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Condom or no condom – That’s the question
Stockholm University, Faculty of Social Sciences, Department of Sociology.
(English)Manuscript (preprint) (Other academic)
Abstract [en]

The aim of this paper was to examine common factors that affect condom use for sex (anal, oral and vaginal) with casual partners both known and unknown. Data were collected through in-depth interviews at one STI clinic in Stockholm, Sweden, with 29 people (14 men, 14 women and one transgendered person) aged 21-32 years participating in the study. Open questions were asked about the participant’s background, reason for STI test, reasons for condom use, reasons for condom non-use, and their definition of sex. The interviews were audio recorded and transcribed. Data were ana-lyzed according to thematic analysis. The results show that there are several reasons why people do not use a condom. Women encounter resistance from men when they suggest a condom, and often have strategies for avoiding threatening or unpleasant situations. For men, alcohol is a common reason for non-use. This is mostly connected to the effect alcohol has on their sen-sation and their erection. These findings suggest that condom use is a com-plex issue and that there are often underlying reasons why people do not use a condom. To help people be better condom users, we need to identify these underlying reasons and help patients deal with them.

National Category
Sociology
Research subject
Sociology
Identifiers
URN: urn:nbn:se:su:diva-108899OAI: oai:DiVA.org:su-108899DiVA: diva2:761455
Available from: 2014-11-06 Created: 2014-11-06 Last updated: 2014-11-07
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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