Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Protecting adolescent girls from unwanted unprotected sex

07.09.2011
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.

The University of Pennsylvania School of Nursing is one of the premier research institutions in nursing, producing new knowledge in geriatrics, pediatrics, oncology, quality-of-life choices, and other areas. Researchers here consistently receive more research funding from the National Institutes of Health than any other private nursing school, and many Master's programs are ranked first in the country. This year, faculty, students, alumni, and staff celebrate 125 years of nursing at Penn.

Joy McIntyre | EurekAlert!
Further information:
http://www.upenn.edu

More articles from Studies and Analyses:

nachricht Drone vs. truck deliveries: Which create less carbon pollution?
31.05.2017 | University of Washington

nachricht New study: How does Europe become a leading player for software and IT services?
03.04.2017 | Fraunhofer-Institut für System- und Innovationsforschung (ISI)

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Can we see monkeys from space? Emerging technologies to map biodiversity

An international team of scientists has proposed a new multi-disciplinary approach in which an array of new technologies will allow us to map biodiversity and the risks that wildlife is facing at the scale of whole landscapes. The findings are published in Nature Ecology and Evolution. This international research is led by the Kunming Institute of Zoology from China, University of East Anglia, University of Leicester and the Leibniz Institute for Zoo and Wildlife Research.

Using a combination of satellite and ground data, the team proposes that it is now possible to map biodiversity with an accuracy that has not been previously...

Im Focus: Climate satellite: Tracking methane with robust laser technology

Heatwaves in the Arctic, longer periods of vegetation in Europe, severe floods in West Africa – starting in 2021, scientists want to explore the emissions of the greenhouse gas methane with the German-French satellite MERLIN. This is made possible by a new robust laser system of the Fraunhofer Institute for Laser Technology ILT in Aachen, which achieves unprecedented measurement accuracy.

Methane is primarily the result of the decomposition of organic matter. The gas has a 25 times greater warming potential than carbon dioxide, but is not as...

Im Focus: How protons move through a fuel cell

Hydrogen is regarded as the energy source of the future: It is produced with solar power and can be used to generate heat and electricity in fuel cells. Empa researchers have now succeeded in decoding the movement of hydrogen ions in crystals – a key step towards more efficient energy conversion in the hydrogen industry of tomorrow.

As charge carriers, electrons and ions play the leading role in electrochemical energy storage devices and converters such as batteries and fuel cells. Proton...

Im Focus: A unique data centre for cosmological simulations

Scientists from the Excellence Cluster Universe at the Ludwig-Maximilians-Universität Munich have establised "Cosmowebportal", a unique data centre for cosmological simulations located at the Leibniz Supercomputing Centre (LRZ) of the Bavarian Academy of Sciences. The complete results of a series of large hydrodynamical cosmological simulations are available, with data volumes typically exceeding several hundred terabytes. Scientists worldwide can interactively explore these complex simulations via a web interface and directly access the results.

With current telescopes, scientists can observe our Universe’s galaxies and galaxy clusters and their distribution along an invisible cosmic web. From the...

Im Focus: Scientists develop molecular thermometer for contactless measurement using infrared light

Temperature measurements possible even on the smallest scale / Molecular ruby for use in material sciences, biology, and medicine

Chemists at Johannes Gutenberg University Mainz (JGU) in cooperation with researchers of the German Federal Institute for Materials Research and Testing (BAM)...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Plants are networkers

19.06.2017 | Event News

Digital Survival Training for Executives

13.06.2017 | Event News

Global Learning Council Summit 2017

13.06.2017 | Event News

 
Latest News

Supersensitive through quantum entanglement

28.06.2017 | Physics and Astronomy

X-ray photoelectron spectroscopy under real ambient pressure conditions

28.06.2017 | Physics and Astronomy

Mice provide insight into genetics of autism spectrum disorders

28.06.2017 | Health and Medicine

VideoLinks
B2B-VideoLinks
More VideoLinks >>>