scholarly journals Acceptability of female-controlled HIV/STI prevention options among professionals in Dhaka, Bangladesh

2013 ◽  
Vol 2 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Zaman Ara ◽  
Nilufar Begum ◽  
Chidi V Nweneka
Keyword(s):  
Condom Use ◽  
Secondary School Teachers ◽  
Female Condom ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Vaginal Microbicides ◽  
Sti Prevention ◽  
Male Condom ◽  
Female Condoms ◽  
Willingness To Use

Millions of women worldwide lack the power to protect themselves from HIV; current prevention options require cooperation from the male partners. Limited prospects for an HIV vaccine and continued escalation of HIV make female-controlled HIV/STI prevention options like microbicides desirable. While socio-cultural factors could reduce acceptability of these options by vulnerable women, opinion leaders like health personnel and teachers could positively influence their acceptability. The aim of this study was to assess the acceptability of female-controlled HIV/STI prevention options among medical doctors, nurses, pharmacists and secondary school teachers in Dhaka, Bangladesh. A cross-sectional study was conducted using a self-administered semi-structured questionnaire among 375 professionals (nurses, doctors, pharmacists and teachers). The questionnaire assessed the respondents’ perception of HIV, and their attitudes towards female-controlled HIV/STI prevention options such as female condoms and vaginal microbicides. The study revealed that 98.4% of the respondents were of the opinion that women should determine their HIV/STI prevention options, while 89.3% agreed that options which empower women would be acceptable. It was also found that 18.4% would use the female condoms while 34.4% would use vaginal microbicides. Factors associated with willingness to use the female-controlled prevention options were HIV risk perception, marital status, profession, and duration in profession. There was no association between willingness to use female condoms and willingness to use the vaginal microbicides. While male condom use was positively associated with willingness to use female condom, there was no significant relationship between male condom use and willingness to use the vaginal microbicides. The study showed that professionals strongly supported HIV/STI prevention options that are female-controlled, with most preferring vaginal microbicides to the female condoms. Such support would inform the design of appropriate interventions to prepare the professionals for the eventual advent of an effective microbicide as a HIV/AIDS prevention option.South East Asia J Public Health | Jan-June 2012 | Vol 2 Issue 1 | 46-53 DOI: http://dx.doi.org/10.3329/seajph.v2i1.15265

scholarly journals The female condom: Dynamics of use in urban Zimbabwe

2000 ◽  
Keyword(s):  
Social Marketing ◽  
Female Condom ◽  
Cross Sectional Study ◽  
Barrier Method ◽  
Cross Sectional ◽  
Sti Prevention ◽  
Male Condom ◽  
Marketing Program ◽  
The Social ◽  
One Year

In July 1997, Population Services International (PSI), at the request of the Zimbabwe National AIDS Coordination Programme, launched a social marketing program for the female condom in Zimbabwe. To avoid stigma associated with condoms and STI prevention, the female condom was marketed as a family planning product or “contraceptive sheath” under the brand name “Care.” It was initially sold through pharmacies and clinics at a heavily subsidized retail price of US $0.24 for two; distribution has since expanded to other urban outlets, including supermarkets and convenience stores. Approximately one year after the start of the social marketing program, the Horizons Project and PSI conducted a descriptive, cross-sectional study of female condom users, male condom users, and nonusers of either barrier method. The goal is to increase understanding of the patterns and dynamics of female condom use to inform policymakers and program planners involved in decisions about promotion and distribution in Zimbabwe. In total, 493 female condom users, 633 male condom users, and 624 nonusers are included in the analyses upon which this report is based.

scholarly journals PREVALENCE AND DETERMINANTS OF MALE CONDOM UTILIZATION IN ONDO STATE NIGERIA

2016 ◽  
Vol 4 (4) ◽  
Author(s):  
Olayinka Stephen Ilesanmi ◽  
Faith Osaretin Alele
Keyword(s):  
Condom Use ◽  
Statistical Significance ◽  
Unwanted Pregnancy ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Data Set ◽  
Male Condom ◽  
Ondo State ◽  
Marital Union

