%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Garros, A.
%A Bourrely, M.
%A Sagaon Teyssier, Luis
%A Sow, A.
%A Lydie, N.
%A Duchesne, L.
%A Higuero, T.
%A Damon, H.
%A Velter, A.
%A Abramowitz, L.
%T Risk of fecal incontinence following receptive anal intercourse : survey of 21,762 men who have sex with men
%D 2021
%L PAR00023548
%G ENG
%J Journal of Sexual Medicine
%@ 1743-6095
%K Fecal incontinence ; Receptive anal intercourse ; Men who have sex with men
%M ISI:000719252500010
%N 11
%P 1880-1890
%R 10.1016/j.jsxm.2021.07.014
%U https://www.documentation.ird.fr/hor/PAR00023548
%V 18
%W Horizon (IRD)
%X Background: The prevalence of receptive anal intercourse (RAI) is increasing. A few studies, with heterogeneous designs, have investigated the associated risk of fecal incontinence (FI). Aim: The primary objective of this study was to determine FI prevalence in a population of men who have sex with men (MSM) engaging in RAI. The secondary objective was to identify risk factors for severe FI. Methods Outcomes: An online survey of 24,308 MSM was performed in 2019. Demographic and socioeconomic data were collected, together with information about RAI sexual practices, and FI defined by: "During the last month, have you experienced any involuntary leakage of stools?" Results Clinical Implications: In total, 1,734 (8%) of the 21,762 participants reported FI. Mean age was 35.3 years. The prevalence of FI was correlated with RAI frequency: 12.7% (if RAI >= 1 /wk) versus 5.7% (if no RAI). In 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). Strengths and Limitations: Main strengths of our study are population size and assessment of detailed modalities of sexual practices. Main limitations are the use of a convenience non-random sample and the assessment of FI only during the past month. Conclusion: This study of a large MSM population, highlights risk factors for FI among RAI practices: RAI >= 1/wk, chemsex, fist-fucking, low socioeconomic status.
%$ 050 ; 056