“…Although the male condom is a longstanding tool in HIV prevention programs that has been found to be highly effective in reducing HIV infection when used correctly and consistently (Anderson, 2003;Marrazzo & Cates, 2011), research informs us that older women's inability to negotiate condom use is a major obstacle to practicing safer sex behaviors (Patel, Gillespie, & Foxman, 2003). While early HIV/AIDS research and interventions for women focused on negotiating condom use with a male partner, later and more current research and interventions address relational, structural, and environmental contexts of risk behaviors, encompassing dynamics of gender and ethnicity in sexual encounters (Amaro, 1995;Gómez & VanOss Marín, 1996;Gupta, 2001;Harvey, Bird, Galavotti, Duncan, & Greenberg, 2002;Pulerwitz & Dworkin, 2006;Sherman, Gielen, & McDonnell, 2000;Wingood & DiClemente, 1998;Wyatt, 2009). This body of literature challenges the assumption that with knowledge, women can simply or freely enact condom use, emphasizing that condom use is embedded in gender relations and women's relationships with male partners (Dworkin & Ehrhardt, 2007).…”