Advertisement

Young Women's Experiences with Coercive and Noncoercive Condom Use Resistance: Examination of an Understudied Sexual Risk Behavior

Published:February 27, 2019DOI:https://doi.org/10.1016/j.whi.2019.01.005

      Abstract

      Objectives

      To investigate young women's engagement in and receipt of condom use resistance (CUR; attempts to avoid condom use with a partner who wants to use one), including nonconsensual condom removal (“stealthing”), with male partners.

      Methods

      Participants were 503 women aged 21–30 years with increased sexual risk characteristics recruited from 2013 to 2017. Participants completed measures assessing sexual victimization history and CUR experiences.

      Results

      Findings indicated that 87% of women experienced noncoercive CUR from a partner and 49% experienced coercive CUR. Of these women, 58% and 19% reported having engaged in noncoercive and coercive CUR, respectively. Twelve percent of women had a partner engage in stealthing; none of the women engaged in stealthing. The severity of sexual victimization history was positively associated with both use and receipt of coercive and noncoercive CUR. Diagnoses of sexually transmitted infections were positively associated with receipt of, but not engagement in, CUR.

      Conclusions

      Findings demonstrate that sexual victimization and both the use and receipt of CUR are positively related for young women, suggesting that prevention efforts focusing on women's sexual health would benefit from joint consideration of sexual violence and risk behaviors and that such efforts should target victims of sexual violence.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Women's Health Issues
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Assembly Democrats
        Greenwald and mosquera two-bill package to strengthen protections for victims of sexual assault approved by panel.
        (Available:)
        www.assemblydems.com/Article.asp?ArticleID=14319
        Date: 2018
        Date accessed: August 26, 2018
        • Breiding M.J.
        Prevalence and characteristics of sexual violence, stalking, and intimate partner violence victimization—National Intimate Partner and Sexual Violence Survey, United States, 2011.
        Morbidity and Mortality Weekly Report: Surveillance Summaries, (Washington, DC : 2002). 2014; 63: 1-18
        • Brodsky A.
        Rape-adjacent: Imagining legal responses to nonconsensual condom removal.
        Columbia Journal of Gender & Law. 2017; 32: 183-210
        • Campbell R.
        • Sefl T.
        • Ahrens C.E.
        The impact of rape on women's sexual health risk behaviors.
        Health Psychology. 2004; 23: 67-74
        • Colino S.
        The silent sexual assault.
        Cosmopolitan. 2017; 263: 166-167
        • Conroy S.
        • Cotter A.
        Self-reported sexual assault in Canada, 2014.
        (Available:)
        • Davis K.C.
        • Kiekel P.A.
        • Schraufnagel T.J.
        • Norris J.
        • George W.H.
        • Kajumulo K.F.
        Men’s alcohol intoxication and condom use during sexual assault perpetration.
        Journal of Interpersonal Violence. 2012; 27: 2790-2806
        • Davis K.C.
        • Logan-Greene P.B.
        Young men’s aggressive tactics to avoid condom use: A test of a theoretical model.
        Social Work Research. 2012; 36: 223-231
        • Davis K.C.
        • Gilmore A.K.
        • Stappenbeck C.A.
        • Balsan M.J.
        • George W.H.
        • Norris J.
        How to score the sexual experiences survey? A comparison of nine methods.
        Psychology of Violence. 2014; 4: 445-461
        • Davis K.C.
        • Stappenbeck C.A.
        • Norris J.
        • George W.H.
        • Jacques-Tiura A.J.
        • Schraufnagel T.J.
        • Kajumulo K.F.
        Young men’s condom use resistance tactics: A latent profile analysis.
        Journal of Sex Research. 2014; 51: 454-465
        • Davis K.C.
        • Danube C.L.
        • Stappenbeck C.A.
        • Norris J.
        • George W.H.
        Background predictors and event-specific characteristics of sexual aggression incidents: The roles of alcohol and other factors.
        Violence Against Women. 2015; 21: 997-1017
        • Davis K.C.
        • Danube C.L.
        • Neilson E.C.
        • Stappenbeck C.A.
        • Norris J.
        • George W.H.
        • Kajumulo K.F.
        Distal and proximal influences on men's intentions to resist condoms: alcohol, sexual aggression history, impulsivity, and social-cognitive factors.
        AIDS and Behavior. 2016; 20: 147-157
        • Davis K.C.
        • Neilson E.C.
        • Wegner R.
        • Danube C.L.
        The intersection of men’s sexual violence perpetration and sexual risk behavior: A literature review.
        Aggression and Violent Behavior. 2018; 40: 83-90
        • George W.H.
        • Jacques-Tiura A.J.
        • Kajumulo K.F.
        • Davis K.C.
        • Heiman J.R.
        • Norris J.
        • Otto J.M.
        Incarceration history, sensation seeking, and sexual behaviors among moderate drinking women: A cross-sectional descriptive study of a risk nexus.
        (Paper presented at the annual meeting of the Society for the Scientific Study of Sexuality, Houston, Texas)2011
        • George W.H.
        • Davis K.C.
        • Masters N.T.
        • Kajumulo K.F.
        • Stappenbeck C.A.
        • Norris J.
        • Staples J.M.
        Partner pressure, victimization history, and alcohol: Women’s condom decision abdication mediated by mood and anticipated negative partner reaction.
