Objectives: Examine use of the female condom (FC) for anal sex among Men who have sex with men (MSM) in the United States (US).
Methods: An online survey among 3,837 MSM.
Results: 5.2% had used the FC for anal sex. Use was higher among those who had used the FC for vaginal sex (OR=14.39, p<0.001), those with multiple partners, (OR=2.68, p=0.004), and those who were HIV-positive (OR=2.07, p<0.001) or on PrEP (OR=2.66, p<0.001).
Conclusions: FC use for anal sex was associated with risk of HIV infection/transmission and may be a risk reduction strategy used by MSM in the US.
Keywords: Female Condom; United States of America (US); anal sex; men who have sex with men (MSM).