Factors Associated with Condom Use among a Sample of Men Who Have Sex with Men (MSM) Residing in Rural Oklahoma

Zachary Giano, Katherine E. Kavanaugh, André R. Durham, Joseph M. Currin, Denna Wheeler, Julie Croff, Randolph Hubach

Research output: Contribution to journalArticle

Abstract

Public health literature often neglects populations from rural communities, particularly with men who have sex with men (MSM). Although HIV/STI infections are decreasing slightly, there is an increase within rural MSM, thus opening the door for further research on condom use behavior in a rural context. In-depth interviews were conducted with 40 MSM in rural Oklahoma regarding their condom use and sexual behaviors. A qualitative analysis revealed five themes with respect to condom usage: physical discomfort of condoms, relationship trust, usage based on the type of sexual act, substance use, and knowledge of a partner’s HIV/STI status. A sixth theme within the context of rural Oklahoma revealed participants’ fear of physical/verbal abuse, hesitations seeking medical help due to confidentially issues, and general acknowledgment of the lack of education and resources available. Implications include increasing mobile testing locations and a push for marketing greater confidentially within health service providers.

Original languageEnglish
JournalJournal of Homosexuality
DOIs
StatePublished - 1 Jan 2019

Fingerprint

Condoms
Sexually Transmitted Diseases
rural community
service provider
neglect
health service
marketing
abuse
public health
anxiety
lack
Rural Population
interview
Marketing
resources
Sexual Behavior
Health Services
HIV Infections
Fear
education

Keywords

  • HIV prevention
  • Men who have sex with men
  • rural health
  • sexual health

Cite this

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title = "Factors Associated with Condom Use among a Sample of Men Who Have Sex with Men (MSM) Residing in Rural Oklahoma",
abstract = "Public health literature often neglects populations from rural communities, particularly with men who have sex with men (MSM). Although HIV/STI infections are decreasing slightly, there is an increase within rural MSM, thus opening the door for further research on condom use behavior in a rural context. In-depth interviews were conducted with 40 MSM in rural Oklahoma regarding their condom use and sexual behaviors. A qualitative analysis revealed five themes with respect to condom usage: physical discomfort of condoms, relationship trust, usage based on the type of sexual act, substance use, and knowledge of a partner’s HIV/STI status. A sixth theme within the context of rural Oklahoma revealed participants’ fear of physical/verbal abuse, hesitations seeking medical help due to confidentially issues, and general acknowledgment of the lack of education and resources available. Implications include increasing mobile testing locations and a push for marketing greater confidentially within health service providers.",
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Factors Associated with Condom Use among a Sample of Men Who Have Sex with Men (MSM) Residing in Rural Oklahoma. / Giano, Zachary; Kavanaugh, Katherine E.; Durham, André R.; Currin, Joseph M.; Wheeler, Denna; Croff, Julie; Hubach, Randolph.

In: Journal of Homosexuality, 01.01.2019.

Research output: Contribution to journalArticle

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AU - Giano, Zachary

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AU - Wheeler, Denna

AU - Croff, Julie

AU - Hubach, Randolph

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