Nonconsensual Condom Removal or Stealthing: A Case Study.

Donna Scott Tilley, Eryn Adams, Mikayla Grosz, Macy Hartman
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Abstract

Background: NCCR is a form of sexual violence that complicates the traumatic physical and emotional experience of sexual assault. Correlates to victimization include being a racial or sexual minority and being in nonexclusive, noncommitted relationships, or transactional relationships. Decreased confidence, guilt and worry, fear, depression, or a history of sexual abuse are correlates to being a victim.

Aim: To present a case of nonconsensual condom removal (NCCR), also known as stealthing, in a 25-year-old transexual male sexual assault patient.

Case summary: A 25-year-old transexual male, hereafter known as AK, presented to the emergency department (ED) requesting to be seen by a sexual assault nurse examiner (SANE). The partner put the condom on; during sex, AK could see that the condom was no longer in place. He asked the man to stop but was ignored. Thoughtful care was given during the exam, with attention to patient preference about use of a speculum. Prophylactic treatment for sexually transmitted infections, human immunodeficiency virus, and pregnancy were indicated and given. Follow-up care with an advocacy agency was provided. Research, policy, and practice must be developed to address this increasingly common practice.

非自愿摘取或偷取安全套:个案研究。
背景:NCCR是一种形式的性暴力,使性侵犯的创伤性身体和情感经历复杂化。与受害相关的包括种族或性少数群体,处于非排他性的、不负责的关系或交易关系中。缺乏自信、内疚和担忧、恐惧、抑郁或性虐待史都与成为受害者有关。目的:介绍一个25岁变性男性性侵犯患者的非自愿摘取安全套(NCCR),也被称为偷窃。案例总结:一名25岁的变性男性,以下简称AK,来到急诊科(ED),要求由一名性侵犯检查护士(SANE)检查。对方戴上了避孕套;在性交过程中,AK可以看到避孕套不在了。他要求那名男子停下来,但被忽视了。在检查期间给予了周到的护理,并注意到患者对使用窥镜的偏好。预防性治疗的性传播感染,人类免疫缺陷病毒,和怀孕的指示和给予。由一个宣传机构提供后续护理。必须制定研究、政策和实践来解决这一日益普遍的做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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