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The Implications of Post-coital Intravaginal Cleansing for the Introduction of Vaginal Microbicides in South Africa

Post-coital intravaginal cleansing (IVC) could counteract the protective effect of a vaginal microbicide. IVC less than 1 h after sex is discouraged in most microbicide trials. During a microbicide trial in KwaZulu-Natal, we collected quantitative data on post-coital IVC. We discussed IVC during in-...

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Autores principales: Gafos, Mitzy, Pool, Robert, Mzimela, Misiwe Adelaide, Ndlovu, Hlengiwe Beauty, McCormack, Sheena, Elford, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905171/
https://www.ncbi.nlm.nih.gov/pubmed/24337726
http://dx.doi.org/10.1007/s10461-013-0676-9
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author Gafos, Mitzy
Pool, Robert
Mzimela, Misiwe Adelaide
Ndlovu, Hlengiwe Beauty
McCormack, Sheena
Elford, Jonathan
author_facet Gafos, Mitzy
Pool, Robert
Mzimela, Misiwe Adelaide
Ndlovu, Hlengiwe Beauty
McCormack, Sheena
Elford, Jonathan
author_sort Gafos, Mitzy
collection PubMed
description Post-coital intravaginal cleansing (IVC) could counteract the protective effect of a vaginal microbicide. IVC less than 1 h after sex is discouraged in most microbicide trials. During a microbicide trial in KwaZulu-Natal, we collected quantitative data on post-coital IVC. We discussed IVC during in-depth-interviews (IDIs) and focus-group discussions (FGDs) with women enrolled in the trial, and during FGDs with community members. Nearly one-third (336/1,143) of women reported IVC less than an hour after sex. In multivariate analysis, post-coital IVC was associated with younger age, larger household size, greater sexual activity, consistent gel use, and clinic of enrolment. During IDIs and FGDs, respondents described post-coital IVC as a common hygiene practice motivated by the need to remove semen, vaginal fluids and sweat, although this practice may be amenable to change in the context of microbicide use. We need to consider strategies for influencing post-coital IVC practices in future microbicide trials and delivery programmes.
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spelling pubmed-39051712014-01-30 The Implications of Post-coital Intravaginal Cleansing for the Introduction of Vaginal Microbicides in South Africa Gafos, Mitzy Pool, Robert Mzimela, Misiwe Adelaide Ndlovu, Hlengiwe Beauty McCormack, Sheena Elford, Jonathan AIDS Behav Original Paper Post-coital intravaginal cleansing (IVC) could counteract the protective effect of a vaginal microbicide. IVC less than 1 h after sex is discouraged in most microbicide trials. During a microbicide trial in KwaZulu-Natal, we collected quantitative data on post-coital IVC. We discussed IVC during in-depth-interviews (IDIs) and focus-group discussions (FGDs) with women enrolled in the trial, and during FGDs with community members. Nearly one-third (336/1,143) of women reported IVC less than an hour after sex. In multivariate analysis, post-coital IVC was associated with younger age, larger household size, greater sexual activity, consistent gel use, and clinic of enrolment. During IDIs and FGDs, respondents described post-coital IVC as a common hygiene practice motivated by the need to remove semen, vaginal fluids and sweat, although this practice may be amenable to change in the context of microbicide use. We need to consider strategies for influencing post-coital IVC practices in future microbicide trials and delivery programmes. Springer US 2013-12-13 2014 /pmc/articles/PMC3905171/ /pubmed/24337726 http://dx.doi.org/10.1007/s10461-013-0676-9 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by/2.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Paper
Gafos, Mitzy
Pool, Robert
Mzimela, Misiwe Adelaide
Ndlovu, Hlengiwe Beauty
McCormack, Sheena
Elford, Jonathan
The Implications of Post-coital Intravaginal Cleansing for the Introduction of Vaginal Microbicides in South Africa
title The Implications of Post-coital Intravaginal Cleansing for the Introduction of Vaginal Microbicides in South Africa
title_full The Implications of Post-coital Intravaginal Cleansing for the Introduction of Vaginal Microbicides in South Africa
title_fullStr The Implications of Post-coital Intravaginal Cleansing for the Introduction of Vaginal Microbicides in South Africa
title_full_unstemmed The Implications of Post-coital Intravaginal Cleansing for the Introduction of Vaginal Microbicides in South Africa
title_short The Implications of Post-coital Intravaginal Cleansing for the Introduction of Vaginal Microbicides in South Africa
title_sort implications of post-coital intravaginal cleansing for the introduction of vaginal microbicides in south africa
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905171/
https://www.ncbi.nlm.nih.gov/pubmed/24337726
http://dx.doi.org/10.1007/s10461-013-0676-9
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