A Randomized Crossover Study Evaluating the Use and Acceptability of the SILCS Diaphragm Compared to Vaginal Applicators for Vaginal Gel Delivery

被引:11
作者
Beksinska, Mags [1 ]
Greener, Ross [1 ]
Smit, Jenni [1 ]
Maphumulo, Busi [1 ]
Mphili, Nonhlanhla [1 ]
Kilbourne-Brook, Maggie [2 ]
Coffey, Patricia S. [2 ]
机构
[1] Univ Witwatersrand, Dept Obstet & Gynaecol, MatCH Res Unit, Maternal Adolescent & Child Hlth Res Unit,Fac Hlt, ZA-3629 Durban, South Africa
[2] PATH, POB 900922, Seattle, WA 98119 USA
关键词
Diaphragm; Barrier methods; Gel; Multipurpose technology; MPT; Vaginal applicator; MICROBICIDE DELIVERY; PREVENTION; AFRICA; FEASIBILITY; ZIMBABWE; COUPLES; WOMEN;
D O I
10.1007/s10461-017-1913-4
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study aimed to assess acceptability and preferences for the SILCS diaphragm for vaginal gel delivery compared to a prefilled applicator. A randomized crossover study among 115 women in South Africa, using both methods during five sex acts. We found no significant differences in acceptability between the two products. Experience of gel leakage after sex was greater when inserted via applicator. More women were interested in SILCS/gel for multipurpose protection (68%) than in either SILCS alone (17%) or microbicide gel alone (14%). A SILCS gel delivery system for multipurpose prevention seems feasible and acceptable.
引用
收藏
页码:127 / 132
页数:6
相关论文
共 11 条
  • [1] Vaginal microbicide and diaphragm use for sexually transmitted infection prevention: A randomized acceptability and feasibility study among high-risk women in Madagascar
    Behets, Frieda M.
    Turner, Abigail Norris
    Van Damme, Kathleen
    Rabenja, Ny Lovaniaina
    Ravelomanana, Noro
    Swezey, Teresa A.
    Bell, April J.
    Newman, Daniel R.
    Williams, D'Nyce L.
    Jamieson, Denise J.
    [J]. SEXUALLY TRANSMITTED DISEASES, 2008, 35 (09) : 818 - 826
  • [2] Short-term acceptability of a single-size diaphragm among couples in South Africa and Thailand
    Coffey, Patricia S.
    Kilbourne-Brook, Maggie
    Beksinska, Mags
    Thongkrajai, Earmporn
    [J]. JOURNAL OF FAMILY PLANNING AND REPRODUCTIVE HEALTH CARE, 2008, 34 (04) : 233 - 236
  • [3] Couples' acceptability of the SILCS diaphragm for microbicide delivery
    Frezieres, Ron G.
    Walsh, Terri
    Kilbourne-Brook, Maggie
    Coffey, Patricia S.
    [J]. CONTRACEPTION, 2012, 85 (01) : 99 - 107
  • [4] The need for multipurpose prevention technologies in sub-Saharan Africa
    Karim, S. Abdool
    Baxter, C.
    Frohlich, J.
    Karim, Q. Abdool
    [J]. BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2014, 121 : 27 - 34
  • [5] An exploratory, randomized, crossover MRI study of microbicide delivery with the SILCS diaphragm compared to a vaginal applicator
    Pentlicky, Sara
    Rosen, Mark
    Coffey, Patricia S.
    Kilbourne-Brook, M.
    Shaunik, A.
    Schreiber, Courtney A.
    Barnhart, Kurt
    [J]. CONTRACEPTION, 2013, 87 (02) : 187 - 192
  • [6] Quaife M, 2016, EUHEA C HAMB GERM JU
  • [7] User experiences and acceptability attributes of the diaphragm and lubricant gel in an HIV prevention trial in southern Africa
    Sahin-Hodoglugil, Nuriye Nalan
    Montgomery, Elizabeth
    Kacanek, Deborah
    Morar, Neetha
    Mtetwa, Sibongile
    Nkala, Busisiwe
    Philip, Jessica
    Ramjee, Gita
    Cheng, Helen
    van der Straten, Ariane
    [J]. AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2011, 23 (08): : 1026 - 1034
  • [8] CONTRACEPTIVE EFFICACY, SAFETY AND ACCEPTABILITY OF SILCS, A NOVEL SINGLE-SIZED DIAPHRAGM USED WITH CONTRACEPTIVE GEL
    Schwartz, J. L.
    Weiner, D.
    Lai, J-J
    Frezieres, R.
    Creinin, M.
    Archer, D.
    Bradley, L.
    Barnhart, K.
    Poindexter, A.
    Mauck, C.
    Kilbourne-Brook, M.
    Callahan, M.
    [J]. CONTRACEPTION, 2012, 85 (03) : 327 - 327
  • [9] Predictors of diaphragm use as a potential sexually transmitted disease/HIV prevention method in Zimbabwe
    van der Straten, A
    Kang, MS
    Posner, SF
    Kamba, M
    Chipato, T
    Padian, NS
    [J]. SEXUALLY TRANSMITTED DISEASES, 2005, 32 (01) : 64 - 71
  • [10] Women's Experiences with Oral and Vaginal Pre-Exposure Prophylaxis: The VOICE-C Qualitative Study in Johannesburg, South Africa
    van der Straten, Ariane
    Stadler, Jonathan
    Montgomery, Elizabeth
    Hartmann, Miriam
    Magazi, Busiswe
    Mathebula, Florence
    Schwartz, Katie
    Laborde, Nicole
    Soto-Torres, Lydia
    [J]. PLOS ONE, 2014, 9 (02):