Resisting the ‘condom every time for anal sex’ health education message

Adams, Jeffery and Neville, Stephen (2012) Resisting the ‘condom every time for anal sex’ health education message. Health Education Journal, 71 3: 386-394. doi:10.1177/0017896911405908

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Author Adams, Jeffery
Neville, Stephen
Title Resisting the ‘condom every time for anal sex’ health education message
Journal name Health Education Journal   Check publisher's open access policy
ISSN 0017-8969
Publication date 2012-05
Year available 2011
Sub-type Article (original research)
DOI 10.1177/0017896911405908
Volume 71
Issue 3
Start page 386
End page 394
Total pages 9
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2012
Language eng
Formatted abstract
Objective: Ensuring men who have sex with men (MSM) adopt and maintain condom use for anal sex is a challenging health education goal. In order to inform the development of social marketing practices to encourage safe-sex practices, the views of MSM about a key HIV health education message (‘using a condom every time for anal sex’) were sought.

Individual and paired interviews were conducted face-to-face and online, with a total of 22 MSM who identified as low users of condoms. Transcripts of interviews were analysed thematically.

Setting: Online and various locations in Auckland, New Zealand.

Results: Two main themes were identified in relation to the men’ views of the condom every time message: (a) awareness and appropriateness of the message; and (b) resistance to the message. The men interviewed reported a contradictory view with respect to the condom every time message. While it is viewed as an appropriate message for MSM as a group, for some individual men, particularly those in relationships, the message has little resonance. One solution offered was for the sexual practices of such men to be recognized and for appropriate and more relevant health education messages to be developed.

Conclusion: Addressing the gulf between professional and (some) lay understandings of what is appropriate for messages that seek to encourage men to adopt and to maintain condom use, and therefore reduce the chances of HIV infection, remains a significant challenge for health promotion agencies.
Keyword Condoms
Men who have sex with men
Social marketing
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online before print April 20, 2011

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 4 times in Scopus Article | Citations
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Created: Mon, 18 Jul 2011, 13:32:17 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work