1. IRMA Survey on Lubes Used for Anal Sex IRMA Global Teleconference May 14, 2009 Marc-André LeBlanc, IRMA Jim Pickett, IRMA Marjan Javanbakht MPH, PhD, UCLA Ryan Murphy MPH, UCLA Pamina Gorbach, M.H.S, Dr.P.H., UCLA

2. Why we did this   IRMA launched this survey because   Need to test lubes for rectal safety   Need to know most popular lubes   Acceptability can inform development

3. Survey Information   Internet-based Survey   Survey Monkey with e-promotion   Ran 29 weeks in 2007   6 languages (EN/FR/SP/POR/GER/TUR)   8,945 Responses from 107 countries   6,273 reported AI within the past 6 months (70.1%)   Analysis by UCLA

4. And the survey says …   Most commonly used lubes for anal sex   How lubes are used   Preferred lube characteristics Useful for informing research & development and programming

5. Demographics - Age

6. Demographics - Gender

7. Demographics - Region

8. Demographics - Language

9. Caveats   Given demographics, note influence of   Men (92%)   English-language (81%)   North America (70%) on broad overview of results.

10. Condom use by sex act

11. Reasons for not using lubricant - all respondents

12. Reasons for not using lubricant - women

13. Substances added to lubricant – all respondents

14. Substances added to lubricant - women

15. Conclusions   Low condom use, but lube use is relatively common   High acceptability of RMs formulated as lubes?   Take into account saliva, vaginal fluid, water   On their own: impact on STIs, HIV?   With lubes/RMs: impact on protective effect?

16. Next Steps   Finish analysis   Qualitative analysis   Work with researchers to test lube safety and integrate findings around acceptability and preferred characteristics   Continue to urge for more data on AI-related behaviours

17. Deep appreciation to:   UCLA for assistance with survey development and analysis   IRMA members and partners for promoting survey   Translators for extending the reach of the survey   All survey respondents!

18. And thanks to you