Long-Term Use of the Female Condom Among Couples at High Risk of Human Immunodeficiency Virus Infection in Zambia

Background: Few studies have measured female condom use for more than a 6-month period or among persons at high risk of STD. Objective: To measure long-term use of the female condom among couples at high risk of HIV infection and to evaluate the effect of female condom use on unprotected coital acts...

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Bibliographic Details
Published in:	Sexually transmitted diseases Vol. 25; no. 5; pp. 260 - 264
Main Authors:	MUSABA, ELIZABETH, MORRISON, CHARLES S., SUNKUTU, MUSONDA R., WONG, EMELITA L.
Format:	Journal Article
Language:	English
Published:	Hagerstown, MD Lippincott-Raven Publishers 01-05-1998 Lippincott Lippincott Williams & Wilkins Ovid Technologies
Subjects:	Adult AIDS/HIV Biological and medical sciences Condoms Female HIV HIV Infections - prevention & control Human immunodeficiency virus Human viral diseases Humans Infectious diseases Male Medical sciences Population Risk Sexually transmitted diseases STD Tropical medicine Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Zambia Zambia Africa Human Immunopathology High risk Condom Use Couple AIDS Immune deficiency Long term Infection Prevention Sexually transmitted disease Viral disease Eastern Africa Hiv Infections > prevention and control Couples Prospective Studies Viral Diseases Infections Research Methodology English Speaking Africa Sexually Transmitted Diseases > prevention and control Reproductive Tract Infections Contraceptive Methods Research Report Behavior Acquired Immunodeficiency Syndrome > prevention and control Risk Reduction Behavior Africa Contraception Zambia Barrier Methods Female Condom Family Planning Diseases Studies Vaginal Barrier Methods Family Characteristics Developing Countries Africa South Of The Sahara Sex Behavior Family And Household
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Summary:	Background: Few studies have measured female condom use for more than a 6-month period or among persons at high risk of STD. Objective: To measure long-term use of the female condom among couples at high risk of HIV infection and to evaluate the effect of female condom use on unprotected coital acts. Study Design: Ninety-nine Zambian couples with symptomatic seiually transmitted diseases (STD) received female condoms, male condoms, and spermicides and were counseled to use either condom plus spermicide for each coital act. Couples were followed up at 3-, 6-, and 12-month visits. Barrier contraceptive use was measured prospectively by coital log. Results: Among the 99 couples enrolled, 51, 38, and 3 couples were successfully followed up for 3, 6, and 12 months, respectively. Female condoms were reportedly used in 24%, 27%, and 23% of coital acts and by 86%, 79%, and 67% of the returning couples during each time interval. Higher-level female condom users used male condoms less often but had fewer unprotected coital acts (5% vs. 14%; p < 0.05) than lower-level female condom users. Conclusion: A majority of couples at high risk of HIV infection used the female condom in conjunction with other barrier methods over a 1-year period. The addition of female condoms accompanied by appropriate counseling to the barrier method mix may reduce unprotected sex among couples at high-risk of HIV infection.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0148-5717 1537-4521
DOI:	10.1097/00007435-199805000-00008