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Relationship characteristics associated with anal sex among female drug users. African American, Group 1 It was me and my husband. But that is exactly what she is not.

Married Woman First Time Anal

Four focus groups which comprised women from diverse ethnicities were conducted. All groups were digitally recorded for transcription; transcripts were analyzed using the methods of grounded theory to determine themes. Positive physical experiences included liking the sensation. Introduction Recent interest in heterosexual anal intercourse has been generated from several research perspectives. In the United States, general population surveys have suggested that the prevalence of anal intercourse among heterosexuals has increased over time Leichliter. Several studies have quantified the increased risk of heterosexual transmission from one act of anal intercourse as compared to one act of vaginal intercourse Boily et al. Research with women who have male partners recently released from jail or prison has also yielded high rates of anal intercourse Bland et al. There is also research literature on heterosexual anal intercourse among drug-using subsamples, which has found a relationship between anal intercourse and both injection and non-injection drug use Bogart et al. While this growing body of literature suggests that anal intercourse among heterosexual women may be more prevalent than previously assumed particularly among drug-abusing samples of womenthere is currently very little information about why these women are engaging in anal intercourse. Bandura stated that human behavior is learned from watching and interacting with other human beings. Women may learn about anal intercourse through male sex partners, and then they may suggest anal intercourse with new sex partners for a variety of reasons, including a desire to be responsive to his desires or because she has learned to like anal intercourse from the experience with a previous sex partner. Through these traditional gender roles and sexual scripts e. Gender and power theory, which focuses on the sexual division of labor, sexual division of power, and social norms associated with relationships between men and women, may also inform our understanding of heterosexual anal intercourse Connell. Their model includes alcohol and drug use and high-risk steady partners who have been linked to anal intercourse. The current study sought to examine why heterosexual women engage in anal intercourse. Due to the limited nature of previous research on this topic, we opted for a more exploratory approach aimed at uncovering the broad range of reasons that women had for engaging in anal intercourse. Method Focus group methods were selected to uncover the wide range of reasons that drug-abusing women may have for engaging in heterosexual anal intercourse. Focus groups are particularly well suited for uncovering a full range of opinions, experiences, or concerns about a topic Krueger. Focus groups were also preferred by the participating outpatient drug treatment program because participants were familiar with group activities and settings. The majority had participated in some form of outpatient drug treatment, but some of the women had never received formal treatment for their drug use. Further questioning revealed that all of the participants had had anal intercourse, but some did not count it as such if the man did not ejaculate or if the woman insisted he withdraw because of pain. The focus groups were constituted so that all the women in each group were of the same ethnicity; group 1 was African American, group 2 was Latina, and group 3 was White, but group 4 was mixed with approximately equal proportions of African American and White women. Upon arrival at the focus group location, participants were first informed about the nature of the study and all associated risks and benefits. The second stage consent process required the women to give separate consent to have the focus group digitally recorded for later transcription and coding. Only women who were willing to consent at both stages, that is, to participate in the focus group and to allow the group to be recorded, participated in the final focus groups. None of the women refused to be audio taped. Women then answered a brief demographic questionnaire that elicited information on their age, self-reported ethnicity, and the number of biological children, whether they had had oral, vaginal, and anal intercourse at any point in their lifetime, and whether their last sexual encounter was with a man or a woman. The demographic questionnaire was followed by a description of focus group procedures and ground rules. Following the recommendations of Kruegerthe focus group protocol consisted of five generally worded questions about heterosexual anal intercourse with male partners, how often it had occurred in their lifetime, the frequency of anal intercourse with their current or most recent sexual partner, the context in which the anal intercourse event took place type of partner, such as new, casual, and regularthe role of alcohol and illicit substances in facilitating the anal intercourse, and other relevant characteristics of the male partners known to be bisexual, women looking for anal incarceration history and any other information the women were willing to provide concerning the anal intercourse event itself e. Participants were allowed to respond spontaneously to each question and were not required to seek permission to speak or speak in a designated order. Although each participant was not required to answer each question, the facilitator did encourage participation from all women and made efforts to elicit diverging perspectives. In the second phase, a constant comparison method was used to group and organize the marginal codes conceptually. This inductive process resulted in a hierarchically organized codebook containing codes and subcodes that emerged from the data