Ms. Katrina Rodriguez, an epidemiology doctoral student at the City University of New York School of Public Health, was the first author on a publication in AIDS Behavior.
Ms. Rodriguez and colleagues reviewed Department of Health (DOH) websites for U.S. states (n = 50) and major municipalities (population [500,000; n = 29) regarding anal use of the female condom. The female condom is FDA approved to prevent pregnancy and sexually transmitted infections during vaginal intercourse, but not for use during anal intercourse. Forty-eight (60.8 percent) websites mentioned the female condom, of which only 21 (45.8 percent) mentioned anal use. Of those that mention anal use, eight (38.1 percent) supported, 13 (61.9 percent) were neutral, and one (4.8 percent) discouraged this use. Ten websites (47.6 percent) provided instructions for anal use of the female condom, ranging from removal of the inner ring, leaving the inner ring in place, and either option. In the absence of safety and efficacy data, U.S. DOH websites are providing different and often contradictory messages about the female condom for anal sex.