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Adolescent condom negotiation: a concept analysis and conceptual framework.

Mary A Antwi1, Jacob D Dogtir1, Khairul A M Islam1

  • 1School of Nursing, University of Rochester, Rochester, NY, United States.

Frontiers in Reproductive Health
|February 16, 2026
PubMed
Summary
This summary is machine-generated.

Adolescent condom negotiation, involving communication and mutual agreement, is key to consistent condom use. This study defines it to improve sexual health research and reduce STIs and unintended pregnancies.

Keywords:
adolescent condom negotiationcommunicationconcept analysisnegotiation skillsnursing researchsexual health

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Area of Science:

  • Public Health
  • Adolescent Health
  • Sexual Health Research

Background:

  • Adolescents face risks of sexually transmitted infections (STIs) and unintended pregnancies.
  • Consistent condom use is crucial for preventing these outcomes.
  • Condom negotiation influences consistent condom use, but lacks a clear definition.

Purpose of the Study:

  • To analyze the concept of adolescent condom negotiation.
  • To examine its defining attributes, antecedents, and consequences.
  • To promote conceptual clarity for enhanced sexual health research and practice.

Main Methods:

  • Utilized Norris's (1982) concept clarification method.
  • Conducted a comprehensive literature review across PubMed, CINAHL, and PsycINFO.
  • Included studies on adolescent communication, negotiation, or decision-making regarding condom use.

Main Results:

  • Identified two core attributes of adolescent condom negotiation: communication strategies and mutual agreement behaviors.
  • Developed an operational definition and a preliminary conceptual model.
  • Found no existing instruments specifically measuring adolescent condom negotiation.

Conclusions:

  • Operationalizing adolescent condom negotiation advances sexual health research and practice.
  • A clear definition supports targeted interventions for consistent condom use.
  • This can reduce STI and unintended pregnancy rates among adolescents.