Condom use in penile-vaginal intercourse among Canadian adults: Results from the sex in Canada survey

PURPOSE

This paper examines condom use in penile-vaginal sexual intercourse among adults in Canada.

DATA AND METHOD

The Sex in Canada survey is a national survey of Canadian adults, ages 18+ (N = 2,303). The online survey used quota-based population sample matching of 2016 census targets for gender, age, region, language, visible minority status, and education level. We report general patterns of self-reported condom use, as well as results from zero-inflated negative binomial regression models on the relationship between condom use and social location, relationship status, and sexual health.

RESULTS

Condom use varies by gender, age, education, visible minority status, and relationship status. Use of condoms is related to the perception of risk of being diagnosed with a sexually transmitted infection in the next six months and to the experience of receiving lessons in condom use. No significant associations were found between condom use and region, rural/urban residence, income, or religion. Among men, but not women, condom use is associated with language preference, past diagnosis with a sexually transmitted infection, and self-reported sexual health.

CONCLUSION

Canadian adults report using a condom in approximately 30% of their sexual encounters involving penile-vaginal sex. Condom use is highest among young adults. Single people use condoms more often than people with marital or common-law partners. Condom use is higher among those with higher levels of education, among people belonging to visible minorities relative to white people, and for men relative to women. People who think they are likely to be diagnosed with a sexually transmitted infection in the next six months are more likely to use condoms than those who do not.

Attitudes toward condom carriers: The role of gender

This study assessed personal attitudes and perceptions of societal attitudes toward condom carriers, with a focus on the role of gender. Although prior research suggests that sexually active women in society are looked down upon, there has been little investigation as to whether this view remains pertinent today, and whether this remains the case at the individual—as opposed to societal—level. Participants were female undergraduate students who read vignettes describing either a male or female condom carrier. They then rated the condom carrier’s character and provided estimates of how their peers would rate the same individual. The young women in our sample did not negatively judge female condom carriers; in fact, they viewed a female condom carrier more favourably than a male condom carrier. Similarly, they endorsed beliefs that other women in society (i.e., their female peers) would not differently rate a condom carrier based on gender. However, women believed that their male peers would be significantly more critical of a female, as opposed to a male, condom carrier. The relation to ambivalent sexism is discussed, as well as the implications that these findings may have on an individual’s own beliefs and practices surrounding condom use.