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The study, while a modeling study to provide an estimate of the role anal sex may play in HIV acquisition among cisgender women in the U. The researchers used the National HIV Behavioral Surveillance surveys from and , reviewing the sexual behavior data from 9, heterosexually active cisgender women in 20 cities with high HIV rates. Researchers included women ages 18 to 60, who completed the survey in English or Spanish and had incomes below the federal poverty line or no more formal education than a high school diploma. Women also had to report at least one incident of receptive anal or vaginal intercourse with a cisgender man in the past year. They excluded women who reported injecting drugs or reported only having oral sex with men during that month period. Number of sex acts per partner during the time period was not collected, and therefore not a part of their analysis.

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