Document Detail

Who continues using the diaphragm and who doesn't: implications for the acceptability of female-controlled HIV prevention methods.
MedLine Citation:
PMID:  14583167     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: This study examines the acceptability of the diaphragm with the aim of facilitating the development of female-controlled human immunodeficiency virus (HIV) prevention methods. More specifically, we assess associations between being a current (vs. former) diaphragm user and characteristics that are hypothesized to influence the acceptability of contraceptive methods; and explore reasons for discontinuing use of the diaphragm among former diaphragm users. DESIGN: The study involved a cross-sectional telephone survey with women who were members of a nonprofit health maintenance organization and who were either a current (n = 215) or former (n = 172) diaphragm user. METHODS: Participants were interviewed about the importance of contraceptive attributes; perceptions for the diaphragm; diaphragm use self-efficacy; perceived risk of and motivation to avoid pregnancy, HIV, and other sexually transmitted infections; and demographic characteristics, sexual, and contraceptive behavior. RESULTS: The likelihood of being a current diaphragm user (vs. former) increased with age, greater confidence in being able to use the diaphragm, greater perceived risk of pregnancy and more positive perceptions of the diaphragm. Women who valued attributes of hormonal contraceptives were less likely to be current users. Former diaphragm users reported that the following reasons were moderately to extremely important in their decision to stop using the diaphragm: difficulty inserting or removing the diaphragm (50.8%), dislike of leaving the diaphragm inside the vagina (46.8%), and wanting a more effective method for preventing pregnancy (44.2%). CONCLUSIONS: The findings suggest that specific characteristics of a product influence continued use and have implications for improving the acceptability of existing and new female-controlled HIV prevention methods.
S Marie Harvey; Sheryl Thorburn Bird; Julie E Maher; Linda J Beckman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Women's health issues : official publication of the Jacobs Institute of Women's Health     Volume:  13     ISSN:  1049-3867     ISO Abbreviation:  Womens Health Issues     Publication Date:    2003 Sep-Oct
Date Detail:
Created Date:  2003-10-29     Completed Date:  2003-12-04     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9101000     Medline TA:  Womens Health Issues     Country:  United States    
Other Details:
Languages:  eng     Pagination:  185-93     Citation Subset:  IM    
Center for the Study of Women in Society, University of Oregon, Eugene, Oregon 97403, USA.
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MeSH Terms
Attitude to Health*
Contraception Behavior / psychology*
Contraceptive Devices, Female*
Cross-Sectional Studies
HIV Infections / prevention & control*,  psychology*
Logistic Models
Middle Aged
Patient Acceptance of Health Care
Risk Factors
Sexual Behavior
Sexually Transmitted Diseases / prevention & control
United States
Women's Health
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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