SynthesisReproductive health2019
Reported oral and anal sex among adolescents and adults reporting heterosexual sex in sub-Saharan Africa: a systematic review.
Synthesis in Reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
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Who cites it
26 citing papers in PubMed, 41 citations in OpenAlex.
- HIV, HPV, and oral health in Tanzania: a scoping review.Infectious agents and cancer · 2026Review
- Prevalence of High-Risk Human Papillomavirus and Associated Risk Factors Among Individuals With Head and Neck Cancer in a National Referral Center in Tanzania.JCO global oncology · 2026Article
- Effect of a digital intervention on sexual and reproductive health knowledge, behaviour, and service uptake among university youths in Lagos, Nigeria: a quasi-experimental study.Reproductive health · 2025Article
- Differences in HIV risk factors between South African adolescents and adult women and their association with sexually transmitted infections.Sexually transmitted infections · 2025Observational
- Prevalence and concordance of penile, anal, and oral human papillomavirus infections among sexually active heterosexual men in Ibadan, Nigeria.Cancer causes & control : CCC · 2025Article
- HIV transmission in sub-Saharan Africa: excessive focus on heterosexual vaginal intercourse.Frontiers in public health · 2025Article
- Prevalence of, and factors associated with oral sexual behaviours in men and women in Ibadan, Nigeria.PloS one · 2025Article
- Redefine oral health: a call for inclusivity in the concept of oral health.Frontiers in oral health · 2025Article
- Oral human papillomavirus infections in Zambian Rural and Urban residents-a community cross-sectional study.BMC oral health · 2024Article
- Assessment of knowledge of human papillomavirus transmission and prevention among tertiary institution students in the Plateau Central Senatorial District, Nigeria.PLOS global public health · 2024Article
- Global health trends of human papillomavirus-associated oral cancer: A review.Public health challenges · 2023Review
- The Association Between Heterosexual anal Intercourse and HIV Acquisition in Three Prospective Cohorts of Women.AIDS and behavior · 2023Article
- Establishing The "International Head and Neck Cancer Working Group".South Asian journal of cancer · 2023Article
- Heterosexual Oral and Anal Sex: Perceptions, Terminologies, and Attitudes of Younger and Older Adults in Ibadan, Nigeria.Archives of sexual behavior · 2023Article
- A multilevel mixed effect analysis of neighbourhood and individual level determinants of risky sexual behaviour among young people in South Africa.Reproductive health · 2022Article
- [Advances in risk factors and genetic risk of head and neck squamous cell carcinoma].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2022Review
- Oral, genital and anal human papillomavirus infections among female sex workers in Ibadan, Nigeria.PloS one · 2022Article
- Analysis of Multiple Sexual Partners among 2665 Male College Students Who Have Sexual Behaviour in Zhejiang Province, China.BioMed research international · 2022Article
- Epidemiology of HPV Related Malignancies.Seminars in radiation oncology · 2021Review
- "International journal of sexual health : official journal of the World Association for Sexual Health · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 3 countries.
Funding
Abstract
backgroundOral and anal sexual behaviours are increasingly reported among adolescents and adults reporting heterosexual sex in peer-reviewed journals in high income countries, but less is known about these behaviours in low and middle-income countries, especially in sub-Saharan Africa. The aim of this systematic review is to describe the prevalence of, and motivations for, oral and anal sex among adolescents and adults reporting heterosexual sex in sub-Saharan Africa.
methodsA systematic review of published articles that reported oral and or anal sex in sub-Saharan Africa was conducted from seven databases up to and including 30th August 2018.
resultsOf 13,592 articles, 103 met the inclusion criteria. The prevalence of reporting ever practising oral sex among adolescents, university students and a combined population of adolescents/adults ranged from 1.7-26.6%, 5.0-46.4% and 3.0-47.2% respectively. Similarly, prevalences of reported ever practising anal sex ranged from 6.4-12.4% among adolescents, 0.3-46.5% among university students and 4.3-37.8% amongst combined population of adolescents and adults. Higher prevalences of oral and anal sex were reported among populations at high-risk for sexually transmitted infections and HIV and university students and, in most studies, both behaviours were more commonly reported by males than females. Heterosexual oral and anal sexual acts were associated with some high-risk behaviours such as inconsistent condom use and multiple sexual partners.
conclusionReported oral and anal sex between men and women are prevalent behaviours in sub-Saharan Africa. Health professionals and policy makers should be aware of these behaviours and their potential associated health risks.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.