh TG, Wastell C. Effect of anoreceptive intercourse on anorectal function. J Royal Soc Med. 1993; 86 :144–7. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
7. Cichowski SB, Komesu YM, Dunivan GC, et al. The association between fecal incontinence and sexual activity and function in women attending a tertiary referral center. Int Urogynecol J. 2013; 24 :1489–94. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
8. Imhoff LR, Brown JS, Creasman JM, et al. Fecal incontinence decreases sexual quality of life, but does not prevent sexual activity in women. Dis Colon Rectum. 2012; 55 :1059–65. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
9. Trowbridge ER, Morgan D, Trowbridge MJ, et al. Sexual function, quality of life, and severity of anal incontinence after anal sphincteroplasty. Am J Obstet Gynecol. 2006; 195 :1753–7. [ PubMed ] [ Google Scholar ] [ Ref list ]
11. Riss S, Stift A, Teleky B, et al. Long-term anorectal and sexual function after overlapping anterior anal sphincter repair: a case-match study. Dis Colon Rectum. 2009; 52 :1095–100. [ PubMed ] [ Google Scholar ] [ Ref list ]
12. Rockwood TH, Church JM, Fleshman JW, et al. Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence: the fecal incontinence severity index. Dis Colon Rectum. 1999; 42 :1525–32. [ PubMed ] [ Google Scholar ] [ Ref list ]
13. Heaton KW, Radvan J, Cripps H, et al. Defecation frequency and timing, and stool form in the general population: a prospective study. Gut. 1992; 33 :818–24. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
14. Whitehead WE, Borrud L, Goode PS, et al. Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology. 2009; 137 :517. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
15. Weiss CO, Boyd CM, Yu Q, et al. Patterns of prevalent major chronic disease among older adults in the United States. JAMA. 2007; 298 :1160–2. [ PubMed ] [ Google Scholar ] [ Ref list ]
16. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16 :606–13. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
17. Satcher D, Hook EW, III , et al. Sexual health in america: Improving patient care and public health. JAMA. 2015; 314 :765–6. [ PubMed ] [ Google Scholar ] [ Ref list ]
18. Mitrani C, Chun A, Desautels S, et al. Anorectal manometric characteristics in men and women with idiopathic fecal incontinence. J Clin Gastroenterol. 1998; 26 :175–8. [ PubMed ] [ Google Scholar ] [ Ref list ]
19. Williams AB, Cheetham MJ, Bartram CI, et al. Gender differences in the longitudinal pressure profile of the anal canal related to anatomical structure as demonstrated on three-dimensional anal endosonography. Br J Surg. 2000; 87 :1674–9. [ PubMed ] [ Google Scholar ] [ Ref list ]
20. Mayer KH, Bekker LG, Stall R, et al. Comprehensive clinical care for men who have sex with men: an integrated approach. Lancet. 2012; 380 :378–87. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
21. Cichowski SB, Dunivan GC, Rogers RG, et al. Standard compared with mnemonic counseling for fecal incontinence: a randomized controlled trial. Obstet Gynecol. 2015; 125 :1063–70. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]

Format:

AMA

APA

MLA

NLM

NLM

NIH

HHS

USA.gov

External link. Please review our privacy policy .
The new PMC design is here!
Learn more
about navigating our updated article layout. The
PMC legacy view
will also be available for a limited time.

An official website of the United States government

The .gov means it’s official.

Federal government websites often end in .gov or .mil. Before
sharing sensitive information, make sure you’re on a federal
government site.

The site is secure.

The https:// ensures that you are connecting to the
official website and that any information you provide is encrypted
and transmitted securely.