itself. In the third phase, Dedoose was used to mark excerpts from the transcripts. Excerpts were identified both conceptually based on the beginning and ending of a distinct idea and contextually including all necessary information for accurate interpretation. The codebook was then uploaded to Dedoose and used to assign applicable codes to the excerpts. Dedoose was used to assess inter-rater reliability utilizing a random selection of one-third of the excerpts created by the second author. In most cases, disagreements involved omissions. This occurred when one person applied a code that was overlooked by the other person. When these omissions were counted as disagreements, the kappa coefficient was. When these omissions were left out of the calculations, kappa increased to. All omissions and discrepancies were then discussed by the coders, and a consensus approach was used to assign final codes. Each of these codes and sample quotes are described in detail below. Results The primary goal of the current study was to uncover a wide range of reasons as to why heterosexual, drug-abusing women engage in anal intercourse. Results related to each of these research questions are described in more detail below. Every time I have had anal sex it was because I was either extremely drunk or extremely loaded; every time I have had anal sex I was on drugs. Or you made the trip and you go into a motel and you bring all your stuff and you get high and then you are going to have sex. White, Group 3 Well most everyone that I know where I came from, homeless, which was under the freeway…everyone is kinky down there, you know. African American, Group 1 In other cases, the women described drugs as making them do something they would not ordinarily do, suggesting that they were only willing to engage in anal intercourse when they were high enough to overcome their inhibitions and personal boundaries: Cocaine makes us do what we would usually not do. So, you know, when you start using drugs and shit, it makes you do shit… you have certain boundaries and morals set and it makes you go beneath that. Latina, Group 2 Let me women looking for anal you, crack will make some people do anything…sell your baby, sell you. No, crack will make you do anything. African American, Group 1 Still others explained that having anal intercourse without using substances would be too painful so they are only willing to have anal intercourse when they are high: It was the women looking for anal that was the main thing that made me. Thus, while the woman may have granted permission implicitly by not refusing outright, anal intercourse was not something she decided to do in any conscious way. It got to be where he started doing this on a regular basis. And I guess because I did not speak up for myself, he really started taking advantage of me. He started doing it women looking for anal me in my booty—painfully. I suffer from depression and certain stuff like that. In some of these cases, women simply described engaging in anal intercourse because they personally enjoy it: I do it for enjoyment. It was done to express our love for one another and I wanted to like do more. I wanted to do anything I can. I wanted the ultimate workout and he gave it to me. African American, Group 1 It has been my choice, you know…like, this is what I want, you know. I only like it in one certain position, so when it does happen, I am in control of how we do it because it is my body, you know. For example, some of the women agreed to have anal intercourse in exchange women looking for anal money: I tried it a couple of times, but I got paid a very large amount of money. African American, Group 1 Others agreed to have anal intercourse in exchange for drugs: I was so cracked out in the game that I knew I was going to get a hit when he got through. I am going to get a big hit when I get through. And I became his woman because he had the dope. Women looking for anal American, Group 1 It was me and my husband. We thought about it and then we went on ahead and did it. African American, Group 4 In other cases, the women themselves offered to have anal intercourse in an attempt to please their partner: Like I tried it just to please my dude. White, Group 3 I want to be the type of woman who does satisfy my man in any way…whatever desires he has. No, no, my coochie way up here. African American, Group 1 We were doing regular sex and then he ask me for my booty. And he said, well, let me give you a massage. And I was like, yeah, I got sore legs. Go ahead and give me a massage. He put lotion on my legs and massaged them on up and up my thighs. And he got to the booty and massaged it. Then he was real smooth with it. I said, oh, this motherfucker has experience with this thing. African American, Group 1 In other cases, the encounter was a violent attack: No condoms. He would flip me and put me in a choke hold, I could hardly breathe, you know. African American, Group 1 The very first two times I ever had sex I was raped and I was sodomized. From a medical standpoint, I think anal sex is very dangerous because once the tissue breaks, it women looking for anal straight to the bloodstream. African American, Group 1 It is risky and I think it is because they be so excited that you have to slow them down…you have to slow them down and let them know, hey, you know, this is a little bit different. Latina, Group 2 I know from my personal experience, um, the last person that I was with, um, well, I had anal sex with him. And I had like lots of sex with him. But it was all under the influence. But, um, I put myself at risk with him, cause, uh, I found out that he has had like multiple partners of both sexes. I take it, like, if I get it, I get it. If I get that cold, I get it, and I suffer the consequences. We were dating and my first time was with him. But I mean, I kept on going back to him, running back to him, running back to him. Personally, I like it; I wanted the ultimate workout and he gave it to