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Factors associated with non-use of condoms among heterosexually-active single people in Germany: Results from the first representative, population-based German health and sexuality survey (GeSiD).

Authors :
Cerwenka S
Wiessner C
Mercer CH
Matthiesen S
Pietras L
von Rüden U
Dekker A
Briken P
Source :
International journal of STD & AIDS [Int J STD AIDS] 2022 Jul; Vol. 33 (8), pp. 766-772. Date of Electronic Publication: 2022 May 25.
Publication Year :
2022

Abstract

Background: Against the backdrop of rising STI incidence among the heterosexual population, sexually active single people are at particularly high STI transmission risk. Gaining insight into circumstances related to condoms non-use in this population is therefore important for developing effective health interventions. Methods: The nationally-representative survey, GeSiD (German Health and Sexuality Survey) undertaken 2018-2019, interviewed 4,955 people aged 18-75 years. A total of 343 heterosexually-active single participants answered a question about condom use at last sex. Data on sociodemographic characteristics, sexual behaviours and circumstances of last sex were analysed to identify independently associated factors. Results: Condom non-use at last sex was reported more commonly by participants aged >35 years than by younger participants (48.5 vs 33.7%, respectively) and more likely among longer relationships (adjusted odds ratio [AOR]: 2.43) or early loving relationships (AOR: 3.59) than in one-night-stands. It was also associated with not discussing using condoms before sex (AOR: 6.50) and with reporting non-use of condoms at sexual debut (AOR: 4.75). Conclusions: Non-use of condoms is a common STI risk behaviour among heterosexually-active single people in Germany and so needs promoting from sexual debut throughout the life course, regardless of relationship type and age, but particularly among middle-aged and older people.

Details

Language :
English
ISSN :
1758-1052
Volume :
33
Issue :
8
Database :
MEDLINE
Journal :
International journal of STD & AIDS
Publication Type :
Academic Journal
Accession number :
35611867
Full Text :
https://doi.org/10.1177/09564624221100309