scholarly journals Problems with condoms may be reduced for men taking ample time to apply them

Sexual Health ◽  
2010 ◽  
Vol 7 (1) ◽  
pp. 66 ◽  
Author(s):  
Richard A. Crosby ◽  
Cynthia A. Graham ◽  
William L. Yarber ◽  
Stephanie A. Sanders
Keyword(s):  
Condom Use ◽  
Pregnancy Prevention ◽  
Sexual Pleasure ◽  
Convenience Sample ◽  
The Past ◽  
Prevention Messages ◽  
Specific Analysis ◽  
Sexually Transmissible Infections ◽  
Sales Company ◽  
Vaginal Sex

Background: One potentially important antecedent of experiencing problems with condom use during penile-vaginal sex is the amount of time that men (and perhaps women) allow for condom application. To examine whether men reporting that ample time was available to apply a male condom (the last time a condom was used for penile-vaginal sex) were also less likely to report problems with condom use such as breakage, slippage and erection difficulties during that sexual event. Methods: A convenience sample of men (n = 440) was recruited via advertisements in newspapers (two urban and one small town) and a blog on the website of a condom sales company. Men completed a questionnaire posted on the website of The Kinsey Institute for Research in Sex, Gender, and Reproduction. Inclusion criteria were that participants were: at least 18 years old; used condoms for penile-vaginal intercourse in the past 3 months; and able to read English. Results: In controlled, event-specific analyses, men reporting that they did not have sufficient time for condom application were ~three times more likely to report breakage and ~2.4 times more likely to report slippage. In addition, men who reported that they lacked time for condom application were ~2.4 times more likely to experience any of nine sexual problems, 3.4 times more likely to report difficulty with erection, 2.1 times more likely to report reduced sexual pleasure, 2.2 times more likely to report reduced sexual pleasure of their female partner and 2.6 times more likely to report that the condom irritated their partner’s vagina. Conclusions: This is the first study using an event-specific analysis to examine the effect of not having enough time for condom application on condom breakage, slippage and several outcomes related to sexual pleasure. Sexually transmissible infections and pregnancy prevention messages should include recommendations to men to take their time applying condoms.

Cross-sectional survey of Chinese-speaking and Thai-speaking female sex workers in Sydney, Australia: factors associated with consistent condom use

Sexual Health ◽  
2018 ◽  
Vol 15 (5) ◽  
pp. 389 ◽  
Author(s):  
Rosalind Foster ◽  
Lynne McCormack ◽  
Caroline Thng ◽  
Handan Wand ◽  
Anna McNulty
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Female Sex ◽  
Sexually Transmissible Infections ◽  
Vaginal Sex ◽  
Sydney Australia ◽  
Sex Practices

Background Previous studies have described inconsistent condom use in Chinese- and Thai-speaking female sex workers in Sydney, Australia. In the present study, we describe the demographics and safe sexual practices in the Chinese- and Thai-speaking female sex workers attending the Sydney Sexual Health Centre (SSHC) in 2014–15. Methods: A self-completed 60-item anonymous questionnaire, adapted from previous surveys conducted in 1993 and 2003, was translated into Chinese and Thai and administered to female sex workers attending the SSHC or seen on outreach. Results: In all, 488 surveys were distributed, of which 435 were returned; 43% in Chinese and 57% in Thai. Most women did not plan on sex work before their arrival in Australia. Compared with Chinese-speaking women, Thai-speaking women rated themselves higher on English language literacy, had better knowledge of the transmission of HIV and sexually transmissible infections (STIs) and were more likely to practice 100% condom use. Overall, 72% of the sex workers surveyed reported consistent condom use for vaginal sex at work. Conclusions: Consistent condom use for vaginal sex at work among Chinese- and Thai-speaking female sex workers has decreased slightly from that reported in a similar survey conducted by the SSHC in 2003, when 85% of sex workers reported consistent condom use. There are significant differences between Chinese- and Thai-speaking sex workers in terms of both knowledge and safer sex practices. Ongoing health promotion efforts should focus on providing culturally appropriate education around STIs and safe sex practices not only to workers, but also to parlour owners, managers and consumers.

scholarly journals Erection loss in association with condom use among young men attending a public STI clinic: potential correlates and implications for risk behaviour