me; I do like to have my salad tossed. Latina, Group 2 This suggests that most of the women in these focus groups found vaginal intercourse to be more enjoyable than anal intercourse. White, Group 3 Catch me on my come down. I love to fuck on my come down. That is like the best sex ever. Latina, Group 2 It was also clear that specific contexts or circumstances were typically required in order for the women to enjoy the experience. African American, Group 1 I mean, to me it was pleasurable. But, like I said, we used a condom and a lubricant. And we took our time, you know. You have to totally, totally, totally relax. I hate anal sex, it is very painful. African American, Group 1 My experience was like, as soon as this motherfucker got done fucking me in the ass, I had to go to the toilet. Then, when I took a shit, I wiped my shit and there was blood on the fucking thing. For real, for real, my saying to this day is exit only. African American, Group 1 Still others felt emotionally humiliated by the experience. To me, I not only felt sore, but it was demoralizing. It felt like I did something wrong. White, Group 3 While some of the women simply expressed discomfort or distaste for anal intercourse, others described specific circumstances that contributed to their dislike of anal intercourse. Because the one time that I did do it, I was drunk and it was fucking shoved in and it hurt. And I was like, it was women looking for anal bad. They just want to do it without…they push you all hard instead of going soft…They are focused on themselves and what they want and not, not realizing that it will hurt us more than them. Even with the lubricant, it was just too much. Discussion The current study sought to understand why heterosexual women engage in anal intercourse, their perceptions of risks associated with anal intercourse, and their physical and emotional reactions to anal intercourse. This current study also found a relationship between anal intercourse, substance use, and sexual pleasure among women. Other reasons noted by the women were that they desired anal intercourse; they wanted to please their partner; they wanted to avoid vaginal sex; the situation was an exchange or quid pro quo one; and situations where the woman did not specifically consent, either because of low self-esteem or coercion. Even in consensual situations, we found that the majority of anal intercourse episodes reported on in this study were initiated by the men, in some cases surprising the women, who either did not expect anal intercourse during the specific encounter or had never done it before. Several women said that the men wanted to have anal intercourse with them in order to initiate them into something they had never experienced before. In our study, several women endorsed the idea that their male partners wanted to facilitate women looking for anal experience for the women that they had never had before and that anal intercourse was one such new, perhaps exotic experience. The idea of anal sex being women looking for anal for special partners contradicts findings of Mackesy-Amiti et al. Our findings also suggest that a substantial minority of participants never actively consented to having anal intercourse verbally and explicitly. The explicit use of verbal consent on the part of women may reflect a traditional conceptualization of women as sexual gatekeepers and provides support for the role of traditional sexual norms influencing heterosexual anal intercourse behavior. Work by Jozkowski and Peterson reported that a small minority of college-aged men used deception for both vaginal and anal intercourse. Malamuth noted that some men are willing to engage in aggressive, even coercive sexual behavior, especially if they are unlikely to be caught. The women may have been less likely to overtly refuse the anal intercourse if she was under the influence of drugs. Harawa, Leng, Kim, and Cunningham reported that more African Americans spend greater parts of their lives single not married or cohabitating than do Whites or Latinos, and this is especially true for women. Previous research has found that this lack of partners leads to African American women engaging in and accepting condom-less sex, thus lending support for gender and power frameworks to inform our understanding of anal intercourse. Our results indicate that women might consent to anal intercourse because of these same factors. Results suggested that a substantial number of the women perceived anal intercourse to be risky after the fact, but a variety of situational factors deterred from women looking for anal ability to view anal intercourse as risky in the moment, including being in the heat of the moment, trusting their partners, and substance use. The research literature makes clear distinctions between risks among men who have sex with men from insertive anal intercourse compared to receptive anal intercourse, but the women did not. Findings from the current study suggest that only a handful of the participants actually enjoyed anal intercourse. Pain as an insurmountable barrier to anal intercourse is consistent with the study by Stulhofer and Adkukovic. Even among the participants who did seem to enjoy anal intercourse, most expressed an explicit preference for vaginal intercourse over anal intercourse and described several specific factors which needed to be in place for them to enjoy the anal intercourse experience. Women who enjoyed anal intercourse specified the need for a partner who was experienced in the use of lubricants and who used them to make anal intercourse more pleasurable for the women. Conversely, women with male partners who were more egocentric about their own needs, or lacking experience with lubricant use, or both, during the encounter almost unanimously described the encounter as painful. Limitations The current study has limitations worth noting. First, as with many qualitative approaches, the sample size was small. Focus groups are well suited to identifying