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RESEARCH ARTICLE

Safer sex and condom use: a convenience sample of Aboriginal young people in New South Wales

Joanne Bryant A E , James Ward B , Heather Worth C , Peter Hull A , Sarina Solar D and Sandra Bailey D
+ Author Affiliations
- Author Affiliations

A National Centre in HIV Social Research, University of New South Wales, Sydney, NSW 2052, Australia.

B National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, NSW 2052, Australia.

C School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW 2052, Australia.

D Aboriginal Health and Medical Research Council of New South Wales, PO Box 1565, Strawberry Hills, NSW 2012, Australia.

E Corresponding author. Email: j.bryant@unsw.edu.au

Sexual Health 8(3) 378-383 https://doi.org/10.1071/SH10138
Submitted: 29 October 2010  Accepted: 28 March 2011   Published: 17 August 2011

Abstract

Background: This paper examines condom use in a sample of Aboriginal young people in New South Wales (NSW) aged 16–30 years. Methods: Cross-sectional data were collected using hand-held computer devices from 293 Aboriginal people attending two Aboriginal events in NSW. Results: Almost two-thirds of respondents reported having had a casual sex partner in the previous 6 months. Of these, 39.2% reported always using a condom with casual partners. Having always used a condom with casual partners varied among respondents, and was more likely among younger respondents (adjusted odds ratio (AOR): 2.7, 95% confidence interval (CI): 1.2–6.1) and less likely among those who used illicit drugs (AOR: 0.2, 95% CI: 0.1–0.7). Conclusions: In comparison to published studies of other Australians, casual sex appears to be more common among this sample of Aboriginal young people; however, the proportion who report having always used condoms with casual partners is very similar. This suggests that although casual sex is more common, Aboriginal young people do not engage in risky behaviour any more often than other young Australians. Further work should be conducted with those who do not always use condoms, such as those who are older and who use illicit drugs, particularly with regards to how abstinence from drug use supports protective behaviours such as condom use among this population of Aboriginal young people.

Additional keywords: Aboriginal, Australia, sexually transmissible infection.


References

[1]  Grossman C, Hadley W, Brown L, Houck CD, Peters A, Tolou-Shamset M, et al Adolescent sexual risk: factors predicting condom use across the stages of change. AIDS Behav 2008; 12 913–22.
Adolescent sexual risk: factors predicting condom use across the stages of change.Crossref | GoogleScholarGoogle Scholar |

[2]  Rashad I, Kaestner R. Teenage sex, drugs and alcohol use: problems identifying the cause of risky behaviors. J Health Econ 2004; 23 493–503.
Teenage sex, drugs and alcohol use: problems identifying the cause of risky behaviors.Crossref | GoogleScholarGoogle Scholar |

[3]  Rees D, Argus L, Averett S. New evidence on the relationship between substance use and adolescent sexual behaviour. J Health Econ 2001; 20 835–45.
New evidence on the relationship between substance use and adolescent sexual behaviour.Crossref | GoogleScholarGoogle Scholar |

[4]  Kelly P. The dangerousness of youth-at-risk: the possibilities of surveillance and intervention in uncertain times. J Adolesc 2000; 23 463–76.
The dangerousness of youth-at-risk: the possibilities of surveillance and intervention in uncertain times.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3cvotlSluw%3D%3D&md5=cda1fe880ad2dc937786830174e85ae4CAS |

[5]  Kelly P. Growing up as risky business? Risks, surveillance and the institutionalized mistrust of youth. J Youth Stud 2003; 6 165–80.
Growing up as risky business? Risks, surveillance and the institutionalized mistrust of youth.Crossref | GoogleScholarGoogle Scholar |

[6]  Latif AS, Smith KS. STI screening conducted in NT Department of Health and Community Services and Community Controlled Health Services in Central Australia in 2004. NT Disease Control Bull 2004; 11 18–20.

[7]  National Centre in HIV Epidemiology and Clinical Research. Bloodborne viral and sexually transmitted infections in Aboriginal and Torres Strait Islander People: Surveillance Report 2008. Sydney: National Centre in HIV Epidemiology and Clinical Research, The University of New South Wales; 2008.

[8]  Wright MR, Giele C, Dance PR, Thompson SC. Fulfilling prophecy? Sexually transmitted infections and HIV in Aboriginal people in Western Australia. Med J Aust 2005; 183 124–8.

