{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T12:05:33Z","timestamp":1782302733667,"version":"3.54.5"},"reference-count":12,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":2306,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,2,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The aim of this study was to test the hypothesis that receptive partners in penile\u2013vaginal intercourse (PVI) who exercise independent decision making over condom use during menses do so to avert sexually transmissible infection (STI) transmission or acquisition. Methods: Data were collected through a partnership with Clue, the industry-leading female health app. A brief web-based questionnaire was developed, translated into 10 languages, and made accessible via a URL link sent to Clue users and posted on social media. Inclusion criteria were: age =14 years, not being currently pregnant and engaging in PVI and condom use during menses in the past 3 months. The analytical subsample comprised 12\u00a0889 respondents residing in 146 countries. Results: Twenty per cent indicated independent decision making about condom use during menses. Independent decision making was associated with lower odds of reporting that condoms were used for contraception (adjusted odds ratio (aOR) 0.65; 99% confidence interval (CI) 0.57\u20130.73) and higher odds that they were used for the prevention of STIs (aOR 1.44; 99% CI 1.28\u20131.61). A third significant finding pertained to always using condoms during menses; this was less likely among those indicating independent (female only) decision making (aOR 0.69; 99% CI 0.62\u20130.78). Non-significant associations with another two outcomes were found: protecting the partner against menstrual blood and protecting themselves against semen. Conclusions: Findings from people in 146 countries strongly support the hypothesis that those exercising independent decision making over condom use during menses do so to avert STI transmission or acquisition. That only one-fifth of this global sample reported this type of independent decision making suggests that empowerment-oriented (structural-level) interventions may be advantageous for individuals who are the receptive partner in PVI that occurs during menses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh18136","type":"journal-article","created":{"date-parts":[[2019,1,10]],"date-time":"2019-01-10T23:51:07Z","timestamp":1547164267000},"page":"90-93","source":"Crossref","is-referenced-by-count":4,"title":["Decision making over condom use during menses to avert sexually transmissible infections"],"prefix":"10.1071","volume":"16","author":[{"given":"Richard A.","family":"Crosby","sequence":"first","affiliation":[{"name":"AThe Kinsey Institute, Indiana University, Bloomington, IN 47408, USA."},{"name":"BRural Center for AIDS\/STD Prevention, Indiana University, Bloomington, IN 47408, USA."},{"name":"CDepartment of Health Behavior, University of Kentucky, Lexington, KY 40506, USA."},{"name":"JPresent address: College of Public Health, 111 Washington Avenue, Lexington, KY 40506, USA."},{"name":"KCorresponding author. Email: crosbyr3@gmail.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia A.","family":"Graham","sequence":"additional","affiliation":[{"name":"AThe Kinsey Institute, Indiana University, Bloomington, IN 47408, USA."},{"name":"BRural Center for AIDS\/STD Prevention, Indiana University, Bloomington, IN 47408, USA."},{"name":"DDepartment of Psychology, University of Southampton, University Road, Southampton SO17 IBJ, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie A.","family":"Sanders","sequence":"additional","affiliation":[{"name":"AThe Kinsey Institute, Indiana University, Bloomington, IN 47408, USA."},{"name":"BRural Center for AIDS\/STD Prevention, Indiana University, Bloomington, IN 47408, USA."},{"name":"EDepartment of Gender Studies, Indiana University, Bloomington, IN 47405, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William L.","family":"Yarber","sequence":"additional","affiliation":[{"name":"AThe Kinsey Institute, Indiana University, Bloomington, IN 47408, USA."},{"name":"BRural Center for AIDS\/STD Prevention, Indiana University, Bloomington, IN 47408, USA."},{"name":"EDepartment of Gender Studies, Indiana University, Bloomington, IN 47405, USA."},{"name":"FSchool of Public Health, Indiana University, Bloomington, IN 47405, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marija V.","family":"Wheeler","sequence":"additional","affiliation":[{"name":"GClue by BioWink GmbH, Adalbertstra\u00dfe 8, D-10999, Berlin, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin R.","family":"Milhausen","sequence":"additional","affiliation":[{"name":"AThe Kinsey Institute, Indiana University, Bloomington, IN 47408, USA."},{"name":"BRural Center for AIDS\/STD Prevention, Indiana University, Bloomington, IN 47408, USA."},{"name":"HDepartment of Family Relations and Applied Nutrition, University of Guelph, 50 Stone Road, Guelph, ON N16 2WI, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia J.","family":"Vitzhum","sequence":"additional","affiliation":[{"name":"AThe Kinsey Institute, Indiana University, Bloomington, IN 47408, USA."},{"name":"GClue by BioWink GmbH, Adalbertstra\u00dfe 8, D-10999, Berlin, Germany."},{"name":"IDepartment of Anthropology, Indiana University, Bloomington, IN 47405, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2019,1,11]]},"reference":[{"issue":"5","key":"2025102419090199700_R1","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1097\/00007435-199609000-00009","article-title":"Sexual intercourse during menstruation and self-reported sexually transmitted disease history among women.","volume":"23","author":"Tanfer","year":"1996","journal-title":"Sex Transm 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