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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Vaginal practices and associations with barrier methods and gel use among sub-saharan African women enrolled in an HIV prevention trial
AIDS and Behavior, Volume 14, No. 3, Year 2010
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Description
Vaginal practices may interfere with the use and/or the effectiveness of female-initiated prevention methods. We investigated whether vaginal practices differed by randomization group in a phase III trial of the diaphragm with lubricant gel (MIRA) in Sub-Saharan Africa (n = 4925), and if they were associated with consistent use of study methods. At baseline, vaginal practices were commonly reported: vaginal washing (82.77%), wiping (56.47%) and insertion of dry or absorbent materials (20.58%). All three practices decreased during the trial. However, women in the intervention group were significantly more likely to report washing or wiping during follow-up compared to those in the control group. Additionally, washing, wiping, and insertion, were all independently and inversely associated with consistent diaphragm and gel use and with condom use as well, regardless of study arm. A better understanding of the socio-cultural context in which these practices are embedded could improve educational strategies to address these potentially modifiable behaviors, and may benefit future HIV prevention interventions of vaginal methods. © 2010 Springer Science+Business Media, LLC.
Authors & Co-Authors
van der Straten, Ariane
United States, Research Triangle Park
Rti International
United States, San Francisco
Ucsf School of Medicine
Cheng, Helen Y.
United States, Research Triangle Park
Rti International
Chidanyika, Agnes
Zimbabwe, Harare
University of Zimbabwe
United States, Berkeley
University of California, Berkeley
Bruyn, Guy De
South Africa, Johannesburg
University of the Witwatersrand
Padian, Nancy S.
United States, Berkeley
University of California, Berkeley
Statistics
Citations: 28
Authors: 5
Affiliations: 5
Identifiers
Doi:
10.1007/s10461-010-9690-3
ISSN:
10907165
Research Areas
Infectious Diseases
Study Design
Randomised Control Trial
Cohort Study
Ethnographic Study
Participants Gender
Female