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In their review of 16 different high-quality studies, researchers at the imperial college and the london school of hygiene and tropical medicine concluded that the per-risk act of hiv through condomless anal sex was roughly around 1. Anal sex is the highest-risk sexual behavior for hiv transmission. Vaginal sex has a lower risk, and activities like oral sex, touching, and kissing carry little to no risk for getting or transmitting hiv. The vast majority of men who get hiv get it through anal sex. does per-act hiv-1 transmission risk through anal sex vary by gender? An updated systematic review and meta-analysis. American journal of reproductive immunology, 80 e13039, 2018. Anal sex is the highest-risk sexual behavior for hiv transmission. Vaginal sex has a lower risk, and activities like oral sex, touching, and kissing carry little to no risk for getting or transmitting hiv. The vast majority of men who get hiv get it through anal sex. in receptive anal sex, or bottoming, hiv is 13 times more likely to infect the bottom partner than the insertive partner. How to reduce the risk to minimize the risk of sti transmission, a person. Background this study aims to understand the correlates of anal sex practices among female sex workers (fsws) and examine the association of anal sex with hiv-related sexual risk factors in andhra pradesh, india. Methods a cross-sectional behavioural survey was conducted in 2011 among 795 fsws aged 18 years or older. Probability-based cluster sampling was used to select respondents from sex. Not surprisingly, public health efforts aimed at primary and secondary hiv prevention, as well as epidemiologic research examining hivstd trends among msm, have focused on determining the factors associated with unprotected sex. 715 in particular, a number of studies have shown drug use 710,12 and alcohol use 10,1315 during sex to be associated with hiv transmission risk. Like unprotected vaginal sex, unprotected anal sex is high risk for many sexually transmitted infections, such as chlamydia, gonorrhea, herpes, hepatitis, hiv, and syphilis. While many of these can be diagnosed immediately by getting tested, it generally takes at least three months for hiv antibodies to show up on a test. Analingus is not considered to be an independent risk factor for hiv. However, it is a route of transmission for hepatitis a and b, as well as parasitic infections like giardiasis and amebiasis and stds like herpes or hpv.