Condom Attitudes of Heterosexual Men Ages 50 and Older Using Prescribed Drugs (Viagra, Cialis, Levitra) to Treat Erectile Dysfunction

Abstract

The purpose of this study was to explore attitudes about condoms that may affect condom use by heterosexual men ages 50 and older who were sexually active and currently using prescribed oral phosphodiesterase type 5 inhibitor medications (Viagra ® , Cialis ® , or Levitra ® ) for treatment of erectile dysfunction. The study was part of a larger study that explored the need for safer-sex health promotion and education for these men. Fifty men completed factor subscales of the Condom Attitude Scale. Subscales were scored and analyzed. Positive factors were found with regard to the Interpersonal Impact, Inhibition, Perceived Risk, Perceived Seriousness, and Global Attitudes subscales. Factors with negative or neutral responses included the Effect on Sexual Experience, Relationship Safety, and Promiscuity subscales. Independent t tests revealed no differences between married and nonmarried men for the mean score on any of the subscales, but there was a difference on the Global Attitude Scale, with younger men having a more positive global attitude than older men. Study findings can be used in the development of health promotion educational activities on condom use as a safer-sex practice.

Older Men’s Blueprint for “Being a Man”

“…Men in long-term relationships tend to accept changes in their sexual capacity-''In my mind, they [older people] are lying naked together caressing each other's bodies and saying nice and tender words'' (Sandberg 2013, 269) or ''I don't think that's [penile penetration] what makes you a man, I'm sure it's not'' (Potts et al 2006, 319). However, older men returning to the dating marketplace are more likely to follow the anti-aging give 'em hell message and use ED drugs (S. Jones et al 2013). The evidence shows that when again dating and involved with more than one partner, decisions to not use condoms are not uncommon and increase older men's risk of contracting a sexually transmitted infection and passing it on (Bodley-Tickell et al 2008;Cooperman, Arnsten, and Klein 2007;Gott 2001;Jena et al 2010;K.…”

Exploring urban male non-marital sexual behaviours in Pakistan

“…Most studies are believed to underestimate the prevalence of male-to-male sex [20]. The issue of male-to-male sex in most societies is associated with stigma making it difficult for people to discuss the issue candidly.…”

“…The findings of our study however have important implications for preventing and controlling the future spread of the HIV epidemic in Pakistan. At least 5 percent to 10 percent of all HIV infections in the world are transmitted through unprotected sex between men [20]. Population movements involving migrants, refugees, displaced persons and men employed in long-distance transportation or shipping help to drive the spread of HIV/AIDS and other sexually transmitted infections (STIs).…”

“…Among 20 Asia-Pacific countries surveyed in 2006, only nine of the National Strategic Plan on AIDS had included MSM and HIV specific programmes or interventions, such as peer outreach despite that Asia’s AIDS pandemic first appeared among MSM [20]. Only eight countries had any form of surveillance specific to MSM, while only five reported the inclusion of MSM men in Behavioural Surveillance Surveys [29].…”

A Comparison of Sexual Health and Sexual Behaviors by Sexual Orientation among Hispanic Men Residing along the US-Mexico Border

“…Lastly, clinicians should have frank discussions with all Hispanic men regarding safer sex behaviors and reinforcement of the need to use condoms to reduce sexual risk. Previous research (Harvey and Henderson 2006;Sanchez et al 2012;Jones et al 2015;Jones et al 2013) reported that condom usage is low among all Hispanic men. This could be related to the fact that discussions of the importance of condom use to decrease HIV/STIs are often not incorporated into primary care (Bernstein et al 2008).…”