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Acceptability and Use of the Diaphragm and Replens(®) Lubricant Gel for HIV Prevention in Southern Africa

The acceptability and use of the diaphragm and lubricant gel were assessed as part of a large randomized controlled trial to determine the effectiveness of the methods in women’s HIV acquisition. 2,452 intervention-arm women were enrolled at five Southern African clinics and followed quarterly for 1...

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Autores principales: Montgomery, Elizabeth T., Cheng, Helen, van der Straten, Ariane, Chidanyika, Agnes C., Lince, Naomi, Blanchard, Kelly, Ramjee, Gita, Nkala, Busisiwe, Padian, Nancy S.
Formato: Texto
Lenguaje:English
Publicado: Springer US 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2865647/
https://www.ncbi.nlm.nih.gov/pubmed/19757018
http://dx.doi.org/10.1007/s10461-009-9609-z
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author Montgomery, Elizabeth T.
Cheng, Helen
van der Straten, Ariane
Chidanyika, Agnes C.
Lince, Naomi
Blanchard, Kelly
Ramjee, Gita
Nkala, Busisiwe
Padian, Nancy S.
author_facet Montgomery, Elizabeth T.
Cheng, Helen
van der Straten, Ariane
Chidanyika, Agnes C.
Lince, Naomi
Blanchard, Kelly
Ramjee, Gita
Nkala, Busisiwe
Padian, Nancy S.
author_sort Montgomery, Elizabeth T.
collection PubMed
description The acceptability and use of the diaphragm and lubricant gel were assessed as part of a large randomized controlled trial to determine the effectiveness of the methods in women’s HIV acquisition. 2,452 intervention-arm women were enrolled at five Southern African clinics and followed quarterly for 12–24 months. Acceptability and use data were collected by face-to-face interviews at Month 3 and Exit. Participants were “very comfortable” with the physical mechanics of diaphragm use throughout the trial, and approval of the gel consistency, quantity and the applicator was high. At Exit, consistent disclosure of use (AOR 1.97, 95% CI: 1.10–3.55); an overall high diaphragm rating (AOR 1.84, 95% CI: 1.45–2.34) and perception of partner approval (AOR 1.75, 95% CI: 1.35–2.26) were the most significant acceptability factors independently associated with consistent use. Despite being female-initiated, disclosure of use to male partners and his perceived approval of the products were factors significantly associated with their consistent use.
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spelling pubmed-28656472010-05-10 Acceptability and Use of the Diaphragm and Replens(®) Lubricant Gel for HIV Prevention in Southern Africa Montgomery, Elizabeth T. Cheng, Helen van der Straten, Ariane Chidanyika, Agnes C. Lince, Naomi Blanchard, Kelly Ramjee, Gita Nkala, Busisiwe Padian, Nancy S. AIDS Behav Original Paper The acceptability and use of the diaphragm and lubricant gel were assessed as part of a large randomized controlled trial to determine the effectiveness of the methods in women’s HIV acquisition. 2,452 intervention-arm women were enrolled at five Southern African clinics and followed quarterly for 12–24 months. Acceptability and use data were collected by face-to-face interviews at Month 3 and Exit. Participants were “very comfortable” with the physical mechanics of diaphragm use throughout the trial, and approval of the gel consistency, quantity and the applicator was high. At Exit, consistent disclosure of use (AOR 1.97, 95% CI: 1.10–3.55); an overall high diaphragm rating (AOR 1.84, 95% CI: 1.45–2.34) and perception of partner approval (AOR 1.75, 95% CI: 1.35–2.26) were the most significant acceptability factors independently associated with consistent use. Despite being female-initiated, disclosure of use to male partners and his perceived approval of the products were factors significantly associated with their consistent use. Springer US 2009-09-10 2010 /pmc/articles/PMC2865647/ /pubmed/19757018 http://dx.doi.org/10.1007/s10461-009-9609-z Text en © The Author(s) 2009 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Original Paper
Montgomery, Elizabeth T.
Cheng, Helen
van der Straten, Ariane
Chidanyika, Agnes C.
Lince, Naomi
Blanchard, Kelly
Ramjee, Gita
Nkala, Busisiwe
Padian, Nancy S.
Acceptability and Use of the Diaphragm and Replens(®) Lubricant Gel for HIV Prevention in Southern Africa
title Acceptability and Use of the Diaphragm and Replens(®) Lubricant Gel for HIV Prevention in Southern Africa
title_full Acceptability and Use of the Diaphragm and Replens(®) Lubricant Gel for HIV Prevention in Southern Africa
title_fullStr Acceptability and Use of the Diaphragm and Replens(®) Lubricant Gel for HIV Prevention in Southern Africa
title_full_unstemmed Acceptability and Use of the Diaphragm and Replens(®) Lubricant Gel for HIV Prevention in Southern Africa
title_short Acceptability and Use of the Diaphragm and Replens(®) Lubricant Gel for HIV Prevention in Southern Africa
title_sort acceptability and use of the diaphragm and replens(®) lubricant gel for hiv prevention in southern africa
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2865647/
https://www.ncbi.nlm.nih.gov/pubmed/19757018
http://dx.doi.org/10.1007/s10461-009-9609-z
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