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Additionally, condom use is uncommon during hai, with some studies indicating that condom use during hai is less common than condom use during vaginal sex (13, 14). It is important to characterize the groups with higher prevalence of this behavior, and, among those who are engaging in this behavior, what appears to influence condom use, in order to better tailor prevention messages. Anal sex is currently a hot topic of discussion for it is increasingly prevalent among young men and women, and older adults. 1 in 2007, a study based on the national survey of family growth (nsfg), found that one-third of u. 2 in the study, starting from the age 15, the percentage of participants reporting heterosexual anal sex. The use of pre-exposure prophylaxis for hiv prevention among men who have sex with men has doubled each year since 2012. given that condom use during oral and anal sex (625 for men and 616 for women, respectively) was lower than condom use for vaginal sex, it is possible that condoms are typically used as birth control rather than sti prevention or that the low rates of condom use may be related to a lack of education about the sti-related risks associated with anal and oral sex. Prevalence of anal intercourse among heterosexuals varies depending on the population, with more recent studies documenting higher prevalence. 7 it is estimated that between 25-38 of men and 16-33 of women have engaged in heterosexual anal intercourse in their lifetimes, 8,9 and prevalence of recent heterosexual anal sex ranges from 30-74 among populations considered at high risk for hiv. more explicit aids education may be necessary which acknowledges that anal intercourse is practised by heterosexuals and advises condom use accordingly. Pip this study examined condom use among those practicing anal intercourse. Unprotected anal intercourse is a well-described risk factor for hiv and sexually transmitted diseases (stds) among men who have sex with men, 1 but fewer studies have investigated its importance as a risk factor in heterosexuals. According to a recent us population estimate, one third of adults and adolescents have ever engaged in anal intercourse and few (25 of men and 16 of women.). Men who have sex with men (msm) represent a minority of the u. 3 1 to 13 2) and most (95) report having engaged in anal intercourse (ai) 3. E and correlates of heterosexual anal and oral sex, associated condom use, and having multiple partners among men and women 15-44 years. Results approximately one-third of women and men had ever engaged in anal sex including 11 of adolescents (15-19 years). Most women and men had ever received or given oral sex, at 75. 16 found that condom use for heterosexual anal sex was low this finding is supportive of previous research. 89,19 condoms were not used for majority of episodes of heterosexual anal sex63 of participants never used condoms for anal sex and only 28 of those who engaged in heterosexual anal sex consistently used condoms during anal sex.