scholarly journals Midlife safer sex challenges for heterosexual New Zealand women re-partnering or in casual relationships

2015 ◽  
Vol 7 (2) ◽  
pp. 137 ◽  
Author(s):  
Trish Morison ◽  
Catherine Cook

INTRODUCTION: The rate of sexually transmitted infections (STIs) amongst midlife and older heterosexual women in New Zealand is rising. Popular culture celebrates a heightened sexuality for this population group. However, depictions of sexually savvy 'cougars' are at odds with reality for many women. International literature highlights that these women are often ill-equipped to negotiate safer sex and condom use, instead focusing on pleasing men and attributing their silence to spontaneity. The study aimed to explore barriers to safer heterosexual sex as perceived by midlife and older New Zealand women who are re-partnering or in casual relationships. METHODS: This qualitative study utilised Interpretive Phenomenology Analysis, supported by the theory of gender and power, to examine the gender-normative assumptions and behaviours in women's accounts of unprotected sex. Eight single women aged 40–69 participated in individual, in-depth interviews. This exploration included eliciting women's accounts of potential information resources, such as clinical consultations. FINDINGS: Analysis indicated that these women held misconceptions about STI transmission but had not sought educational material, nor discussed their sexual health with health professionals. Results highlighted women's ambivalence about prioritising safer sex, preferring to comply with partners' wishes, particularly when under the influence of alcohol. Women described valuing their own pleasure and their distaste for condom use, but data emphasised that women predominantly aligned their choices with men's preferences. CONCLUSION: This study highlights that the women were both ill-informed and vulnerable with regards to sexual health. General practitioners are well placed to provide education and sexual health advice. KEYWORDS: Condoms; heterosexual; middle aged; sexual behaviour; sexual health; women

2011 ◽  
Vol 6 (2) ◽  
pp. 132-135 ◽  
Author(s):  
Rachel Hallum-Montes ◽  
Rohan D’Souza ◽  
Maria Isabel Tavarez ◽  
Russell Manzanero ◽  
Grace E. Dann ◽  
...  

Condom use during last sexual contact is a survey measure that may be used to inform monitoring and evaluation indicators of recent condom use in populations at risk for HIV infection and other sexually transmitted infections, such as the uniformed services. The authors tested for differences in condom use measures that were fielded within separate Biological and Behavioral Surveillance Surveys conducted in the armed forces of two separate nations: the Dominican Republic and Belize. Both surveys included measures of condom use during last sexual contact with specified partners and both surveys included the Risk Behavior Assessment (RBA), which measures specific sexual acts and condom use frequency during a specified time period. In both samples, more than 40% of respondents who reported condom use during last sexual contact with a regular partner also reported engaging in unprotected sex when screened with the RBA. Furthermore, more than 60% of respondents who reported condom use during last sexual encounter with a commercial sex worker also reported engaging in unprotected sex when screened with the RBA. The results carry implications for monitoring and evaluation indicators of large-scale HIV prevention programs. The authors recommend that, when feasible, more in-depth instruments such as the RBA be considered to measure recent condom use in populations of uniformed services personnel.


2008 ◽  
Vol 19 (11) ◽  
pp. 768-771 ◽  
Author(s):  
J E Richards ◽  
J M Risser ◽  
P M Padgett ◽  
H U Rehman ◽  
M L Wolverton ◽  
...  

Concurrent sexual partnerships allow for enhanced transmission of sexually transmitted infections (STIs). Condom use dynamics in this context may be an important factor for transmission of HIV. We conducted a cross-sectional study to describe the frequency of concurrency among high-risk heterosexual women in Houston, Texas and determine the factors associated with condom use. A total of 553 participants were recruited using respondent-driven sampling and completed an anonymous questionnaire; 256 (49%) were identified as having a concurrent partnership. The prevalence of condom use at last sexual encounter was 26%. Women were significantly more likely to use condoms if their sexual encounter was with a casual partner and if alcohol and/or drugs were not used. The high prevalence of concurrent partnerships suggests the presence of a dense sexual network which may enable the rapid spread of STIs and HIV. The risk of transmission may be additionally increased due to the low prevalence of condom use.


2019 ◽  
Vol 13 (1) ◽  
pp. 31-35
Author(s):  
Jose Ramon Fiore ◽  
Fabio Zoboli ◽  
Mariantonietta Di Stefano ◽  
Massimo Fasano ◽  
Marwan Jabr Alwazzeh ◽  
...  

