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Knowledge, Attitudes, Perceptions, and Practices of Non-Consensual Condom Removal Among Young Adults: A Systematic Review
Journal of Applied Bioanalysis, Volume: 12, Issue: 1
Swansea University Authors:
MAMTA BEHERA, Menna Brown
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DOI (Published version): 10.53555/jab.v12i1.746
Abstract
Background: Non-Consensual Condom Removal (NCCR), commonly referred to as “stealthing,” is an emerging yet under-recognised form of sexual violence. Despite growing awareness, it remains poorly understood within legal and policy frameworks. Young adults are particularly vulnerable due to their engag...
| Published in: | Journal of Applied Bioanalysis |
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| ISSN: | 2405-710X |
| Published: |
Green Publication
2025
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| Online Access: |
Check full text
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa71110 |
| Abstract: |
Background: Non-Consensual Condom Removal (NCCR), commonly referred to as “stealthing,” is an emerging yet under-recognised form of sexual violence. Despite growing awareness, it remains poorly understood within legal and policy frameworks. Young adults are particularly vulnerable due to their engagement in casual sexual relationships, socio-cultural exposure, and unequal access to consent education. This review explores how social, cultural, and developmental factors influence young people’s knowledge, attitudes, perceptions, and experiences of NCCR across different regions. Methods: This review followed PRISMA guidelines. Three databases were searched: MEDLINE, CINAHL, and APA PsycINFO. Two reviewers independently screened studies, and inter-rater agreement was assessed using Kappa. Methodological quality was appraised using the Critical Appraisal Skills Programme checklists, and data were synthesised using a mixed methods approach. Results: Ten studies met the inclusion criteria. Most participants recognised NCCR as morally wrong, but many, especially women in casual relationships, did not recognise it as a violation. Women often viewed NCCR as a betrayal or form of sexual violence, while some men normalised it, particularly in casual contexts. Support for penalties was mixed and more likely when NCCR led to pregnancy or STIs. Victimisation rates among women ranged from 9.3 to 66.7%; male perpetration ranged from 1.33 to 19.8%. NCCR was often repeated and not always recognised as non-consensual. Conclusion: Recognition of NCCR as a violation of sexual consent remains inconsistent. It poses a serious public health concern and reflects enduring gender equity challenges. Addressing NCCR is essential to protecting the health and rights of women and girls and advancing Sustainable Development Goals 3 and 5, which focus on ensuring healthy lives and achieving gender equality. |
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| Keywords: |
Non-consensual condom removal (NCCR), stealthing, sexual consent, sexual violence, young adults |
| College: |
Faculty of Medicine, Health and Life Sciences |
| Issue: |
1 |