IntroductionMale condom use has been advocated to prevent unwanted pregnancy and Sexually Transmitted Infections (STI). Predictors of condom use will help in understanding groups requiring more interventions. This study aims at determining the prevalence and predictors of male condom utilization in Ondo State.MethodsThis is a secondary data analysis of the Nigeria National Demographic and Health Survey (NDHS) 2013 data set. Ondo state data was extracted. The study area was Ondo State, Nigeria. It was a descriptive cross-sectional study and it focused on men between ages 15-49 years. Descriptive statistics were done. Data was analysed using Chi-square test and logistic regression. Level of statistical significance was p<0.05. ResultsThe mean age of the 404 respondents was 29 ± 10 years, 215 (53.2%) were never in a marital union, 258 (63.8%) had secondary level of education. Out of 318 (78.7%) respondents who have ever had sex 91(28.7%) used condom at last sex. In age 15-24 categories 37(59.7%) used condoms while only 54(24.7%) used among respondents above 25 years, p<0.001. Among those who were never in any marital union 58(60.4%) used condom compared to 13(22.8%) of those who were living with partners, p<0.001. Men who were not in union had about 4 times odds of using condoms (OR 3.6, 95% Cl: 1.5-8.7, p=0.004).ConclusionTo reduce the prevalence of HIV/AIDS and transmission of STI emphasis needs to be put on the use of condom. Effort at promoting condom use should be encouraged among men in marital union especially those having extramarital sex. 

Temporal trends in sexually transmitted infection prevalence and condom use following introduction of the female condom to Madagascar sex workers

2007 ◽  
Vol 18 (7) ◽  
pp. 461-466 ◽  
Author(s):  
T H Hoke ◽  
P J Feldblum ◽  
K Van Damme ◽  
M D Nasution ◽  
T W Grey ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Temporal Trends ◽  
Female Condom ◽  
Infection Prevalence ◽  
Transmitted Infection ◽  
Condom Distribution ◽  
Male Condom ◽  
Sexually Transmitted ◽  
Female Condoms

We followed 1000 sex workers in Madagascar for 18 months to assess whether adding female condoms to male condom distribution led to increased protection levels and decreased sexually transmitted infections (STIs). For months 1–6, participants had access to male condoms only; in the final 12 months, they had access to male and female condoms. We interviewed participants about condom use every two months and tested for chlamydia, gonorrhoea and trichomoniasis every six months. Following six months of male condom distribution, participants used protection in 78% of sex acts with clients. Following female condom introduction, protection at months 12 and 18 rose to 83% and 88%, respectively. Aggregate STI prevalence declined from 52% at baseline to 50% at month 6. With the female condom added, STI prevalence dropped to 41% and 40% at months 12 and 18, respectively. We conclude female condom introduction is associated with increased use of protection to levels that reduce STI risk.

scholarly journals Correlates of inconsistent condom use and drug use among men having sex with men in Poland: a cross-sectional study

2020 ◽  
Vol 31 (9) ◽  
pp. 894-902
Author(s):  
Krzysztof Piersiala ◽  
Joanna Krajewski ◽  
Daniela Dadej ◽  
Anna Loroch ◽  
Witold Czerniak ◽  
...  
Keyword(s):  
Drug Use ◽  
Condom Use ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Sexual Partners ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Sti Prevention ◽  
Sex With Men ◽  
Inconsistent Condom Use

The number of new human immunodeficiency virus (HIV) diagnoses is rising in many parts of Europe. We sought to evaluate the rising prevalence of new HIV diagnoses in Poland, where the majority of newly-diagnosed HIV cases are men having sex with men (MSM). This study aims to measure the prevalence of condom use and drug use and to identify risk factors for contracting sexually transmitted infections (STIs) among MSM in Poland by distributing an anonymous online survey aimed toward MSM. Among the 1438 participants who completed valid surveys, those with low education level and greater than 100 prior sexual partners showed the highest odds for inconsistent condom use (adjusted odds ratio [aOR] 3.027, 2.044, respectively). Participants who identified themselves as heterosexuals, with multiple sexual partners and living in big cities showed the highest odds for drug use (aOR 4.869, 3.305, 1.720, respectively). This study identifies groups at the highest risk of HIV/STIs and provides valuable information for public health experts to develop targeted STI prevention campaigns.

scholarly journals Knowledge, attitude and practice of condom use by women of an impoverished urban area

