Condom negotiation: experiences of sexually active young women
Condom negotiation: experiences of sexually active young women
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DOI：
10.1111/j.1365-2648.2010.05451.x
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发表时间：
2011-01-01
影响因子：
3.8
通讯作者：
Peters, Kathleen
中科院分区：
文献类型：
--
作者：
East, Leah;Jackson, Debra;Peters, Kathleen
瞄准本文是一份关于性活跃的年轻女性在诊断性传播感染之前和之后协商使用安全套的经验的研究报告。男用避孕套是预防和减少性传播感染的最有效方法。然而，避孕套的使用可能受到社会规范和性别角色等因素的阻碍，这可能会给女性在异性伴侣关系中主动使用和协商使用避孕套造成困难。本研究采用女性主义叙事的方法，并于2007年透过线上访谈收集10位女性的故事。由于各种原因，没有妇女主动或协商使用男用避孕套。有些人依靠其男性伴侣主动使用避孕套，有些人由于性关系中存在虐待和不平等的性别动态而无法进行更安全的性行为，有些人认为没有必要使用避孕套，因为他们认为自己处于安全的一夫一妻制关系中。一些妇女说，即使在诊断出性传播感染后，她们也没有足够的能力与随后的性伴侣开始使用避孕套，导致持续的高风险性行为。成功地推广安全套取决于认识到阻碍年轻妇女购买和使用安全套的性别因素。克服性别动态和赋予妇女谈判使用安全套的权力的战略能够促进这一群体使用安全套。
Aim. This paper is a report of a study of sexually active young women's experiences of negotiating condom use both before and after diagnosis of a sexually transmitted infection.Background. The male condom is the most efficient method in preventing and reducing the transmission of sexually transmitted infections. However, condom use can be hindered by factors including societal norms and gender roles, which can create difficulties for women in initiating and negotiating condom use in heterosexual partnerships.Methodology. A feminist narrative approach was used, and ten women's stories were collected via online interviews in 2007.Findings. None of the women initiated or negotiated use of the male condom for various reasons. Some relied on their male partners to initiate condom use, some were unable to practise safer sex due to the abuse and unequal gender dynamics that existed in their sexual relationships, and some thought that condom use was not necessary because of a belief that they were in safe and monogamous relationships. Even following diagnosis of a sexually transmitted infection, some women said that they were not empowered enough to initiate condom use with subsequent sexual partners, resulting in continued high-risk sexual behaviour.Conclusion. Successful condom promotion relies on the recognition of the gender factors that impede young women's condom negotiation and use. Strategies that overcome gender dynamics and empower women to negotiate condom use have the ability to promote condom use among this group.