Sex in Australia: Safer sex and condom use among a representative sample of adults
ABSTRACT To provide reliable estimates of the frequency of condom use and correlates of condom use among Australian adults.
Computer-assisted telephone interviews were completed by a representative sample of 10,173 men and 9,134 women aged 16-59 years. The response rate was 73.1% (69.4% men, 77.6% women).
Although the majority of respondents had used a condom at some time in their lives, fewer than half of the respondents who were sexually active in the year before being interviewed had used a condom in the past year. Condom use in the past year was associated with youth, greater education, residence in major cities, lower incomes, white-collar occupations, being a former smoker, and having more sexual partners in the past year. In the six months prior to interview, 7.1% of respondents always used condoms with regular cohabiting partners, 22.5% always used condoms with regular non-cohabiting partners, and 41.4% always used condoms with casual partners. Approximately 20% of respondents used a condom the last time they had vaginal intercourse, and one in eight of these condoms were put on after genital contact. Condom use during the most recent sexual encounter was associated with youth, living in a major city, having a lower income, having sex with a casual partner, and not using another form of contraception.
As in other studies, condom use was strongly associated with partner type and use of other contraception.
People with multiple sexual partners need to be aware that non-barrier methods of contraception (and condoms applied late) do not protect against sexually transmitted infections.
Full-textDOI: · Available from: Chris Rissel, Jun 04, 2015
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ABSTRACT: To document sexual and emotional satisfaction with their relationships and desired and actual frequency of sex among a representative sample of Australian adults. Between mid-2001 and mid-2002, computer-assisted telephone interviews were completed by 10,173 men and 9,134 women aged 16-59 years from all States and Territories selected by modified random-digit dialling of households (response rate 73.1%). Respondents in a regular relationship were asked how physically pleasurable they found sex with the partner to be and how emotionally satisfying the relationship was. All respondents were asked how often they would ideally like to have sex and how often they had sex in the past four weeks. Most people in heterosexual relationships found sex very or extremely pleasurable (90.3% men, 79.1% women) and the relationship emotionally satisfying (87.5% men, 79.2% women); men were more satisfied with both. Physical pleasure in sex was correlated with emotional satisfaction. One person in four had had no sex in the past four weeks; most people had had sex less than twice a week. Most people wanted ideally to have sex more often than they did. However, 24.3% of men but only 8.3% of women said they ideally wanted sex daily or more often. Men on average express higher levels of relationship satisfaction and of sexual interest, but the overlap between men and women is large.Australian and New Zealand Journal of Public Health 02/2003; 27(2):171-9. DOI:10.1111/j.1467-842X.2003.tb00805.x · 1.90 Impact Factor
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ABSTRACT: In Australia, unlike much of the rest of the world, HIV transmission through heterosexual contact remains a relatively rare occurrence. As a consequence, HIV prevention efforts have been firmly focused on male-to-male sex as the most frequent source of HIV transmission. There are emerging signs that this epidemiological landscape may be shifting, which raises questions with regards to current and future HIV prevention strategies. Over the past decade, national surveillance data have shown an increase in HIV notifications for which exposure to HIV was attributed to heterosexual contact. This paper offers an epidemiological and sociocultural picture of heterosexual HIV transmission in Australia. We outline recent trends in heterosexually acquired HIV and discuss specific factors that shape transmission and prevention among people at risk of HIV infection through heterosexual contact. To illustrate the contextual dynamics surrounding HIV in this diverse population, we detail two key examples: HIV among people from minority ethnic backgrounds in New South Wales; and overseas-acquired HIV among men in Western Australia. We argue that, despite their differences, there are significant commonalities across groups at risk of HIV infection through heterosexual contact, which not only provide opportunities for HIV prevention, but also call for a rethink of the dominant HIV response in Australia.AIDS Education and Prevention 06/2014; 26(3). DOI:10.1521/aeap.2014.26.3.245 · 1.59 Impact Factor