Commentary on: Cook C. 'Nice girls don't': women and the condom conundrum. J Clin Nurs 2012;21:535-43.
Implications for practice and research▪ Sexual health counselling should extend beyond basic educational information to address contextual factors women face in partner relationships.▪ Because nursing practice centres on the patientclinician relationship, feminist post-structuralist designs are effective at addressing power dynamics faced by vulnerable populations, further fostering communication between women and clinicians and improving women's sexual health.
ContextThe study highlights experiences of high-risk women in communicating condom use with their partners and discussing with healthcare providers the impact of a sexually transmitted infection (STI) on their intimate relationships. Clinicians' views on the effective sexual health communication with their female patients were also examined. The study focused on women diagnosed with genital herpes simplex virus (HSV) and human papilloma virus (HPV). Global estimates of HSV in people aged 15-49 is 536 million worldwide and women are disproportionately infected (315 million vs 221 million in men). 1 In addition, the prevalence of HPV in women worldwide has been estimated to be as high as 11.4%. 2
MethodsThe sample included 26 women with HSV or HPV and 12 clinicians with experience in sexual/gynaecological health. The study was based in New Zealand, but international in scope, as the sample included participants from New Zealand, the USA, Canada, the UK and Australia. Data were collected via email interviews with repeated correspondence. Thematic analyses revealed major themes related to condom use, feminine sexuality and societal norms.
FindingsMost women did not discuss safer sex with their partners before STI diagnosis and of these, most found it