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Condom use in anal intercourse amongst people who identify as homosexual, heterosexual or bisexual

J Chetwynd1, A Chambers, A J Hughes

  • 1Department of Community Health and General Practice, Christchurch School of Medicine.

The New Zealand Medical Journal
|July 8, 1992
PubMed

Insights

Condom use is high among homosexual men practicing anal intercourse but low among heterosexuals. Targeted AIDS education is needed to promote safer sex practices for heterosexuals engaging in anal intercourse.

Area of Science:

  • Public Health
  • Sexual Health
  • Epidemiology

Background:

  • Anal intercourse is a recognized risk factor for HIV transmission.
  • Understanding sexual practices and condom use is crucial for public health interventions.
  • Previous research has focused on specific populations, necessitating broader data.

Purpose of the Study:

  • To investigate condom usage patterns among individuals who engage in anal intercourse.
  • To compare condom use across different sexual orientations and genders.
  • To identify factors associated with higher or lower condom use in this population.

Main Methods:

  • A cross-sectional study involving 814 clients at a pre-HIV test counseling clinic.
  • Anonymous data collection on sexual behaviors, including anal intercourse and condom use.
  • Analysis of reported practices stratified by sexual orientation (homosexual, bisexual, heterosexual) and gender.

Main Results:

  • 39% of clients reported engaging in anal intercourse.
  • Condom use during anal intercourse was significantly higher in homosexual men (71%) and bisexual men (53%) compared to heterosexual men (16%) and women (7%).
  • Homosexual men, prostitutes, individuals with multiple partners, and those with an HIV-infected partner were more likely to use condoms.

Conclusions:

  • The homosexual community has adopted safer sexual practices regarding anal intercourse and condom use.
  • Heterosexual individuals practicing anal intercourse show low rates of condom use.
  • There is a need for explicit AIDS education that addresses heterosexual anal intercourse and promotes consistent condom use.
Abstract

Keywords:
Barrier MethodsBehaviorCoitusCondomContraceptionContraceptive MethodsContraceptive UsageData AnalysisData CollectionDemographic FactorsDeveloped CountriesDiseasesFamily PlanningHeterosexualsHiv InfectionsHomosexualsNew ZealandOceaniaPopulationPopulation CharacteristicsReproductionResearch MethodologySex BehaviorSex FactorsViral Diseases

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