Abstract
The purpose of this study was to investigate the variability in young heterosexual men’s perceptions of the advantages and disadvantages of condom use in their casual sexual relationships. Because men who perceive greater disadvantages of condom use may be more likely to resist using them, we also explored the tactics that men employ to avoid using condoms. Semi-structured focus groups were conducted with single men who have sex with women (n = 60), aged 21–35 years, all of whom reported using condoms inconsistently. Transcripts were analyzed using a framework analysis approach. As expected, participants reported advantages and disadvantages to condom use that pertained to the likelihood and quality of sex, physical sensations during intercourse, and the risk of sexually transmitted infections and unwanted pregnancies. Within each of these topics, however, participants’ appraisals of the relative pros and cons of condom use varied considerably. Additionally, participants reported that men use a wide range of condom use resistance tactics, including seduction, deception, and condom sabotage, and that the use of these tactics was viewed as normative behavior for men their age. These findings suggest that the effectiveness of sexual health prevention efforts could be enhanced by increasing young men’s motivations to use condoms and by targeting social norms regarding condom use resistance. Additionally, the issue of men’s condom use resistance clearly merits increased empirical investigation and intervention attention.
Similar content being viewed by others
Explore related subjects
Discover the latest articles, news and stories from top researchers in related subjects.References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. doi:10.1016/0749-5978(91)90020-T.
Becker, M. H. (1974). The Health Belief Model and personal health behavior. Health Education Monographs, 2(4).
Bryan, A., Schindeldecker, M. S., & Aiken, L. S. (2001). Sexual self-control and male condom-use outcome beliefs: Predicting heterosexual men’s condom-use intentions and behavior. Journal of Applied Social Psychology, 31, 1911–1938. doi:10.1111/j.1559-1816.2001.tb00210.x.
Centers for Disease Control and Prevention. (2009). Sexual and reproductive health of persons aged 10–24 years—United States, 2002–2007. Morbidity and Mortality Weekly Report Surveillance Summaries, 58(SS06), 1–58. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5806a1.htm. Accessed 1 Aug 2011.
Centers for Disease Control and Prevention. (2010). Sexually transmitted diseases surveillance 2009. Retrieved from http://www.cdc.gov/std/stats09/default.htm. Accessed 5 Aug 2011.
Conley, T. D., & Collins, B. E. (2005). Differences between condom users and condom nonusers in their multidimensional condom attitudes. Journal of Applied Social Psychology, 35, 603–620. doi:10.1111/j.1559-1816.2005.tb02137.x.
Crosby, R. A., Graham, C. A., Yarber, W. L., & Sanders, S. A. (2004). If the condom fits, wear it: A qualitative study of young African-American men. Sexually Transmitted Infections, 80, 306–309.
Crosby, R., Milhausen, R., Yarber, W., Sanders, S., & Graham, C. (2008). Condom ‘turn offs’ among adults: An exploratory study. International Journal of STD and AIDS, 19, 590–595.
Crosby, R. A., Yarber, W. L., Graham, C. A., & Sanders, S. A. (2010). Does it fit okay? Problems with condom use as a function of self-reported poor fit. Sexually Transmitted Infections, 86, 36–38. doi:10.1136/sti.2009.036665.
Davis, K. C., & Logan-Greene, P. (2012). Young men’s use of aggressive tactics to avoid condom use: A test of a theoretical model. Social Work Research, 36, 223–231. doi:10.1093/swr/svs027.
DeBro, S. C., Campbell, S. M., & Peplau, L. A. (1994). Influencing a partner to use a condom. Psychology of Women Quarterly, 18, 165–182. doi:10.1111/j.1471-6402.1994.tb00449.x.
Ehrhardt, A. A., Exner, T. M., Hoffman, S., Silberman, I., Leu, C. S., Miller, S., et al. (2002). A gender-specific HIV/STD risk reduction intervention for women in a health care setting: Short- and long-term results of a randomized clinical trial. AIDS Care, 14, 147–161. doi:10.1080/09540120220104677.
