PMID- 34919465 OWN - NLM STAT- MEDLINE DCOM- 20221223 LR - 20231102 IS - 1559-8519 (Electronic) IS - 0022-4499 (Print) IS - 0022-4499 (Linking) VI - 59 IP - 9 DP - 2022 Nov-Dec TI - Sexual Enrichment Aids: A Mixed Methods Study Evaluating Use, Hygiene, and Risk Perception among Women. PG - 1153-1162 LID - 10.1080/00224499.2021.2015568 [doi] AB - Sexual Enrichment Aids (SEAs), or "sex toys" like dildos or vibrators, are used to enrich sexual experiences, either alone or with sexual partners. Although SEA use has become increasingly prevalent in recent decades, there remain significant gaps in knowledge regarding sexual behaviors and hygiene surrounding their use. In this study, we use mixed methods approaches (cross-sectional survey of n = 800 women and qualitative semi-structured interviews of n = 24 women) to better understand sexual behavior, potential risks, and hygiene practices of women who self-identify as having sex with men, with women, or with women and men when using SEAs. We identified SEA use is common, with 79.9% of women using an SEA. Among these women, 31.8% of women indicated that they share SEAs with sexual partners. Further, condom use is rare while sharing SEAs, with only 14% of women utilizing condoms regularly. The majority (81.8%) of women wash their SEAs, primarily with soap and water. Yet, there is no consensus among women interviewed regarding the perceived risk associated with SEA use. Together, our findings support the need for increased evidence-based education for women to increase safety and hygiene of SEA use. FAU - Collar, Amanda L AU - Collar AL AUID- ORCID: 0000-0003-3214-1898 AD - Department of Molecular Genetics & Microbiology, School of Medicine, University of New Mexico. FAU - Fuentes, Jesus E AU - Fuentes JE AD - Community Engagement & Research Core, Clinical & Translational Science Center, Health Sciences Center, University of New Mexico. FAU - Rishel Brakey, Heidi AU - Rishel Brakey H AD - Community Engagement & Research Core, Clinical & Translational Science Center, Health Sciences Center, University of New Mexico. FAU - Frietze, Kathryn M AU - Frietze KM AUID- ORCID: 0000-0002-1428-8899 AD - Department of Molecular Genetics & Microbiology, School of Medicine, University of New Mexico. AD - Clinical & Translational Science Center, Health Sciences Center, University of New Mexico. LA - eng GR - F30 AI156995/AI/NIAID NIH HHS/United States GR - UL1 TR001449/TR/NCATS NIH HHS/United States GR - UL1 TR000041/TR/NCATS NIH HHS/United States GR - T32 AI007538/AI/NIAID NIH HHS/United States GR - KL2 TR001448/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20211217 PL - United States TA - J Sex Res JT - Journal of sex research JID - 0062647 SB - IM MH - Female MH - Humans MH - Male MH - Condoms MH - Cross-Sectional Studies MH - Health Knowledge, Attitudes, Practice MH - *HIV Infections MH - Hygiene MH - Perception MH - Sexual Behavior MH - Sexual Partners PMC - PMC9203601 MID - NIHMS1800248 EDAT- 2021/12/18 06:00 MHDA- 2022/11/10 06:00 PMCR- 2023/11/01 CRDT- 2021/12/17 17:14 PHST- 2021/12/18 06:00 [pubmed] PHST- 2022/11/10 06:00 [medline] PHST- 2021/12/17 17:14 [entrez] PHST- 2023/11/01 00:00 [pmc-release] AID - 10.1080/00224499.2021.2015568 [doi] PST - ppublish SO - J Sex Res. 2022 Nov-Dec;59(9):1153-1162. doi: 10.1080/00224499.2021.2015568. Epub 2021 Dec 17.