Very little is known about the detailed circumstances around or reasons for engaging in anal sex among under-18-year-olds anywhere, or what implications these might have for health. 16 17 Almost one in five 16–24 year-olds (19% of men and 17% of women) reported having had anal intercourse in the past year in a recent national survey in Britain. 12–14 It may be painful for women, 12 13 15 and may be a pleasurable part of sex for men and women. ![]() 5 Studies of anal practices, which are generally of over-18-year-olds, 10–12 suggest that anal sex might be desired by young men more than women and may be used to avoid pregnancy, 12 13 or vaginal intercourse during menstruation, 12 while often being unprotected with condoms. 1–4 Sexually explicit media depictions are often mentioned as affecting how sex is viewed and practised by young people, 5–7 with anal intercourse being one of the ‘high risk’ practices thought to be promoted by such media, 8 9 although evidence about the influence of pornography on anal practices is thin. ![]() Surveys suggest that young men and women-and older adults-are engaging in anal intercourse more than ever before. Anal sex is increasingly prevalent among young people, yet anal intercourse between men and women-although commonly depicted in sexually explicit media-is usually absent from mainstream sexuality education and seems unmentionable in many social contexts.
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