The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Anal use of the female condom: does uncertainty justify provider inaction?
Open accessAbstract
Despite limited safety data and the absence of efficacy data, several studies have reported that the female condom is being used for anal sex by men who have sex with men. We describe providers' awareness of female condom use during anal sex among their clients and their experiences in counseling clients. We conducted semi-structured interviews with 78 health-care providers recruited from various health-care delivery systems in New York City: a family planning agency, a sexually transmitted infection agency, a hospital-based obstetrics and gynecology clinic, and two community-based AIDS service organizations. While two-thirds of providers reported that they were uncertain as to whether the female condom could or should be used for anal intercourse, nearly one-third believed that anything is better than nothing to prevent HIV/sexually transmitted infections during anal sex. Few providers had actually talked with clients about anal use of the female condom, and clients themselves had seldom mentioned nor asked for information about such use. Our findings highlight providers' uncertainty about anal use of the female condom. Lacking guidelines regarding the safety and efficacy of female condom use during anal sex, health-care providers are left to make their own well-intentioned recommendations (or not) to potential users. The dearth of information on female condom use during anal sex could encourage individuals to use the female condom for anal sex, which may increase HIV transmission risk or represent a missed opportunity for protecting non-condom users. There is a need for a series of harm-reduction, acceptability, and efficacy studies and, in the interim, for the development of a carefully qualified safety set of guidelines regarding anal use of the female condom for health-care providers.
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“Although the internal condom also has been used during receptive anal intercourse, efficacy associated with this practice remains unknown (33).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [33]
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Cites
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Cited by
Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 3,018
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Kutner, B. A., Simoni, J. M., Aunon, F. M., Creegan, E., & Balán, I. C. (2020) · Archives of Sexual Behavior · doi:10.1007/s10508-019-01595-9 · Cited by 52
Health Care Providers: A Missing Link in Understanding Acceptability of The Female Condom
Mantell, J. E., West, B. S., Sue, K. L., Hoffman, S., Exner, T. M., Kelvin, E. A., & STEIN, Z. A. (2011) · AIDS Education and Prevention · doi:10.1521/aeap.2011.23.1.65 · Cited by 36
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Metadata
- Authors
- Mantell, J. E., Kelvin, E. A., Exner, T. M., Hoffman, S., Needham, S., & Stein, Z. A.
- Affiliations
- New York State Psychiatric Institute (US)
- Population Council (US)
- Corresponding author
- Mantell, Joanne E.
- Venue
- AIDS Care
- Publisher
- Informa UK Limited
- Published
- 2009-09
- Volume
- 21
- Issue
- 9
- Pages
- 1185-1194
- ISSN
- 0954-0121 (ISSN-L)
- 1360-0451
- PMC
- PMC2797077
- OpenAlex
- W2148943944
- Cited by
- 16
- References
- 21
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2021: 1 · 2020: 3 · 2019: 1 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 1
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- AIDS Care (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Public Health Service (P30-A1428481)
- National Institute of Mental Health (P30-MH43520, P30MH043520)
- National Institute of Allergy and Infectious Diseases (P30AI042848)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- female condom, anal sex, men who have sex with men, HIV prevention, sexually transmitted infections, harm reduction, provider counseling, HIV risk factors
- MeSH terms
- Attitude of Health Personnel, Attitude to Health, Female, Health Personnel, Health Services Needs and Demand, Humans, Male, Professional-Patient Relations, Sexual Behavior, HIV Infections, Homosexuality, Male, Single-Use Internal Condom, Condoms, Female, Qualitative Research
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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