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. Author manuscript; available in PMC: 2014 Feb 1.
Published in final edited form as: AIDS Behav. 2013 Feb;17(2):612–622. doi: 10.1007/s10461-012-0369-9

Table I.

Condom use negotiation strategies

Strategies Definitions Performance possibilities
1. Reward Person promises or provides positive consequences if partner uses a condom
  • Emphasize that sex will be more erotic as a reward for condom use

  • Introduce the unique design of a condom (e.g. dots, ribs) which will bring about rewarding sensations

2. Emotional coercion Person threatens to use or uses negative affective consequences in order to persuade partner to use a condom
  • Make a pitiful face if partner doesn’t want to use a condom

  • Make partner believe that he will feel sorry for me if a condom is not used

  • Tell partner that I will feel anxious or frigid instead of sexually aroused during sex if a condom is not used

3. Risk information Person presents information about the risks of STIs or HIV/AIDS to persuade partner to use a condom
  • Tell partner that if we don’t use a condom, then one of us could end up with a sexually transmitted infection and/or HIV

  • Tell partner that using a condom will protect us from sexually transmitted infections and/or HIV/AIDS

4. Seduction Person uses (nonverbal) sexual arousal to distract or direct partner in order to persuade partner to use a condom
  • Start “fooling around” and then pull out a condom when it is time and ask for the use

  • Get partner very sexually excited and then put a condom on without saying a word

  • Use mouth to put a condom on during foreplay with oral sex, without saying a word

5. Deception Person uses false information or deception to get partner to use a condom
  • Make up a reason why I want partner to use a condom, even though my real reason is to protect myself against diseases

  • Make partner think I always use condoms when I have sex, even though sometimes I don t

  • Pretend that I’m really concerned about pregnancy, when my real concern is sexually transmitted infections

6. Withholding sex Person states or threatens that sexual activity will be withheld if partner does not use a condom
  • Tell partner that I will not have penetrative sex with him if we do not use a condom

  • Make it clear that I will not have sex if condoms are not used

  • Refuse to have sex with partner unless a condom is used

7. Relationship conceptualizing Person uses caring or concern for the partner or relationship in order to get partner to use a condom
  • Let partner know that using a condom would show respect for my feelings

  • Tell partner that it would really mean a lot to our relationship if he would use a condom

  • Tell partner that using a condom would really show how he cares for me

8. Autocracy Person uses authority, claims greater knowledge, or flatly insists on condom use
  • Tell partner that a condom must be used because I say so

  • Tell partner that a condom must be used because I am the one who makes important decisions in our relationship

9. Direct request Person requests the use of condoms in a direct, straightforward manner
  • Straightforwardly ask that we use a condom during penetrative sex

  • Make a direct request to use a condom

  • Be clear that I want to put a condom on

Note: Definitions and dimensions adapted from Noar et al. (2002)(17).