Acceptability of the diaphragm in Mombasa Kenya: A 6-month prospective study

被引:18
作者
Luchters, Stanley [1 ,4 ]
Chersich, Matthew F. [1 ,4 ]
Jao, Irene [1 ]
Schroth, Anouk [1 ,4 ]
Chidagaya, Swaleh [2 ]
Mandaliya, Kishor [3 ]
Temmerman, Marleen [4 ]
机构
[1] ICRH, Mombasa, Kenya
[2] Mombasa City Council, Mombasa, Kenya
[3] CPGH, Mombasa, Kenya
[4] Univ Ghent, B-9000 Ghent, Belgium
基金
英国惠康基金;
关键词
Kenya; contraception; HIV prevention; diaphragm; acceptance of health care;
D O I
10.1080/13625180701516989
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives If proven acceptable, safe and effective, the diaphragm could be used as a female-controlled method of preventing both sexually-transmitted infections (STIs) and pregnancy. This study's aim was to assess the acceptability and safety of the diaphragm among sexually-active women in Mombasa, Kenya. Methods We conducted a 6-month prospective study among female sex workers (FSWs), and women attending sexual and reproductive health services. Diaphragm acceptability was assessed using continuation rates and factors associated with acceptability. Safety evaluations included colposcopy findings and incidence of urinary tract infections (UTIs) and STIs. Results Half the 185 participants were FSWs who had less schooling and were less likely to be married than other women. After 6 months, 55% (56/102) of sexually-active women reported having used the diaphragm each sex act during the preceding month. Women liked using the diaphragm (95%, 104/109), and 96% (125/1.30) reported willingness to continue using it. Colposcopy did not reveal significantly more vaginal or cervical lesions. Use of the diaphragm was not associated with an increase in bacterial vaginosis or UTIs. A pregnancy rate of 12 per 100 women/years was observed. Conclusion After 6 months of diaphragm use in this setting, continuation rates were sustained, user satisfaction was high and adverse effects were few.
引用
收藏
页码:345 / 353
页数:9
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