Introduction: The prevention of transmission of HIV infection is based on the regular and correct use of condom and studies on transmission rates are generally based on the self-report of condom use. However, consistent data on different population suggest that this often leads to overreporting possibly due to social desirability. In addition, self-report of condom use does not consider improper use or breakage. Methods: Vaginal biomarkers were proposed to detect exposure to semen and among these detection of chromosome Y DNA (Yc) appeared promising in different research settings. Here, we searched for Yc in vaginal swabs of 33 Italian women, engaged in a regular heterosexual relationship with a HIV serodiscordant partner and reporting a regular use of condom during sexual intercourses. Results & Discussion: In 10 (30.3%) women Yc was detected, especially if the infected partner was male and if the couple did not have sons. This is confirmed in Italian heterosexual women and is already demonstrated in other populations: behavioural counselling is not always a valid tool and the self-reported use of condom is not fully reliable. Conclusion: Further studies could help in the future to individuate more effective preventive strategies for both HIV and sexually transmitted infections.


2018 ◽  
Vol 29 (10) ◽  
pp. 980-986 ◽  
Author(s):  
Candice L Lys ◽  
Carmen H Logie ◽  
Moses Okumu

Fostering Open eXpression among Youth (FOXY) is an arts-based HIV prevention program developed by Northern Canadians to address sexual health, HIV, sexually transmitted infections (STIs), sexuality, and healthy relationships among Northern and Indigenous youth in Canada. We conducted a pilot study with Indigenous and Northern young women aged 13–17 years from 17 communities in the Northwest Territories to evaluate whether, in comparison to pre-intervention, FOXY participants demonstrated increased knowledge of STIs, increased safer sex self-efficacy, and increased resilience. Wilcoxon test results indicated significant increases in STI knowledge scores and safer sex self-efficacy scores. Findings suggest that FOXY holds promise as an effective method of delivering sexual health information through peer education, and increasing STI knowledge, safe sex self-efficacy, and resilience.


The phenomenon is fairly common, with one in every 80 adults showing cheeks pulp is slot of unprotected sex. As part of a study, young couples revealed no different condom negotiation strategies to cope with unprotected sex. A study has found that non-naked did not recognise that women who collapsed were having an arrest, leading to delays in calling the emergency services and delays in providing resuscitation treatment. A recent study found that adult’s women engaged in unprotected sex even after being aware of the various risks associated with it, when the desire to form lasting romantic relationships arises. According to the researchers from Pune University, this is the first study to directly compare how heterosexual men, heterosexual women and men who have sex with men (MSM) differ in their approach to condom-making decision with a new sexual partner. The study was published in the Journal of Sex Research. The findings may help in explaining why some of the youngsters engage in unsafe sex even though they are aware of the risk of sexually transmitted infections (STIs), HIV, cervical cancer, and unplanned pregnancy


2008 ◽  
Vol 19 (11) ◽  
pp. 752-757 ◽  
Author(s):  
S M McAllister ◽  
N P Dickson ◽  
K Sharples ◽  
M R Reid ◽  
J M Morgan ◽  
...  

This unlinked anonymous study aimed at determining the prevalence of HIV among sexual health clinic attenders having blood samples taken for syphilis and/or hepatitis B serology in six major New Zealand cities over a 12-month period in 2005–2006. Overall, seroprevalence was five per 1000 (47/9439). Among men who have sex with men (MSM), the overall prevalence and that of previously undiagnosed HIV were 44.1 and 20.1 per 1000, respectively. In heterosexual men, the overall prevalence was 1.2 per 1000 and in women 1.4 per 1000. HIV remains to be concentrated among homosexual and bisexual men. Comparison with a previous survey in 1996–1997 suggests an increase in the prevalence of undiagnosed HIV among MSM and also an increase in the number of MSM attending sexual health clinics. The low prevalence of HIV among heterosexuals suggests no extensive spread into the groups identified at risk of other sexually transmitted infections.


