pre-ref 13  

Ref. 13:
This reference is in English and gives some disturbing statistics on the widespread practice of anal sex in the gay community. The anal sex practice is becoming increasingly popular among gay men, up from 57.6% in 1994 to 61.2% in 1997 in only three years.  I found no authoritative statistic on how much it may have increased during the 10 years since 1997.  But it’s reasonable to assume that the promotion and recommendations of various forms of anal practices by organizations like RFSL greatly contribute to the growing trend (see RFSL’s Anal Manual in ref. 5).  Translated into your language this reference reads in part [MSM stands for Men Sex with Men, CI is the 95% confidence interval and UAI means Unprotected Anal Intercourse]:

The proportion of surveyed MSM who reported having had anal sex increased from 57.6% (95% confidence interval CI=56.4%-58.9%) in 1994 to 61.2% (95% CI=60.1%-63.1%) in 1997 (p less than 0.01). Among MSM who had had anal sex, the proportion reporting "always" using condoms declined from 69.6% (95% CI=68.1%-71.1%) in 1994 to 60.8% (95% CI=58.9%-62.7%) in 1997 (p less than 0.01) (Figure_1). The most pronounced decline in consistent condom use occurred among men aged 26-29 years (from 68.2% {95% CI=64.8%-71.5%} in 1994 to 58.0% {95% CI=53.7%-62.1%} in 1997). The proportion of men who reported having had multiple sex partners and UAI increased from 23.6% (95% CI=21.9%-25.4%) in 1994 to 33.3% (95% CI=31.1%-35.6%) in 1997 (p less than 0.01). The largest increase in this risk behavior was among respondents aged less than or equal to 25 years (from 22.0% {95% CI=18.4%-25.9%} in 1994 to 32.1% {95% CI=27.7%-36.7%} in 1997; p less than 0.01). Decreasing consistent condom use and increasing proportions of MSM reporting UAI with multiple partners occurred in all racial/ethnic groups. In 1997, 45% (95% CI=41.4%-48.8%) of 865 MSM who had had UAI during the previous 6 months also reported not knowing the HIV status of all their sex partners. Among 525 MSM who had had UAI and multiple partners during the previous 6 months, 68.0% (95% CI=63.9%-72.7%) reported not knowing the HIV status of all their sex partners.

Male rectal gonorrhea incidence declined from 1990 through 1993 (42, 33, 23, and 20 per 100,000 adult men, respectively). From 1994 through 1997, the incidence increased from 21 to 38 per 100,000 adult men (p less than 0.01) (Figure_1). This increase in incidence was observed in all racial/ethnic and age groups but was highest among men aged 25-34 years (from 41 to 83 cases per 100,000 men aged 25-34 years, p less than 0.01).

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