[9]  Miller PJ, Torzillo PJ, Hateley W. Impact of improved diagnosis and treatment on prevalence of gonorrhoea and chlamydial infection in remote Aboriginal communities on Anangu Pitjantjatjara Lands. Med J Aust 1999; 170 429–32.
| 1:STN:280:DyaK1M3ntlehsw%3D%3D&md5=32c66502d9539bc62cd30bda21721386CAS |

[10]  Hogg RS, Strathdee S, Kerr T, Wood E, Remis R. HIV Prevalence among Aboriginal British Columbians. Harm Reduct J 2005; 2 26
HIV Prevalence among Aboriginal British Columbians.Crossref | GoogleScholarGoogle Scholar |

[11]  Bowden FJ, Paterson BA, Mein J, Savage J, Fairley CK, Garland SM, et al Estimating the prevalence of Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae, and human papillomavirus infection in Aboriginal women in northern Australia. Sex Transm Infect 1999; 75 431–4.
Estimating the prevalence of Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae, and human papillomavirus infection in Aboriginal women in northern Australia.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3c3hslOmtg%3D%3D&md5=38203d2ae0b471e597d5a15b00678c9eCAS |

[12]  Kildea S, Bowden FJ. Reproductive health, infertility and sexually transmitted infections in Indigenous women in a remote community in the Northern Territory. Aust N Z J Public Health 2000; 24 382–6.
Reproductive health, infertility and sexually transmitted infections in Indigenous women in a remote community in the Northern Territory.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3cvlsVSqtg%3D%3D&md5=a660c304322b692ef9ca965e7cbd8602CAS |

[13]  Smith KS, Tabrizi SN, Fethers KA, Knox JB, Pearce C, Garland SM. Comparison of conventional testing to polymerase chain reaction in detection of Trichomonas vaginalis in indigenous women living in remote areas. Sex Health 2005; 16 811–5.
| 1:STN:280:DC%2BD2Mnls1yhtw%3D%3D&md5=ac33343b6ea67e7465156e61ee0f87a7CAS |

[14]  Templeton D, Tyson B, Mehrag J, Habgood K, Bullen P, Malek S, et al Aboriginal health worker screening for sexually transmissible infections and blood-borne viruses in a rural Australian juvenile correctional facility. Sex Health 2010; 7 44–8.
Aboriginal health worker screening for sexually transmissible infections and blood-borne viruses in a rural Australian juvenile correctional facility.Crossref | GoogleScholarGoogle Scholar |

[15]  Fagan P, McDonell P. Knowledge, attitudes and behaviours in relation to safe sex, sexually transmitted infections (STI) and HIV/AIDS among remote living north Queensland youth. Aust N Z J Public Health 2010; 34 S52–6.
Knowledge, attitudes and behaviours in relation to safe sex, sexually transmitted infections (STI) and HIV/AIDS among remote living north Queensland youth.Crossref | GoogleScholarGoogle Scholar |

[16]  Calzavara L, Burchell M, Myers Y, Bullock S, Escobar M, Cockerill R. Condom use among Aboriginal people in Ontario, Canada. Int J STD AIDS 1998; 9 272–9.
Condom use among Aboriginal people in Ontario, Canada.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1czgtFSktA%3D%3D&md5=60f4141a926f1d715e888aea304f0a92CAS |

[17]  Devries K, Free C, Lorison L, Saewyc E. Factors associated with sexual behaviour of Canadian Aboriginal young people and their implications for health promotion. Am J Public Health 2009; 99 855–62.
Factors associated with sexual behaviour of Canadian Aboriginal young people and their implications for health promotion.Crossref | GoogleScholarGoogle Scholar |

[18]  Chewning B, Kokotailo PK, LaCourt J, Clair DS, Wilson D. Protective factors associated with American Indian adolescents’ safer sexual patterns. Matern Child Health J 2001; 5 273–80.
Protective factors associated with American Indian adolescents’ safer sexual patterns.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD38%2FptlGqsg%3D%3D&md5=14b2098987b5e52f0ed4796357bea093CAS |

[19]  Worth H, Bryant J, Ward J, Hull P, Solar S, Bailey S. Correlates of STI and HIV knowledge among young Aboriginal Australians. Aust N Z J Public Health in press;

[20]  National Health and Medical Research Council. Australian alcohol guidelines: health risks and benefits. Canberra: NHMRC/AusInfo; 2001. Available online at: http://www.alcohol.gove.ua/internet/alcohol/publishing.nsf/content/guidelines [verified 6 February 2009].

[21]  De Visser R, Smith A, Rissel C, Richters J, Grulich J. Safer sex and condom use among a representative sample of adults. Aust N Z J Public Health 2003; 27 223–9.
Safer sex and condom use among a representative sample of adults.Crossref | GoogleScholarGoogle Scholar |

[22]  Foucault M. The will to knowledge: the history of sexuality. Volume one. London: Penguin Books; 1976.

