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Gender matters: condom use and nonuse among behaviorally bisexual men
Randolph D Hubach1, Brian Dodge, Gabriel Goncalves
1Center for Sexual Health Promotion, Department of Applied Health Science, SPH 116, School of Public Health-Bloomington, Indiana University, Bloomington, IN, 47405, USA.
Archives of Sexual Behavior
|August 6, 2013
Summary
Behaviorally bisexual men face unique barriers to consistent condom use. Interventions must address relationship and gender complexities for effective HIV/STI prevention in this population.
Area of Science:
- Public Health
- Sexual Health
- Sociology
Background:
- Behaviorally bisexual men are recognized as a population at high risk for HIV and sexually transmitted infections (STIs).
- However, there is limited understanding of their specific patterns and experiences regarding condom use and nonuse with both male and female partners.
Purpose of the Study:
- To explore the patterns and experiences of condom use and nonuse among behaviorally bisexual men.
- To identify barriers and facilitators to consistent condom use in relation to partner gender and relationship type.
Main Methods:
- Qualitative study involving semi-structured interviews with 77 behaviorally bisexual men recruited in Indianapolis, Indiana.
- Data collection focused on detailed accounts of sexual health, condom use, and nonuse experiences with male and female partners.
Main Results:
- Participants reported common condom use barriers, alongside distinct challenges specific to bisexual men.
- Consistent condom use was prevalent with casual partners (male and female), but nonuse was noted within ongoing relationships.
- Reasons for condom use and nonuse varied significantly based on the partner's gender and the nature of the relationship.
Conclusions:
- Interventions to improve condom use among behaviorally bisexual men require tailored approaches.
- These interventions must consider the intricate interplay of gender dynamics and relationship configurations within this population.
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