Navigation Links
Protecting adolescent girls from unwanted unprotected sex

Partner abuse leads to HIV infection, and black women are most at risk. A new study at the University of Pennsylvania School of Nursing has found that 46 percent of African-American adolescent girls report that their partner did not use a condom the last time they had sex -- often because of partner abuse. The girls described physical and sexual abuse and threats as preventing them from having their partner use condoms. The relationship between HIV and partner abuse is significant: In the U.S., at least 12 percent of HIV infections among women are a result of partner abuse.

Getting out of an abusive relationship should be considered an HIV prevention strategy, according to Anne M. Teitelman, assistant professor at the University of Pennsylvania School of Nursing, who published the study in the journal "Advances in Nursing Science." Dr. Teitelman and her co-authors advocate the need for novel strategies to increase condom use among adolescents. The co-authors are Julie Tennille, MSW, LSW; Julia M. Bobinski, BSN, MS; Loretta S. Jemmott, PhD, RN, FAAN; and John B. Jemmott III, PhD.

"Promoting healthy relationships among youth and preventing partner abuse in adolescent relationships should become a public health priority," writes Dr. Teitelman. "This is necessary for primary prevention of the intersecting epidemics of partner abuse and HIV/STIs [sexually transmitted infections]."

The study of 64 African-American adolescent girls, aged 14 to 17, illuminates the pressure a male partner may exercise to encourage girls to forgo condom use. Understanding the practice, which the authors term "condom coercion," can inform more tailored prevention methods and interventions for adolescent girls at high risk for HIV and STIs, the authors report. Forms of condom coercion include physical and sexual abuse and threats, emotional manipulation, and condom sabotage, as when a male partner surreptitiously removes a condom.

Of the sample, 59 percent of girls experienced partner abuse that was physical, verbal, or threatening. Nearly 30 percent reported having unwanted vaginal sex and about 9 percent reported having unwanted anal sex. More than half the girls indicated they had experienced vaginal sex without a condom when they wanted their partner to use one.

When faced with partners trying to dissuade them from using condoms, girls may also feel pressures that silence them from even raising the topic of condom use. In the study, 25 percent of participants responded affirmatively to the question: "Have you ever wanted to talk with your sexual partner about using a condom during vaginal sex, but were not able to?"

This comment addresses the issue of "silencing condom negotiation," which the authors define as girls' reluctance to voice an interest in condom use at the risk of losing the relationship or facing other negative consequences.

As one study participant reported: "If we talk about just STIs and HIV, we're not addressing the whole picture. . . . I'm easily pressured into doing things that I don't want to do and it's hard to sit back at the time and ask myself, 'Is this something that I really want to do?' . . . oftentimes it's what he wants, but what I want . . . you don't want a baby, you don't want a STD, you don't want HIV. . . . do you want him to beat you up? . . . Don't let anybody tell you it's not about what you want, and he's going to be telling you that. There's always a way out of things, always."

Dr. Teitelman and colleagues are developing a clinic-centered intervention for girls based on their findings.


Contact: Joy McIntyre
University of Pennsylvania School of Nursing

Related medicine news :

1. New role for an old molecule: protecting the brain from epileptic seizures
2. Preventing GVHD by protecting gut stem cells
3. Beating doctor burnout and protecting patients
4. Smoke-free air laws effective at protecting children from secondhand smoke
5. Protecting Global Travelers with New Security Solutions
6. ASTRO publishes supplement on protecting cancer patients by reducing radiation doses, side effects
7. Strategies increase health-care worker vaccination rates -- protecting patients
8. Protecting the brain from a deadly genetic disease
9. Protecting the brain from of a deadly genetic disease
10. Protecting patients: Study shows that Johns Hopkins flu vaccination rates twice national average
11. Children and adolescent mobile phone users at no greater risk of brain cancer than non-users
Post Your Comments:
(Date:11/26/2015)... ... November 26, 2015 , ... Patients at Serenity Point Recovery, ... together on Thanksgiving Day to share the things that they are most grateful ... Point YouTube channel, patients displayed what they wrote on index cards, describing the ...
(Date:11/26/2015)... ... November 26, 2015 , ... The ... bioavailability and the need to integrate dose form selection in early phase drug ... the membership organization supporting and bringing together the UK’s emerging life sciences companies, ...
(Date:11/26/2015)... ... November 26, 2015 , ... ... retro-fused, self-animating trailer titles with ProTrailer: Vintage. This newly styled ProTrailer pack comes ... titles work with any font, giving users limitless opportunities to stylize and create ...
(Date:11/25/2015)... ... 25, 2015 , ... As part of a global movement ... volunteers together who want to combine talents and resources to help create sustainable ... process. The non-profit launched its first major fundraiser on November 6, 2015 at ...
(Date:11/25/2015)... MN (PRWEB) , ... November 25, 2015 , ... ... launched offering factory direct sauna parts and accessories. , Sauna accessories help ... of the bather’s style and personality. From basic styles for the purist looking ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... PUNE, India , November 26, ... --> --> ... Research Report" and "Investigation Report on ... 2019 and 2021 forecasts data and ... library. . ...
(Date:11/26/2015)... DUBLIN , November 26, 2015 ... has announced the addition of the  ... in the European Cell Surface Marker ... Emerging Opportunities"  report to their offering.  ... announced the addition of the  "2016 ...
(Date:11/25/2015)... -- The American Academy of Pediatrics (AAP), American Congress ... of Dimes cheered today,s signature into law of ... 2015 (S.799), which takes much-needed strides to ... drugs, such as opioids, and to improve their ... have worked together leading advocacy efforts for its ...
Breaking Medicine Technology: