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Condom use: the discrepancy between practice and behavioral expectations
Stockholm University, Faculty of Social Sciences, Department of Sociology.
2014 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 42, no 8, 759-765 p.Article in journal (Refereed) Published
Abstract [en]

Aim: The overall aim of this paper is to examine sexually active young people’s behavioral expectations of condom use.

Methods: We collected data at nine youth clinics and one sexually transmitted infections (STI) clinic in Sweden. We included participants whom had been sexually active during the past 12 months: A total of 1022 participants between the ages of 15 and 31 were included. We analyzed the data separately, for different types of sexual practices and types of sexual partners. Multinomial logistic regression was used to analyze age and gender differences for discrepancies.

Results: The behavioral expectation of condom use differed, depending on the type of sexual practice and the type of partner. For all types of sex, the overall pattern showed that the participants were most likely to use a condom with a casual unknown partner, followed by a casual known partner, regular partner and lastly, a main partner. Our results also demonstrated that there is a discrepancy between the behavioral expectation of condom use and the self-reported condom use. The lowest discrepancy was for oral sex, especially with a main partner, and the largest discrepancy was for anal sex and vaginal sex with a casual partner.

Conclusions: Our results imply that the participants had a greater expectation of condom use than actually occurs, especially for casual unknown partners. There is a lack of knowledge about the risks associated with oral sex, which is evident in the results of the participants’ behavioral expectations of condom use under those conditions.

Place, publisher, year, edition, pages
London: Sage Publications, 2014. Vol. 42, no 8, 759-765 p.
Keyword [en]
Behavioral expectations, Sweden, condom use, disease prevention, sexual behavior, sexual practices, sexual relationships, sexually transmitted disease, youth
National Category
Sociology
Research subject
Sociology
Identifiers
URN: urn:nbn:se:su:diva-108894DOI: 10.1177/1403494814550518ISI: 000345988800006OAI: oai:DiVA.org:su-108894DiVA: diva2:761448
Available from: 2014-11-06 Created: 2014-11-06 Last updated: 2017-12-05Bibliographically approved
In thesis
1. Play with fire, play with you sometimes: Social aspects of condom use among young people in Sweden
Open this publication in new window or tab >>Play with fire, play with you sometimes: Social aspects of condom use among young people in Sweden
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Although Sweden invests a great deal of money and effort in prevention work, STIs are a major problem in our society. Young people are at high risk both when it comes to unwanted pregnancies and STIs and several studies have revealed that the condom use is quite low. Condom use is a complex issue. There are often several factors that interact and affect the decision to use or not use condom. The result in this thesis shows that young people have behavioral expectation to use condom, especially for anal sex and vaginal sex with a casual partner (both known and unknown). At the same time, the condom use is low irrespective of type of partner and type of sex. Approximately 20 % of the participants never used a condom during the preceding 12 months. Most of the participants said that reason for their use or non-use was based on partner evaluation. However, our participants indicate that there often is a deeper reason why they do not use condoms. Women talk about their male partner’s resistance against condom use. Men in the other hand mention the problem with fit and feel especially problems related to erection problems when they have been drinking alcohol. One of the most interesting findings is that the participants’ view of sex affected their condom use. Those with a relaxed view (e.g., did not connect love with sex and had had more sexual partners during the past 12 months) had fewer occasions of unprotected vaginal intercourse compared with the participants with a traditional view (e.g., often associated sex with vaginal penetration).The most important thing we need to do is increase ’men’s sense of responsibility and involve them in the prevention work. It is also important that the condom counseling is individualized. It is not enough to simply speak about condom use in general; instead we need to relate condom use to sexual practice and partner type but also to the individuals’ specific condom problem.

Place, publisher, year, edition, pages
Stockholm: Department of Sociology, Stockholm University, 2014. 133 p.
Series
Stockholm studies in sociology, ISSN 0491-0885 ; N.S., 58
Keyword
adolescents, alcohol, behavioral expectations, Chlamydia Trachomatis, condom use, contraceptive use, gender, mixed-methods, sexual behavior, sexual practice, sexual relationships, STI, Sweden, youth
National Category
Sociology
Research subject
Sociology
Identifiers
urn:nbn:se:su:diva-108900 (URN)978-91-7649-038-9 (ISBN)
Public defence
2014-12-12, De Geersalen, Svante Arrhenius väg 14, Stockholm, 10:00 (Swedish)
Opponent
Supervisors
Note

At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 1: Epub ahead of print. Paper 2: Manuscript. Paper 3: Manuscript.

Available from: 2014-11-20 Created: 2014-11-06 Last updated: 2014-12-05Bibliographically approved

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