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But a new study of teens perceptions and experiences with anal sex also reveals a few more surprising aspects of their activities. The results showed that most teens' anal sex experiences occurred in a relationship setting, but first experiences with anal sex were rarely under Conclusions Young people's narratives normalised coercive, painful and unsafe anal heterosex. 1 It is no longer considered an extreme behaviour but increasingly portrayed as a prized and pleasurable experience. . Coercion is a serious condition and should be reported according to law, as forced anal intercourse without consent denotes intimate partner violence. This study suggests an urgent need for harm reduction efforts targeting anal sex to help encourage discussion about mutuality and consent, reduce risky and painful techniques and challenge views that normalise coercion … Young adults ages 16-22 report an increasingly varied sex life, with sometimes "painful" anal and oral sex practices becoming normalized compared to young men and women in 1990. This study suggests an urgent need for harm reduction efforts targeting anal sex to help encourage discussion about mutuality and consent, reduce risky and painful techniques and challenge views that normalise coercion. This new report explores just how a demographically representative sample of teens in the United States engaged with or experienced pornography online, from how old they were when they first encountered it, to how it impacts their views on sex and sexual relationships. 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