Date of Publication
2025
Abstract
Non-consensual condom removal (NCCR), commonly known as stealthing, occurs when a condom is removed during intercourse without consent. It is increasingly recognized as a form of sexual assault and intimate partner violence by researchers. Research indicates that 7.9% to 43% of women and 5% to 19% of men who have sex with men have experienced NCCR (Davis et al., 2024). Implementing the Condom Use Resistance (CUR) screening tool aims to reduce NCCR at the clinic, establish baseline data, and enhance healthcare staff awareness by Fall 2024. The CUR tool was administered to patients while they waited at the dispensary window, accompanied by educational flyers, pamphlets, and brief informational sessions. Two months later, the CUR screening tool was re-administered to assess its impact, along with the education. Surveys, which measured patient satisfaction and staff confidence in addressing NCCR. Findings revealed that 22% of clients had experienced NCCR, while 3% admitted to perpetrating it. Women reported higher rates of victimization, and discrepancies between self-reported perpetration and victimization highlighted potential societal biases in reporting. Following the intervention, 73% of clients recognized NCCR as a critical health issue, and 76% felt comfortable seeking support. Staff confidence in addressing NCCR increased without disrupting workflow. Although NCCR rates remained unchanged, the study successfully established baseline data and improved provider awareness. Future efforts should integrate NCCR education into routine healthcare training, promote early consent education, and develop trauma-informed care protocols to better support impacted individuals.
Document Type
Dissertation/Thesis
Recommended Citation
Thomas, Anouk L., "“It feels better without one on”: the Condom Use Resistance Screening Tool to Increase Stealthing Awareness in a Medication-Assisted Treatment Center" (2025). College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications. 182.
https://scholarworks.uvm.edu/cnhsdnp/182
Included in
Domestic and Intimate Partner Violence Commons, Family Practice Nursing Commons, Gender and Sexuality Commons, Medicine and Health Commons, Public Health and Community Nursing Commons, Substance Abuse and Addiction Commons