2015 ◽  
Vol 49 (3) ◽  
pp. 364-371 ◽  
Author(s):  
Smalyanna Sgren da Costa Andrade ◽  
Ana Aline Lacet Zaccara ◽  
Kamila Nethielly Souza Leite ◽  
Karen Krystine Gonçalves de Brito ◽  
Maria Júlia Guimarães Oliveira Soares ◽  
...  
Keyword(s):  
Condom Use ◽  
Religious Orientation ◽  
Household Survey ◽  
Female Condom ◽  
Male Condom ◽  
Attitude And Practice ◽  
Inadequate Knowledge ◽  
Female Condoms ◽  
Knowledge And Practice ◽  
Knowledge Attitude And Practice

OBJECTIVE Assessing the adequacy of knowledge, attitude and practice of women regarding male and female condoms as STI/HIV preventive measures. METHOD An evaluative Knowledge, Attitude and Practice (KAP) household survey with a quantitative approach, involving 300 women. Data collection took place between June and August 2013, in an informal urban settlement within the municipality of João Pessoa, Paraiba, Northeast Brazil. RESULTS Regarding the male condom, most women showed inadequate knowledge and practice, and an adequate attitude. Regarding the female condom, knowledge, attitude and practice variables were unsatisfactory. Significant associations between knowledge/religious orientation and attitude/education regarding the male condom were observed. CONCLUSION A multidisciplinary team should be committed to the development of educational practices as care promotion tools in order to improve adherence of condom use.

scholarly journals Views and experiences of the female condom in Australia: An exploratory cross-sectional survey of cisgender women

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246664
Author(s):  
Sarah E. Fenwick ◽  
Jessica R. Botfield ◽  
Prudence Kidman ◽  
Kevin McGeechan ◽  
Deborah Bateson
Keyword(s):  
Female Condom ◽  
Cross Sectional Study ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sti Prevention ◽  
Health Promotion And Education ◽  
Sexually Transmissible Infections ◽  
Survey Responses

Background The female condom is the only female-initiated form of protection against unintended pregnancy and sexually transmissible infections (STIs). However, use of this method in Australia is low. To better understand women’s views and experiences of the female condom, we conducted an interventional cross-sectional study. Methods Cisgender women ≥16 years, heterosexually active and living in New South Wales were recruited through social media advertisements and email invitations to clients of a family planning service. Eligible participants were provided with three female condoms and invited to complete a follow-up survey. Survey responses for women who attempted to use at least one female condom were summarised using counts and proportions. Results We recruited 556 women; few (30/556) had used the female condom before the study. There were 284 women who used, or attempted to use, a female condom during the study and completed the follow-up survey. Fifty-one percent (104/205) reported experiencing some difficulty in insertion, although only 46% (130/284) had seen an instructional demonstration. Approximately half (105/204) of women rated the sensation and comfort of the female condom as the same or better than the male condom, and 66% (137/204) reported that it provided the same or better lubrication. Approximately half of women said they would consider using the female condom again for STI prevention (51% (133/260)) or contraception (40% (103/260)), or would recommend to others (43% (112/260)). Conclusion Findings highlight the need for increased health promotion and education regarding use of the female condom. To increase access it will be important to address method cost and availability in Australia. Future research should explore other perspectives of this method, including among the LGBTIQ+ community.

Prescription in Locker Box (PILBOX): Remodeling of the Medication Collection Process (Preprint)

2020 ◽  
Author(s):  
Lim Jit Fan Christina ◽  
Goh Boon Kwang ◽  
Chee Wing Ling Vivian ◽  
Tang Woh Peng ◽  
Goh Qiuling Bandy
Keyword(s):  
Cross Sectional Study ◽  
Ease Of Use ◽  
Prescription Medications ◽  
Pharmacy Staff ◽  
Cross Sectional ◽  
Team Members ◽  
Face To Face ◽  
Ranking Score ◽  
Study Team ◽  
Willingness To Use

