Nevertheless, there is evidence to suggest that anal intercourse is also widely practiced by women in the US 1 — 4. Given that anal intercourse is associated with higher rates of heterosexual HIV transmission than vaginal intercourse 10 — 13 , women who engage in unprotected anal intercourse with sexual partners of unknown or seropositive status may be at greater risk for acquiring HIV than women who do not practice anal intercourse or who use protection while doing so. Additionally, Halperin 1 found that women who engaged in anal intercourse were less likely to use condoms during anal intercourse than during vaginal intercourse. Most studies of heterosexual HIV transmission fail to distinguish between vaginal and anal intercourse in their assessments of coital acts, thus continuing to overlook anal intercourse as a potential source of HIV transmission. This oversight may be due to cultural taboos surrounding anal intercourse, including its association with homosexuality and its perceived lack of hygiene 1.
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Illustrations by Sydney Couldridge The women Let me preface this by saying I grew up in a well-to-do family. In the beginning of my crack addiction I always swore to myself and to anyone who brought up the subject that I would never sell sex for money. Unfortunately, I was very naive and uninformed about the progression of addiction and I did not yet know what desperation felt like. I do not remember my first trick, but I do remember many. I have had sex with as many as 12 men in a day. The busiest times were early in the morning when white men in business suits were on their way to work, or during lunch time when they could sneak off for a quickie. It was always about the money to me and I was always in a hurry to get it over with.