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Women with viral STIs face dilemmas in negotiating condom use and would like direct safe sex advice from clinicians
  1. C Ann Gakumo
  1. University of Alabama at Birmingham, Birmingham, Alabama, USA
  1. Correspondence to: C Ann Gakumo, PhD, RN
    School of Nursing, Acute Health, Chronic Care & Foundations Dept., Birmingham, AL 35294-1210, USA; cagakumo{at}

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Commentary on: Cook C. ‘Nice girls don't’: women and the condom conundrum. J Clin Nurs 2012;21:535–43.

Implications for practice and research

  • Sexual health counselling should extend beyond basic educational information to address contextual factors women face in partner relationships.

  • Because nursing practice centres on the patient–clinician relationship, feminist post-structuralist designs are effective at addressing power dynamics faced by vulnerable populations, further fostering communication between women and clinicians and improving women's sexual health.


The study highlights experiences of high-risk women in communicating condom use with their partners and discussing with healthcare providers the impact of a sexually transmitted infection (STI) on their intimate relationships. Clinicians’ views on the effective sexual health communication with their female patients were also examined. The study focused on women diagnosed with genital herpes simplex virus (HSV) and …

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  • Competing interests None.