Patterns and Predictors of Female Condom Use Among Ethnically Diverse Women Attending Family Planning Clinics

Choi, Kyung–Hee; Gregorich, Steven E.; Anderson, Kim; Grinstead, Olga; Gómez, Cynthia

doi:10.1097/00007435-200301000-00018

Cited by 39 publications

(30 citation statements)

References 36 publications

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“…But men were more likely to report lack of access (“never heard of them”) and partner reasons (“partner said no”). A common concern indicated in the literature is that women’s decision to use FC may be impeded by male partner refusal [31, 39, 40]. This did not appear to be a significant factor for women in this sample, but was more likely to be an issue for men.…”

Section: Discussionmentioning

confidence: 75%

“…Several demographic and risk characteristics known to be associated with or mitigated by FC use [13, 14, 31–33] were evident among women and men in this sample. Of greatest note were prior experiences of sexual or physical abuse (more among women), being homeless or injecting drug users (more men), having STI symptoms (more women), and having multiple or casual sex partners (more men), as well as anyone with HIV (about 9 % of both men and women).…”

Section: Discussionmentioning

confidence: 88%

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Female Condom Use and Adoption Among Men and Women in a General Low-Income Urban U.S. Population

Weeks

Zhan

et al. 2015

AIDS Behav

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HIV prevention is increasingly focused on antiretroviral treatment of infected or uninfected persons. However, barrier methods like male condoms (MC) and female condoms (FC) remain necessary to achieve broad reductions in HIV and other sexually transmitted infections (STI). Evidence grows suggesting that removal of basic obstacles could result in greater FC use and reduced unprotected sex in the general population. We conducted four annual cross-sectional surveys (2009–2012) of urban residents (N = 1614) in low-income neighborhoods of a northeastern U.S. city where prevalence of HIV and other STIs is high. Findings indicate slow FC uptake but also heterosexual men’s willingness to use them. Factors associated with men’s and women’s FC use included positive FC attitudes, network exposure, and peer influences and norms. These results suggest that men can be supporters of FC, and reinforce the need for targeted efforts to increase FC use in both men and women for HIV/STI prevention.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 88%

Female Condom Use and Adoption Among Men and Women in a General Low-Income Urban U.S. Population

Weeks

Zhan

et al. 2015

AIDS Behav

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“…[15][16][17][18][19][20] Studies around the globe have found positive results from introducing FC to women of all ages, including decreased STI incidence and increased protected sex. 21,22 Despite extensive research showing its effectiveness and acceptability with various U.S. populations at highest risk, the FC remains unpopular and underutilized in most communities. 11 Cost is a contributing factor.…”

Section: Introductionmentioning

confidence: 99%

Multilevel Social Influences on Female Condom Use and Adoption Among Women in the Urban United States

Weeks

Li²,

Coman³

et al. 2010

AIDS Patient Care and STDs

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Heterosexually transmitted HIV remains of critical concern in the United States and around the world, especially among vulnerable and disadvantaged women, complicated by socioeconomic circumstances, gender power, addiction, and experiences of abuse, among other conditions. Effective woman-initiated HIV prevention options, such as the female condom (FC), are needed that women can use in different sexual relationship contexts. We conducted a behavioral and attitudinal survey with 461 primarily African American and Latina (especially Puerto Rican) women in Hartford, Connecticut, to measure factors on the individual, partner relationship, peer, and community levels influencing their initial and continued use of FC (using the prototype FC1) for disease prevention. We used multivariate analyses and structural equation modeling to assess effects of multiple level factors on FC use and unprotected sex with primary, casual, and paying partners. Initial, recent, and continued FC use was associated with factors on the individual level (education, marital status, drug use, child abuse experiences, HIV status), partner level (number of sex partners, paying sex partner, relationship power), and peer level (more or influential peers saying positive things about FC). Community level factors of availability and support were consistently poor across all sectors, which limited overall FC use. Patterns differed between African American and Latina women in stages and contexts of FC use and unprotected sex. FC can make a valuable contribution to reducing heterosexually transmitted HIV among women in many circumstances. The greatest barrier to increased FC use is the lack of a supportive community environment for its promotion and use.

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“…E. Beksinska, Rees, McIntyre, & Wilkinson, 2001;Choi, Gregorich, Anderson, Grinstead, & Gomez, 2003;Farr, Gabelnick, Sturgen, & Dorflinger, 1994;Hoke et al, 2007). Several studies have reported some male partners to be amenable to its use (Ankrah & Attika, 1997;M.…”

Section: Introduction Of the Female Condom To Different Types Of Sexumentioning

confidence: 99%

Central American Sex Workers' Introduction of the Female Condom to Different Types of Sexual Partners

Mack

Grey²,

Amsterdam³

et al. 2010

AIDS Education and Prevention

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Formative research was conducted in El Salvador and Nicaragua to inform promotion of female condoms to sex workers. Two rounds of focus groups with sex workers were conducted, with female condom training and supplies provided. Structured interviews with sex workers and direct observations of health educators were conducted. One third of sex acts were protected with female condoms in the previous 7 days. Women recommended nonpaying partners as "first try" partners but most frequently reported trying female condoms with clients. With clients, women preferred female condoms over male condoms but expressed no preference with nonpaying partners. Lack of exposure to female condoms among men and women was cited as a key barrier to female condom use. Strategies for persuading all partner types to try the female condom are suggested, and we provided promotional messages, based on results, to assist sex workers in introducing female condoms to different partners.

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Patterns and Predictors of Female Condom Use Among Ethnically Diverse Women Attending Family Planning Clinics

Abstract: Our data indicate that female condom use supplements male condom use and leads to an increase in protected sex. The results also suggest that attitudinal and communication factors can increase female condom use.

Cited by 39 publications

References 36 publications

Female Condom Use and Adoption Among Men and Women in a General Low-Income Urban U.S. Population

Female Condom Use and Adoption Among Men and Women in a General Low-Income Urban U.S. Population

Multilevel Social Influences on Female Condom Use and Adoption Among Women in the Urban United States

Central American Sex Workers' Introduction of the Female Condom to Different Types of Sexual Partners

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