Differences in Perceptions of What Constitutes Having “Had Sex”: METHODS
The data were collected from surveys completed between November 2003 and February 2004, among HIV-infected individuals receiving medical and social services from a nonprofit AIDS service organizations in Dallas, TX. Over the three-month period, 279 unduplicated patients presenting for routine medical care completed surveys.
Patients were given a survey that they completed in the privacy of the medical examination room prior to their physician visit. Patients were instructed to answer each question “yes” or “no,” and return the survey to clinic staff at the end of the medical appointment. Each survey was completed in a single session and reviewed for completeness by trained agency staff. Data were assessed by Chi-squared analysis.
The survey was an adaptation of the instrument developed by Sanders and Reinisch. One additional behavior was included and one slightly altered in order to differentiate between insertive and receptive anal intercourse. The additional behavior was then arranged randomly among the questions to avoid the perception of a hierarchy. For each behavior, percentages were determined by gender and ethnic category as well as for the overall sample. The survey instrument read: “Would you say you ‘had sex’ with someone if the most intimate behavior you engaged in was … (mark ‘yes’ or ‘no’ for each question):”
A) person had oral (mouth) contact with your breasts or nipples?
B) you touched, fondled or manually stimulated a person’s genitals?
C) you had oral (mouth) contact with a person’s breasts or nipples?
D)your penis in a person’s anus (rectum)?
E) penile-vaginal intercourse (penis in vagina)?
F) you touched, fondled or manually stimulated a person’s breasts or nipples?
G) a person had oral (mouth) contact with your genitals?
H) you had oral (mouth) contact with a person’s genitals?
I) deep kissing (French or tongue kissing)?
J) a person’s penis in your anus (rectum)?
K) a person touched, fondled or manually stimulated your breasts or nipples?
L) a person touched, fondled or manually stimulated your genitals?
Results are presented with percentages and Chi-squared analysis, utilizing Freeman-Tukey deviates.