Archives of Sexual Behavior

, Volume 39, Issue 3, pp 735–747

Young Women’s Use of a Microbicide Surrogate: The Complex Influence of Relationship Characteristics and Perceived Male Partners’ Evaluations

Authors

    • Department of Health, Behavior and Society, Bloomberg School of Public HealthJohns Hopkins University
  • J. Dennis Fortenberry
    • Section of Adolescent MedicineIndiana University School of Medicine
  • Gregory D. Zimet
    • Section of Adolescent MedicineIndiana University School of Medicine
  • Michael Reece
    • Department of Applied Health ScienceIndiana University
  • Cynthia A. Graham
    • Oxford Doctoral Course in Clinical PsychologyUniversity of Oxford
  • Maresa Murray
    • Department of Applied Health ScienceIndiana University
Original Paper

DOI: 10.1007/s10508-008-9464-4

Cite this article as:
Tanner, A.E., Fortenberry, J.D., Zimet, G.D. et al. Arch Sex Behav (2010) 39: 735. doi:10.1007/s10508-008-9464-4

Abstract

Currently in clinical trials, vaginal microbicides are proposed as a female-initiated method of sexually transmitted infection prevention. Much of microbicide acceptability research has been conducted outside of the United States and frequently without consideration of the social interaction between sex partners, ignoring the complex gender and power structures often inherent in young women’s (heterosexual) relationships. Accordingly, the purpose of this study was to build on existing microbicide research by exploring the role of male partners and relationship characteristics on young women’s use of a microbicide surrogate, an inert vaginal moisturizer (VM), in a large city in the United States. Individual semi-structured interviews were conducted with 40 young women (18–23 years old; 85% African American; 47.5% mothers) following use of the VM during coital events for a 4 week period. Overall, the results indicated that relationship dynamics and perceptions of male partners influenced VM evaluation. These two factors suggest that relationship context will need to be considered in the promotion of vaginal microbicides. The findings offer insights into how future acceptability and use of microbicides will be influenced by gendered power dynamics. The results also underscore the importance of incorporating men into microbicide promotion efforts while encouraging a dialogue that focuses attention on power inequities that can exist in heterosexual relationships. Detailed understanding of these issues is essential for successful microbicide acceptability, social marketing, education, and use.

Keywords

MicrobicidesWomenRelationshipsGenderHIVSTIQualitative research

Copyright information

© Springer Science+Business Media, LLC 2009