Sexual Health ◽  
2006 ◽  
Vol 3 (4) ◽  
pp. 255 ◽  
Author(s):  
Cynthia A. Graham ◽  
Richard Crosby ◽  
William L. Yarber ◽  
Stephanie A. Sanders ◽  
Kimberly McBride ◽  
...  
Keyword(s):  
Condom Use ◽  
Risk Behaviour ◽  
Sex Partners ◽  
Inconsistent Condom ◽  
Multiple Partners ◽  
Sexually Transmissible Infections ◽  
Vaginal Sex ◽  
The Mean ◽  
Cd Recording ◽  
Inconsistent Condom Use

Background: To assess prevalence of condom-associated erection loss and to identify correlates of erection loss among men attending a sexually transmissible infections (STI) clinic. Methods: Men (n = 278) attending an STI clinic responded to an anonymous questionnaire aided by a CD recording of the questions. The sample was screened to include only men who had used a condom during penile–vaginal sex at least three times in the past 3 months. Erection loss was assessed for ‘the last three times a condom was used’. Results: The mean age of the participants was 23.7 years (s.d. = 4.1); 37.1% of the men reported condom-associated erection loss on at least one occasion. Men who had reported condom-associated erection loss were also reported having more frequent unprotected vaginal sex (P = 0.04) and were less likely to use condoms consistently (P = 0.014) than men without erection loss. Men with erection loss were also more likely to remove condoms before sex was over (P = 0.001). Age and race/ethnicity were not associated with erection loss. In multivariate analysis, three significant statistical predictors were identified: low self-efficacy to use condoms (P = 0.001); problems with ‘fit or feel’ of condoms (P = 0.005); and having more than three sex partners during the previous 3 months (P = 0.02). Conclusions: Condom-associated erection loss may be common among men at risk for STIs. This problem may lead to incomplete or inconsistent condom use. Men may be more likely to experience condom-associated erection loss if they lack confidence to use condoms correctly, if they experience problems with the way condoms fit or feel, and if they have sex with multiple partners.

The Trouble with Rubbers: A History of Condoms in Modern China

NAN Nü ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. 150-178
Author(s):  
Sarah Mellors
Keyword(s):  
Condom Use ◽  
Sexual Pleasure ◽  
Modern China ◽  
The Past ◽  
Planning Decisions ◽  
Aids Crisis ◽  
History Of ◽  
Public Health Officials ◽  
The Individual

Abstract In recent years, public health officials and scholars have voiced their concerns about comparatively low condom use in China, citing high rates of abortion and the growing HIV/AIDS crisis. By examining condom use through the lenses of gender and the history of medicine, this article traces heterosexual condom consumption in China from the early twentieth century to the present and situates contemporary attitudes toward condoms within long-term contraceptive patterns. Rather than simply taking for granted the role that men play in family planning decisions, this research takes men and masculinity as a central focus. An eye to the past reveals numerous historical obstacles to condom use, as well as an enduring aversion to condoms grounded in fears of reduced male sexual pleasure, and the gendered assumption that birth control is the sole responsibility of women. Analyzing evolving perceptions of condoms sheds light on constructions of sexuality, gender relations, and the roles of the state, society, and the individual in contraceptive decision-making in China.

scholarly journals Being drunk and high during sex is not associated with condom use behaviours: a study of high-risk young Black males

Sexual Health ◽  
2014 ◽  
Vol 11 (1) ◽  
pp. 84 ◽  
Author(s):  
Richard A. Crosby ◽  
Robin R. Milhausen ◽  
Stephanie Sanders ◽  
Cynthia A. Graham ◽  
William L. Yarber
Keyword(s):  
United States ◽  
High Risk ◽  
Condom Use ◽  
Black Males ◽  
The United States ◽  
Computer Assisted ◽  
Sexually Transmissible Infections ◽  
Vaginal Sex ◽  
Audio Computer ◽  
Young Black Males

Objective To assess the relationship between the frequency of being drunk and high during sex, and condom use errors and problems (CUEP) among a sample of high-risk young Black males recruited from the United States. Methods: Data were collected in clinics treating sexually transmissible infections in three cities in the southern United States. Males 15–23 years of age (n = 697) who identified as African-American and reported recent (past 2 months) condom use were eligible. Measures of alcohol and drug use, as well as condom use behaviours were assessed by audio-computer assisted self-interview. Eighteen CUEP were included in this assessment. Results: Sixteen bivariate correlations were obtained. The magnitude of the coefficients was small, ranging from 0.01 to 0.13. Only three were significant. These were positive associations between the frequency of being drunk and the frequency of unprotected vaginal sex, as well as the frequency of the 18-item measure of CUEP. A significant correlation was also found between the frequency of being high during sex and the frequency of unprotected vaginal sex. Adjustments for age did not change the findings. Conclusions: Interventions designed to promote safer sex behaviours among young Black males attending sexually transmissible infection clinics are no more likely to benefit patients through the inclusion of messages and training attempting to dissuade the use of alcohol and drugs before or during sex.