Graham, C. A., Crosby, R. A., Sanders, S. A., & Yarber, W. L. (2005). Assessment of condom use in men and women. Annual Review of Sex Research, 16, 20–52.
Grimley, D. M., Riley, G. E., Bellis, J. M., & Prochaska, J. O. (1993). Assessing the stages of change and decision-making for the prevention of pregnancy, sexually transmitted diseases, and acquired immunodeficiency syndrome. Health Education Quarterly, 20, 455–470.
Harry, B., Sturges, K. M., & Klingner, J. K. (2005). Mapping the process: An exemplar of process and challenge in grounded theory analysis. Educational Researcher, 34, 3–13.
Higgins, J. A., & Hirsch, J. S. (2008). Pleasure, power, and inequality: Incorporating sexuality into research on contraceptive use. American Journal of Public Health, 98, 1803–1813. doi:10.2105/AJPH.2007.115790.
Janz, N. K., & Becker, M. H. (1984). The Health Belief Model: A decade later. Health Education Quarterly, 11, 1–47.
Kennedy, S. B., Nolen, S., Applewhite, J., Waiters, E., & Vanderhoff, J. (2007). Condom use behaviors among 18–24 year-old urban African American males: A qualitative study. AIDS Care, 19, 1032–1038. doi:10.1080/09540120701235610.
Krueger, R. A. (1994). Focus groups: A practical guide for applied research. Thousand Oaks, CA: Sage.
Krueger, R. A. (1995). The future of focus groups. Qualitative Health Research, 5, 524–530.
Krueger, R. A. (2006). Is it a focus group? Tips on how to tell. Journal of Wound, Ostomy and Continence, 33, 363–366.
Krueger, R. A., & Casey, M. A. (2000). Focus groups: A practical guide for applied research (3rd ed.). Thousand Oaks, CA: Sage.
LaBrie, J. W., Pedersen, E. R., Thompson, A. D., & Earleywine, M. (2008). A brief decisional balance intervention increases motivation and behavior regarding condom use in high-risk heterosexual college men. Archives of Sexual Behavior, 37, 330–339. doi:10.1007/s10508-007-9195-y.
Lee, J. (2010). Potential risks for the off-label use of SSRIs in premature ejaculation. Journal of Sexual Medicine, 7, 2622–2624. doi:10.1111/j.1743-6109.2010.01945.x.
Liamputtong, P. (2011). Focus group methodology: Principles and practice. London: Sage.
Measor, L. (2006). Condom use: A culture of resistance. Sex Education, 6, 393–402.
Miles, M. B., & Huberman, A. M. (1994). Early steps in analysis: Codes and coding. In M. B. Miles & A. M. Huberman (Eds.), Qualitative data analysis: An expanded sourcebook (2nd ed., pp. 55–69). Thousand Oaks, CA: Sage.
Milhausen, R. A. (2010, Nov). HIS development: A brief, self-guided, home-based intervention to increase correct condom use. Paper presented at the annual meeting of the Society for the Scientific Study of Sexuality, Las Vegas, NV.
Morgan, D. L. (1997). Focus groups as qualitative research (2nd ed.). Thousand Oaks, CA: Sage.
Noar, S. M., Morokoff, P. J., & Redding, C. A. (2001). An examination of transtheoretical predictors of condom use in late-adolescent heterosexual men. Journal of Applied Biobehavioral Research, 6, 1–26. doi:10.1111/j.1751-9861.2001.tb00104.x.
O’Sullivan, L. F., Udell, W., Montrose, V. A., Antoniello, P., & Hoffman, S. (2010). A cognitive analysis of college students’ explanations for engaging in unprotected sexual intercourse. Archives of Sexual Behavior, 39, 1121–1131. doi:10.1007/s10508-009-9493-7.
Philpott, A., Knerr, W., & Boydell, V. (2006). Pleasure and prevention: When good sex is safer sex. Reproductive Health Matters, 14, 23–31. doi:10.1016/S0968-8080(06)28254-5.
