@article{PAR00023548,
  title = {{R}isk of fecal incontinence following receptive anal intercourse : survey of 21,762 men who have sex with men},
  author = {{G}arros, {A}. and {B}ourrely, {M}. and {S}agaon {T}eyssier, {L}uis and {S}ow, {A}. and {L}ydie, {N}. and {D}uchesne, {L}. and {H}iguero, {T}. and {D}amon, {H}. and {V}elter, {A}. and {A}bramowitz, {L}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {T}he prevalence of receptive anal intercourse ({RAI}) is increasing. {A} few studies, with heterogeneous designs, have investigated the associated risk of fecal incontinence ({FI}). {A}im: {T}he primary objective of this study was to determine {FI} prevalence in a population of men who have sex with men ({MSM}) engaging in {RAI}. {T}he secondary objective was to identify risk factors for severe {FI}. {M}ethods {O}utcomes: {A}n online survey of 24,308 {MSM} was performed in 2019. {D}emographic and socioeconomic data were collected, together with information about {RAI} sexual practices, and {FI} defined by: "{D}uring the last month, have you experienced any involuntary leakage of stools?" {R}esults {C}linical {I}mplications: {I}n total, 1,734 (8%) of the 21,762 participants reported {FI}. {M}ean age was 35.3 years. {T}he prevalence of {FI} was correlated with {RAI} frequency: 12.7% (if {RAI} >= 1 /wk) versus 5.7% (if no {RAI}). {I}n multivariate analysis, the factors associated with {FI} were age ({OR}: 1.01), low socioeconomic status ({OR} 1.32 to 1.40), {HIV}-seropositivity ({OR}: 1.78), high {RAI} frequency ({OR}: 1.64), chemsex ({OR}: 1.67) and fist-fucking ({OR}: 1.61). {S}trengths and {L}imitations: {M}ain strengths of our study are population size and assessment of detailed modalities of sexual practices. {M}ain limitations are the use of a convenience non-random sample and the assessment of {FI} only during the past month. {C}onclusion: {T}his study of a large {MSM} population, highlights risk factors for {FI} among {RAI} practices: {RAI} >= 1/wk, chemsex, fist-fucking, low socioeconomic status.},
  keywords = {{F}ecal incontinence ; {R}eceptive anal intercourse ; {M}en who have sex with men},
  booktitle = {},
  journal = {{J}ournal of {S}exual {M}edicine},
  volume = {18},
  numero = {11},
  pages = {1880--1890},
  ISSN = {1743-6095},
  year = {2021},
  DOI = {10.1016/j.jsxm.2021.07.014},
  URL = {https://www.documentation.ird.fr/hor/{PAR}00023548},
}