Is anal sex a marker for sexual risk-taking? Results from a population-based study of young Croatian adults

Sexual Health ◽  
2011 ◽  
Vol 8 (3) ◽  
pp. 384 ◽  
Author(s):  
Aleksandar Štulhofer ◽  
Valerio Baćak
Keyword(s):  
Condom Use ◽  
Sexual Risk ◽  
Low Income ◽  
Risk Taking ◽  
Sensation Seeking ◽  
Anal Intercourse ◽  
Sexual Risk Taking ◽  
Anal Sex ◽  
The Past ◽  
Sexually Transmissible Infections

Background There is evidence that anal sex is becoming increasingly popular among heterosexual women and men. Several studies carried out in especially vulnerable populations (e.g. sex workers and low-income youth) suggested that anal sex may indicate a more general propensity to sexual risk-taking. Methods: To assess whether this epidemiologically important finding holds in the case of young adults from the general population, we analysed data from a cross-sectional probability survey carried out in 2010 on 1005 Croatian women and men aged 18–25. Results: Anal intercourse was reported by 36.5% of 861 sexually experienced participants (42.7% of men and 29.8% of women). About one-third of them (34%) used a condom at most recent anal intercourse. The experience of anal sex was significantly associated (P < 0.001) with all four indicators of sexual risk-taking (condom use at most recent vaginal intercourse, number of sexual partners in the past year, concurrent sexual relationships and anonymous sex in the past year), as well as with negative attitudes and beliefs about condom use (P < 0.01). Sexual sensation-seeking mediated the relationship between anal sex and some of the sexual risk-taking behaviours. Conclusion: According to the findings, heterosexual anal sex is directly and indirectly associated with increased behavioural risks of acquiring HIV and other sexually transmissible infections (STI). Sex education and STI prevention programs should focus on the importance of using protection when practicing anal sex.

scholarly journals Premarital relationships and condom use among young people in Suva, Fiji

Sexual Health ◽  
2020 ◽  
Vol 17 (4) ◽  
pp. 337
Author(s):  
Elke Mitchell ◽  
Stephen Bell
Keyword(s):  
Young People ◽  
Condom Use ◽  
Young Women ◽  
Sexual Relationships ◽  
Sexual Pleasure ◽  
Male Dominance ◽  
Urban Setting ◽  
Sexually Transmissible Infections ◽  
Premarital Relationships ◽  
Adult Beliefs

Abstract Background Young people in Fiji experience high rates of sexually transmissible infections and early pregnancy. Despite being identified as a key priority group in national strategies, little is known about use of condoms among young people in premarital relationships. This study aimed to enhance understandings of premarital sex and condom use practices among young people in Fiji. Methods: Focus group discussions with 33 young women and men aged 18–29 years and 17 interviews with young women aged 18–26 years in an urban setting in Fiji were conducted. Inductive thematic analysis examined condom use practices. Results: Participants described a range of contextual influences inhibiting or enabling condom use. Factors inhibiting condom use included sociocultural expectations regarding premarital abstinence; young people’s engagement in hidden sexual relationships; limited intergenerational dialogue about sexual health issues; judgmental attitude of staff at condom access points; male dominance of condom use preferences; and belief condoms disrupt intimacy, reduce sexual pleasure and infer a lack of trust. Factors that enhanced condom use included accessing condoms through discreet methods; adult beliefs that supported safe sex practices; and refusing to have sex without a condom. Conclusion: Findings broaden understandings of young people’s condom use practices in Suva, Fiji. The findings illustrate the need for culturally appropriate youth-centred sexual and reproductive health (SRH) programs and services. Specific strategies that might enhance young people’s condom use include community- and youth-led responses; peer condom distribution; provision of condom dispensers in community settings; scaling up of youth-friendly SRH services; and the delivery of comprehensive sexuality and relationships education.