BACKGROUND Traditionally, patients wishing to obtain their prescription medications have had to present themselves physically at pharmacy counters and collect their medications via face-to-face interactions with pharmacy staff. Prescription in Locker Box (PILBOX) is a new innovation which allows patients and their caregivers to collect their medication asynchronously, 24/7 at their convenience, from medication lockers instead of from pharmacy staff and at any time convenient to them instead of being restricted to pharmacy operating hours. OBJECTIVE This study aimed to determine the willingness by patients/caregivers to use this new innovation and factors that affect their willingness. METHODS This prospective cross-sectional study was conducted over 2 months at 2 public primary healthcare centres in Singapore. Patients or caregivers who were at least 21 yo and turned up at the pharmacies to collect medications were administered a self-developed 3-part questionnaire face-to-face by trained study team members, if they gave their consent to participate in the study. RESULTS A total of 222 participants completed the study. About 40% of them participants were willing to use the PILBOX to collect their medications. Amongst the participants who were keen to use the PILBOX service, slightly more than half (i.e. 52.8%) of them were willing to pay for the PILBOX service. The participants felt that the ease of use (3.46±1.21 i.e. mean of ranking score ± standard deviation) of the PILBOX was the most important factor that would affect their willingness to use the medication pick up service. This was followed by “waiting time” (3.37±1.33), cost of using the medication pick up service (2.96±1.44) and 24/7 accessibility (2.62±1.35). This study also found that age (p=0.006), language literacy (p=0.000), education level (p=0.000), working status (p=0.011) and personal monthly income (p=0.009) were factors that affected the willingness of the patients or caregivers to use the PILBOX. CONCLUSIONS Patients and caregivers are keen to use PILBOX to collect their medications for its convenience and the opportunity to save time, if it is easy to use and not costly.

scholarly journals Sexual health norms and communication patterns within the close social networks of men who have sex with men and transgender women in Lima, Peru: a 2017 cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amrita Ayer ◽  
Eddy R. Segura ◽  
Amaya Perez-Brumer ◽  
Susan Chavez-Gomez ◽  
Rosario Fernandez ◽  
...  
Keyword(s):  
Social Networks ◽  
Social Network ◽  
Sexual Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sti Prevention ◽  
Sti Testing ◽  
Trans Women ◽  
Sex With Men

Abstract Background Social networks, norms, and discussions about sexual health may inform sexual practices, influencing risk of human immunodeficiency virus (HIV) or sexually transmitted infection (STI) acquisition. To better understand social networks of Peruvian men who have sex with men (MSM) and transgender women (trans women), we examined key social network members (SNMs), participant perceptions of these network members’ opinions toward sexual health behaviors, and associations between network member characteristics and condomless anal intercourse (CAI). Methods In a 2017 cross-sectional study, a convenience sample of 565 MSM and trans women with HIV-negative or unknown serostatus was asked to identify three close SNMs; describe discussions about HIV and STI prevention with each; and report perceived opinions of condom use, HIV/STI testing, and partner notification of STIs. Generalized estimating equations evaluated relationships between SNM characteristics, opinions, and discussions and participant-reported CAI. Results Among participants who identified as MSM, 42.3% of key SNMs were perceived to identify as gay. MSM “never” discussed HIV and STI prevention concerns with 42.4% of heterosexual SNMs, but discussed them “at least once weekly” with 16.9 and 16.6% of gay- and bisexual- identifying SNMs, respectively. Among participants who identified as trans women, 28.2% of key SNMs were perceived as heterosexual; 25.9%, as bisexual; 24.7%, as transgender; and 21.2%, as gay. Trans women discussed HIV/STI prevention least with cis-gender heterosexual network members (40.2% “never”) and most with transgender network members (27.1% “at least once weekly”). Participants perceived most of their close social network to be completely in favor of condom use (71.2% MSM SNMs, 61.5% trans women SNMs) and HIV/STI testing (73.1% MSM SNMs, 75.6% trans women SNMs), but described less support for partner STI notification (33.4% MSM SNMs, 37.4% trans women SNMs). Most participants reported CAI with at least one of their past three sexual partners (77.5% MSM, 62.8% trans women). SNM characteristics were not significantly associated with participant-reported frequency of CAI. Conclusions Findings compare social support, perceived social norms, and discussion patterns of Peruvian MSM and trans women, offering insight into social contexts and sexual behaviors. Trial registration The parent study from which this analysis was derived was registered at ClinicalTrials.gov (Identifier: NCT03010020) on January 4, 2017.