the range and limits of a specific experience. But it is important to remember the limits of focus group data. While focus groups are very good at uncovering the range of experience, they are not good at uncovering how common any one experience might be. This is because not every person was asked or required to answer every question. Participation was also limited to English-speaking women, and participants were low-income women. Additionally, the women were willing to discuss a stigmatized behavior in a focus group setting. Therefore, this study does not necessarily represent the views of women who may feel uncomfortable discussing anal intercourse in a group setting. There was also a methodological finding in this study concerning how questions about anal sex and anal intercourse are phrased. A small number of women gave contradictory answers to the screening questions concerning penile-anal penetration and anal intercourse. This suggests that questions must be carefully worded when studying this behavior. Conclusion This study provides insight for understanding how women perceive receptive anal intercourse with male partners women looking for anal why they engage in anal intercourse. Future research should focus on two of the findings from this study. What constitutes consent for a new experience such as anal intercourse, the first time it happens. Or when it is unplanned and not discussed prior to engaging in sexual activity. Whether the most recent experience of anal intercourse is negative or positive may determine whether the woman will engage in anal intercourse in the future, but does not really answer the question as to whether she consented to it the first time. Given the potential health risks from anal intercourse, further inquiry into this sexual behavior is warranted. American Journal of Preventive Medicine, 37, 468—471. Social foundations of thought and action: A social cognitive theory. Sexual risk among injection drug users recruited from syringe exchange programs in California. Gender and power: Society, the person, and sexual politics. Stanford: Stanford University Press; 1987. Structure of gender stereotypes: Interrelationships between components and gender label. Journal of Personality and Social Psychology. Condom use among young women: Modeling the theory of gender and power. Recreational Viagra use and sexual risks among drug abusing men. American Journal of Infectious Diseases. Doing grounded theory: Issues and discussions. Anal intercourse among young heterosexuals in three sexually transmitted disease clinics in the United States. Journal of Acquired Immunodeficiency Syndromes. Journal of the National Medical Association. The drive for sexual equality. Prevalence and correlates of heterosexual anal intercourse among clients attending public sexually transmitted disease clinics in Los Angeles County. College students and sexual consent: Unique insights. A gender discrepancy analysis of heterosexual sexual behaviors in two university samples. Journal of Community Health, 38, 1157—1165. American Journal of Public Health. Focus groups: A practical guide for applied research. Heterosexual anal sex: Part of an expanding sexual repertoire. Heterosexual transmission of human immunodeficiency virus: Variability of infectivity throughout the course of infection. Rape and seduction scripts of university students: Implications for rape attributions and unacknowledged rape. Sexual and injection risk among women who inject methamphetamine in San Francisco. Relationship characteristics associated with anal sex among female drug users. The attraction to Sexual Aggression Scale: I 1989 Journal of Sex Research. Heterosexual anal sexuality and anal sex behaviors: A review. Sexual risk behaviors among African American and Hispanic women in five counties in the southeastern United States: 2008—2009. Qualitative data analysis: A sourcebook of new methods 2nd ed. Relationship power as a mediator of intimate partner violence and mental health issues among incarcerated, substance-using women. International Journal of Offender Therapy and Comparative Criminology. Sexual behavior and selected health measures: Men and women 15—44 years of age, United States, 2002. A meta-analytic review of research on gender differences in sexuality. Heterosexual anal intercourse, health risks and drug use: A review with special attention to drug users. Heterosexual anal sex among female drug users: U. Heterosexual anal intercourse among Black and Latino adolescents and young adults: A poorly understood high-risk behavior. Doing gender in the bedroom: Investing in gender norms and the sexual experience. Personality and Social Psychology Bulletin. Sexual scripts: Permanence and change. Heterosexual vaginal and anal intercourse amongst London heroin and cocaine users. Sexually transmitted infections, sexual risk behavior, and intimate partner violence among African American adolescent females with a male sex partner recently released from incarceration. International Perspectives on Sexual and Reproductive Health. Methamphetamine use and risky sexual behaviors during heterosexual encounters.

White, Group 3 While some of the women simply expressed discomfort or distaste for anal intercourse, others described specific circumstances that contributed to their dislike of anal intercourse. African American, Group 1 The very first two times I ever had sex I was raped and I was sodomized. Her willingness to do that for you is a big turn-on. But there's also a big chance you'll come across a profile and see someone you know, it could be a secretary from your work, a girl you remember from high school or your ex-girlfriend. It feels great to us, we both cum super fast once we start that, and simultaneously finishing at the same time your partner does is such a good feeling. We thought about it and then we went on ahead and did it. So do whatever works for you to get yourself feeling fantastic. Journal of Acquired Immunodeficiency Syndromes.