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Adherence to Diaphragm Use for Infection Prevention : A Prospective Study of Female Sex Workers in Kenya
Joint Authors
Bukusi, Elizabeth A.
Njoroge, Betty
Nguti, Rosemary
Bell, April J.
Eschenbach, David A.
Gallo, Maria F.
Sharma, Anjali
Jamieson, Denise J.
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-03-07
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Objective.
To assess adherence to and acceptability of the diaphragm among 140 female sex workers in Kenya in a 6-month prospective study.
Methods.
At baseline and bimonthly visits, participants were interviewed on diaphragm knowledge, attitude, and practices.
We used principal component analysis and logistic regression to identify predictors of consistent use.
Results.
At 50% of 386 bimonthly visits, women reported consistently using a diaphragm with all partners during the preceding 2 weeks.
Consistent use was significantly higher at the 6-month than the 2-month visit.
Women reported less covert use with “helping” (regular sex partners to whom she could go for help or support) than with “other” partners.
Perceptions that diaphragms are easier to use than condoms and that their lack of coital interruption is important were associated with consistent diaphragm use with both partner types.
Partner support of diaphragm use is correlated with consistent use with “helping” partners only while higher parity, consistent condom use, and perceived lack of need of condoms as a benefit of diaphragms were associated with consistent use with “other” partners.
Conclusions.
Diaphragm acceptance among female sex workers in Nairobi was high.
Future studies should distinguish between partner types when evaluating diaphragm adherence.
American Psychological Association (APA)
Bukusi, Elizabeth A.& Gallo, Maria F.& Sharma, Anjali& Njoroge, Betty& Jamieson, Denise J.& Nguti, Rosemary…[et al.]. 2010. Adherence to Diaphragm Use for Infection Prevention : A Prospective Study of Female Sex Workers in Kenya. Infectious Diseases in Obstetrics and Gynecology،Vol. 2009, no. 2009, pp.1-11.
https://search.emarefa.net/detail/BIM-470801
Modern Language Association (MLA)
Bukusi, Elizabeth A.…[et al.]. Adherence to Diaphragm Use for Infection Prevention : A Prospective Study of Female Sex Workers in Kenya. Infectious Diseases in Obstetrics and Gynecology No. 2009 (2009), pp.1-11.
https://search.emarefa.net/detail/BIM-470801
American Medical Association (AMA)
Bukusi, Elizabeth A.& Gallo, Maria F.& Sharma, Anjali& Njoroge, Betty& Jamieson, Denise J.& Nguti, Rosemary…[et al.]. Adherence to Diaphragm Use for Infection Prevention : A Prospective Study of Female Sex Workers in Kenya. Infectious Diseases in Obstetrics and Gynecology. 2010. Vol. 2009, no. 2009, pp.1-11.
https://search.emarefa.net/detail/BIM-470801
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-470801