Understanding how young cisgender heterosexual men navigate sexual health conversations and practices during casual sex: a qualitative study
Andrea Waling
A *
+ Author Affiliations
- Author Affiliations
A Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Vic., Australia.
Sexual Health 20(4) 347-356 https://doi.org/10.1071/SH23012
Submitted: 18 January 2023 Accepted: 8 May 2023 Published: 1 June 2023
© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)
Abstract
Background: Young cisgender heterosexual men in Australia are the least likely population group to undergo testing for sexually transmissible infections (STI) and ensuring barrier method use during casual sex with cisgender women who have sex with men, with rates of STIs increasing among this group. This research examines how these men navigate sexual health conversations and practices during casual sexual encounters.
Methods: A total of 30 semi-structured interviews with young cisgender heterosexual men living in Australia during 2021 were conducted. Participants were asked questions about their dating and sexual practices, including sexual health knowledge, how they learned to have sex, and navigating sexual health conversations with partners, such as STI testing, and barrier method and hormonal contraceptive use. Findings were analysed using reflexive thematic analysis techniques.
Results: Findings note that men use various strategies of avoidance including sustaining the erotic moment, and assuming women’s responsibility. Participants also noted limited relationality, in which they highlighted individualised concerns for their own sexual health wellbeing but not that of their partners.
Conclusions: This research highlights that despite increased awareness and promotion of STI prevention and contraceptive responsibility, young cisgender heterosexual men continue to forego their responsibilities regarding their own and other’s sexual health during casual sexual encounters. Findings highlight a need to include gender transformative approaches to sexual health promotion and practice to address continuing gender inequities.
Keywords: barrier methods, communication, contraception, heterosexuality, men, pregnancy prevention, responsibility, sexual practices, STI prevention.
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