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This Article Full Text Full Text (PDF) An erratum has been published All Versions of this Article: AJPH.2007.123752v1 AJPH.2007.123752v2 99/6/1131    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Google Scholar Articles by Lescano, C. M. Articles by Silver, B. J. PubMed PubMed Citation Articles by Lescano, C. M. Articles by Silver, B. J. Related Collections HIV/AIDS Adolescent Health Prevention Sexual Health

Celia M. Lescano, PhD, Christopher D. Houck, PhD, Larry K. Brown, MD, Glenn Doherty, BA, Ralph J. DiClemente, PhD, M. Isabel Fernandez, PhD, David Pugatch, MD, William E. Schlenger, PhD and Barbara J. Silver, PhD

Celia M. Lescano, Christopher D. Houck, and Larry K. Brown are with the Bradley Hasbro Children's Research Center, Providence, RI, and the Warren Alpert Medical School of Brown University, Providence. At the time of the study, Glenn Doherty was with the Bradley Hasbro Children's Research Center, Providence. Ralph J. DiClemente is with Emory University, Atlanta, GA. At the time of the study, M. Isabel Fernandez was with the University of Miami, Miami, FL. At the time of the study, David Pugatch was with Rhode Island Hospital, Providence. At the time of the study, William E. Schlenger was with the Research Triangle Institute, Research Triangle Park, NC. Barbara J. Silver was with the Substance Abuse and Mental Health Services Administration, Rockville, MD.

Correspondence: Requests for reprints should be sent to Celia Lescano, Bradley/Hasbro Children's Research Center, One Hoppin St, Suite 204, Providence, RI 02903 (e-mail: clescano{at}lifespan.org).

Objectives. We sought to learn what factors are associated with anal intercourse among adolescents and young adults. We examined demographic, behavioral, relationship context, attitudinal, substance use, and mental health correlates of recent heterosexual anal intercourse among adolescents and young adults who reported engaging in recent unprotected sex.

Methods. Among 1348 at-risk adolescents and young adults aged 15 to 21 years in 3 US cities, we assessed sexual risk behavior with each sexual partner in the past 90 days. Data were collected from 2000 to 2001.

Results. Recent heterosexual anal intercourse was reported by 16% of respondents. Females who engaged in anal intercourse were more likely to be living with a sexual partner, to have had 2 or more partners, and to have experienced coerced intercourse. For males, only a sexual orientation other than heterosexual was a significant predictor of engaging in heterosexual anal intercourse.

Conclusions. Our findings document the prevalence of heterosexual anal intercourse among adolescents and young adults who had recent unprotected sex. Among females, the variables associated with anal intercourse relate to the context and power balance of sexual relationships. Different influences for males and females suggest different foci for interventions.

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