Pokorny, A. D., Miller, B. A., & Kaplan, H. B. (1972). The brief MAST: A shortened version of the Michigan Alcoholism Screening Test. American Journal of Psychiatry, 129, 342–345.
Prochaska, J. O., & DiClemente, C. C. (1986). Towards a comprehensive model of change. In W. Miller & N. Heather (Eds.), Treating addictive behaviors (pp. 3–28). New York: Plenum Press.
Prochaska, J. O., Velicer, W. F., Rossi, J. S., Goldstein, M. G., Marcus, B. H., Rakowski, W., et al. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychology, 13, 39–46. doi:10.1037/0278-6133.13.1.39.
Rabiee, F. (2004). Focus-group interview and data analysis. Proceedings of the Nutrition Society, 63, 655–660. doi:10.1079/PNS2004399.
Reece, M., Herbenick, D., Schick, V., Sanders, S. A., Dodge, B., & Fortenberry, J. D. (2011). Condom use rates in a national probability sample of males and females ages 14 to 94 in the United States. Journal of Sexual Medicine, 7(Suppl. 5), 266–276. doi:10.1111/j.1743-6109.2010.02017.x.
Richie, J., & Spencer, L. (1994). Qualitative data analysis for applied policy research. In A. Bryman & R. G. Burgess (Eds.), Analyzing qualitative data (pp. 173–194). London: Routledge.
Sanders, S. A., Graham, C. A., Yarber, W. L., Crosby, R. A., Dodge, B., & Milhausen, R. R. (2006). Women who put condoms on male partners: Correlates of condom application. American Journal Of Health Behavior, 30(5), 460–466. doi:10.5993/AJHB.30.5.2.
Scott-Sheldon, L. A., & Johnson, B. T. (2006). Eroticizing creates safer sex: A research synthesis. Journal of Primary Prevention, 27, 619–640. doi:10.1007/s10935-006-0059-3.
Sheeran, P., & Taylor, S. (1999). Predicting intentions to use condoms: A meta-analysis and comparison of the Theories of Reasoned Action and Planned Behavior. Journal of Applied Social Psychology, 29, 1624–1675. doi:10.1111/j.1559-1816.1999.tb02045.x.
Smith, L. A. (2003). Partner influence on non-condom use: Gender and ethnic differences. Journal of Sex Research, 40, 346–350. doi:10.1080/00224490209552200.
Steiner, M., Trussell, J., Glover, L., Joanis, C., Spruyt, A., & Dorflinger, L. (1994). Standardized protocols for condom breakage and slippage trials: A proposal. American Journal of Public Health, 84, 1897–1900.
Teitelman, A. M., Tennille, J., Bobinski, J. M., Jemmott, L. S., & Jemmott, J. B. (2011). Unwanted unprotected sex: Condom coercion by male partners and self-silencing of condom negotiation among adolescent girls. Advances in Nursing Science, 34, 243–259. doi:10.1097/ANS.0b013e31822723a3.
Tschann, J. M., Flores, E., de Groat, C. L., Deardorff, J., & Wibbelsman, C. J. (2010). Condom negotiation strategies and actual condom use among Latino youth. Journal of Adolescent Health, 47, 254–262. doi:10.1016/j.jadohealth.2010.01.018.
Weinstock, H., Berman, S., & Cates, W. (2004). Sexually transmitted diseases among American youth: Incidence and prevalence estimates, 2000. Perspectives on Sexual and Reproductive Health, 36, 6–10. doi:10.1363/3600604.
West, C., & Zimmerman, D. H. (1987). Doing gender. Gender and Society, 1, 125–151.
Acknowledgments
This research was supported by a grant to the first author from the National Institute of Alcohol Abuse and Alcoholism (R01-AA017608).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Davis, K.C., Schraufnagel, T.J., Kajumulo, K.F. et al. A Qualitative Examination of Men’s Condom Use Attitudes and Resistance: “It’s Just Part of the Game”. Arch Sex Behav 43, 631–643 (2014). https://doi.org/10.1007/s10508-013-0150-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10508-013-0150-9