Young men's sexual behaviour and use of contraception

Previous research into young men's sexual behaviour, use of contraception and sexual health services is sparse. With sexual health campaigns promoting use of the condom (a male method of contraception), the need for more understanding of these topics is vital. This thesis uses data from 43, semi-structured, long interviews with men aged 16-29 from southern England. The interview schedule encouraged discussion of current sexual and contraceptive behaviour, and family, social and learning influences in childhood and teenage years. For data on impression of, and best ways of promoting, sexual health services, 9 focus group discussions were held with men aged 13-21 around England.Even though the interview respondents have similar demographic and social backgrounds, they exhibit diverse sexual and contraceptive experiences. Stereotypes of irresponsible, prestige-driven sexual behaviour generally are not borne out. The emergence of the HIV virus dramatically changed the contraceptive environment, illustrated by the comparative experiences of the younger and older respondents. However, respondents of any age may not feel at risk of HIV infection. Good school education, non-sexual social interaction with young women and an emotionally 'warm' family environment are tentatively associated with positive contraceptive and communication outcomes. Problems with current sexual health promotion messages are highlighted.Nationally, men are in the minority of sexual health service clients, and their sexual health needs are neglected. However, the 1990s have seen increased service uptake from young men. Services have the potential to increase their number of male clients by offering appropriate, male-friendly services and using well designed, tested and located methods of promotion.