IRMA Survey on Lubes Used for Anal Sex: Preliminary Results National HIV Prevention Conference December 3, 2007 - Atlanta Marc-Andr LeBlanc, IRMA Jim Pickett, IRMA Marjan Javanbakht MPH, PhD, UCLA Ryan Murphy MPH, UCLA Pamina Gorbach, M.H.S, Dr.P.H., UCLA Who we are, why we did this IRMA = 500 advocates and scientists from 38 countries on 6 continents united in support of research and development for safe and effective rectal microbicides for the women and men around the world who need them. Visit IRMWG.org. IRMA launched this survey because Need to test lubes for rectal safety Need to know most popular lubes Acceptabilty to inform development Survey Information Internet-based Survey Survey Monkey with e-promotion Ran 29 weeks: Feb 14th 2007 August 31st 2007 6 languages (EN/FR/SP/POR/GER/TUR) 8,945 Responses from 107 countries
6,273 reported AI within the past 6 months (70.1%) Analysis by UCLA And the survey says Most commonly used lubes for anal sex How lubes are used Preferred lube characteristics Useful for informing research & development and programming Demographics - Age Figure 1: Age distribuiton of web survery respondents reporting AI within the past 6 months (N = 6,248) 30 28.3 27.0 24.7 25 20.1 Percent (%) 20
15 10 5 0 < 25 25 - 34 35 - 44 Age Group 45 Demographics - Gender Figure 2: Gender distribution of web survey respondents reporting AI within the past 6 months (N = 6,246) Female, 6.9% Transgender, 1.3% Male, 91.9% Demographics - Region Figure 3: Geographic distribution of web survey respondents reporting AI within the past 6 months (N = 6,061) 80 70
69.6 Percent (%) 60 50 40 30 21.7 20 10 3.3 2.8 1.9 0.5 0.3 0 th or N a ic
er Am e op r Eu ti n La Am a /C a ic er n ea b rib ia As Region an ce O
ia a ric f A id M e dl s Ea t Demographics - Language Figure 4: Language distribution of web survey respondents reporting AI within the past 6 months (N = 6,273) 90 81.2 80 70 Percent (%) 60 50 40
30 20 12.1 10 3.0 1.7 1.0 1.0 Spanish Portuguese French German 0 English Turkish Language Caveats Given demographics, note influence of
Men (92%) English-language (81%) North America (70%) on broad overview of results. Condom use by sex act Figure 5: Condom use practices by sex act, am ong w eb survey respondents reporting AI w ithin the past 6 m onths Never Use/Change Condoms 60 50.9 Rarely/Often Use/Change Condoms 50 Always Use/Change Condoms 36.7 35.7 Percent (%) 40 28.7 30 34.8
37.1 28.1 27.7 20.4 20 10 0 Shared Anal Sex Toy (n=2,377) IAI (n=4,731) Sex Act RAI (n=5,053) Reasons for not using lubricant Figure 6: Reasons for not using lubricant, among web survey respondents reporting AI within the past 6 months (n=1,746) 60 56.9 47.7 Percent (%) 50 40
27.5 30 24.9 19.1 20 17.0 15.1 7.7 10 7.6 6.9 2.5 0 d se U liv Sa a
be Lu N o va tA b ila le e ef Pr ry D r se U d x Se be
Lu ed at ir c on C m do In a h us R rtn Pa e n ri a h us R d
se U gi a V u Fl l na id rt Pa ne ef R r e us d ld ou C Reasons for not using Lubricant
fo Af t no rd is D lik e be Lu er th O Flavor, color & smell preferences Figure 7: Preference for lubricant flavor, color, and smell among web survey respondents reporting AI within the past 6 months 100% 4.4 2.0 6.6
90% 80% Percent (%) 70% 60% 50% 95.6 98.0 Flavor (n=5,155) Color (n=5,089) 93.4 40% 30% 20% 10% 0% Lube Characteristic Preference for lube with characteristic Preference for lube without characteristic/does not matter Smell (n=5,092) Lubricant consistency
preference Figure 8: Lubricant Consistency Preference, among web survey respondents reporting AI within the past 6 months (n=5,104) 60 50 49.5 Percent (%) 40 36.5 30 20 14.0 10 0 Liquid Neither Consistency Thick Lubricant dispenser
preference Figure 9: Lubricant dispenser preference, among web survey respondents reporting AI within the past 6 months (n=5,043) 60 50 49.4 49.0 Percent (%) 40 28.2 30 21.0 20 13.0 10 9.9 0 Pop-up Lid Pump
Tube Single Use Packets Dispenser Type Screw-top/Snap- Disposable Tube off Lid Lubricant base preferences Figure 10: Lubricant Base Preference, among web survey respondents reporting AI within the past 6 months (n=5,034) 70 64.4 60 47.3 Percent (%) 50 40 30 20
13.3 8.1 10 2.7 0 Water Silicone Oil Lubricant Base Does Not Matter Other Does application of lube interrupt sex? Figure 11: Response to: Does the application of lube interrupt sex?, among web survey respondents reporting AI within the past 6 months (n=5,022) 60 52.8 50 41.4 Percent (%) 40
30 20 10 5.8 0 No Yes/Does not Bother Me Response Yes/Does Bother Me Substances added to lubricant Figure 12: Substances added to lubricant, among web survey respondents reporting AI within the past 6 months (n=5,005) 60 55.0 50 41.0 Percent (%) 40
30 20 8.5 10 6.2 4.2 0 None Spit/Saliva Water Substance Vaginal Fluid Other Conclusions Low condom use, but lube use is relatively common High acceptability of RMs formulated as lubes? No flavour, colour or smell
Consistency: Both thick and liquid Base: both water and silicone Take into account saliva, water and vaginal fluid Next Steps Finish analysis Age, gender, region, language Translation and qualitative analysis Most commonly used lubes Disseminate results Work with researchers to test lube safety and integrate findings around acceptability and preferred characteristics Using web-based surveys Reaches hidden or difficult-toreach populations Facilitates openness and disclosure on sensitive issues Low research costs BUT How representative? Limited to settings and populations that are online Deep appreciation to: UCLA for assistance with survey development and analysis IRMA members and partners
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