Lust, trust and latex: Why young heterosexual men do not use condoms

Flood, Michael

doi:10.1080/1369105011000028273

Cited by 139 publications

(133 citation statements)

References 22 publications

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“…[32][33][34][35] Some qualitative research reports that condoms symbolize infidelity, disease status, and mistrust, which acts as a barrier to continued condom use in long-term and committed relationships. [36][37][38][39][40] Although condom use has not been found to explain racial disparities in HIV or STI prevalence, 41,42 it is still a crucial behavior change goal. African Americans living in high HIV prevalence areas would have to achieve a much higher level of condom use across all partnership types to halt the heterosexual HIV epidemic and diminish racial disparities.…”

Section: Introductionmentioning

confidence: 99%

Condom Use and Concurrent Partnering among Heterosexually Active, African American Men: A Qualitative Report

et al. 2012

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African Americans are overrepresented among heterosexual cases of HIV/ AIDS in the USA. Inconsistent condom use and concurrent partnering are two sexual behaviors driving the heterosexual HIV epidemic in the African American community. To inform the development of an HIV prevention behavioral intervention to decrease concurrent partnering and increase condom use among African American heterosexual men, we conducted formative research, including 61 structured interviews, 5 focus groups with 25 men, and 30 in-depth qualitative interviews between July and December 2009. We used a grounded theoretical approach and categorizing strategies to code and analyze the qualitative data. Results around condom use confirmed earlier findings among heterosexual men in general: condoms diminish pleasure, interfere with erection, and symbolize infidelity. Although valued by some as a form of disease prevention and pregnancy prevention, condoms are often used only with specific types of female partners, such as new or casual partners, or due to visual risk assessment. Sex partner concurrency was described as normative and ascribed to men's "natural" desire to engage in a variety of sexual activities or their high sex drive, with little recognition of the role it plays in the heterosexual HIV epidemic. Fatherhood emerged among many men as a crucial life event and compelling motivation for reducing sexual risk behavior. Based on these results, we conclude that existing HIV prevention efforts to improve attitudes towards and motivate use of condoms either have not reached or have not been successful with African American heterosexual men. In designing behavioral interventions to decrease concurrent partnering and increase condom use, addressing negative attitudes towards condoms and partner risk assessment is critical, as is integrating novel motivational approaches related to identity as fathers and men in the African American community.

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Section: Introductionmentioning

confidence: 99%

Condom Use and Concurrent Partnering among Heterosexually Active, African American Men: A Qualitative Report

et al. 2012

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“…In the abstract, men embrace their shared role in contraception. In reality, they are much less likely to use condoms when they believe that their partners are using the pill (Flood, 2003). Pregnancy prevention, not disease prevention, remains the main reason for men's use of condoms (Cooper, Agocha, & Powers, 1999).…”

Section: Resultsmentioning

confidence: 99%

Eight Indicators of Unilateral Pregnancy

Melchionne

2010

Am J Mens Health

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Unintended pregnancy often leads to undesirable outcomes for both mothers and children. However, the definition of unintended pregnancy in the sociology of family formation has been restricted to the intentions of mothers. The intentions of fathers-and, with them, the possible role of disagreement about pregnancy intention-remain outside most conceptual frameworks and research programs. This article draws together a number of indicators of unilateral pregnancy in research on contemporary family formation in the United States. Studies of pregnancy intendedness and contraceptive use consistently provide evidence suggesting a significant role for unilateral pregnancy in family formation. Working on the assumption that unilateral pregnancy presents great potential for social dislocation, this article argues for the integration of the concept of unilateral pregnancy into the theoretical framework informing research on family formation.

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“…Additionally, heterosexual men report inconsistent condom use with different partners and minimal use with casual partners (Choi, Catania, & Dolcini, 1994;Exner, Gardos, Seal, & Ehrhardt, 1999;Laumann, Gagnon, Michael, & Michaels, 1994). Flood (2003) found that many young heterosexual men do not use condoms because they believe that condoms decrease pleasure. These men also believe that they are at less risk for STIs because they know and trust their partners.…”

Section: Introductionmentioning

confidence: 99%

A Brief Decisional Balance Intervention Increases Motivation and Behavior Regarding Condom Use in High-risk Heterosexual College Men

et al. 2007

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Male college students constitute one of a number of at-risk populations susceptible to receiving and transferring sexually transmitted infections. Interventions designed to increase condom use have produced mixed results, but increasing motivation to use condoms may decrease risky sexual behavior. The current study examined the decisional balance, a component of Motivational Interviewing (MI), as an intervention to promote condom use. A total of 41 college men at-risk for negative outcomes from both unsafe sex and drinking participated. They reported both infrequent condom use and heavy drinking. Immediately following a decisional balance on condom use, three separate measures of motivation to change condom use increased. Further, participants reported increases in actual condom use at a 30-day follow-up. Participants did not alter their drinking behavior or their motivation to decrease problematic alcohol use. The findings provide preliminary support for the efficacy of a brief decisional balance intervention to increase safer-sex motivation and behaviors, but similar designs with true control groups receiving assessment only and larger numbers of participants are required before they can be generalized to the greater population of college students. College health professionals might adopt similar brief motivational enhancement interventions with the decisional balance to promote safer sex among at-risk college students.

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Lust, trust and latex: Why young heterosexual men do not use condoms

Cited by 139 publications

References 22 publications

Condom Use and Concurrent Partnering among Heterosexually Active, African American Men: A Qualitative Report

Condom Use and Concurrent Partnering among Heterosexually Active, African American Men: A Qualitative Report

Eight Indicators of Unilateral Pregnancy

A Brief Decisional Balance Intervention Increases Motivation and Behavior Regarding Condom Use in High-risk Heterosexual College Men

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