Male-condom and female-condom use among women after counseling in a risk-reduction hierarchy for STD prevention.
Sex Transm Dis
; 27(8): 431-7, 2000 Sep.
Article
in En
| MEDLINE
| ID: mdl-10987447
ABSTRACT
BACKGROUND:
A concern with hierarchy messages, which promote male condoms and female-controlled barrier methods along a prevention continuum, is that they may discourage condom use. GOAL To measure male-condom and female-condom use among women who received hierarchy counseling and compare this with women counseled about condoms only. STUDYDESIGN:
Three observational cohorts that correspond to prevention message received were assembled, and consisted of female sexually transmitted disease clinic patients who were counseled about male condoms, female condoms, or a hierarchy message. The hierarchy message promoted male and female condoms, the diaphragm and cervical cap, spermicides, and withdrawal, in descending order of effectiveness against sexually transmitted diseases. After counseling, women were interviewed and returned for follow-up visits at 2 weeks, 4 months, and 6 months. The outcome was the mean proportion of male condom- or female condom-protected coital acts at each follow-up visit in the hierarchy cohort. The outcome was dichotomized as high (> or = 70% of coital acts protected) or low (< 70%), and generalized estimating equations were used to compare observed follow-up condom use with baseline within the hierarchy cohort and observed follow-up condom use between cohorts. It was assumed that condom use in persons not present at 6 months was equal to baseline levels, and condom use estimates were calculated for each full cohort that was initially enrolled.Key words
Americas; Barrier Methods; Behavior; Clinic Activities; Condom; Contraception; Contraceptive Methods; Counseling; Developed Countries; Diseases; Family Planning; Female Condom; Hiv Infections--prevention and control; Infections; North America; Northern America; Organization And Administration; Pennsylvania; Program Activities; Programs; Reproductive Tract Infections; Research Report; Risk Reduction Behavior; Sex Behavior; Sexually Transmitted Diseases--prevention and control; United States; Vaginal Barrier Methods; Viral Diseases
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sex Counseling
/
Health Behavior
/
Sexually Transmitted Diseases
/
Condoms
/
Condoms, Female
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Female
/
Humans
Language:
En
Journal:
Sex Transm Dis
Year:
2000
Document type:
Article
Affiliation country:
Estados Unidos