When online becomes offline: attitudes to safer sex practices in older and younger women using an Australian internet dating serviceDeborah J. Bateson A D , Edith Weisberg A , Kirsten J. McCaffery B and Georgina M. Luscombe C
A Family Planning New South Wales, 328–336 Liverpool Road, NSW 2131, Australia.
B School of Public Health, University of Sydney, Sydney, NSW 2006, Australia.
C Department of Obstetrics and Gynaecology, University of Sydney, Sydney, NSW 2006, Australia.
D Corresponding author. Email: firstname.lastname@example.org
Sexual Health 9(2) 152-159 http://dx.doi.org/10.1071/SH10164
Submitted: 23 December 2010 Accepted: 16 May 2011 Published: 24 August 2011
Background: The prevalence of sexually transmissible infections (STIs) is increasing among older Australian women, partly due to re-partnering after divorce or death of a spouse. Older women may be less likely to use condoms with new sexual partners, exposing themselves to STIs. An online survey compared characteristics of internet dating women aged 40 and above with 18 to 39 year olds, and determined the factors associated with protective safer sex attitudes. Methods: An email directed women who had logged onto the internet dating service ‘RSVP’ in the previous 6 months to a survey hosted by Family Planning New South Wales. The survey explored demographic factors, STI-related knowledge and attitudes towards safer sex practices. Factors associated with discussing STIs before sex and refusing sex without a condom with a new partner were analysed using logistic regression. Results: The questionnaire was completed by 1788 women. Almost two-thirds (62.2%) were aged 40 or over. The majority (64.8%) were seeking a long-term partner. In the previous year, 41.5% of all women met a new sexual partner via the internet. Women aged >40 years were significantly more likely to discuss STIs with a new partner but less likely to refuse sex without a condom compared with younger women. Conclusions: The internet is a useful venue for women of all ages to meet new sexual partners. Older women are vulnerable to STI acquisition through failure to use condoms with a new partner. Research is needed to determine effective interventions to increase condom use in this age group.
Additional keywords: condoms, sexually transmissible infections.
References Communicable Diseases Network Australia. National notifiable diseases surveillance system (NNDSS). Canberra: Australian Department of Health and Ageing; 2011. Available online at: http://www9.health.gov.au/cda/Source/Rpt_2_sel.cfm [verified September 2010].
 Chen MY, Karvelas M, Sundararajan V, Hocking JS, Fairley CK. Evidence for the effectiveness of a chlamydia awareness campaign: increased population rates of chlamydia testing and detection. Int J STD AIDS 2007; 18 239–43.
| Evidence for the effectiveness of a chlamydia awareness campaign: increased population rates of chlamydia testing and detection.CrossRef | 17509173PubMed |
 Australian Bureau of Statistics (ABS). Divorces, Australia, 2007. Canberra: ABS; 2008. Available online at: http://www.abs.gov.au/ausstats/abs@.nsf/productsbytitle/F356DBB7EA7A96EECA256F10007B6B1A?OpenDocument [verified November 2010].
 Australian Bureau of Statistics (ABS). Australian social trends, 2007. Lifetime marriage and divorce trends. Canberra: ABS; 2007. Available online at: http://www.abs.gov.au/AUSSTATS/abs@.nsf/0/26D94B4C9A4769E6CA25732C00207644?opendocument [verified November 2010].
 Couch D, Liamputtong P. Online dating and mating: the use of the internet to meet sexual partners. Qual Health Res 2008; 18 268–79.
| Online dating and mating: the use of the internet to meet sexual partners.CrossRef | 18216345PubMed |
 Henry-Waring M, Barraket J. Dating and intimacy in the 21st century: the use of online dating sites in Australia. Int J Emerg Technol Soc 2008; 6 14–33.
 Cooper A. Sexuality and the internet: surfing into the new millenium. Cyberpsychol Behav 1998; 1 187–93.
| Sexuality and the internet: surfing into the new millenium.CrossRef |
 Gunter B. Internet dating: a British survey. Aslib Proc 2008; 60 88–98.
| Internet dating: a British survey.CrossRef |
 Madden M, Lenhart A. Online dating. Washington, DC: Pew Internet & American Life Project; 2006. Available online at: http://www.pewinternet.org/~/media//Files/Reports/2006/PIP_Online_Dating.pdf.pdf [verified September 2010].
