Sexual behaviour, condom use and prediction in attenders at sexually transmitted disease clinics—implications for counselling

Abstract

A cohort of 260 clinic attenders completed an inventory to examine sexual behaviour, condom use and appraisal and to determine whether situational factors in their last sexual encounters were predictive of condom use. Response to health education compaigns promoting condoms in the light of HIV were also examined. It was found that risk exposure was consistently high. A subsample induldged in anal intercourse, which was unprotected in over two-thirds of instances. Condom uptake was varied Difficulties with condoms were widespread and fell into physical and psychological categories. The only predictor of condom use was the desire for unprotected sex. This data seems to indicate that sex is not a drive out of conscious control, but that individuals weigh up costs and benefits which may be marginally influenced by some situational variables such as alcohol. This has profound implications for counselling which can be aimed at addressing the misconceptions and beliefs that some individuals hold. Such misconceptions may result in risky behaviour which may potentially expose them to HIV. Such understanding is an important prerequisite for effective interventions. Differences between responses for heterosexual and homosexual men and women were examined.