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.authorLachowsky, Nathan J.
dc.contributor.authorDewey, Cate E.
dc.contributor.authorDickson, Nigel P.
dc.contributor.authorSaxton, Peter J.
dc.contributor.authorHughes, Anthony J.
dc.contributor.authorMilhausen, Robin R.
dc.contributor.authorSummerlee, Alastair J. S.
dc.date.accessioned2022-06-17T16:21:30Z
dc.date.available2022-06-17T16:21:30Z
dc.date.copyright2015en_US
dc.date.issued2015
dc.description.abstractObjectives: 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_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe statistical infrastructure for analyses was supported through a grant to DLP from the Canada Foundation for Innovation and the Ontario Research Fund. NJL was supported by a Canadian Institutes of Health Research (CIHR) Vanier Canada Graduate Scholarship, a CIHR Michael Smith Foreign Study Supplement, a University of Guelph Ontario Veterinary College Dean’s Doctoral Scholarship, and a Rotary International Ambassadorial Scholarship. The Gay Auckland Periodic Sex Survey and Gay men’s Online Sex Survey were supported by the New Zealand Ministry of Health, the New Zealand AIDS Foundation and the University of Otago.en_US
dc.identifier.citationLachowsky, N. J., Dewey, C. E., Dickson, N. P., Saxton, P. J. W., Hughes, A. J., Milhausen, R. R., & Summerlee, A. J. S. (2015). “Habitual Condom Use Across Partner Type and Sexual Position Among Younger Gay and Bisexual Men: Findings from New Zealand HIV Behavioural Surveillance 2006–2011.” Sexually Transmitted Infections, 91, 445–450. https://doi.org/10.1136/sextrans-2014-051759en_US
dc.identifier.urihttps://doi.org/10.1136/sextrans-2014-051759
dc.identifier.urihttp://hdl.handle.net/1828/13991
dc.language.isoenen_US
dc.publisherSexually Transmitted Infectionsen_US
dc.subject.departmentSchool of Public Health and Social Policy
dc.titleHabitual Condom Use Across Partner Type and Sexual Position Among Younger Gay and Bisexual Men: Findings from New Zealand HIV Behavioural Surveillance 2006– 2011en_US
dc.typeArticleen_US

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