The condom imperative in anal sex – one size may not fit all: a qualitative descriptive study of men who have sex with men

Neville, S; Adams, J; Moorley, C; Jackson, D

The condom imperative in anal sex – one size may not fit all: a qualitative descriptive study of men who have sex with men

Neville, S

Adams, J Moorley, C Jackson, D

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Publication Type:: Journal Article
Citation:: Journal of Clinical Nursing, 2016, 25 (23-24), pp. 3589 - 3596
Issue Date:: 2016-12-01

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Field	Value	Language
dc.contributor.author	Neville, S https://orcid.org/0000-0002-1699-6143	en_US
dc.contributor.author	Adams, J	en_US
dc.contributor.author	Moorley, C	en_US
dc.contributor.author	Jackson, D https://orcid.org/0000-0001-5252-5325	en_US
dc.date.available	2016-08-10	en_US
dc.date.issued	2016-12-01	en_US
dc.identifier.citation	Journal of Clinical Nursing, 2016, 25 (23-24), pp. 3589 - 3596	en_US
dc.identifier.issn	0962-1067	en_US
dc.identifier.uri	http://hdl.handle.net/10453/89438
dc.description.abstract	© 2016 John Wiley & Sons Ltd Aims and objectives: To explore men who have sex with men's views about condom use when having anal intercourse. Background: Internationally, health promotion campaigns use behavioural change strategies to support men who have sex with men to always use condoms when having anal sex with other men. The health promotion message given to this group is consistent and explicitly stated that ‘use a condom every time for anal sex regardless of relationship status’. Design: Qualitative analysis of data from a cohort of New Zealand men who have sex with men. Methods: A total of 960 useable questionnaires were completed: 571 online and 389 in hard copy. Qualitative data were analysed using a thematic data analytic process. Results: Three themes relating to condom use in men who have sex with men were identified. These are as follows: ‘Safer sex is good sex’, ‘Condom use is good but …’ and ‘I use condoms sometimes’. Conclusions: The range of responses towards condom use for anal sex in men who have sex with men in our sample reveal this as a complex public health issue, with not all men who have sex with men willing to consistently use condoms. Relevance to clinical practice: It is important that nurses do not assume that all men who have sex with men are willing to use condoms for anal sex, and should create opportunities for men who have sex with men to raise any concerns about the use of condoms. In this way, nurses can assist in providing information that may help men who have sex with men to make decisions that will minimise risk of contracting infections associated with sexual activity.	en_US
dc.relation.ispartof	Journal of Clinical Nursing	en_US
dc.relation.isbasedon	10.1111/jocn.13507	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Cohort Studies	en_US
dc.subject.mesh	Condoms	en_US
dc.subject.mesh	Safe Sex	en_US
dc.subject.mesh	Homosexuality, Male	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Health Promotion	en_US
dc.subject.mesh	New Zealand	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Young Adult	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	The condom imperative in anal sex – one size may not fit all: a qualitative descriptive study of men who have sex with men	en_US
dc.type	Journal Article
utslib.citation.volume	23-24	en_US
utslib.citation.volume	25	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1701 Psychology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	23-24	en_US
pubs.publication-status	Published	en_US
pubs.volume	25	en_US

Abstract:

© 2016 John Wiley & Sons Ltd Aims and objectives: To explore men who have sex with men's views about condom use when having anal intercourse. Background: Internationally, health promotion campaigns use behavioural change strategies to support men who have sex with men to always use condoms when having anal sex with other men. The health promotion message given to this group is consistent and explicitly stated that ‘use a condom every time for anal sex regardless of relationship status’. Design: Qualitative analysis of data from a cohort of New Zealand men who have sex with men. Methods: A total of 960 useable questionnaires were completed: 571 online and 389 in hard copy. Qualitative data were analysed using a thematic data analytic process. Results: Three themes relating to condom use in men who have sex with men were identified. These are as follows: ‘Safer sex is good sex’, ‘Condom use is good but …’ and ‘I use condoms sometimes’. Conclusions: The range of responses towards condom use for anal sex in men who have sex with men in our sample reveal this as a complex public health issue, with not all men who have sex with men willing to consistently use condoms. Relevance to clinical practice: It is important that nurses do not assume that all men who have sex with men are willing to use condoms for anal sex, and should create opportunities for men who have sex with men to raise any concerns about the use of condoms. In this way, nurses can assist in providing information that may help men who have sex with men to make decisions that will minimise risk of contracting infections associated with sexual activity.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/89438