Sexual risk-taking among young Swedish men testing for STI

Eur J Contracept Reprod Health Care. 2021 Apr;26(2):155-159. doi: 10.1080/13625187.2020.1821355. Epub 2020 Oct 2.

Abstract

Objectives: This study investigates sexual risk-taking among young men testing for sexually transmitted infections (STI).

Sampling method: 452 participants (aged 18-30) completed surveys concerning their backgrounds, sexual risk-taking, and experience with STI.

Results: Over one-third had used alcohol during their last sexual encounter, one-fifth were reluctant to use condoms due to concerns about erection difficulties, 14.7% had experienced sexual coercion and one-fifth reported having had contracted the most common STI, chlamydia trachomatis (CT). Older participants (aged 25-30) were more reluctant to use condoms because of erection worries and to report having had CT. Immigrant men reported more unprotected sex while men who have sex with men (MSM) were more exposed to sexual coercion than others, but less likely to use alcohol when having sex.

Conclusions: There are important differences in sexual risk-taking within the group of young men testing for sexually transmitted infections which need to be taken into account in developing effective counselling and promotion strategies in sexual and reproductive health care. Further research on young men's sexual risk-taking is needed to broaden understanding of factors associated with young men's sexual health.

Keywords: SRH; Young men; chlamydia trachomatis; condom use; erection difficulties; sexual debut; unprotected sex.

MeSH terms

  • Adolescent
  • Adult
  • Condoms / statistics & numerical data*
  • Humans
  • Male
  • Risk-Taking*
  • Sexual Behavior / ethnology
  • Sexual Behavior / statistics & numerical data
  • Sexual Partners
  • Sexually Transmitted Diseases / diagnosis*
  • Sexually Transmitted Diseases / epidemiology
  • Sweden / epidemiology
  • Young Adult