Exploring Genitoanal Injury and HIV Risk Among Women: Menstrual Phase, Hormonal Birth Control, and Injury Frequency and Prevalence

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Bridgette M BrawnerJamison D Fargo

Abstract

Genital, anal, and oral injuries sustained from sexual intercourse may explain HIV transmission among women. We determined the variability in genitoanal injury frequency and prevalence in women after consensual sexual intercourse, exploring the role of menstrual phase and hormonal birth control. We used a longitudinal observational design with a convenience sample of 393 women aged 21 years and older. Participants had a baseline interview with gynecological examination, followed by consensual sexual intercourse with a male partner and a second gynecological examination. We analyzed injury prevalence with logistic regression and injury frequency with negative binomial regression among women who were (1) menstrual, not using hormonal birth control, (2) menstrual, using hormonal birth control, or (3) menopausal. We also compared injury among menstrual women in the follicular, ovulatory, and luteal phases. Women using hormonal birth control had 38% more external genitalia injuries [adjusted rate ratio (ARR) = 1.38, P = 0.030] and more than twice the anal injuries (ARR = 2.67, P = 0.005) as the nonhormonal birth control menstruating group. Menopausal women had more than 3 times the anal injuries (ARR = 3.36, P = 0.020) than those in...Continue Reading

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Citations

May 4, 2017·American Journal of Reproductive Immunology : AJRI·Annette AldousMimi Ghosh
Sep 19, 2019·Revista brasileira de enfermagem·Anna Cláudia Freire de Araújo PatrícioJiovana de Souza Santos
Oct 12, 2016·AIDS Research and Human Retroviruses·Kristen A PorterFulvia Veronese
Feb 5, 2021·Culture, Health & Sexuality·Gabriella Y JacksonAnne M Teitelman
Mar 4, 2021·Journal of Forensic and Legal Medicine·Marilyn S Sommers, Jamison D Fargo
Mar 16, 2021·Current HIV/AIDS Reports·Marta Rodriguez-GarciaMimi Ghosh
Apr 25, 2021·American Journal of Reproductive Immunology : AJRI·Annette M AldousMimi Ghosh
Jun 3, 2021·American Journal of Reproductive Immunology : AJRI·Janine JewanrajLenine J P Liebenberg

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