Author(s):  
Saurabh Krishna Misra ◽  
P. Oudeacoumar ◽  
R. Indradevi ◽  
Sushree Sovana

<p class="abstract"><strong>Background:</strong> Sexually transmitted infections (STI’s) are transmitted through sexual intercourse. Young individuals of 16-24 yr age group are more prone to STIs because they lack adequate knowledge about STIs and tend to have wrong perceptions towards sex. Thus it becomes important to assess the knowledge level about STIs among this age group. The main objective of this study was designed to evaluate the knowledge, awareness, perception and attitude about STIs among paramedical 1st year students in a tertiary care institute.</p><p class="abstract"><strong>Methods:</strong> The study was a descriptive cross sectional study. Detailed questionnaire eliciting information about knowledge, awareness, perception and attitude of the respondents towards STIs was administered to 227 paramedical 1st year students. This self-administered questionnaire was used for data collection.<strong></strong></p><p class="abstract"><strong>Results:</strong> 227 paramedical students participated in this study. Among them 103 (45%) were males and 124 (55%) females. Majority of the students (68%) got the source of information of STIs from education in school and college, 57% from internet and 49% from print media. 95% of the respondents knew about at least one STI. The two most commonly mentioned STIs were HIV (60%) and Syphilis (41%). 7% did not have any knowledge about STI. 68% mentioned sex with multiple partners as a mode of transmission and 46% knew unprotected sex. 17.6%-21.6% of them had misconception about mode of transmission. 49.8% mentioned weakness, 47.6% loss of weight as the symptoms of STIs where as 25.6% did not know anything about symptoms at all. Majority of respondents (60%) did not know about the complications of STDs. Also attitude towards sexual health and prevention of STIs was variable.</p><p class="abstract"><strong>Conclusions:</strong> Findings of our study showed that it is important to orient the paramedical students about sexual health and positive attitude towards STIs. This will help in prevention and control of STIs.</p>


2011 ◽  
Vol 1 (2) ◽  
pp. 30-38
Author(s):  
Ranabir Pal ◽  
Samir Roy ◽  
Shrayan Pal

In the era of evidenced-based medicine, sexually transmitted infections (STIs) are a major international health issue; adolescents and young people are particularly vulnerable. The current study determines the perceptions of sexual health and condom use in sexual encounters among tea plantation workers of North Bengal in India. A population based cross-sectional study was undertaken with 973 adults of both sexes selected by a multi-stage random sampling using an anonymous pre-tested close-ended structured questionnaire. The majority of study participants were working class in the age range of 16 to 30 years. The gender distribution of the participants was almost equal. The majority of males were in the age group of 46-60 years, while the majority of the females were in the age group of 16-30 years. There was no statistical association between age and use of condoms. Significant statistical differences were seen in condom use in relation to marital status, religion, type of family, and number of living children. This study revealed inadequate protective behavior adopted by plantation workers. In this socio-demography with the acceptance of sexual relation outside marriage, non-use of condoms increases vulnerability to HIV/AIDS/ and other sexually-transmitted infections.


Sexual Health ◽  
2012 ◽  
Vol 9 (1) ◽  
pp. 1 ◽  
Author(s):  
Richard A. Crosby ◽  
Willard Cates

This article introduces and summarizes the contents of this special edition. Given the exceptional potential of condoms to avert epidemics of sexually transmitted infections and teen or unintended pregnancy – even in low-resource environments – this in-depth examination of current knowledge, practice, and issues with condoms and their use is an important asset for educators and practitioners worldwide.


Author(s):  
Fatema Zohora Methe ◽  
Shirin Sultana ◽  
Faisal Muhammad

Background: Condom is an important method of family planning and prevention of sexually transmitted infections. Condom is the only contraceptive method that can protect against both pregnancy and sexually transmitted infections. Unprotected sex leads to many unintended pregnancies and sexually transmitted infections (STIs). The family planning saves lives of women and children and improves the quality of life. This study was aimed to assess the knowledge, attitudes and practice of condom use among the married women in Mirpur area of Dhaka city in Bangladesh.Methods: A descriptive cross-sectional study was conducted among the randomly selected sample of 101 women aged 15-49 years from selected areas of Mirpur in Dhaka city of Bangladesh. Pre-designed and pre-tested questionnaire was used to elicit the required information from the study participants using face to face interview. The collected data was analyzed using SPSS 21.0 version.Results: Only 5.9% of the study participants had ever used condom. Most of the study participants (93.1%) considered a condom as an effective method for birth control and prevention of sexually transmitted infections (10.9%). However, 36.6% of them believed that condom use had some harmful effects. The main reason for condom use among the users was for family planning (83.3%) and the rest (16.7%) mentioned that it was due to STIs prevention and family planning. The condom use was found significantly associated with age, educational level, partner’s educational level, socio-economic status, and perceived risk of STIs.Conclusions: The study revealed that the rate of condom use was very low among the study participants. This might be due to lack of knowledge about proper and effective use of condoms, low perception of risk of STIs, misperception about harmful effects of condoms and the use of other family planning methods by respondents.


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