Promoting Female Condom Use Among Female University Students in KwaZulu-Natal, South Africa: Results of a Randomized Behavioral Trial

被引:17
作者
Mantell, Joanne E. [1 ,2 ]
Smit, Jennifer A. [3 ,4 ]
Exner, Theresa M. [1 ,2 ]
Mabude, Zonke [3 ]
Hoffman, Susie [1 ,2 ,5 ]
Beksinska, Mags [3 ]
Kelvin, Elizabeth A. [1 ,2 ,6 ]
Ngoloyi, Claudia [3 ]
Leu, Cheng-Shiun [1 ,2 ,7 ]
Stein, Zena A. [1 ,2 ,8 ]
机构
[1] New York State Psychiat Inst & Hosp, HIV Ctr Clin & Behav Studies, New York, NY 10032 USA
[2] Columbia Univ, New York, NY 10032 USA
[3] Univ Witwatersrand, Fac Hlth Sci Maternal Adolescent & Child Hlth Res, Dept Obstet & Gynaecol, ZA-3629 Durban, South Africa
[4] Univ KwaZulu Natal, Sch Pharm & Pharmacol, Fac Hlth Sci, ZA-3627 Durban, South Africa
[5] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY 10032 USA
[6] CUNY, Sch Publ Hlth, Hunter Coll, Epidemiol & Biostat Program, New York, NY 10035 USA
[7] Columbia Univ, Mailman Sch Publ Hlth, Dept Biostat, New York, NY 10032 USA
[8] Columbia Univ, Joseph Mailman Sch Publ Hlth, GH Sergievsky Ctr, New York, NY 10032 USA
关键词
Female condom; South Africa; University students; HIV; Pregnancy; TRANSMITTED INFECTION PREVALENCE; RISK-REDUCTION; SEX WORKERS; INTERVENTION; WOMEN; KNOWLEDGE; PRODUCTS; EFFICACY; DISEASES;
D O I
10.1007/s10461-014-0860-6
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Relatively few interventions have tested the efficacy of female condom promotion either alone or in combination with other barrier methods. We evaluated the efficacy of a two-session (enhanced) cognitive-behavioral intervention (EI) (n = 147) against a one-session control (minimal) educational intervention (MI) (n = 149) to promote female condom (FC) use among female students aged 18-28 at a South African university. We assessed change from baseline to 2.5 and 5 months in number of vaginal intercourse occasions unprotected by male or female condoms in EI versus MI using generalized linear models with a log link function and GEE. Both groups reported significant reductions in number of unprotected vaginal intercourse occasions from baseline to each follow-up, with no significant difference between the two-session and single-session intervention. Introduction of a brief group-based MI FC promotion intervention with FC access holds promise for delivery in clinics and other community venues.
引用
收藏
页码:1129 / 1140
页数:12
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