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Condom use among Swedes while traveling internationally: A qualitative descriptive study
Eva Lejelind1, Ragnar Westerling2, Kerstin Sjögren Fugl-Meyer3,4
1Department of Dermatology and Venereology, Uppsala University Hospital, Uppsala, Sweden.
International travel can alter sexual behavior, increasing unprotected sex due to reduced social constraints and alcohol. Enhancing condom use confidence is key for preventing sexually transmitted infections (STIs).
Area of Science:
- Public Health
- Sexual Health
- International Travel Medicine
Background:
- International travel is associated with changes in sexual behavior.
- Unprotected sex during travel increases the risk of sexually transmitted infections (STIs).
- Understanding factors influencing condom use in travelers is crucial for public health interventions.
Purpose of the Study:
- To explore the strategies and barriers influencing condom use among Swedish individuals who engaged in unprotected sex during international travel.
- To identify factors contributing to unprotected sexual encounters in a travel context.
- To inform the development of targeted interventions for safer sex practices among travelers.
Main Methods:
- Semi-structured interviews were conducted with 50 participants (25 women, 25 men) who attended a sexual health clinic.
- Conventional content analysis was used to analyze interview data.
- Participant narratives were categorized into strategies and barriers related to condom use.
Main Results:
- Identified strategies included risk assessment, STI testing, and treatment.
- Barriers were categorized as technical, personal, or emotional.
- Findings indicated that international travel can lead to a release of social constraints and increased alcohol consumption, acting as risk factors for unprotected sex.
- Many reported strategies and barriers explained the practice of unprotected sex rather than its prevention.
Conclusions:
- Sexual behavior patterns may differ during international travel.
- Individuals require support to re-evaluate strategies and build confidence in condom use.
- An individualized approach within routine healthcare can promote safer sex practices and reduce STI transmission among travelers.
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