Safer sex and condom use: findings from the Second Australian Study of Health and Relationships

Sexual Health ◽  
2014 ◽  
Vol 11 (5) ◽  
pp. 495 ◽  
Author(s):  
Richard O. de Visser ◽  
Paul B. Badcock ◽  
Chris Rissel ◽  
Juliet Richters ◽  
Anthony M. A. Smith ◽  
...  
Keyword(s):  
Condom Use ◽  
Participation Rate ◽  
Sexual Partners ◽  
Computer Assisted ◽  
Lower Income ◽  
Barrier Methods ◽  
Multiple Sexual Partners ◽  
Sexually Transmissible Infections ◽  
Vaginal Sex ◽  
Bisexual Identity

Background It is important to have current and reliable estimates of the frequency and correlates of condom use among Australian adults. Methods: A representative sample of 20 094 men and women aged 16–69 years, from all states and territories, completed computer-assisted telephone interviews. The overall participation rate among eligible people was 66.2%. Results: Although most respondents had used a condom at some time in their lives, fewer than half of those who were sexually active in the year before being interviewed had used a condom in that year. Condom use in the last year was associated with youth, speaking a language other than English at home, bisexual identity, greater education, residence in major cities, lower income and having multiple sexual partners in the last year. One-quarter of respondents used a condom the last time they had vaginal intercourse and one-sixth of these were put on after genital contact. Condom use during most recent vaginal sex was associated with youth, lower income, having sex with a non-regular partner and not using another form of contraception. Condom use appears to have increased between 2001–02 and 2012–13. Conclusion: Consistent with other research, this study showed that condom use was strongly associated with partner type and use of other contraception. There may be a need to highlight among people with multiple sexual partners the fact that non-barrier methods of contraception do not offer protection against sexually transmissible infections. The finding that many condoms were applied after genital contact suggests a need to promote both use and correct use of condoms.

Condom use motivations and selected behaviours with new versus established sex partners

Sexual Health ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 252 ◽  
Author(s):  
Richard A. Crosby ◽  
Robin R. Milhausen ◽  
Cynthia A. Graham ◽  
William L. Yarber ◽  
Stephanie A. Sanders ◽  
...  
Keyword(s):  
Condom Use ◽  
Pregnancy Prevention ◽  
Personal Digital Assistants ◽  
Vaginal Intercourse ◽  
Sex Partners ◽  
Single Event ◽  
The Past ◽  
Level Data ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Objective To compare condom use motives and behaviours in the context of penile–vaginal intercourse (PVI) with new versus established sexual partners, using daily event-level data among a clinic-recruited sample. Methods: Participants (ages 15–65 years old) were recruited from five sexually transmissible infection (STI) clinics in three United States cities. They were provided with personal digital assistants and instructed to respond to daily questionnaire items regarding PVI events from the past 24 h. Generalised estimations equations were used to make inferences on age-adjusted estimated odds ratios, comparing events occurring with established versus new partners. Results: For males, pregnancy prevention was a more common motivation for condom use in new relationships (P < 0.001). Males with new sex partners were more likely to report condom use (P < 0.005) and also reported fewer errors or problems in condom use with new sex partners (P < 0.001). For females, pregnancy prevention (P = 0.03), STI acquisition (P < 0.001) and STI transmission (P = 0.005) were more likely to be motives for condom use with new versus established partners. Also, females with new sex partners were more likely to report condom use (P < 0.001) as well as using multiple condoms during a single event (P = 0.03). Conclusion: Event-level findings suggest that condom use motivations and behaviours vary depending on whether PVI occurs between established versus new sex partners. Condom use is more likely for PVI with new partners, but other condom-associated behaviours and motivations differ between females and males.

scholarly journals Play! A Special Issue

Sexualities ◽  
2021 ◽  
pp. 136346072110136
Author(s):  
Caroline Bem ◽  
Susanna Paasonen
Keyword(s):  
Video Games ◽  
Sexual Pleasure ◽  
Special Issue ◽  
Sexuality Studies ◽  
The Past ◽  
Sexual Representation ◽  
The Social ◽  
Sexual Play ◽  
Sex Toys