scholarly journals Uptake of provider-initiated HIV and syphilis testing among heterosexual STD clinic patients in Guangdong, China: results from a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041503
Author(s):  
Peizhen Zhao ◽  
Weiming Tang ◽  
Huanhuan Cheng ◽  
Shujie Huang ◽  
Heping Zheng ◽  
...  
Keyword(s):  
Condom Use ◽  
Hiv Testing ◽  
Transmitted Disease ◽  
Cross Sectional Study ◽  
Health Priorities ◽  
Consistent Condom ◽  
Sectional Study ◽  
Cross Sectional ◽  
Syphilis Testing ◽  
Testing Uptake

ObjectivesUnderscreening of HIV and syphilis in clinical settings is pervasive in resource-constrained settings. Heavy patient loads and competing health priorities in these settings inhibit provider’s ability to meet screening coverage targets. The objective of this study was to examine determinants of provider-initiated HIV and syphilis testing uptake at sexually transmitted disease (STD) clinics in China.DesignA cross-sectional study was performed between July 2016 and December 2016.SettingSeven STD clinics in Guangdong Province, China.ParticipantsHeterosexual STD clinic patients met the inclusion criteria, regardless of their interest in receiving HIV or syphilis testing.Outcome measuresThe syphilis and HIV testing uptake determined by patient receipt of results.ResultsA total of 1943 individuals were recruited in this study. Among those participants, 60.6% (1177/1943) and 74.3% (1443/1943) conducted HIV testing and syphilis testing during the study, respectively, of whom, 2.2% (26/1177) and 21.5% (310/1443) were found to be HIV-positive and syphilis-positive, respectively. The most common reason for rejecting HIV and syphilis testing was a low self-perceived risk of HIV and syphilis infection. After adjusting for covariates, condom use in the last sexual act, consistent condom use in the last 6 months, having paid sex in the last 6 months and having received any kind of HIV/STD-related knowledge during the last 12 years were positively associated with both HIV and syphilis testing uptake.ConclusionsThe low-level of HIV and syphilis testing uptake, alongside with the high-level of engagement in risky sexual behaviours among heterosexual STD clinic patients, warranted a more targeted and intensive behavioural interventions to promote HIV and syphilis testing in this population.

Diverging trends in US male-female condom use by STI risk factors: a nationally representative study

2020 ◽  
pp. sextrans-2020-054642
Author(s):  
Casey E Copen ◽  
Patricia J Dittus ◽  
Jami S Leichliter ◽  
Sagar Kumar ◽  
Sevgi O Aral
Keyword(s):  
Risk Factors ◽  
Condom Use ◽  
Illicit Drugs ◽  
Female Condom ◽  
Cross Sectional ◽  
The Past ◽  
Representative Study ◽  
The Usa ◽  
Over Time ◽  
Sex Partner

ObjectiveCondom use behaviours are proximal to recent STI increases in the USA, yet it remains unclear whether the use of condoms has changed over time among unmarried, non-cohabiting young men who have sex with women (MSW) and how this variability is influenced by STI risk factors.MethodsTo examine condom use over time among MSW aged 15–29, we used three cross-sectional surveys from the 2002, 2006–2010 and 2011–2017 National Survey of Family Growth. We estimated weighted percentages, adjusted prevalence ratios (APRs) and 95% confidence intervals (CI) to assess changes in condom use, stratified by whether MSW reported any STI risk factors in the past 12 months (ie, perceived partner non-monogamy, male-to-male sex, sex in exchange for money or drugs, sex partner who injects illicit drugs, or an HIV-positive sex partner).ResultsWe observed a divergence in trends in condom use at last sex between men aged 15 –29 with STI risk factors in the past 12 months and those without such history. We saw significant declines in condom use from 2002 to 2011–2017 among men with STI risk factors (APR=0.80, 95% CI 0.68 to 0.95), specifically among those aged 15–19 (APR=0.73, 95% CI 0.57 to 0.94) or non-Hispanic white (APR=0.71, 95% CI 0.54 to 0.93). In contrast, trends in condom use among men with no STI factors remained stable or increased. Across all time periods, the most prevalent STI risk factor reported was perception of a non-monogamous female partner (23.0%–26.9%). Post-hoc analyses examined whether condom use trends changed once this variable was removed from analyses, but no different patterns were observed.ConclusionsWhile STIs have been increasing, men aged 15–29 with STI risk factors reported a decline in condom use. Rising STI rates may be sensitive to behavioural shifts in condom use among young MSW with STI risk factors.

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