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ANS Adv Nurs Sci. 2011 Jul-Sep;34(3):243-59. doi: 10.1097/ANS.0b013e31822723a3.

Unwanted unprotected sex: condom coercion by male partners and self-silencing of condom negotiation among adolescent girls.

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  • 1School of Nursing, University of Pennsylvania, Philadelphia, USA.


This exploratory study used the theory of reasoned action and the theory of gender and power to guide elicitation of partner-related impediments to condom use among 64 adolescent girls living in poor urban areas with high rates of HIV and partner abuse. About 53% indicated that they had experienced unwanted, unprotected vaginal sex and 25% indicated that they were unable to discuss condom use with a partner. Novel qualitative findings related to condom coercion, condom sabotage, and self-silencing of condom negotiation are discussed in the context of connecting partner abuse to interpersonal control over condom use. Implications for intervention design are discussed.

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