Female condom acceptability in urban India: Examining the role of sexual pleasure

Bowling, Jessamyn; Dodge, Brian; Bindra, Nyamat; Dave, Bhaktiben; Sharma, Ritika; Sundarraman, Vikram; Dharuman, Sivakumar Thirupathur; Herbenick, Debby

doi:10.1177/1359105317745963

Cited by 15 publications

(41 citation statements)

References 27 publications

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“…While most studies exploring the experiences of women using the female condom have been conducted with specific communities or in low-income countries [ 8 , 17 , 25 ], this is the first study to examine the experiences of women in Australia. Findings may inform health promotion efforts, clinical consultations and sexual health counselling guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…Although it is less accessible than the male condom as it is not widely available for purchase and is more expensive [ 6 , 7 ], it does offer several advantages. For instance, it can be used by those allergic or sensitive to latex [ 8 ], can be inserted into the vagina before sex and used with any type of lubricant [ 6 ], may enhance pleasure from clitoral stimulation [ 9 , 10 ], and it does not require an erect penis or immediate withdrawal after ejaculation [ 6 , 11 ]. While it has a higher failure rate than other modern methods of contraception, it is comparable to the male condom in terms of both contraceptive effectiveness [ 12 , 13 ] and STI prevention [ 6 ] and remains the only female-initiated method of dual protection [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Female condom acceptability studies have been mainly conducted in low- and middle-income countries [ 17 – 20 ] or with marginalised populations [ 21 – 23 ]. To our knowledge, no female condom acceptability studies have been conducted in Australia.…”

Section: Introductionmentioning

confidence: 99%

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Views and experiences of the female condom in Australia: An exploratory cross-sectional survey of cisgender women

et al. 2021

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Background The female condom is the only female-initiated form of protection against unintended pregnancy and sexually transmissible infections (STIs). However, use of this method in Australia is low. To better understand women’s views and experiences of the female condom, we conducted an interventional cross-sectional study. Methods Cisgender women ≥16 years, heterosexually active and living in New South Wales were recruited through social media advertisements and email invitations to clients of a family planning service. Eligible participants were provided with three female condoms and invited to complete a follow-up survey. Survey responses for women who attempted to use at least one female condom were summarised using counts and proportions. Results We recruited 556 women; few (30/556) had used the female condom before the study. There were 284 women who used, or attempted to use, a female condom during the study and completed the follow-up survey. Fifty-one percent (104/205) reported experiencing some difficulty in insertion, although only 46% (130/284) had seen an instructional demonstration. Approximately half (105/204) of women rated the sensation and comfort of the female condom as the same or better than the male condom, and 66% (137/204) reported that it provided the same or better lubrication. Approximately half of women said they would consider using the female condom again for STI prevention (51% (133/260)) or contraception (40% (103/260)), or would recommend to others (43% (112/260)). Conclusion Findings highlight the need for increased health promotion and education regarding use of the female condom. To increase access it will be important to address method cost and availability in Australia. Future research should explore other perspectives of this method, including among the LGBTIQ+ community.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Views and experiences of the female condom in Australia: An exploratory cross-sectional survey of cisgender women

et al. 2021

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“…Factors that limit the acceptability of condoms include slippage, poor esthetics, lack of lubrication, pain on use and difficulty in insertion (Reece, Herbenick, & Dodge, 2009;Wanyenze et al, 2011;Peixoto, Botelho, Tomada, & Tomada, 2016;Bowling et al, 2018). In addition, there is a growing consensus that issues related to pleasure and condoms deserve to be considered.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of acceptability of the use of internal and external condoms in couples: a cross-over study

Afonso

Passos

Almeida-Santos

2020

RSD

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Objective: To evaluate the acceptability (comfort, ease of use, lubrication, and pleasure) of internal and external condom use in stable couples. Metodology: This randomized cross-over trial included 54 couples (108 adult individuals). Participants were asked to evaluate acceptability measures of both types of condoms using the Visual Analogue Scale. We developed a three-level hierarchical model [level 1= three repeated measures (wave, type of condom); level 2= individual (gender, age); level 3= couple (sequence of presentation of female versus external condom)]. Results: The "ease of use" dimension represented the biggest difference between the types of condoms for men (Hedges 'g = 0.96; p <0.0001) and women (Hedges' g = 1.62; p <0.0001). Regardless of gender, external condoms performed better (1.61; 95% HPD = 1.41 – 1.81). Men gave lower scores in general (-0.62; 95% HPD = -1.16 − -0.10). Conclusion: The external condom scored better than the internal condom for women and their male partners. The scores tended to improve with the repetitive use of the condom. There is no evidence of the influence of the age of the individuals or the randomly selected sequence of use of condoms with regards to the mean score of the four dimensions.

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“…It has the potential to both empower women and please men [10]. Recent researches have shown that the female condom with trusted efficacy could increase the uptake of condom use, reduce stress caused by unintended pregnancy or STIs, and increase sexual pleasure and health benefits [11, 12]. Although female condoms have been marketed internationally since the mid-1990s, they remain relatively unpopular in China, for example, most migrants have never seen a female condom [13].…”

Section: Introductionmentioning

confidence: 99%

Short-term acceptability of the Woman’s Condom and influencing factors among internal migrants in China

Zhang

et al. 2019

BMC Public Health

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BackgroundThe Woman’s Condom, a newly designed condom for women, has obtained market approval in China, but it remains relatively unfamiliar to the migrant population. The aim of this study is to evaluate the short-term acceptability of the Woman’s Condom and influencing factors among internal migrants.MethodsA longitudinal study was conducted among 1800 migrants in Beijing, Chongqing, and Shanghai in China between August 2013 and August 2014.Three-level model was implemented with the Statistical Analysis System software (v.9.4 SAS Institute) to analyze within-individual changes, between-individuals effects, and between-group effects.ResultsThree-level model analysis revealed statistically higher short-term acceptability of the Woman’s Condom among subjects who lived in Shanghai (β = 6.50, t = 2.76, p < 0.01), unmarried and not in a cohabiting relationship (β = 3.05, t = 2.76, p < 0.01) than those who lived in Beijing, married and in a cohabiting relationship. Female (β = − 1.69, t = − 7.55, p < 0.01) and lower educational attainment (β = − 2.30, t = − 1.94, p = 0.05) were negatively related, while occupations of education, health, and civil staff (β = 1.50, t = 2.92, p < 0.01) were positively related to acceptability. It was predicted that migrants’ acceptability of the Woman’s Condom would significantly increase over time (β = 1.09, t = 5.54, p < 0.01).ConclusionsThe findings indicate that the Woman’s Condom enjoyed relatively high short-term acceptability among migrants in China. In order to popularize the Women’s Condoms in migrants, more publicity, consultation and training in open and prosperous areas should be strengthened.

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Female condom acceptability in urban India: Examining the role of sexual pleasure

Cited by 15 publications

References 27 publications

Views and experiences of the female condom in Australia: An exploratory cross-sectional survey of cisgender women

Views and experiences of the female condom in Australia: An exploratory cross-sectional survey of cisgender women

Evaluation of acceptability of the use of internal and external condoms in couples: a cross-over study

Short-term acceptability of the Woman’s Condom and influencing factors among internal migrants in China

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