 Idso D. Sexually transmitted infection prevention in newly single older women. J Nurse Pract 2009; 5 440–6.
| Sexually transmitted infection prevention in newly single older women.CrossRef |
 Gott M, Hinchliff S, Galena E. General Practitioner attitudes to discussing sexual health issues with older people. Soc Sci Med 2004; 58 2093–103.
| General Practitioner attitudes to discussing sexual health issues with older people.CrossRef | 15047069PubMed |
 Gielen AC, Faden RR, O’Campo P, Kass N, Anderson J. Women’s protective sexual behaviours: a test of the health belief model. AIDS Educ Prev 1994; 6 1–11.
| 1:STN:280:DyaK2c3ps1ygtg%3D%3D&md5=078028101cae5e2e65c9401d18a6b831CAS | 8024939PubMed |
 Kusseling FS, Shapiro MF, Greenberg JM, Wenger NS. Understanding why heterosexual adults do not practice safer sex: a comparison of two samples. AIDS Educ Prev 1996; 8 247–57.
| 1:STN:280:DyaK28vgtVGktQ%3D%3D&md5=41f4cccf50e37f56363669bc8abdceffCAS | 8806953PubMed |
 Lim MSC, Hellard ME, Aitken KA, Hocking JS. Sexual-risk behaviour, self-perceived risk and knowledge of sexually transmissible infections among young Australians attending a music festival. Sex Health 2007; 4 51–6.
| Sexual-risk behaviour, self-perceived risk and knowledge of sexually transmissible infections among young Australians attending a music festival.CrossRef |
 Family Planning New South Wales (FPNSW). Healthline. Sydney: FPNSW. Available online at: http://www.fpnsw.org.au/404926_20_85826259.html [verified September 2010].
 Australian Institute of Health and Welfare. Rural, regional and remote health: a guide to remoteness classifications. Canberra: Australian Government Publishing Service; 2004.
 Richters J, Grulich AE, de Visser RO, Smith AMA, Rissel CE. Sexual and emotional satisfaction in regular relationships and preferred frequency of sex among a representative sample of adults. Aust N Z J Public Health 2003; 27 171–9.
| Sexual and emotional satisfaction in regular relationships and preferred frequency of sex among a representative sample of adults.CrossRef | 14696708PubMed |
 Bull S, McFarlane M, Lloyd L, Reitmeijer C. The process of seeking sex partners online and implications for STD/HIV prevention. AIDS Care 2004; 16 1012–20.
| The process of seeking sex partners online and implications for STD/HIV prevention.CrossRef | 15511733PubMed |
 McFarlane M, Kachur R, Bull S, Reitmeijer C. Women, the internet and sexually transmissible infections. J Womens Health 2004; 13 689–94.
| Women, the internet and sexually transmissible infections.CrossRef |
 de Visser R. One size fits all? Promoting condom use for sexually transmitted infection prevention among heterosexual young adults. Health Educ Res 2005; 20 557–66.
| One size fits all? Promoting condom use for sexually transmitted infection prevention among heterosexual young adults.CrossRef | 15708866PubMed |
 Padgett PM. Personal safety and sexual safety for women using online personal ads. Sex Res Soc Policy 2007; 4 27–37.
| Personal safety and sexual safety for women using online personal ads.CrossRef |
 Bourne C, Minichiello V. Sexual behaviour and diagnosis of people over the age of 50 attending a sexual health clinic. Australas J Ageing 2009; 28 32–6.
| Sexual behaviour and diagnosis of people over the age of 50 attending a sexual health clinic.CrossRef | 19243374PubMed |
 de Visser RO, Smith AMA, Rissel CE, Richters J, Grulich AE. Heterosexual experience and recent heterosexual encounters among a representative sample of adults. Aust N Z J Public Health 2003; 27 146–54.
| Heterosexual experience and recent heterosexual encounters among a representative sample of adults.CrossRef | 14696705PubMed |
 Marion LN, Cox CL. Condom use and fertility among divorced and separated women. Nurs Res 1996; 45 110–5.
| Condom use and fertility among divorced and separated women.CrossRef | 1:STN:280:DyaK287os1SitA%3D%3D&md5=ce2efeef6e1a9d5edb31de861645d5b7CAS | 8604360PubMed |
 Grant K, Ragsdale K. Sex and the “recently single”: perceptions of sexuality and HIV among mature women and primary care physicians. Cult Health Sex 2008; 10 495–511.
| Sex and the “recently single”: perceptions of sexuality and HIV among mature women and primary care physicians.CrossRef | 18568872PubMed |
 Moreau C, Beltzer N, Bozon M, Bajos N. Sexual risk-taking following relationship break-ups. Eur J Contracept Reprod Health Care 2011; 16 95–9.
| Sexual risk-taking following relationship break-ups.CrossRef | 21281097PubMed |
 Wright KB. Researching internet-based populations: advantages and disadvantages of online survey research, online questionnaire authoring software packages, and web survey services. J Comput Mediat Commun 2005; 10 11