Condom use and 'withdrawal': exploring gay men's practice of anal intercourse

Citation
J. Richters et al., Condom use and 'withdrawal': exploring gay men's practice of anal intercourse, INT J STD A, 11(2), 2000, pp. 96-104
Citations number
14
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Clinical Immunolgy & Infectious Disease
Journal title
INTERNATIONAL JOURNAL OF STD & AIDS
ISSN journal
0956-4624 → ACNP
Volume
11
Issue
2
Year of publication
2000
Pages
96 - 104
Database
ISI
SICI code
0956-4624(200002)11:2<96:CUA'EG>2.0.ZU;2-V
Abstract
Some gay men who have unprotected anal intercourse a avoid ejaculation-they practise 'withdrawal'. Using data collected in 1997 from a sample of Sydne y gay men (n=625), we explored the relation between men's practice of ejacu lation and their use of condoms. We also investigated whether men who had u nprotected withdrawal but not unprotected ejaculation were more likely to t hink unprotected withdrawal was safe, liked condoms less, liked anal interc ourse more, or were more sexually adventurous. Considering separately inser tive and receptive anal intercourse with regular and with casual partners, we found that the majority of men who practised unprotected withdrawal also practised unprotected ejaculation. Of those whose only unprotected sex was withdrawal ('true withdrawers'), most never used condoms (they did not als o have protected sex with ejaculation). True withdrawers were compared with men who had unprotected ejaculation, who always used condoms, who had no a nal sex and who had no partners. Those who were true withdrawers with casua l partners were more likely to believe withdrawal was safe; no group effect s were found with regular partners. No significant differences in condom at titudes were found. True withdrawers with regular partners liked anal inter course less than other men, but true withdrawers with casual partners were indistinguishable from those who had unprotected ejaculation. True withdraw ers did not differ in sexual adventurousness from other men who had anal in tercourse. Most withdrawers avoided anal sex with ejaculation rather than u se condoms. Converting them into reliable condom users may be a considerabl e challenge for health promotion.