Sexuality, as it relates to video games in particular, has received increasing attention over the past decade in studies of games and play, even as the notion of play remains relatively underexplored within sexuality studies. This special issue asks what shift is effected when sexual representation, networked forms of connecting and relating, and the experimentation with sexual likes are approached through the notion of play. Bringing together the notions of sex and play, it both foregrounds the role of experimentation and improvisation in sexual pleasure practices and inquires after the rules and norms that these are embedded in. Contributors to this special issue combine the study of sexuality with diverse theoretical conceptions of play in order to explore the entanglements of affect, cognition, and the somatic in sexual lives, broadening current understandings of how these are lived through repetitive routines and improvisational sprees alike. In so doing, they focus on the specific sites and scenes where sexual play unfolds (from constantly morphing online pornographic archives to on- and offline party spaces, dungeons, and saunas), while also attending to the props and objects of play (from sex toys and orgasmic vocalizations to sensation-enhancing chemicals and pornographic imageries), as well as the social and technological settings where these activities occur. This introduction offers a brief overview of the rationale of thinking sex in and as play, before presenting the articles that make up this special issue.

scholarly journals Beliefs and misconceptions about contraception and condom use among adolescents in south-east Nigeria

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Chinyere Ojiugo Mbachu ◽  
Ifunanya Clara Agu ◽  
Chinonso Obayi ◽  
Irene Eze ◽  
Nkoli Ezumah ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Pleasure ◽  
Adolescent Boys ◽  
Contraceptive Methods ◽  
Group Discussions ◽  
Sexually Transmitted ◽  
Modes Of Action ◽  
Sexual Behaviours ◽  
Risky Sexual Behaviours ◽  
Hard Drugs

Abstract Background Misconceptions about the usefulness of condoms and other contraceptives still expose many unmarried adolescents to the risk of unwanted teenage pregnancies and sexually-transmitted infections (STIs). This study explored beliefs and misconceptions about condoms and other contraceptives among adolescents in Ebonyi state, south-east Nigeria. Method A qualitative study was undertaken in six local government areas in Ebonyi state, southeast Nigeria. Data were collected within a period of one month from in and out-of-school adolescents aged 13–18 years using twelve focus group discussions (FGD). The data were analyzed using the thematic framework approach. Result Majority of the adolescents were knowledgeable about methods of contraception, how they are used and their modes of action. They were also knowledgeable about the dual effects of condoms in prevention of pregnancy and STIs. However, some misconceptions that were expressed by some adolescents were that pregnancy could be prevented by the use of (i) hard drugs, (ii) laxatives, (iii) white chlorine, and (iv) boiled alcoholic beverages. Condoms were described by some adolescent boys as reusable. Condoms were also perceived by some adolescents to reduce sexual pleasure, and this opinion was mostly held by boys. Coitus interruptus (withdrawal method) was therefore considered more preferable than condoms for prevention of pregnancy. Conclusion Although majority adolescents have knowledge about contraception and condom use, some misconceptions still persist. These misconceptions put many adolescents at increased risk for pregnancy and STIs which are detrimental to their health and wellbeing. Concerted efforts should be made through educational and behaviour change interventions in schools and within communities to debunk persisting misconceptions about contraception including the use of condom, and properly educate adolescents on safe sex practices. Plain English summary Adolescents engage in unprotected sexual intercourse and other risky sexual behaviours because of some mistaken beliefs and wrong impressions about how to prevent unwanted pregnancy. These risky sexual behaviours predispose adolescents to sexually transmitted infections, unsafe abortion and other reproductive health problems. In this qualitative study, we explored some of these mistaken beliefs about condoms and other methods of preventing pregnancy. During focus group discussions, adolescents identified modern contraceptive methods, and described their modes of action and how they are used. They also discussed their contraceptive preferences and perceived effects of condoms on sexual pleasure. Although some of these adolescents were able to correctly mention various types of contraceptives and their modes of action, there were numerous wrong impressions. Hard drugs, laxatives, white chlorine and boiled alcoholic beverage were listed as emergency contraceptive methods. Emergency pills were perceived to work by flushing away spermatozoa from a girl’s system after sexual intercourse. Male condoms were perceived to be potentially dangerous because they could break and enter into the body of the female sexual partner. Some adolescent boys had the notion that particular brands of male condoms could be washed and reused. Notions about condom use and sexual pleasure varied for girls and boys. Some adolescent girls perceived that condom use during sex increases sexual pleasure because of the assurance of being protected from STIs and pregnancy. Adolescent boys were of the opinion that condoms interfere with the pleasure of direct ‘flesh to flesh’ contact during sex. There was a general belief that contraceptive use in early age reduces fertility prospects for boys and girls. Mistaken beliefs about methods of preventing pregnancy persist among adolescents, and this raises concerns about the quality of information they receive. Concerted efforts should be made to debunk these wrong beliefs and properly educate adolescents on safe sex practices.

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