Acceptability and use of the diaphragm and Replens lubricant gel for HIV prevention in Southern Africa
Montgomery, E.T.; Cheng, H.; van der Straten, A.; Chidanyika, A.C.; Lince, N.; Blanchard, K.; Ramjee, G.; Nkala, B.; Padian, N.S.
Aids and Behavior 14(3): 629-638
2010
ISSN/ISBN: 1090-7165 PMID: 19757018 DOI: 10.1007/s10461-009-9609-zDocument Number: 213114
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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