        AIDS and Behavior. 2016; 20: 134-146
        • Glasser E.
        A disturbing sex trend called ‘stealthing’ is on the rise. usatoday.com.
        (Available:)
        • Higgins J.A.
        • Smith N.K.
        The sexual acceptability of contraception: Reviewing the literature and building a new concept.
        Journal of Sex Research. 2016; 53: 417-456
        • Hosie R.
        Stealthing: man explains why he takes off his condom during sex. Independent.
        (Available:)
        • Koss M.P.
        • Abbey A.
        • Campbell R.
        • Cook S.
        • Norris J.
        • Testa M.
        • White J.
        Revising the SES: A collaborative process to improve assessment of sexual aggression and victimization.
        Psychology of Women Quarterly. 2007; 31: 357-370
        • Masters N.T.
        • George W.H.
        • Davis K.C.
        • Norris J.
        • Heiman J.R.
        • Jacques-Tiura A.J.
        • Stappenbeck C.A.
        Women’s unprotected sex intentions: Roles of sexual victimization, intoxication, and partner perception.
        Journal of Sex Research. 2014; 51: 586-598
        • Measor L.
        Condom use: A culture of resistance.
        Sex Education: Sexuality, Society and Learning. 2006; 6: 393-402
        • Mullin M.
        Stealthing could be considered assault say experts about secret removal of condom during sex.
        (Available:)
        • National Institute on Alcohol Abuse and Alcoholism (NIAAA)
        Recommended Council guidelines on ethyl alcohol administration in human experimentation.
        (Available:)
        www.niaaa.nih.gov/Resources/ResearchResources/job22.htm
        Date: 2005
        Date accessed: March 9, 2018
        • Nedelman M.
        Some call it ‘stealthing’, others call it sexual assault.
        (Available:)
        • Office of National Statistics
        Sexual offences in England and Wales: Year ending March 2017.
        (Available:)
        • Orchowski L.M.
        • Gobin R.L.
        • Zlotnick C.
        Correlates of condom use among community college women: The role of victimization, substance use, and mental health symptoms.
        American Journal of Sexuality Education. 2018; 13: 170-189
        • Persio S.L.
        What is stealthing and why do lawmakers in California and Wisconsin want it classified as rape? www.newsweek.com.
        (Available:)
        • Pokorny A.D.
        • Miller B.A.
        • Kaplan H.B.
        The brief MAST: A shortened version of the Michigan Alcoholism Screening Test.
        American Journal of Psychiatry. 1972; 129: 342-345
        • Purdie M.P.
        • Abbey A.
        • Jacques-Tiura A.J.
        Perpetrators of intimate partner sexual violence: Are there unique characteristics associated with making partners have sex without a condom?.
        Violence against Women. 2010; 16: 1086-1097
        • Raj A.
        • Santana C.
        • La Marche A.
        • Amaro H.
        • Cranston K.
        • Silverman J.G.
        Perpetration of intimate partner violence associated with sexual risk behaviors among young adult men.
        American Journal of Public Health. 2006; 96: 1873-1878
        • Senn T.E.
        • Carey M.P.
        • Vanable P.A.
        Childhood and adolescent sexual abuse and subsequent sexual risk behavior: Evidence from controlled studies, methodological critique, and suggestions for research.
        Clinical Psychology Review. 2008; 28: 711-735
        • Smith L.A.
        Partner influence on noncondom use: Gender and ethnic differences.
        Journal of Sex Research. 2003; 40: 346-350
        • Smith S.G.
        • Chen J.
        • Basile K.C.
        • Gilbert L.K.
        • Merrick M.T.
        • Patel N.
        • Jain A.
        National Intimate Partner and Sexual Violence Survey (NISVS): 2010-2012 State Report. Atlanta: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.
        (Available:)
        www.cdc.gov/violenceprevention/pdf/NISVS-StateReportBook.pdf
        Date: 2017
        Date accessed: November 6, 2018
        • Sparling S.
        • Cramer K.
        Choosing the danger we think we know: Men and women's faulty perceptions of sexually transmitted infection risk with familiar and unfamiliar new partners.
        Canadian Journal of Human Sexuality. 2015; 24: 237-242
        • Stoner S.A.
        • Norris J.
        • George W.H.
        • Morrison D.M.
        • Zawacki T.
        • Davis K.C.
        • Hessler D.M.
        Women’s condom use assertiveness and sexual risk-taking: Effects of alcohol intoxication and adult victimization.
        Addictive Behaviors. 2008; 33: 1167-1176
        • Wegner R.
        • Lewis M.A.
        • Davis K.C.
        • Neilson E.C.
        • Norris J.
        Tactics young women use to resist condom use when a partner wants to use a condom.
        Journal of Sex Research. 2018; 55: 817-823

      Biography

      Kelly Cue Davis, PhD, is an Associate Professor at Arizona State University. Her research program focuses on the intersection of sexual violence and sexual health in young adults.

      Biography

      Cynthia A. Stappenbeck, PhD, is an Associate Professor at the University of Washington. Her research interests include alcohol-related sexual assault and intimate partner violence.

      Biography

      N. Tatiana Masters, PhD, is a Research Scientist at the University of Washington. Her research investigates the sexual health and well-being of adult populations.

      Biography

      William H. George, PhD, is a Professor at the University of Washington. His research focuses on the role of alcohol in sexual violence and sexual risk behavior.