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Each focus group was scheduled on a different day and time to maximize participation, but all focus groups were conducted at both the community-based drug treatment and the HIV/STI testing center from which the women had been recruited. 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. The overall conclusions are that women who are willing to engage in anal sex tend to be more adventurous, more sensual, more relaxed in bed, and thus, more orgasmic. Even those women who found pleasure in AI expressed a preference for vaginal intercourse. 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. 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. All of the women answered “Yes” to the question “Have you ever in your life had receptive anal sex (your partner’s penis in your butt/anus)” during the initial screening procedures, but only 73 % reported having receptive penile-anal intercourse on the brief questionnaire administered immediately prior to the focus groups.

Women were invited to participate in the focus groups if they were at least 18 years of age and acknowledged having had anal intercourse with a man during a previous interview at CBRS and had past experience of illicit drug use. The second stage consent process required the women to give separate consent to have the focus group digitally recorded for later transcription and coding. The dedication to the craft and the passion for music drive the creative process. Those who passed the group’s vetting process were expected to commit to a daily exercise programme, the details of which were published in a closed group on the encrypted chat app Wickr. Women who met the screening criteria described above were invited to participate through a verbal invitation, a flyer, and/or a letter, and were offered $50 cash as an incentive. Across Africa, and the world, lack of access to menstrual hygiene products due to high cost or because they’re not available in rural or remote areas has had a huge impact on millions of women. This worked well in my game-plan because we were left squeezed together in the confined areas of the bus where personal distance is a thing of the past.

Past experience with AI including emotional and physical reactions was identified. In the 1950s, experience was reported by fewer than 15 percent of the population. But more than half of women who have had receptive anal sex describe it as an unpleasant experience they probably wouldn’t repeat. Women’s reasons for engaging in anal intercourse with a male partner can be described in broad categories including that the women wanted to have anal intercourse, either because of their own desire, to please a male partner, or they were responding to a quid pro quo situation. For those who have spaces and they feel that they can accommodate everything, it would be a good consider having a pool. I’ve found that there’s nothing more relaxing than sitting on a bench next to my garden and listening to my fountain while I read a good book or do some studying. But some days are better than others, some weeks better than others, and I can be satisfied with how I’m juggling things while also acknowledging I’m usually juggling more in better times. It’s one of the biggest cryptocurrencies and most popular digital assets, so you can buy it on practically any crypto trading platform.

Not necessarily. There is no evidence that once a couple fulfills one fantasy or desire, a burning desire emerges for another. 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., 2009; Leynaert, Downs, & de Vincenzi, 1998; Powers, Poole, Pettifor, & Cohen, 2008). The increased risk of HIV transmission through anal intercourse has been well documented in studies of homosexual and bisexual men; however, there has only recently been interest in documenting comparable risks among heterosexual samples. Interest in anal intercourse has also come from research in human immunodeficiency virus (HIV) transmission. All participants were recruited through an outpatient drug treatment program and a community-based HIV and sexually transmitted infections (STI) testing program; the testing program was located at the Center for Behavioral Research and Services (CBRS), an organized research center of the California State University, Long Beach (CSULB). Informed consent was a two-stage process: women consented first to participate in the focus group and signed an informed consent form approved by the CSULB Institutional Review Board. Many of the women also endorsed positive emotional experiences of AI, including that it was more intimate than vaginal sex, and that it was something they reserved only for special partners.

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