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Following the recommendations of Krueger , the focus group protocol consisted of five generally worded questions about heterosexual anal intercourse with male partners, how often it had occurred in their lifetime, the frequency of anal intercourse with their current or most recent sexual partner, the context in which the anal intercourse event took place type of partner, such as new, casual, and regular , the role of alcohol and illicit substances in facilitating the anal intercourse, and other relevant characteristics of the male partners known to be bisexual, previous incarceration history and any other information the women were willing to provide concerning the anal intercourse event itself e. Focus groups were also preferred by the participating outpatient drug treatment program because participants were familiar with group activities and settings.

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Due to the limited nature of previous research on this topic, we opted for a more exploratory approach aimed at uncovering the broad range of reasons that women had for engaging in anal intercourse.

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