Introducing Diaphragms into the Mix: What Happens to Male Condom Use Patterns?
Tóm tắt
The objective of this analysis was to assess the effect of introducing the diaphragm on condom use patterns. Participants included One hundred eighty nine women attending family planning clinics in Harare, Zimbabwe who reported less than 100% condom use. The proportion of acts where at least one method was used significantly increased over using follow-up; male condom use remained stable. A diaphragm was used with 50% to 54% of acts; male condoms were also used about 50% of the time. The proportion of acts where a female condom was used decreased. Women who used both male and female condoms were more likely to use diaphragms than those who reported not using female condoms. Introducing the diaphragm increased the overall proportion of protected acts. The proportion of acts where a male condom was used did not change. Female condoms use declined because concurrent use with the diaphragm is not possible.
Tài liệu tham khảo
Austin, H., Louv, W. C., and Alexander, W. J. (1984). A case-control study of spermicides and gonorrhea. JAMA, 251(21), 2282–2824.
Buck, J., Kang, M., van der Straten, A., Khumalo-Sakutukwa, G., Posner, S. F., and Padian, N. (2005). Barrier method preferences and perceptions among Zimbabwean women and their partners. Aids and Behavior.
Bulut, A., Ortayli, N., Ringheim, K., Cottingham, J., Farley, T. M. M., Peregoudov, A., Joanis, C., Palmore, S., Brady, M., Diaz, J., Ojeda, G., and Ramos, R. (2001). Assessing the acceptability, service delivery requirements, and use-effectiveness of the diaphragm in Colombia, Philippines and Turkey. Contraception, 63(5), 267–275.
Clemetson, D. B., Moss, G. B., Willerford, D. M., Hensel, M., Emonyi, W., Holmes, K. K., Plummer, F., Ndinya-Achola, J., Roberts, P. L., Hillier, S., et al. (1993). Detection of HIV DNA in cervical and vaginal secretions. Prevalence and correlates among women in Nairobi, Kenya. JAMA, 269(22), 2860–2864.
Di Giacomo do Lago, T., Barbosa, R. M., Kalckmann, S., Villea, W. V., and Gohiman, S. (1995). Acceptability of the diaphragm among low-income women in Sao Paulo, Brazil. International Family Planning Perspectives, 21(3), 114–118.
Ellertson, C., and Burns, M. (2003). Re-examining the role of cervical barrier devices. OUTLOOK, 20(2), 1–8.
Foss, A. M., Vickerman, P. T., Heise, L., and Watts, C. H. (2003). Shifts in condom use following microbicide introduction: should we be concerned? AIDS, 17(8), 1227–1237.
Harvey, S. M., Bird, S. T., and Branch, M. R. (2003). A new look at an old method: the diaphragm. Perspectives on Sexual and Reproductive Health, 35(6), 270–273.
Hussain, L. A., and Lehner, T. (1995). Comparative investigation of Langerhans' cells and potential receptors for HIV in oral, genitourinary and rectal epithelia. Immunology, 85(3), 475–84.
Joint United Nations Programme on HIV/AIDS (UNAIDS) and World Health Organization (WHO) (2003). AIDS Epidemic Update 2003. Geneva: © Joint Unites Nations Programme on HIV/AIDS (UNAIDS) and World Health Organization (WHO) 2003; December.
Kang, M., Van der Straten, A., Khumalo-Sakutukwa, G., Mapfumo, O., Posner, S. F., and Padian, N. (2003). Relationships and Clandestine Method Use: Quantitative and Qualitative Results from a Diaphragm Acceptability Study in Zimbabwe. Presented at the ISSTDR Meeting, July 2003.
Kresge, K. (2003). Female barrier contraceptive finds new role in HIV. AMFAR.
Levine, W. C., Pope, V., Bhoomkar, A., Tambe, P., Lewis, J. S., Zaidi, A. A., Farshy, C. E., Mitchell, S., and Talkington, D. F. (1998). Increase in endocervical CD4 lymphocytes among women with nonulcerative sexually transmitted diseases. Journal of Infectious Diseases, 177(1), 167–74.
Magder, L. S., Harrison, H. R., Ehret, J. M., Anderson, T. S., Judson, F. N. (1988). Factors related to genital Chlamydia trachomatis and its diagnosis by culture in a sexually transmitted disease clinic. American Journal of Epidemiology, 128(2), 298–308.
Moench, T. R., Chipato, T., and Padian, N. S. (2001) Preventing disease by protecting the cervix: the unexplored promise of internal vaginal barrier devices. AIDS 2001S, 15(13), 1595–1602.
Ortayli, N., Bulut, A., Nalbant, H., and Cottingham, J. (2000). Is the diaphragm a viable option for women in Turkey? International Family Planning Perspectives, 26(1), 36–42.
Patrick, S. L., Wright, T. C., Fox, H. E., and Ginsberg, H. S. (1993). Human immunodeficiency virus infection of early passage cervical epithelial cultures. International Journal of STD & AIDS, 4(6), 342–345.
Patterson, B. K., Landay, A., Andersson, J., Brown, C., Behbahani, H., Jiyamapa, D., Burki, Z., Stanislawski, D., Czerniewski, M. A., and Garcia, P. (1998). Repertoire of chemokine receptor expression in the female genital tract: implications for human immunodeficiency virus transmission. American Journal of Pathology, 153(2), 481–90.
Spira, A. I., Marx, P. A., Patterson, B. K., Mahoney, J., Koup, R. A., Wolinsky, S. M., and Ho, D. D. (1996). Cellular targets of infection and route of viral dissemination after an intravaginal inoculation of simian immunodeficiency virus into rhesus macaques. Journal of Experimental Medicine, 183(1), 215–225.
Zhang, L., He, T., Talal, A., Wang, G., Frankel, S. S., and Ho, D. D. (1998). In vivo distribution of the human immunodeficiency virus/simian immunodeficiency virus coreceptors: CXCR4, CCR3, and CCR5. Journal of Virology, 72(6), 5035–5045.