Saliva as Lubricant: Spreading Disease?

 

 

 

A recent study from the Department of Epidemiology and Biostatistics, University of California entitled: 'Use of saliva as a lubricant in anal sexual practices among homosexual men':

OBJECTIVES:

Compared with other sexually active adults, men who have sex with men (MSM) are more frequently infected with several pathogens including cytomegalovirus, hepatitis B virus, and Kaposi sarcoma-associated herpesvirus. Because one common element between these organisms is their presence in saliva, we evaluated saliva exposure among MSM in a heretofore relatively unrecognized route-via use of saliva as a lubricant in anal sex.

METHODS:

MSM in a San Francisco population-based cohort were interviewed regarding use of saliva by the insertive partner as a lubricant in various anal sexual practices.

RESULTS:

Among 283 MSM, 87% used saliva as a lubricant in insertive or receptive penile-anal intercourse or fingering/fisting at some point during their lifetime; 31%-47% did so, depending upon the act, in the prior 6 months. Saliva use as a lubricant was more common among younger men and among HIV-infected men when with HIV-infected partners. Even among MSM following safe sex guidelines by avoiding unprotected penile-anal intercourse, 26% had anal exposure to saliva via use as a lubricant.

CONCLUSIONS:

Among MSM, use of saliva as a lubricant is a common, but not ubiquitous, practice in anal sex. The findings provide the rationale for formal investigation of whether saliva use in this way contributes to transmission of saliva-borne pathogens in MSM.

 

** It is always better to use water-based lubricants with condoms than to use saliva. It is possible that saliva, when used as a lubricant, is contributing to the spread of some saliva-borne pathogens. So, the next time you get condoms, GET LUBE, TOO!!!!

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