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Black respondents were less likely than Puerto Ricans to report anal sex odds ratio, 0. Heterosexual anal sex is not an infrequent behavior and should be considered in a broad sexual health context, not simply as an indicator of STD risk. Are similar patterns of risky sexual behavior found among foreign-born persons, regardless of age at immigration? Guendelman S et al. We must acknowledge, nonetheless, several limitations of this study. Most women, regardless of nativity, were sexually experienced by early adulthood. Yet, compared with their U. This makes our findings of differences in sexual behavior by nativity and age at immigration especially striking.