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Health care providers, and specifically sexual health providers, should screen heterosexual women for unprotected anal intercourse and counsel them on the increased STD and HIV risk of this type of intercourse, despite the lack of pregnancy risk. The authors thank Blayne Cutler, James Hadler, Paul Kobrak, and Monica Sweeney for reviewing earlier drafts of this article and also acknowledge the contributions of the field staff. Our goal in this study was to account for these limitations by examining unprotected anal intercourse specifically in a group of high-risk heterosexual women with high susceptibility to HIV and STD infection. Nevertheless, HIV infection was independently associated with a self-reported STD diagnosis in this analysis and prevalent herpes simplex virus type-2 infection in another recent analysis from this study H Hagan, SM Jenness, T Wendel, et al. Sexually transmitted diseases treatment guidelines, Accessed April 28, Heterosexual anal intercourse:
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