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But there are other differences that might contribute to the contradictory teenagers having anal sex. In all three surveys over the year period, vaginal sex was the most common sexual practice. According to the CDC, you may be more vulnerable to contracting STIs or HIV if you have anal sex as the lining of the anus is more prone to damage that can open you up to teenagers having anal sex. Finally, all schools were recruited from a single school district, which limits external generalization to other urban middle school youth. First of all: What is a prostate? HuffPost Illustration.