Re-examining the effectiveness of monogamy as an STI-preventive strategy

Conley, Terri D.; Matsick, Jes L.; Moors, Amy C.; Ziegler, Ali; Rubin, Jennifer D.

doi:10.1016/j.ypmed.2015.06.006

Cited by 38 publications

(28 citation statements)

References 45 publications

(56 reference statements)

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“…Yet for all these divergences, our findings also aligned with some previous work on relationship structure. The present study reinforces existing challenges to the assumption that monogamy is an effective and ideal strategy for addressing sexual risk, including but not limited to HIV/STI transmission (Conley et al, 2015; Swan & Thompson, 2016). …”

Section: Discussionsupporting

confidence: 76%

“…Provided that neither partner is HIV positive or has an STI, monogamy is substantially low risk. However, testing and safer sex practices are not irrelevant to monogamy (Conley, Matsick, Moors, Ziegler, & Rubin, 2015; Swan & Thompson, 2016). Monogamous individuals who are HIV positive and/or have STIs may or may not be aware of their status, and may or may not convey this to their partners.…”

Section: Methodsmentioning

confidence: 99%

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Open Relationships, Nonconsensual Nonmonogamy, and Monogamy Among U.S. Adults: Findings from the 2012 National Survey of Sexual Health and Behavior

et al. 2018

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People in open and other consensually nonmonogamous partnerships have been historically underserved by researchers and providers. Many studies group such partnerships together with nonconsensual nonmonogamy (NCNM) under the banner of “concurrent sexual partnerships.” Discrimination from service providers poses a substantial barrier to care. Responding to such concerns, this investigation explored sociodemographic correlates with open relationships and associations between relationship structure and sexual risk, HIV/STI testing, and relationship satisfaction in a nationally representative probability sample. Data were drawn from the 2012 National Survey of Sexual Health and Behavior (n = 2270). We used multinomial logistic regression to identify correlates with relationship structure, and linear and logistic regression to investigate associations between relationship structure and testing, condom use, and relationship satisfaction. Eighty-nine percent of participants reported monogamy, 4% reported open relationships, and 8% reported NCNM. Males, gay/lesbian individuals, bisexual individuals, and those who identified as “Other, Non-Hispanic” were more likely to report open relationships. Bisexual individuals and Black, Non-Hispanic participants were more likely to report NCNM; older participants were less likely to do so. Participants in open relationships reported more frequent condom use for anal intercourse and lower relationship satisfaction than monogamous participants. NCNM participants reported more HIV testing and lower satisfaction. Identities, experiences, and behaviors within open and other consensually nonmonogamous populations should be regarded as unique and diverse, rather than conflated with those common to other relationship structures. There is a need for greater awareness of diverse relationship structures among researchers and providers, and incorporation of related content into educational programming.

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Section: Discussionsupporting

confidence: 76%

Section: Methodsmentioning

confidence: 99%

Open Relationships, Nonconsensual Nonmonogamy, and Monogamy Among U.S. Adults: Findings from the 2012 National Survey of Sexual Health and Behavior

et al. 2018

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“…Future research should compare and contrast CUR tactics in casual and committed relationship contexts. It is well established that as relationships become more serious, partners tend to stop condom use because concerns for STI/HIV transmission risk decrease (Manlove et al, 2011), despite the potential for continued STI risk if partners are not monogamous (Conley, Matsick, Moors, Ziegler, & Rubin, 2015). …”

Section: Discussionmentioning

confidence: 99%

Tactics Young Women Use to Resist Condom Use When a Partner Wants to Use a Condom

Wegner

Lewis

Davis

et al. 2017

The Journal of Sex Research

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Although there is a growing literature on men’s condom use resistance (CUR) tactics (e.g., direct requests, deception), little research exists on women’s CUR tactics. This study investigated young women’s (ages 18 to 21) self-reported use of CUR tactics since age 14 and related individual difference factors. Participants included 235 sexually active heterosexual women from a nationwide convenience survey sample who completed a newly adapted women’s version of the Condom Use Resistance Survey. Consistent with the limited previous research, women were most likely to use risk-level reassurance (37.9%) and seduction (33.2%) tactics. A higher frequency and quantity of alcohol consumption, particularly prior to sex, lower perceived risk of sexually transmitted infections (STIs), and a history of STI diagnosis were associated with having previously used a greater number and variety of CUR tactics. This highlights the need for CUR prevention and intervention programming for women. Future research should specifically examine women’s rationale for using CUR tactics and utilize longitudinal and experimental methods to further elucidate directional and causal relationships among individual-level risk factors, CUR, and negative sexual health outcomes.

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“…More effective approaches are urgently needed for the prevention and control of STIs. The current STIs and HIV prevention strategies include education [33], abstinence [34], mutual monogamy [35], vaccination (hepatitis B, HPV) [36, 37], barrier methods (condom) [38], male circumcision [39] and pre-exposure prophylaxis (PrEP) for HIV [40, 41]. Although correct and consistent use of condom is highly effective in reducing STDs transmission, it is a male controlled prevention method [42, 43].…”

Section: Electrospun Fibers For Female Reproductive Challenges: Cumentioning

confidence: 99%

Application of electrospun fibers for female reproductive health

Blakney

Jiang

Woodrow

2017

Drug Deliv. and Transl. Res.

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Here, we present the current challenges in women’s reproductive health and the current state-of-the-art treatment and prevention options for STI prevention, contraception, and treatment of infections. We discuss how the versatile platform of electrospun fibers can be applied to each challenge, and postulate at how these technologies could be improved. The void of approved electrospun fiber-based products yields the potential to apply this useful technology to a number of medical applications, many of which are relevant to women’s reproductive health. Given the ability to tune drug delivery characteristics and three-dimensional geometry, there are many opportunities to pursue new product designs and routes of administration for electrospun fibers. For each application, we provide an overview of the versatility of electrospun fibers as a novel dosage form and summarize their advantages in clinical applications. We also provide a perspective on why electrospun fibers are well suited for a variety of applications within women’s reproductive health, and identify areas that could greatly benefit from innovations with electrospun fiber-based approaches.

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Re-examining the effectiveness of monogamy as an STI-preventive strategy

Cited by 38 publications

References 45 publications

Open Relationships, Nonconsensual Nonmonogamy, and Monogamy Among U.S. Adults: Findings from the 2012 National Survey of Sexual Health and Behavior

Open Relationships, Nonconsensual Nonmonogamy, and Monogamy Among U.S. Adults: Findings from the 2012 National Survey of Sexual Health and Behavior

Tactics Young Women Use to Resist Condom Use When a Partner Wants to Use a Condom

Application of electrospun fibers for female reproductive health

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