Female condom introduction and sexually transmitted infection prevalence: results of a community intervention trial in Kenya
| Autor: | Kathryn G. Tweedy, M. Kuyoh, Job J. Bwayo, Emelita L. Wong, MA Omari, Paul J. Feldblum, Michael Welsh |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Sexually transmitted disease
Adult Male Rural Population Safe Sex medicine.medical_specialty Health Knowledge Attitudes Practice Immunology Population Gonorrhea Sexually Transmitted Diseases Sex Education law.invention Condoms Random Allocation Female condom Condom law medicine Prevalence Immunology and Allergy Humans education Condoms Female Gynecology education.field_of_study Chlamydia Trichomoniasis business.industry Data Collection virus diseases Chlamydia Infections medicine.disease Kenya Infectious Diseases Logistic Models Family planning Female business Trichomonas Vaginitis Demography Follow-Up Studies |
| Zdroj: | AIDS (London, England). 15(8) |
| ISSN: | 0269-9370 |
| Popis: | The objective was to measure the impact on sexually transmitted infection (STI) prevalence of a female condom introduction and risk-reduction program at Kenyan agricultural sites. The authors conducted a cluster-randomized trial to determine whether a replicable community-level intervention would reduce STI prevalence. Six matched pairs of tea coffee and flower plantations were identified. The six intervention sites received an information/motivation program with free distribution of female and male condoms and six control sites received only male condoms and related information. Participants were tested for cervical gonorrhea and chlamydia by ligase chain reaction on urine specimens and vaginal trichomoniasis by culture at baseline 6 and 12 months. Participants at intervention (n = 969) and control sites (n = 960) were similar; baseline STI prevalence was 23.9%. Consistent male condom use was more than 20% at 12 months. Consistent female condom use was reported by 11 and 7% of intervention site women at 6 and 12 months. Unadjusted STI prevalence was 16.5 and 17.4% at 6 months and 18.3 and 18.5% at 12 months at the intervention and control sites respectively. Logistic regression models confirmed the null effect of the female condom intervention. Female condom introduction did not enhance STI prevention at these sites. It is unclear which aspects of the intervention--STI education condom promotion case management-- were associated with decreased STI prevalence from baseline to follow-up. (authors) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|