The condom imperative in anal sex – one size may not fit all: A qualitative descriptive study of men who have sex with men (MSM).

Journal article

Nevillie, S, Adams, J, Moorley, CR and Jackson, D (2016). The condom imperative in anal sex – one size may not fit all: A qualitative descriptive study of men who have sex with men (MSM). Journal of Clinical Nursing. 25 (23-24), pp. 3589-3596. https://doi.org/10.1111/jocn.13507
AuthorsNevillie, S, Adams, J, Moorley, CR and Jackson, D
Abstract

Aims and objectives: To explore men who have sex with mens’ views about condom use when having anal intercourse. Background: Internationally, health promotion campaigns utilise behavioural change strategies to support men who have sex with men to always use condoms when having anal sex with other men. The health promotion message given to this group is consistent and explicitly stated; use a condom every time for anal sex regardless of relationship status. Design: Qualitative analysis of data from a cohort of New Zealand men who have sex with men. Methods: A total of 960 useable questionnaires were completed; 571 online and 389 in hard copy. Qualitative data were analysed using a thematic data analytic process. Results: Three themes relating to condom use in men who have sex with men were identified. These are: “Safer sex is good sex”, “Condom use is good but …” and “I use condoms sometimes”. Conclusions: The range of responses towards condom use for anal sex in MSM in our sample, reveal this as a complex public health issue, with not all MSM willing to consistently use condoms. Relevance to clinical practice: It is important that nurses do not assume that all MSM are willing to use condoms for anal sex, and should create opportunities for MSM to raise any concerns about the use of condoms. In this way, nurses can assist in providing information that may help MSM to make decisions that will minimise risk of contracting infections associated with sexual activity.

KeywordsMen who have sex with men (MSM); anal sex; , condom use; HIV; sexual health; qualitative survey
Year2016
JournalJournal of Clinical Nursing
Journal citation25 (23-24), pp. 3589-3596
PublisherWiley
ISSN1365-2702
Digital Object Identifier (DOI)https://doi.org/10.1111/jocn.13507
Web address (URL)https://onlinelibrary.wiley.com/doi/abs/10.1111/jocn.13507
Publication dates
Print23 Nov 2016
Publication process dates
Deposited27 Sep 2016
Accepted10 Aug 2016
Accepted author manuscript
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Open
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