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In order to develop effective pregnancy and STI prevention efforts for early adolescents aged yearsit is important to understand the prevalence of vaginal, oral, and anal intercourse in this age-group and the characteristics of early initiators. The transmission of H. Tissue culture of C. Anal sex is thought to be more risky than vaginal sex. Adherence to daily pill-taking is important for both to be effective.

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Condoms are much less effective when not used consistently.

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The insertive partner is also at risk for getting HIV during anal sex. Promisingly, a recent study found that rectal gonorrhea and chlamydia did not increase the rectal fluid viral load among a small group of people with HIV on ART. This study examines the prevalence of vaginal, oral, and anal inter-course among a population of urban, public middle school students, the characteristics of early sexual initiators, and the sequence of sexual initiation. Effective, culturally sensitive school-based HIV, STI, and pregnancy prevention programs are needed at the middle school level to help reduce problems related to early sexual activity. If one has never had hepatitis A or B, there are vaccines to prevent them. Several strategies can reduce the risk of HIV transmission through anal sex where the insertive partner is HIV-negativeincluding condoms, post-exposure prophylaxis PEPpre-exposure prophylaxis PrEPantiretroviral therapy ARTand potentially penile circumcision. Am J Health Behav.

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