Condom attitudes of heterosexual men ages 50 and older using prescribed drugs (Viagra, Cialis, Levitra) to treat erectile dysfunction

Am J Mens Health. 2013 Nov;7(6):504-15. doi: 10.1177/1557988313486172. Epub 2013 Apr 25.


The purpose of this study was to explore attitudes about condoms that may affect condom use by heterosexual men ages 50 and older who were sexually active and currently using prescribed oral phosphodiesterase type 5 inhibitor medications (Viagra(®), Cialis(®), or Levitra(®)) for treatment of erectile dysfunction. The study was part of a larger study that explored the need for safer-sex health promotion and education for these men. Fifty men completed factor subscales of the Condom Attitude Scale. Subscales were scored and analyzed. Positive factors were found with regard to the Interpersonal Impact, Inhibition, Perceived Risk, Perceived Seriousness, and Global Attitudes subscales. Factors with negative or neutral responses included the Effect on Sexual Experience, Relationship Safety, and Promiscuity subscales. Independent t tests revealed no differences between married and nonmarried men for the mean score on any of the subscales, but there was a difference on the Global Attitude Scale, with younger men having a more positive global attitude than older men. Study findings can be used in the development of health promotion educational activities on condom use as a safer-sex practice.

Keywords: behavioral research; erectile dysfunction; health promotion and disease prevention; risk behaviors; safe sex.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Carbolines / administration & dosage
  • Condoms / statistics & numerical data*
  • Erectile Dysfunction / drug therapy*
  • Erectile Dysfunction / psychology
  • Female
  • Health Behavior*
  • Health Promotion / methods
  • Heterosexuality*
  • Humans
  • Imidazoles / administration & dosage
  • Male
  • Middle Aged
  • Piperazines / administration & dosage
  • Purines / administration & dosage
  • Safe Sex / psychology*
  • Sexual Partners
  • Sexually Transmitted Diseases / prevention & control
  • Sildenafil Citrate
  • Sulfones / administration & dosage
  • Tadalafil
  • Triazines / administration & dosage
  • Vardenafil Dihydrochloride
  • Vasodilator Agents / administration & dosage*


  • Carbolines
  • Imidazoles
  • Piperazines
  • Purines
  • Sulfones
  • Triazines
  • Vasodilator Agents
  • Vardenafil Dihydrochloride
  • Tadalafil
  • Sildenafil Citrate