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The Impact of Pleasure and Pain on Frequent Substance Use During Receptive Anal Intercourse.

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Title: The Impact of Pleasure and Pain on Frequent Substance Use During Receptive Anal Intercourse.
Authors: Shahrvini, Tara, Gaither, Thomas W., Vincent, Nathan W., Williams, Kristen C., Piqueiras, Eduardo, Siapno, Allen E., Russell, Marcia M., Litwin, Mark S.
Source: Journal of Sex Research. Sep2025, Vol. 62 Issue 7, p1332-1338. 7p.
Subjects: Sexual excitement, Pain, Substance abuse, Psychiatric drugs, Anal sex, Sexual intercourse
Abstract: Sexualized drug use (SDU) describes use of any psychoactive substance before or during planned sexual activity to facilitate, intensify, or prolong intercourse. The impact of pain, pleasure, and other mediators on SDU is not well characterized. This study aimed to distinguish the motivations behind different classes and frequencies of substance use during receptive anal intercourse (RAI). Data were from an internet-based survey conducted between July 2022-January 2023. We measured the frequency of SDU for five substances: poppers, alcohol, marijuana, methamphetamine, and nicotine. Satisfaction with pleasurable sensations during RAI and any type of pain bother during RAI were assessed on a 5-point scale. Multivariable logistic regression was performed for 1,119 respondents. Our results showed a strong association between bothersome pain during RAI and frequent alcohol (aOR 2.1), marijuana (aOR 2.4), nicotine (aOR 3.1), and meth (aOR 5.9) use. None of the five substance classes studied was correlated with dissatisfaction with pleasure during RAI. Frequent popper use was associated with increasing lifetime RAI experience and number of sexual partners. The mechanism behind SDU during RAI is substance-specific and multifactorial. Bothersome pain during RAI is highly associated with frequent SDU. Inquiring about pain during RAI may offer avenues for intervention. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
PubTypeId: academicJournal
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  Label: Title
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  Data: The Impact of Pleasure and Pain on Frequent Substance Use During Receptive Anal Intercourse.
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  Data: <searchLink fieldCode="AR" term="%22Shahrvini%2C+Tara%22">Shahrvini, Tara</searchLink><br /><searchLink fieldCode="AR" term="%22Gaither%2C+Thomas+W%2E%22">Gaither, Thomas W.</searchLink><br /><searchLink fieldCode="AR" term="%22Vincent%2C+Nathan+W%2E%22">Vincent, Nathan W.</searchLink><br /><searchLink fieldCode="AR" term="%22Williams%2C+Kristen+C%2E%22">Williams, Kristen C.</searchLink><br /><searchLink fieldCode="AR" term="%22Piqueiras%2C+Eduardo%22">Piqueiras, Eduardo</searchLink><br /><searchLink fieldCode="AR" term="%22Siapno%2C+Allen+E%2E%22">Siapno, Allen E.</searchLink><br /><searchLink fieldCode="AR" term="%22Russell%2C+Marcia+M%2E%22">Russell, Marcia M.</searchLink><br /><searchLink fieldCode="AR" term="%22Litwin%2C+Mark+S%2E%22">Litwin, Mark S.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Sex+Research%22">Journal of Sex Research</searchLink>. Sep2025, Vol. 62 Issue 7, p1332-1338. 7p.
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  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22Sexual+excitement%22">Sexual excitement</searchLink><br /><searchLink fieldCode="DE" term="%22Pain%22">Pain</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+drugs%22">Psychiatric drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Anal+sex%22">Anal sex</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+intercourse%22">Sexual intercourse</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Sexualized drug use (SDU) describes use of any psychoactive substance before or during planned sexual activity to facilitate, intensify, or prolong intercourse. The impact of pain, pleasure, and other mediators on SDU is not well characterized. This study aimed to distinguish the motivations behind different classes and frequencies of substance use during receptive anal intercourse (RAI). Data were from an internet-based survey conducted between July 2022-January 2023. We measured the frequency of SDU for five substances: poppers, alcohol, marijuana, methamphetamine, and nicotine. Satisfaction with pleasurable sensations during RAI and any type of pain bother during RAI were assessed on a 5-point scale. Multivariable logistic regression was performed for 1,119 respondents. Our results showed a strong association between bothersome pain during RAI and frequent alcohol (aOR 2.1), marijuana (aOR 2.4), nicotine (aOR 3.1), and meth (aOR 5.9) use. None of the five substance classes studied was correlated with dissatisfaction with pleasure during RAI. Frequent popper use was associated with increasing lifetime RAI experience and number of sexual partners. The mechanism behind SDU during RAI is substance-specific and multifactorial. Bothersome pain during RAI is highly associated with frequent SDU. Inquiring about pain during RAI may offer avenues for intervention. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/00224499.2024.2408648
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      – Code: eng
        Text: English
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        PageCount: 7
        StartPage: 1332
    Subjects:
      – SubjectFull: Sexual excitement
        Type: general
      – SubjectFull: Pain
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Psychiatric drugs
        Type: general
      – SubjectFull: Anal sex
        Type: general
      – SubjectFull: Sexual intercourse
        Type: general
    Titles:
      – TitleFull: The Impact of Pleasure and Pain on Frequent Substance Use During Receptive Anal Intercourse.
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            NameFull: Shahrvini, Tara
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            NameFull: Vincent, Nathan W.
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            NameFull: Williams, Kristen C.
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            NameFull: Piqueiras, Eduardo
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            NameFull: Siapno, Allen E.
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            – D: 01
              M: 09
              Text: Sep2025
              Type: published
              Y: 2025
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              Value: 62
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