Changing Attitudes Towards Condoms Among Australian Gay and Bisexual Men in the PrEP Era: An Analysis of Repeated National Online Surveys 2011-2019

Johann Kolstee, James MacGibbon, Garrett Prestage, Shawn Clackett, Heath Paynter, Benjamin R Bavinton, Timothy R Broady, Jeanne Ellard, Dean A Murphy, John de Wit, Cherie Power, Martin Holt

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Condoms have been the primary form of HIV prevention for gay and bisexual men (GBM) for most of the HIV epidemic. The introduction of biomedical HIV prevention may have changed attitudes towards condoms. Data from repeated national online surveys of GBM in Australia were used to examine how attitudes towards condoms and confidence discussing condoms with partners changed in the period 2011-2019. The proportion of all participants who reported a positive experience in using condoms remained low and unchanged (9.6% in 2011 to 6.0% in 2019). Confidence in discussing condoms with partners decreased over time (from 72.2% in 2011 to 56.6% in 2019). Confidence in discussing condoms was associated with concern about sexually transmitted infections, and more consistent condom use. Sustaining confidence in using condoms may be more challenging as biomedical prevention methods become more commonly used.

Original languageEnglish
Pages (from-to)453-466
Number of pages14
JournalAIDS Education and Prevention
Volume34
Issue number6
DOIs
Publication statusPublished - 1 Dec 2022

Keywords

  • Male
  • Humans
  • Condoms
  • Australia/epidemiology
  • HIV Infections/prevention & control
  • Sexual and Gender Minorities
  • Attitude

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