title: Rectal Douching Prevalence and Practices Among Peruvian Men Who have Sex with Men and Transwomen: Implications for Rectal Microbicides.
abstract: Peruvian men who have sex with men (MSM) and transwomen (TW) could benefit from a rectal microbicide (RM) formulated as a rectal douche to prevent HIV infection. However, little is known about rectal douching practices among Peruvian MSM and TW, information necessary to inform RM douche development and future uptake. Using a self-administered interview, we examined the prevalence of and factors associated with rectal douching among a convenience sample of 415 Peruvian MSM and 68 TW. In the previous 6 months, 18 % of participants reported rectal douching using pre-filled commercial kits or plastic bottles or enema bags filled with water, water/soap or saltwater. Multivariate logistic analysis found that "equally insertive and receptive" or "exclusively/mainly receptive" sex roles were associated with douche use. Rectal douching among Peruvian MSM and TW is similar to reports from other studies and supports the potential uptake of a douche-formulated RM in these populations.
authors.affiliation: Socios En Salud, Lima, Peru. jerome.galea.09@ucl.ac.uk.|Epicentro Salud, Lima, Peru. jerome.galea.09@ucl.ac.uk.
authors.forename: Jerome T
authors.initials: JT
authors.lastname: Galea
authors.affiliation: Department of Community Health Sciences, School of Public Health, University of California, Los Angeles, CA, USA.
authors.forename: Janni J
authors.initials: JJ
authors.lastname: Kinsler
authors.affiliation: The Fenway Institute, Fenway Health, Boston, MA, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: McLean
authors.affiliation: Epicentro Salud, Lima, Peru.
authors.forename: Gino
authors.initials: G
authors.lastname: Calvo
authors.affiliation: Epicentro Salud, Lima, Peru.
authors.forename: Hugo
authors.initials: H
authors.lastname: Sánchez
authors.affiliation: Socios En Salud, Lima, Peru.|Laboratory of Sexual Health, Universidad Peruana Cayetano Heredia School of Public Health, Lima, Peru.
authors.forename: Segundo R
authors.initials: SR
authors.lastname: Leon
authors.affiliation: Center for Healthy Communities, School of Medicine, University of California, Riverside, CA, USA.
authors.forename: Brandon
authors.initials: B
authors.lastname: Brown
mesh_terms: D000328:Adult; D000890:Anti-Infective Agents / Q000008:administration & dosage*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D018451:Homosexuality, Male / Q000208:ethnology / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010568:Peru; D015995:Prevalence; D000072339:Sexual and Gender Minorities / Q000706:statistics & numerical data; D007507:Therapeutic Irrigation / Q000706:statistics & numerical data*; D063106:Transgender Persons / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D000890:Anti-Infective Agents
keywords: Enema; HIV; MSM; Microbicide; Rectal douche; Transwomen