Frequent use of lubricants for anal sex among men who have sex with men: The HIV-prevention potential of a microbicidal gel.
Carballo-Dieguez A, Stein Z, Saez H, Dolezal C, Nieves-Rosa L, Diaz F.
Int Conf AIDS. 2000 Jul 9-14; 13: abstract no. WePeA4108.
A. Carballo-Dieguez, 1051 Riverside Drive, Unit 15, New York, NY 10032, United States, Tel.: +1 212 543 52 61, Fax: +1 212 543 60 03, E-mail: ac72@columbia.edu
Background: In New York City, U.S., an area with high prevalence of HIV infection among men who have sex with men (MSM), Latino MSM engage in high levels of sexual risk behavior. Our objective was to assess frequency of rectal lubricant use, opinions concerning rectal microbicidal gels, and willingness to participate in acceptability trials of rectal microbicides among Latino MSM. Methods: Latino MSM (N = 307) living in New York City were surveyed. Additionally, 11 Latino MSM participated in a focus group. Results: During the prior year, 93% of the men surveyed engaged in anal sex, 43% used condoms inconsistently or not at all, and 26% reported intrarectal ejaculation. Respondents had a median of 5 sexual partners and a median of 49 sexual occasions in the prior year. Among those having anal sex, 93% used lubricants (59% always and 74% in at least 80% of sexual encounters) regardless of condom use. Of the 29 men who practiced anal sex but did not use condoms, 90% used lubricants (55% always and 72% on 80% or more of the encounters). Of those using lubricants, 94% employed at least one teaspoon per occasion. A transparent product, free of smell and taste was favored. Of MSM in the sample, 92% said they would use a lubricant with an anti-HIV microbicidal agent, and 87% expressed interest in participating in an acceptability trial. Product and dispenser preferences were also discussed. Conclusions: A rectal lubricant with microbicidal properties appears acceptable and desirable to this population, thus presenting an alternative weapon for HIV prevention that requires immediate attention.

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