Providing for Women's Pleasure in the Next Generation of Condoms

Higgins, Jenny A.; Fennell, Julie

doi:10.1111/jsm.12299

Cited by 9 publications

(9 citation statements)

References 30 publications

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“…While previous research has thoroughly documented barriers to condom use (Fortenberry et al, 2002; Gibbs, Manning, Longmore, Giordano, & Hall, 2013; Harvey et al, 2006; Higgins & Fennell, 2013; Higgins, Hoffman, et al, 2008; Hock-Long et al, 2013; Holland & French, 2012; Ingham, 2012; Khan, Hudson-Rodd, Saggers, Bhuiyan, & Bhuiya, 2004; Lawrence et al, 1998; Macaluso, Demand, Artz, & Hook, 2000; Pilkington, Kern, & Indest, 1994; Pulerwitz et al, 2002; Randolph, Pinkerton, Bogart, Cecil, & Abramson, 2007; Sanders et al, 2010; Sanders et al, 2012; Sarkar, 2008; Upchurch et al, 1992; Worth, 1989), this study is the first to describe in depth not only why women stop using condoms but how condom discontinuation takes place interpersonally. Overall, this study contributes several unique findings to the literature on condom use and helps illuminate how emerging adults conceptualize and negotiate condom discontinuation.…”

Section: Discussionmentioning

confidence: 88%

“…Overwhelmingly, the majority of participants simply did not like using condoms, as has been seen in other research (Crosby et al, 2008; Crosby et al, 2003; Fennell, 2014; Higgins & Hirsch, 2008; Higgins, Hirsch, & Trussell, 2008; Sarkar, 2008; Williamson et al, 2009). Research shows pursuit of pleasure is one of the primary reasons people engage in sex (Philpott, Knerr, & Boydell, 2006); therefore, it is imperative to make condom use more compatible with erotic goals and address condom complaints (Higgins & Fennell, 2013). Given the frequency and emphasis on discomfort as reason for discontinuation, condom promotion campaigns will be successful only if they begin with the understanding that condoms may not be pleasurable for everyone, even if partners attempt techniques to decrease condom discomfort.…”

Section: Discussionmentioning

confidence: 99%

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How Condom Discontinuation Occurs: Interviews With Emerging Adult Women

Mullinax

Sanders

Dennis

et al. 2016

The Journal of Sex Research

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We have almost no data on how and when couples stop using condoms. This qualitative study investigated the process of condom discontinuation. From November 2013 to April 2014, a total of 25 women living in a college town in the Midwest, ages 18 to 25, participated in semistructured interviews centered around three domains: partner interactions, contraceptive use, and sexually transmitted infection (STI) prevention. Analysis followed a critical qualitative research orientation. Participants described actively seeking the best options to prevent pregnancy, perceiving condom discontinuation in favor of hormonal methods as a smart decision, and reported wanting to discontinue using condoms due to physical discomfort. Oftentimes, nonverbal communication around contextual instances of condom unavailability paved the way for discontinuation. Participants indicated the decision to stop using condoms was neither deliberate nor planned. Condom discontinuation rarely occurred at one point in time; instead, it was preceded by a period of occasional use. Even after participants described themselves as not using condoms, sporadic condom use was normal (typically related to fertility cycles). This study provides a more detailed understanding of how and why emerging adults negotiate condom discontinuation, thereby enhancing our ability to design effective condom continuation messages. Attention should be paid to helping emerging adults think more concretely about condom discontinuation.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

How Condom Discontinuation Occurs: Interviews With Emerging Adult Women

Mullinax

Sanders

Dennis

et al. 2016

The Journal of Sex Research

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“…One exploratory mixed-gender study documented that both adult women and men who reported that condoms undermine arousal and enjoyment were least likely to use them (17). However, fewer studies explore such pleasure attitudes among adolescents and young adults, especially among young women (18), and no nationally representative studies of this topic exist for any age group. The current study addresses these limitations using a nationally representative sample of young adult women and men to assess how attitudes about condoms and sexual pleasure may be related to practices.…”

Section: Introductionmentioning

confidence: 99%

The Role of Young Adults’ Pleasure Attitudes in Shaping Condom Use

Higgins

Wang

2015

Am J Public Health

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How do young people’s attitudes about whether condoms reduce pleasure shape condom practices—and, in turn, exposure to STIs and unintended pregnancy? Using a nationally representative sample of 2,328 heterosexually-active, unmarried 15–24 year-olds, we documented multivariate associations with condom non-use at last sexual episode. For both young men and women, pleasure-related attitudes were more strongly associated with lack of condom use than all socio-demographic or sexual history factors. Research and interventions should consistently assess and address young people’s attitudes about how condoms affect pleasure.

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“…Pleasure is the main element of human sexual motivation [70]. Condoms can interpose a mechanical barrier, limit physical contact, reduce tactile sensation, attenuate heat transduction, or affect other aspects of sexual functioning masculine and feminine [71]. Studies support the hypothesis that persons who believe condoms interfere with pleasure or reduce pleasure, or who rate condom-protected sex as less enjoyable or pleasurable than unprotected sex may be less likely to use condoms in practice, and conversely [72][73][74][75].…”

Section: Discussionmentioning

confidence: 99%

Structural Equation Modeling Test of an Integrated Model of Spanish Youth’s Condom Use

2016

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Heterosexual transmission represents 26 % of newly diagnosed infection in Spanish youth. Behavioral change models have emphasized the influence of multiple variables to predict condom use behavior. The aim of this study is to examine how those variables are organized and which theory explains the condom use behavior better. A sample of 424 young heterosexuals (M age = 20.62; SD = 2.16) filled out a battery of self-report questionnaires for assessing AIDS-related variables, personality traits and clinical variables (general, sexuality-related and health-related). A structural model was specified that included perceived pleasure and condom use self-efficacy as predictive variables. Depression and sexual compulsivity indirectly influence behavior. The final model accounted for 65.9 % of the variance in behavior. These results highlight the importance of cognitive and emotional variables as predictors of behavior (ex. expectations of pleasure and self-efficacy beliefs). This is important information for designing effective psychological interventions.Resumen La transmisión heterosexual representa el 26 % de los nuevos diagnósticos de VIH en los jóvenes españoles. Los modelos de cambio de comportamiento han enfatizado la influencia de múltiples variables para predecir el uso del preservativo. El objetivo del presente estudio es examinar cómo se organizan estas variables y qué teoría explica mejor esta conducta. Una muestra de 424 jóvenes heterosexuales (x edad = 20.62; SD = 2.16) completó una batería de cuestionarios sobre Sida, rasgos de personalidad y variables clínicas (generales, sexuales y de salud). Los resultados obtenidos utilizando modelos de ecuaciones estructurales apoyan una relación directa entre uso del preservativo y autoeficacia y placer percibido. Las variables depresión y compulsividad sexual influyen indirectamente sobre la conducta. El modelo explica el 65.9 % de la varianza. Estos resultados destacan la importancia de las variables cognitivas y emocionales como predictoras del comportamiento. Esta información es importante para el diseño de intervenciones psicológicas eficaces.

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Providing for Women's Pleasure in the Next Generation of Condoms

Cited by 9 publications

References 30 publications

How Condom Discontinuation Occurs: Interviews With Emerging Adult Women

How Condom Discontinuation Occurs: Interviews With Emerging Adult Women

The Role of Young Adults’ Pleasure Attitudes in Shaping Condom Use

Structural Equation Modeling Test of an Integrated Model of Spanish Youth’s Condom Use

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