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Condom use by Dutch men with commercial heterosexual contacts: determinants and considerations.
AIDS Educ Prev. 1997 Oct; 9(5):411-23.AE

Abstract

We report responses from 559 clients of female prostitutes, with a view to determining to what extent previously identified factors play a part in condom use. To increase the response rate to advertisements in daily and weekly newspapers, interviews were held by phone. This procedure had the advantage of ensuring the anonymity many clients demanded. Of those clients having vaginal or anal contact (91%), 14% had not always used condoms in the previous year. Compared with consistent condom users, these men were less highly educated, had twice as many commercial contacts, and had more contacts with "steady" prostitutes. They were either more emotionally motivated to visit prostitutes than were consistent condom users or exhibited a stronger need for sexual variation. They showed a more compulsive attitude toward visiting prostitutes, had a more negative attitude toward prostitution in general, evaluated condoms more negatively, had a higher personal efficacy to achieve unsafe contacts, and had a higher general risk assessment, commensurate with their behavior. Men with only safe contacts had either an intrinsic or an extrinsic motivation for condom use. Among extrinsically motivated men, their behavior change was more recent and had not yet taken root: They still envisioned unsafe commercial sex to be possible in the future. Education aimed at the small group of men practicing unsafe contacts will not easily and directly lead to behavior change. But these educational activities may support prostitutes to persist in (consistent) condom use, regardless of clients' pressure to do otherwise.

Authors+Show Affiliations

The Netherlands Institute of Mental Health and Addiction (Trimbos-instituut), Utrecht, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9391657

Citation

de Graaf, R, et al. "Condom Use By Dutch Men With Commercial Heterosexual Contacts: Determinants and Considerations." AIDS Education and Prevention : Official Publication of the International Society for AIDS Education, vol. 9, no. 5, 1997, pp. 411-23.
de Graaf R, van Zessen G, Vanwesenbeeck I, et al. Condom use by Dutch men with commercial heterosexual contacts: determinants and considerations. AIDS Educ Prev. 1997;9(5):411-23.
de Graaf, R., van Zessen, G., Vanwesenbeeck, I., Straver, C. J., & Visser, J. H. (1997). Condom use by Dutch men with commercial heterosexual contacts: determinants and considerations. AIDS Education and Prevention : Official Publication of the International Society for AIDS Education, 9(5), 411-23.
de Graaf R, et al. Condom Use By Dutch Men With Commercial Heterosexual Contacts: Determinants and Considerations. AIDS Educ Prev. 1997;9(5):411-23. PubMed PMID: 9391657.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Condom use by Dutch men with commercial heterosexual contacts: determinants and considerations. AU - de Graaf,R, AU - van Zessen,G, AU - Vanwesenbeeck,I, AU - Straver,C J, AU - Visser,J H, PY - 1997/12/10/pubmed PY - 1997/12/10/medline PY - 1997/12/10/entrez KW - Barrier Methods KW - Behavior KW - Condom KW - Contraception KW - Contraceptive Methods KW - Developed Countries KW - Europe KW - Family Planning KW - Heterosexuals--men KW - Motivation KW - Netherlands KW - Prostitutes--women KW - Psychological Factors KW - Research Report KW - Risk Reduction Behavior--determinants KW - Sex Behavior KW - Western Europe SP - 411 EP - 23 JF - AIDS education and prevention : official publication of the International Society for AIDS Education JO - AIDS Educ Prev VL - 9 IS - 5 N2 - We report responses from 559 clients of female prostitutes, with a view to determining to what extent previously identified factors play a part in condom use. To increase the response rate to advertisements in daily and weekly newspapers, interviews were held by phone. This procedure had the advantage of ensuring the anonymity many clients demanded. Of those clients having vaginal or anal contact (91%), 14% had not always used condoms in the previous year. Compared with consistent condom users, these men were less highly educated, had twice as many commercial contacts, and had more contacts with "steady" prostitutes. They were either more emotionally motivated to visit prostitutes than were consistent condom users or exhibited a stronger need for sexual variation. They showed a more compulsive attitude toward visiting prostitutes, had a more negative attitude toward prostitution in general, evaluated condoms more negatively, had a higher personal efficacy to achieve unsafe contacts, and had a higher general risk assessment, commensurate with their behavior. Men with only safe contacts had either an intrinsic or an extrinsic motivation for condom use. Among extrinsically motivated men, their behavior change was more recent and had not yet taken root: They still envisioned unsafe commercial sex to be possible in the future. Education aimed at the small group of men practicing unsafe contacts will not easily and directly lead to behavior change. But these educational activities may support prostitutes to persist in (consistent) condom use, regardless of clients' pressure to do otherwise. SN - 0899-9546 UR - https://www.unboundmedicine.com/medline/citation/9391657/Condom_use_by_Dutch_men_with_commercial_heterosexual_contacts:_determinants_and_considerations_ L2 - https://medlineplus.gov/hivaids.html DB - PRIME DP - Unbound Medicine ER -