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Description:Another caveat was that women who had injected drugs within the last year were excluded. There was considerable statistical uncertainty over these figures, however, given the range of estimates for the transmissibility of HIV via anal sex. Nonetheless, this study shows that a considerable proportion of HIV infections in US women may be transmitted through anal sex and, especially as condom usage in anal sex appears to be lower, safer-sex advice needs to start incorporating anal sex in messaging for women and consideration should be given to providing PrEP for women more widely. If they were included then it would mean the proportion of HIV infections due to anal sex in women in general would be lower. The average age of the women was If HIV transmissibility via vaginal sex is roughly the same as it is through being the insertive partner in anal sex — as some studies estimate — then transmissibility via anal sex could be at the upper range of that estimate.

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