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Research article
First published online February 2, 2017

‘I don’t want to be that guy walking in the feminine product aisle’: a Photovoice exploration of college men’s perceptions of safer sex responsibility

Abstract

Incidence and prevalence of human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) and other sexually transmitted infections (STIs) continue to increase among young heterosexual men and women in the United States. Although research studies examine the reasons why these young people are not engaging in safe sex behavior, many have not explored factors beyond individual behaviors. Much of the current research focuses on young women, for the most part leaving men out of the equation. In this study, a Photovoice methodology was used to examine social norms, media messaging and perceptions of responsibility surrounding safe sex practices, specifically condom use, among male heterosexual undergraduate students. Results showed that college-aged men are still prioritizing pregnancy prevention over disease prevention, which leads to assumptions that their female partners are on birth control and they do not need to use condoms. Participants pointed to media messages and condom placement that supports women’s responsibility for safer sex and condom negotiation. Future health promotion research and practice should focus on including men in the design and implementation process to address social norms and increase their sense of responsibility.

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References

1. Centers for Disease Control and Prevention. STDs and HIV – CDC fact sheet. Atlanta, GA: Centers for Disease Control and Prevention, 2015. Available from: http://www.cdc.gov/std/hiv/stdfact-std-hiv.htm (accessed April 21, 2016).
2. Centers for Disease Control and Prevention. Reported STDs in the United States – CDC fact sheet. Atlanta, GA: Centers for Disease Control and Prevention, 2015. Available from: http://www.cdc.gov/std/stats14/std-trends-508.pdf (accessed April 21, 2016).
3. Centers for Disease Control and Prevention. Adolescents and young adults. Atlanta, GA: Centers for Disease Control and Prevention, 2015. Available from: http://www.cdc.gov/std/life-stages-populations-adolescents-youngadults.htm (accessed April 21, 2016).
4. Centers for Disease Control and Prevention. HIV among youth. Atlanta, GA: Centers for Disease Control and Prevention, 2015. Available from: http://www.cdc.gov/hiv/group/age/youth/index.html (accessed April 21, 2016)
5. Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines. Atlanta, GA: Centers for Disease Control and Prevention, 2015. Available from: http://www.cdc.gov/std/tg2015/specialpops.htm#adol (accessed April 21, 2016).
6. Breny Bontempi J, Mugno R, Bulmer SM, Danvers K, Vancour ML. Exploring gender differences in the relationship between HIV/STD testing and condom use among undergraduate college students. Am J Health Educ. 2009; 40: 97–105.
7. Rhodes SD, McCoy T, Omli MR, Cohen G, Champion H, DuRant RH. Who really uses condoms? Findings from a large internet-recruited random sample of unmarried heterosexual college students in the southeastern United States. J HIV AIDS Prev Child Youth. 2007; 7: 9–27.
8. Walcott CM, Chenneville T, Tarquini S. Relationship recall of sex education and college students’ sexual attitudes and behavior. Psychol Sch. 2011; 48: 828–842.
9. Inungu J, Mumford V, Younis M, Langford S. HIV knowledge, attitudes and practice among college students in the United States. J Health Hum Serv Adm. 2009; 32: 259–277.
10. American College Health Association. National College Health Assessment II: Undergraduate Students Reference Group Data Report Spring 2014. American College Health Association; 2014.
11. East L, Jackson D, O’Brien L, Peters K. Condom negotiation: experiences of sexually active young women. J Adv Nurs. 2011; 67: 77–85.
12. Pulerwitz J, Amaro H, De Jong W, Gormaker SL, Rudd R. Relationship power, condom use and HIV risk among women in the USA. AIDS Care. 2002; 14: 789–800.
13. Parsons JT, Halkitis PN, Bimbi D, Borkowski T. Perceptions of the benefits and costs associated with condom use and unprotected sex among late adolescent college students. J Adolesc. 2000; 23: 377–391.
14. De Bro SC, Campbell SM, Peplau LA. Influencing a partner to use a condom: a college perspective. Psychol Women Q. 1994; 18: 165–182.
15. Broaddus MR, Morris H, Bryan AD. ‘It’s not what you said, it’s how you said it’: perceptions of condom proposers by gender and strategy. Sex Roles. 2010; 62: 603–614.
16. Carter JA, McNair LD, Corbin WR, Williams M. Gender differences related to heterosexual condom use: the influence of negotiation styles. J Sex Marital Ther. 1999; 25: 217–225.
17. Lear D. “You’re gonna be naked anyway”: college students negotiating safer sex. Qual Health Res. 1996; 6: 112–134.
18. Faulkner SL, Kernoff Mansfield P. Reconciling messages: the process of sexual talk for Latinas. Qual Health Res. 2002; 12: 310–328.
19. Hammer JC, Fisher JD, Fitzgerald P. When two heads aren’t better than one: AIDS risk behavior in college-age couples. J Appl Soc Psychol. 1996; 26: 375–397.
20. Payne Purvis C, Barnett RV, Forthun L. Parental involvement during adolescence and contraceptive use in college. J Adolesc Fam Health. 2014; 6(2): 1–17.
21. Reece M, Herbenick D, Schick V, Sanders SA, Dodge B, Fortenberry JD. Condom use rates in a national probability sample of males nd females ages 14 to 94 in the United States. J Sex Med. 2011; 7(Suppl. 5): 266–276.
22. Carvalho T, Alvarez MJ, Barz M, Schwarzer R. Preparatory behavior for condom use among heterosexual young men: a longitudinal mediation model. Health Educ Behav. 2014; 42: 92–99.
23. Davis KC, Schraufnagel TJ, JKajumulo KF, Gilmore AK, Norris J, George WH. A qualitative examination of men’s condom use attitudes and resistence: “It’s just part of the game”. Arch Sex Behav. 2014; 43: 631–643.
24. Ross-Bailey LL, Moring J, Angiola J, Bowen A. The influence of sexual scripts and the “better than average” effect on condom responsibility. J Coll Stud Dev. 2014; 55: 408–412.
25. Wang C, Burris MA. Photovoice: concept, methodology and use for participatory needs assessment. Health Educ Behav. 1997; 24: 369–387.
26. Wang C, Morrel-Samuels S, Hutchison PM, Bell L, Pestronk RM. Flint Photovoice: community building among youths, adults, and policymakers. Am J Health Educ. 2004; 94: 911–93.
27. Strack RW, Magill C, McDonagh K. Engaging youth through Photovoice. Health Promot Pract. 2004; 5: 49–58.
28. ResearchWare, Inc. HyperResearch Computer Software (Version 3.5.2). Randolph, MA: ResearchWare, Inc; 2013.
29. Guba E. Criteria for assessing the trustworthiness of naturalistic inquiries. Educ Commun Technol. 1981; 29: 75–91.
30. Centers for Disease Control and Prevention. Reproductive health: unintended pregnancy prevention. Atlanta, GA: Centers for Disease Control and Prevention, 2015. Available from: http://www.cdc.gov/reproductivehealth/UnintendedPregnancy/index.htm (accessed July 19, 2016).
31. Jarrett NC, Bellamy CD, Adeyemi SA. Men’s health help-seeking and implications for practice. Am J Health Stud. 2007; 22: 88–95.
32. Springer KW, Mouzon DM. “Macho Men” and preventive health care: implications for older men in different social classes. J Health Soc Behav. 2011; 52: 212–227.