[23]  Holland J, Ramazanoglu C, Scott S, Sharpe S, Thomson R. Pleasure, pressure and power: some contradictions of gendered sexuality. Sociol Rev 1992; 40 645–74.
Pleasure, pressure and power: some contradictions of gendered sexuality.Crossref | GoogleScholarGoogle Scholar |

[24]  Jewkes R, Morrell R. Gender and sexuality: emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention. J Int AIDS Soc 2010; 13 6
Gender and sexuality: emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention.Crossref | GoogleScholarGoogle Scholar |

[25]  Mah TL, Halperin DT. Concurrent sexual partnerships and the HIV epidemics in Africa: evidence to move forward. AIDS Behav 2010; 14 11–6.
Concurrent sexual partnerships and the HIV epidemics in Africa: evidence to move forward.Crossref | GoogleScholarGoogle Scholar |

[26]  Leclerc-Madlala S. Transactional sex and the pursuit of modernity. Soc Dynam 2003; 29 213–33.

[27]  Klein J, Rossbach C, Nijher H, Geist M, Wilson K, Cohn S, et al Where do adolescents get their condoms? J Adolesc Health 2001; 29 186–93.
Where do adolescents get their condoms?Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3MvotFShuw%3D%3D&md5=4144f9716ec304b7645287ad606ac0ddCAS |

[28]  Myer L, Mathews C, Little F. Improving the accessibility of condoms in South Africa: the role of informal distribution. AIDS Care 2002; 14 773–8.
Improving the accessibility of condoms in South Africa: the role of informal distribution.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3s%2FgsFGjuw%3D%3D&md5=0547243c8cfd78830344a7131f6622a1CAS |

[29]  Lim M, Hellard M, Aitken C, Hocking J. Sexual-risk behaviour, self-perceived risk and knowledge of sexually transmitted infections among young Australians attending a music festival. Sex Health 2007; 4 51–6.
Sexual-risk behaviour, self-perceived risk and knowledge of sexually transmitted infections among young Australians attending a music festival.Crossref | GoogleScholarGoogle Scholar |

[30]  Cardoso A, Verner D. Youth risk-taking behavior in Brazil: drug use and teenage pregnancies. IZA Discussion Paper 2007; No. 3030. Bonn: IZA Institute for the Study of Labour; 2007.

[31]  de Visser R, Smith A. Predictors of heterosexual condom use: characteristics of the sexual encounter are more important than characteristics of the individual. Psychol Health Med 1999; 4 265–79.
Predictors of heterosexual condom use: characteristics of the sexual encounter are more important than characteristics of the individual.Crossref | GoogleScholarGoogle Scholar |

[32]  Pearce ME, Christian WM, Patterson K, Norris K, Moniruzzaman A, Craib KJ, et al The Cedar Project: historical trauma, sexual abuse and HIV risk among young Aboriginal people who use injection and non-injection drugs in two Canadian cities. Soc Sci Med 2008; 66 2185–94.
The Cedar Project: historical trauma, sexual abuse and HIV risk among young Aboriginal people who use injection and non-injection drugs in two Canadian cities.Crossref | GoogleScholarGoogle Scholar |

[33]  Craib KJ, Spittal PM, Wood E, Laliberte N, Hogg RS, Li K, et al Risk factors for elevated HIV incidence among Aboriginal injection drug users in Vancouver. CMAJ 2003; 168 19–24.

[34]  Schechter M, Strathdee S, Cornelisse P, Currie S, Patrick D, Rekart M, et al Do needle exchange programmes increase the spread of HIV among injection drug users? An investigation of the Vancouver outbreak. AIDS 1999; 13 F45–51.
Do needle exchange programmes increase the spread of HIV among injection drug users? An investigation of the Vancouver outbreak.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1MzitlKrtw%3D%3D&md5=fb9cb3f7ecabf5ac03f477e1611e5459CAS |

[35]  Miller CL, Strathdee SA, Spittal PM, Kerr T, Li K, Schechter MT, et al Elevated rates of HIV infection among young Aboriginal injection drug users in a Canadian setting. Harm Reduct J 2006; 3 9
Elevated rates of HIV infection among young Aboriginal injection drug users in a Canadian setting.Crossref | GoogleScholarGoogle Scholar |

[36]  Pylypchuk R, Marston C. Factors associated with sexual risk behaviour among young people in Ukraine. Cent Eur J Public Health 2008; 16 165–74.

[37]  Eaton DK, Kann L, Kinchen S, Ross J, Hawkins J, Harris WA, et al Youth risk behavior surveillance – United States, 2005. MMWR Surveill Summ 2006; 55 1–108.

[38]  Romero E, Teplin L, McLelland G, Abram CM, Welty LJ, Washburn JJ. A longitudinal study of the prevalence and persistence of HIV/sexually transmitted infection risk behaviors in delinquent youth: implications for health care in the community. Paediatrics 2007; 119 e1126–41.
A longitudinal study of the prevalence and persistence of HIV/sexually transmitted infection risk behaviors in delinquent youth: implications for health care in the community.Crossref | GoogleScholarGoogle Scholar |