Unwanted Unprotected Sex

Teitelman, Anne M.; Tennille, Julie; Bohinski, Julia M.; Jemmott, Loretta Sweet; Jemmott, John B.

doi:10.1097/ans.0b013e31822723a3

Cited by 89 publications

(69 citation statements)

References 30 publications

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“…Furthermore, our findings indicated that for young women who had little control over their safe sex decisions, negative test results made it more difficult to negotiate condom use, further undermining one of the most effective risk reduction strategies. These findings are consistent with those of other studies that have shown that abusive and controlling relationship dynamics tend to restrict young women's ability to negotiate for condom use or mutual monogamy, thereby increasing HIV risk 16,18,23,24,26 . Recognizing this increased STI/HIV risk, these young women chose to negotiate for HIV/STI testing because it was the only risk reduction tool their partners would agree to.…”

Section: Discussionsupporting

confidence: 91%

“…Often occurring as a result of gender power imbalances between men and women, such circumstances often leave women in choice-restricted relationships with limited sexual relationship power, or control over one's sexual decision-making 16 . This type of partner abuse is a form of sexual coercion that can manifest as unwanted unprotected sex with a partner who has other partners or other forms of active interference by a partner with safer sex practices 17,18 .…”

Section: Introductionmentioning

confidence: 99%

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Young women's views on testing for sexually transmitted infections and HIV as a risk reduction strategy in mutual and choice-restricted relationships

Teitelman

Calhoun

Duncan

et al. 2015

Applied Nursing Research

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Aim To identify relationship dynamics that influences the use of STI/ HIV testing among young, urban African American women. Background Increasing STI/HIV testing is a key prevention strategy, but more research is needed to identify barriers to testing for young women such as intimate partner violence (IPV). Methods Thirty semi-structured interviews were conducted with African American women ages 18-24. Content analysis was used. Results Women in choice-restricted relationships were unable to negotiate safer sex practices and testing was viewed as the best option. Women in relationships where the desire to use condoms was mutual used STI and HIV testing as a sign of trust building that preceded unprotected sex. Conclusions STI/HIV testing must be viewed as one strategy within a package of possible risk reduction. For those in choice-restricted relationships, clinicians should screen patients for partner abuse and provide additional support and referrals as clinically appropriate.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Young women's views on testing for sexually transmitted infections and HIV as a risk reduction strategy in mutual and choice-restricted relationships

Teitelman

Calhoun

Duncan

et al. 2015

Applied Nursing Research

Self Cite

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“…These data suggest that gender inequitable norms may have a higher impact on the behaviour of fathers. In a context of uneven power dynamics within heterosexual sexual scenarios, it can often be the case that the attitudes and beliefs of the male partner will determine whether or not condoms will be used, even if condom use is the desired outcome for the female partner (Teitelman, Tennille, Bohinski, Jemmott, & Jemmott, 2011;Tschann et al, 2002). This may explain why even though mothers had attitudes that were more supportive of gender equity, it did not seem to have an impact on whether they used a condom the last time that they had sex.…”

Section: Discussionmentioning

confidence: 99%

Gender equity predicts condom use among adolescent and young adult parents in Toronto, Canada

Nelson

Thach

Zhang

2014

The Canadian Journal of Human Sexuality

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Adolescents and young adults have higher rates of sexually transmitted infections (STI) than any other age cohort in Toronto, Ontario, Canada. The sub-population of young parents is at even higher risk for acquiring STIs than the general population of adolescents and young adults. The purpose of this study was to determine whether and how co-parenting relationship functioning and gender equitable attitudes were associated with condom use among adolescent and young adult parents. We conducted a cross-sectional survey with 102 non-married adolescent and young adult parents in Toronto. Study participants used iPads to self-administer the co-parenting relationship scale, gender equitable men scale, and a sexual behaviour battery regarding their condom use during the last episode of sexual intercourse (including vaginal and anal). Logistic regression was used to determine whether scale scores predicted condom use at last intercourse, adjusting for age and sex. t-tests were performed to assess group mean differences in gender equitable attitudes and co-parenting relationship functioning between condom users and nonusers and between mothers and fathers. We observed that co-parenting relationship functioning was not associated with condom use behaviours. Instead, gender equitable attitudes predicted condom use in the overall sample (AOR ¼ 1.13; 95% CI 1.03, 1.25, p < 0.05). Fathers who used condoms at last intercourse had higher gender equitable attitude scores than fathers who did not use condoms (M ¼ 58 vs. 53, p ¼ 0.02). Mothers' gender equitable attitude scores were not associated with condom use behaviours. Attitudes that support gender equity attitudes predict condom use among young parents, particularly among young fathers. Sexual risk reduction programs targeting young parents may benefit from incorporating components that promote gender equity norms.

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“…Coercive CUR involves situations in which the woman has consented to sexual intercourse, but it is predicated on the use of a condom, thus differentiating these behaviors from those which meet the legal definition of sexual assault. However, similar to sexual assault, coercive CUR behaviors threaten women's sexual safety and take away women's ability to protect themselves from STI/HIV infection and unplanned pregnancy (Teitelman, Tenille, Bohinski, Jemmott, & Jemmott, 2011; Thiel de Bocanegra, Rostovtseva, Khera, & Godhwani, 2010). The goal of the current research is to identify how men's intentions to use coercive CUR tactics differ based on individual (e.g., hostility toward women) and situation-specific risk factors (beverage condition: alcohol vs. sober control), and different condom use requests styles.…”

Section: Introductionmentioning

confidence: 99%

The effects of men’s hostility toward women, acute alcohol intoxication, and women’s condom request style on men’s condom use resistance tactics.

Wegner

Davis

Stappenbeck

et al. 2017

Psychology of Violence

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Objective To extend previous research demonstrating that intoxicated men high in hostility toward women report stronger intentions to use coercive condom use resistance (CUR) tactics to have unprotected sex by examining the role of women's condom request style. Methods Community, non-problem drinking men, ages 21-30 (N = 296) completed standard alcohol administration procedures and read an eroticized story of a casual sexual interaction. Following the woman's request to use a condom, intentions to engage in coercive CUR tactics were assessed. Generalized linear models with gamma distributions assessed the 3-way interaction of men's hostility toward women, beverage condition (alcohol or sober), and the woman's condom request style (indirect, direct, or insistent). Results The 3-way interaction between hostility toward women, beverage condition, and indirect condom request (vs. direct) significantly predicted men's coercive CUR intentions. Men high in hostility toward women reported stronger CUR intentions after experiencing an indirect condom request, when sober or intoxicated, and after a direct condom request when intoxicated. Men high in hostility toward women reported the weakest CUR intentions when sober following an insistent or direct condom request. Conclusions Men high in hostility toward women pose a threat to women's sexual safety, particularly when intoxicated or following an indirect condom request. Hostility toward women and alcohol consumption should be addressed in sexual risk prevention programs. Pending further replication, women should be informed of the relative effectiveness of using insistent condom requests.

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Unwanted Unprotected Sex

Cited by 89 publications

References 30 publications

Young women's views on testing for sexually transmitted infections and HIV as a risk reduction strategy in mutual and choice-restricted relationships

Young women's views on testing for sexually transmitted infections and HIV as a risk reduction strategy in mutual and choice-restricted relationships

Gender equity predicts condom use among adolescent and young adult parents in Toronto, Canada

The effects of men’s hostility toward women, acute alcohol intoxication, and women’s condom request style on men’s condom use resistance tactics.

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