title: Violated and vulnerable: women's experiences of contracting a sexually transmitted infection from a male partner.
abstract: OBJECTIVE
  To explore women's stories of contracting a sexually transmitted infection from a male partner and elucidate the gendered constructs and violence experienced that made the women vulnerable to these infections.
  
  
  BACKGROUND
  Violence against women can result in both physical and psychological consequences and expose women to multiple health risks including sexual health adversity.
  
  
  METHODS
  Feminist storytelling approach.
  
  
  METHODS
  Qualitative interviews were conducted with 10 women. All data underwent thematic analysis.
  
  
  RESULTS
  Findings from this study revealed the women were vulnerable to contracting sexually transmitted infection/s from their male sexual partners as a result of unequal gender and abusive relationship dynamics. Subsequently, contracting a sexual infection within this context potentially increased their vulnerability in both current and future relationships, through their loss of self-confidence and perceived ability to have a trusting loving heterosexual relationship as women with sexually transmitted infection/s.
  
  
  CONCLUSIONS
  Women in relationships in which they are subordinate to their male partner are at heightened risk of sexual health adversity, including contracting a sexually transmitted infection. Contracting a sexually transmitted infection within the context of an abusive relationship can further increase women's vulnerability to dominant male partners, thus further exposure to sexual risk and adversity.
  
  
  CONCLUSIONS
  Nurses working in clinical settings are well placed to conduct opportunistic screening of women's sexual health, including assessment of sexually transmitted infections and the nature of the encounter in which they were contracted. Thorough assessment can potentially identify relationship and personal factors that can increase a woman's risk to both sexual adversity and forms of abuse. Also, if women do divulge that they have suffered abuse, nurses are positioned to provide support and guidance in implementing strategies to minimise risk as well as referring them to specialised services.
authors.affiliation: University of New England, School of Health, Armidale, NSW, Australia.
authors.forename: Leah
authors.initials: L
authors.lastname: East
authors.affiliation: School of Nursing & Midwifery, Western Sydney University, Penrith, NSW, Australia.
authors.forename: Kath
authors.initials: K
authors.lastname: Peters
authors.affiliation: Oxford Institute for Nursing and Allied Health Research (OxINAHR), Oxford, UK.|Faculty of Health & Life Sciences, Oxford Brookes University, Oxford, UK.|Oxford University Hospitals NHS Foundation Trust, Oxford, UK.|University of New England (Australia), Armidale, NSW, Australia.
authors.forename: Debra
authors.identifier: http://orcid.org/0000-0001-5252-5325
authors.initials: D
authors.lastname: Jackson
mesh_terms: D000293:Adolescent; D000328:Adult; D018585:Battered Women / Q000523:psychology*; D005260:Female; D005783:Gender Identity; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D012725:Sexual Behavior; D012747:Sexual Partners / Q000523:psychology*; D012749:Sexually Transmitted Diseases / Q000451:nursing / Q000517:prevention & control / Q000523:psychology*; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: feminism; intimate partner violence; qualitative study; sexual health; storytelling; women's health