No major differences were found between men who reported non-condom use at last receptive and insertive anal intercourse. Preference for not using condoms and contextual factors were the top two reasons given for not using condoms, followed by a reasoned judgment based on risk assessment, relationship status and interpersonal communication. A thematic analysis was completed on participant responses to an open-ended question about reasons for non-condom use. This study examined reasons for non-use of condoms among an online survey sample of 462 non-condom using MSM to 1) identify major domains, themes and categories encompassing reasons for non-use of condoms, and 2) examine whether reasons varied by role-in-sex (insertive or receptive) and meeting venue (online or offline).
