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Archives of Sexual Behavior

, Volume 38, Issue 5, pp 779–787 | Cite as

Withdrawal (Coitus Interruptus) as a Sexual Risk Reduction Strategy: Perspectives from African-American Adolescents

  • Jennifer R. HornerEmail author
  • Laura F. Salazar
  • Daniel Romer
  • Peter A. Vanable
  • Ralph DiClemente
  • Michael P. Carey
  • Robert F. Valois
  • Bonita F. Stanton
  • Larry K. Brown
Original Paper

Abstract

This study examined adolescents’ beliefs about the benefits and risks of withdrawal (coitus interruptus) with respect to both pregnancy and sexually transmitted infections (STIs). In the course of qualitative interviews with African-American youth aged 14–19 (n = 124) about sexuality and risk, 24 adolescents spontaneously introduced the subject of withdrawal as a sexual risk reduction strategy. Eighteen percent of the sexually experienced adolescents mentioned their own use of withdrawal as a contraceptive method. From adolescents’ accounts of their own and their peers’ use of withdrawal, we learned that the cultural meanings of withdrawal within the context of adolescent relationships were multifaceted. Using withdrawal could signal sexual prowess in male youth, was seen as promoting trust and caring within a stable relationship, and was seen as mitigating the risk of pregnancy. However, adolescents also recognized that withdrawal did not protect against most STIs. Beliefs about withdrawal as a gendered skill and as a sign of trust may undermine some adolescents’ attempts to negotiate condom use for protection against STIs.

Keywords

Sexually transmitted infections HIV/AIDS Adolescents Withdrawal Contraception African-American 

Notes

Acknowledgments

This study was conducted through the iMPPACS network supported by the National Institutes of Mental Health (Pim Brouwers, Project Officer) at the following sites and local contributors: Columbia, SC (U01 MH66802; Robert Valois (PI), Naomi Farber); Macon, GA (MH066807; Ralph DiClemente (PI), Gina M. Wingood, Laura F. Salazar, Pamela J. Fleischauer; interviewers: Tekla Evans and Philip Williams); Philadelphia, PA (U01-MH066809; Daniel Romer (PI), Bonita Stanton, Jennifer Horner); Providence, RI (U01-MH-066785; Larry Brown (PI)); Syracuse, NY (U01-MH-66794; Peter Vanable (PI), Michael Carey, Rebecca Bostwick; interviewers: Tanesha Cameron, Larry Hammonds).

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Jennifer R. Horner
    • 1
    • 2
    Email author
  • Laura F. Salazar
    • 3
  • Daniel Romer
    • 1
  • Peter A. Vanable
    • 4
  • Ralph DiClemente
    • 3
  • Michael P. Carey
    • 4
  • Robert F. Valois
    • 5
  • Bonita F. Stanton
    • 6
  • Larry K. Brown
    • 7
  1. 1.Annenberg Public Policy CenterUniversity of PennsylvaniaPhiladelphiaUSA
  2. 2.Annenberg School for CommunicationUniversity of PennsylvaniaPhiladelphiaUSA
  3. 3.Rollins School of Public HealthEmory UniversityAtlantaUSA
  4. 4.Department of Psychology, Center for Health and BehaviorSyracuse UniversitySyracuseUSA
  5. 5.Arnold School of Public HealthUniversity of South CarolinaColumbiaUSA
  6. 6.Department of PediatricsWayne State University, Children’s Hospital of MichiganDetroitUSA
  7. 7.Bradley/Hasbro Research CenterRhode Island HospitalProvidenceUSA

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