Why do men often not use condoms in their relationships with casual sexual partners in Uganda?
Rutakumwa, R.; Mbonye, M.; Kiwanuka, T.; Bagiire, D.; Seeley, J.
Culture Health and Sexuality 17(10): 1237-1250
2015
ISSN/ISBN: 1369-1058 PMID: 26158527 DOI: 10.1080/13691058.2015.1053413Document Number: 636249
With a focus on Uganda, this paper examines men's condom use in sexual relationships with casual partners and what this might tell us about men's vulnerability to HIV-infection. We carried out repeat interviews with 31 men attending a clinic serving women at high risk for HIV infection and their partners in Kampala. We found that the experience of condom-less sex in the men's youth, itself the outcome of a restrictive home environment, was perceived as influencing later unsafe sexual behaviour. Peer pressure encouraged men to have multiple partners. Alcohol negatively affected condom use. Men often opted not to use a condom with women they thought looked healthy, particularly if they had had sex with the same woman before. Some men who were HIV-positive said they saw little point in using condoms since they were already infected. A concerted effort is required to reach men, like those in our study, to halt HIV and the transmission of other sexually transmitted infections.