Habitual condom use across partner type and sexual position among younger gay and bisexual men: findings from New Zealand HIV behavioural surveillance 2006–2011

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dc.contributor.author Lachowsky, NJ en
dc.contributor.author Dewey, CE en
dc.contributor.author Dickson, NP en
dc.contributor.author Saxton, Peter en
dc.contributor.author Hughes, AJ en
dc.contributor.author Milhausen, RR en
dc.contributor.author Summerlee, AJS en
dc.date.accessioned 2015-06-05T04:32:10Z en
dc.date.issued 2015 en
dc.identifier.citation Sexually transmitted infections 91(6):445-450 Sep 2015 en
dc.identifier.uri http://hdl.handle.net/2292/25771 en
dc.description.abstract Objectives Our objectives were to investigate demographic and behavioural factors associated with condom use and to examine how habitual condom use was across partner types and sexual positions among younger men who have sex with men (YMSM), aged 16–29, surveyed in New Zealand. Methods We analysed the 2006–2011 national HIV behavioural surveillance data from YMSM who reported anal intercourse in four scenarios of partner type and sexual position: casual insertive, casual receptive, regular insertive and regular receptive. For each, respondents’ condom use was classified as frequent (always/almost always) or otherwise, with associated factors identified with multivariate mixed-effect logistic regression. Habitual condom use across scenarios was examined using a latent variable technique that estimated the intraclass correlation coefficient (ICC). Results Frequent condom use was reported for 63.6% of 5153 scenarios reported from 2412 YMSM. Frequent use increased from boyfriend to fuckbuddy to casual partners. Infrequent use was associated with online recruitment, Pacific ethnicity, less education, HIV positivity, sex with women, having ≥20 sexual partners versus 1 and reporting insertive and receptive sexual positions. Frequent condom use was associated with having two to five sexual partners versus one and shorter regular partnerships. The ICC=0.865 indicated highly habitual patterns of use; habitual infrequent condom use was most prevalent with regular partners (53.3%) and habitual frequent condom use was most prevalent with casual partners (70.2%) and for either sexual position (50.5% and 49.1%). Conclusions Habitual condom use among YMSM highlights the value of early, engaging and sustained condom promotion. Public health should provide better and more compelling condom education, training and promotion for YMSM. en
dc.relation.ispartofseries Sexually Transmitted Infections en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1368-4973/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/ en
dc.title Habitual condom use across partner type and sexual position among younger gay and bisexual men: findings from New Zealand HIV behavioural surveillance 2006–2011 en
dc.type Journal Article en
dc.identifier.doi 10.1136/sextrans-2014-051759 en
pubs.issue 6 en
pubs.begin-page 445 en
pubs.volume 91 en
dc.description.version VoR - Version of Record en
dc.identifier.pmid 25605969 en
pubs.author-url http://sti.bmj.com/content/early/2015/01/28/sextrans-2014-051759 en
pubs.end-page 450 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 473756 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Social & Community Health en
dc.identifier.eissn 1472-3263 en
pubs.record-created-at-source-date 2015-01-23 en
pubs.dimensions-id 25605969 en

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