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Rectal douching among Peruvian men who have sex with men, and acceptability of a douche-formulated rectal microbicide to prevent HIV infection
  1. Janni J Kinsler1,
  2. Jerome T Galea2,
  3. Javier R Lama3,
  4. Patricia Segura3,
  5. Jesús Peinado3,
  6. Martin Casapia4,
  7. Abner Ortiz5,
  8. Carsten Nadjat-Haiem6,
  9. Silvia M Montano7,
  10. Jorge Sanchez3
  1. 1Department of Community Health Sciences, School of Public Health, University of California, Los Angeles, California, USA
  2. 2Program in Global Health, David Geffen School of Medicine, University of California, Los Angeles, California, USA
  3. 3Asociación Civil Impacta Salud y Educación, Lima, Peru
  4. 4Asociación Civil Selva Amazónica, Iquitos, Peru
  5. 5Asociación Civil Cayetano Heredia, Pucallpa, Peru
  6. 6Department of Anesthesiology, University of California, Los Angeles, Los Angeles, California, USA
  7. 7Department of Bacteriology, US Naval Medical Research Unit No.6, Lima, Peru
  1. Correspondence to Dr Janni Jacqueline Kinsler, UCLA School of Public Health, Department of Community Health Sciences, 650 Young Drive South, Los Angeles, CA 90095, USA; janni.kinsler{at}yahoo.com

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Rectal douching has attracted recent interest as a possible rectal microbicide (RM) formulation since many men who have sex with men (MSM) practice the behaviour prior to receptive anal intercourse (RAI).1 Acceptability research on rectal douches used by MSM found that if douches were available as an RM, MSM would be highly likely to use them when condoms were not used.2 This study reports on the practice of rectal douching, and the acceptability of a hypothetical RM formulated as a rectal douche among Peruvian MSM, a population with an estimated HIV prevalence of 12.2% compared with 0.61% in the general population.3

This retrospective study was based on data collected from a convenience sample of 824 MSM reporting RAI from three Peruvian cities (Lima, the Pacific coast capital, and the …

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