title: Unwanted unprotected sex: condom coercion by male partners and self-silencing of condom negotiation among adolescent girls.
abstract: 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.
authors.affiliation: School of Nursing, University of Pennsylvania, Philadelphia, USA. teitelm@nursing.upenn.edu
authors.forename: Anne M
authors.initials: AM
authors.lastname: Teitelman
authors.forename: Julie
authors.initials: J
authors.lastname: Tennille
authors.forename: Julia M
authors.initials: JM
authors.lastname: Bohinski
authors.forename: Loretta S
authors.initials: LS
authors.lastname: Jemmott
authors.forename: John B
authors.initials: JB
authors.lastname: Jemmott
mesh_terms: D000293:Adolescent; D003068:Coercion; D017280:Condoms; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D017008:Negotiating / Q000523:psychology*; D009511:New England; D011203:Poverty / Q000706:statistics & numerical data; D000297:Psychology, Adolescent; D012747:Sexual Partners / Q000523:psychology; D047568:Unsafe Sex / Q000523:psychology*; D014505:Urban Population / Q000706:statistics & numerical data