1 Birmingham Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, Birmingham, Alabama, USA
2 Atlanta Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, Atlanta, Georgia, USA
3 Department of Medicine, Division of Gerontology, Geriatrics, and Palliative Care, UAB Center for Aging, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
4 Department of Obstetrics and Gynecology, Division of Urogynecology, University of New Mexico, Albuquerque, New Mexico, USA
1 Birmingham Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, Birmingham, Alabama, USA
5 Department of Medicine, Division of General Medicine and Geriatrics, Emory University, Atlanta, Georgia, USA
4 Department of Obstetrics and Gynecology, Division of Urogynecology, University of New Mexico, Albuquerque, New Mexico, USA
The aim of this study was to assess the prevalence and associations between anal intercourse and fecal incontinence.
Analyses were based on data from 6,150 adults (≥20 years) from the 2009–2010 cycle of the National Health and Nutrition Examination Surveys. Fecal incontinence was defined as the loss of liquid, solid, or mucus stool occurring at least monthly on a validated questionnaire. A gender-specific sexual behavior questionnaire assessed any anal intercourse via an audio computer-assisted personal interview. Co-variables included: age, race, education, poverty income ratio, body mass index, chronic illnesses, depression, loose stool consistency (Bristol Stool Scale types 6 or 7), and reproductive variables in women. Prevalence estimates and prevalence odds ratios (PORs) were analyzed in adjusted multivariable models using appropriate sampling weights.
Overall, 4,170 adults aged 20–69 years (2,070 women and 2,100 men) completed sexual behavior questionnaires and responded to fecal incontinence questions. Anal intercourse was higher among women (37.3%) than men (4.5%), P <0.001. Fecal incontinence rates were higher among women (9.9 vs. 7.4%, P =0.05) and men (11.6 vs. 5.3%, P =0.03) reporting anal intercourse compared with those not reporting anal intercourse. After multivariable adjustment for other factors associated with fecal incontinence, anal intercourse remained a predictor of fecal incontinence among women (POR: 1.5; 95% confidence interval (CI): 1.0–2.0) and men (POR: 2.8; 95% CI: 1.6–5.0).
The findings support the assessment of anal intercourse as a factor contributing to fecal incontinence in adults, especially among men.
Anal intercourse is a common practice among both heterosexual and homosexual couples where at least one of the partners is male. Approximately 20% of women engage in anal intercourse and among homosexual male populations, anal intercourse is common, yet little is known about the impact of anal intercourse on fecal continence ( 1 – 4 ). Men engaged in anal intercourse may have lower manometry pressures than men not engaged in anal intercourse; however, few studies have examined fecal incontinence (FI) symptoms and anal intercourse ( 5 , 6 ).
Although specific sexual practices of women with FI are undescribed, women with FI are as likely to be sexually active as women without FI but their sexual function scores are lower ( 7 , 8 ). Studies evaluating the impact of FI treatment on sexual function are limited to descriptions in small populations following sphincteroplasty, with most studies reporting improved function and less embarrassment with sexual activity following treatment for FI ( 9 – 11 ).
The primary aim of this study was to determine if anal intercourse is associated with reports of FI, defined as the accidental loss of liquid, solid, or mucus stool occurring at least monthly. Secondary aims were (i) to characterize the prevalence of anal intercourse in a nationally representative sample of non-institutionalized US adults aged 20–69 years and (ii) to assess the relationship of anal intercourse with other known factors associated with FI, such as age, comorbid diseases, depression, and stool consistency. We hypothesized that both women and men who engaged in anal intercourse would have higher rates of FI.
The National Health and Nutrition Examination Surveys (NHANES) are cross-sectional surveys of a nationally representative sample of a non-institutionalized population sampled using a complex, stratified, multi-stage, probability cluster design. The National Center for Health Statistics (NCHS) ethics review board approved the survey protocols, and all participants provided written informed consent.
The NHANES cycle for 2009–2010 included 6,150 adults aged ≥20 years of age. Questions specific to anal intercourse were administered to men and women aged 18–69 years. Women who were pregnant were excluded from the analysis. Questions about bowel symptoms were ascertained in the mobile examination center interview room using a computer-assisted personal interview system. Questions about sexual behaviors were ascertained in a private mobile examination center interview room using an audio computer-assisted personal interview system. Our final analytic sample included 4,170 adults aged 20–69 years who answered questions about anal intercourse and FI ( Figure 1 ).
NHANES 2009–2010 participants responding to questions on fecal incontinence (FI) and anal intercourse.
For purposes of this analysis, FI was defined as leakage of mucus, liquid, and/or solid stool occurring at least monthly as reported on the Fecal Incontinence Severity Index (FISI). The FISI has subjects ranked according to the frequency of incontinence into four separate categories of gas, mucus, liquid, and solid stool, ranging from 1 to 20, with higher scores indicating greater severity ( 12 ). Stool consistency was assessed using the Bristol Stool Form Scale (color picture card with pictures and written descriptors of the seven stool types) and the following written question: “Please look at this card and tell me the number that corresponds with your usual or most common stool type” ( 13 ). Hard stool was defined as a Type 1 (separate hard lumps, like nuts) or Type 2 rating (sausage like, but lumpy). Normal stool consistency was defined as Bristol Stool Scale Type 3, Type 4, and Type 5, and, as in other NHANES publications ( 14 ), Type 6 and Type 7 Bristol Stool Scale Types defined loose stool consistency.
The NHANES sexual behavior questionnaire uses different questions to assess anal intercourse according to gender. For women, a positive response to the question, “Have you ever had anal sex? (the contact of a man’s penis with your anus or butt)” defined anal intercourse. For men, a positive response to the question, “Have you ever had any kind of sex with a man, including oral or anal?” defined having anal intercourse. To validate the use of this question to define anal intercourse in men, we analyzed the concordance for the men responding affirmatively to the question for anal intercourse who also answered the following question, “In your lifetime, with how many men have you had anal sex?”
Anal Vagina Band
Furry Muscle Growth Porn
Phillip M Jackson Porn

Sex Anal Teen 1080

Report Page