%0 Journal Article %J Arch Sex Behav %D 2014 %T A qualitative examination of men's condom use attitudes and resistance: "it's just part of the game". %A Davis, Kelly Cue %A Schraufnagel, Trevor J %A Kajumulo, Kelly F %A Gilmore, Amanda K %A Norris, Jeanette %A George, William H %K Adult %K Condoms %K Female %K Focus Groups %K Health Knowledge, Attitudes, Practice %K Humans %K Male %K Qualitative Research %K Risk-Taking %K Sexual Behavior %K Sexual Partners %K Sexually Transmitted Diseases %K Unsafe Sex %X

The purpose of this study was to investigate the variability in young heterosexual men's perceptions of the advantages and disadvantages of condom use in their casual sexual relationships. Because men who perceive greater disadvantages of condom use may be more likely to resist using them, we also explored the tactics that men employ to avoid using condoms. Semi-structured focus groups were conducted with single men who have sex with women (n = 60), aged 21-35 years, all of whom reported using condoms inconsistently. Transcripts were analyzed using a framework analysis approach. As expected, participants reported advantages and disadvantages to condom use that pertained to the likelihood and quality of sex, physical sensations during intercourse, and the risk of sexually transmitted infections and unwanted pregnancies. Within each of these topics, however, participants' appraisals of the relative pros and cons of condom use varied considerably. Additionally, participants reported that men use a wide range of condom use resistance tactics, including seduction, deception, and condom sabotage, and that the use of these tactics was viewed as normative behavior for men their age. These findings suggest that the effectiveness of sexual health prevention efforts could be enhanced by increasing young men's motivations to use condoms and by targeting social norms regarding condom use resistance. Additionally, the issue of men's condom use resistance clearly merits increased empirical investigation and intervention attention.

%B Arch Sex Behav %V 43 %P 631-43 %8 2014 Apr %G eng %N 3 %R 10.1007/s10508-013-0150-9 %0 Journal Article %J J Public Health Manag Pract %D 2010 %T A qualitative analysis of immunization programs with sustained high coverage, 2000-2005. %A Kennedy, Allison %A Groom, Holly %A Evans, Victoria %A Fasano, Nancy %K Child, Preschool %K Data Collection %K Humans %K Immunization Programs %K Infant %K Local Government %K Public Health %K Qualitative Research %K State Government %K United States %K Vaccination %K Vaccines %X

Despite record-high immunization coverage nationally, there is considerable variation across state and local immunization programs, which are responsible for the implementation of vaccine recommendations in their jurisdictions. The objectives of this study were to describe activities of state and local immunization programs that sustained high coverage levels across several years and to identify common themes and practical examples for sustaining childhood vaccination coverage rates that could be applied elsewhere. We conducted 95 semi-structured key informant interviews with internal staff members and external partners at the 10 immunization programs with the highest sustained childhood immunization coverage from 2000 to 2005, as measured by the National Immunization Survey. Interview transcripts were analyzed qualitatively using a general inductive approach. Common themes across the 10 programs included maintaining a strong program infrastructure, using available data to drive planning and decision making, a commitment to building and sustaining relationships, and a focus on education and communication. Given the challenges of an increasingly complex immunization system, the lessons learned from these programs may help inform others who are working to improve childhood immunization delivery and coverage in their own programs.

%B J Public Health Manag Pract %V 16 %P E9-17 %8 2010 Jan-Feb %G eng %N 1 %R 10.1097/PHH.0b013e3181c7e053