This study sheds light on an important topic emerging in the sexual he
alth debate - identifying the interpersonal nature of sexual relations
hips which influence condom use. Using the principles of grounded theo
ry, in-depth interviews were conducted with heterosexual men and women
to understand the impact of the dyadic context of 'heterosex' on deci
sions to use condoms, condom availability and partner support and rece
ptivity to cooperate in safer sex practices. The study found that cond
om dialogues occur at two levels - 'the interpersonal condom dialogues
' and the 'internal or discursive condom dialogues'. These dialogues s
hape condom use/non-use negotiations and the sexual encounter. Individ
uals also enter into sexual relations with a dislike of condoms and a
perception of condom sex as 'other sex', which sets the context for th
eir sexual experiences. Gender constructions of socially 'appropriate'
sexual behaviour for men and women are implicated in the decisions to
use condoms. The study highlights the importance of promoting condom
sex as good and pleasurable sex if education and public health interve
ntion programmes are to be effective in changing attitudes towards saf
er sex practices.