Teen Interracial Anal Sex

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Blacked (TV Series)

Teen Beauty Tries Interracial Anal Sex
(2014)

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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 ]

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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 i
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