Family planning methods among women in a vaginal microbicide feasibility study in rural KwaZulu-Natal, South Africa
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TLDR
Age, marital status, education level and parity were associated with different contraceptive method choices, and contraceptive use increased significantly among women followed longitudinally for 9 months, largely due to increased condom use.Abstract:
This study investigated contraceptive use among women in rural KwaZulu-Natal, South Africa. Of 866 sexually active women not intending pregnancy and screened for a microbicide feasibility study, 466 (54%) reported currently using modern contraceptives: injectables (31%), condoms (12%), sterilization (6%) and pills (4%). Multivariable logistic regression analyses revealed statistically significantly higher odds of current contraceptive use among married vs. engaged/unmarried women (aOR 1.64), multiparous vs. nulliparous (aOR 4.45) and women who completed secondary education or above vs. primary or less (aOR 1.64). Significantly lower odds of use were observed among women aged 40+ vs. age 15-19 (aOR 0.38). Age, marital status, education level and parity were associated with different contraceptive method choices. Among 195 women followed longitudinally for 9 months, contraceptive use increased significantly from 56% to 70%, largely due to increased condom use (15% to 28%). Results highlight the importance of integrating family planning and HIV/STI prevention counseling and informing promotion of further contraceptive uptake among women not intending pregnancy. (Afr J Reprod Health 2008; 12[2]:45-63) RESUMEread more
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Journal ArticleDOI
Intravaginal Practices, Bacterial Vaginosis, and HIV Infection in Women: Individual Participant Data Meta-analysis
Nicola Low,Matthew Chersich,Matthew Chersich,Kurt Schmidlin,Matthias Egger,Suzanna C. Francis,Janneke van de Wijgert,Richard J. Hayes,Jared M. Baeten,Joelle Brown,Joelle Brown,Sinead Delany-Moretlwe,Rupert Kaul,Nuala McGrath,Nuala McGrath,Charles S. Morrison,Landon Myer,Landon Myer,Marleen Temmerman,Ariane van der Straten,Deborah Watson-Jones,Marcel Zwahlen,Adriane Martin Hilber +22 more
TL;DR: Pooling of data from 14,874 women in an individual participant data meta-analysis by Nicola Low and colleagues reveals that some intravaginal practices increase the risk of HIV acquisition.
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TL;DR: A significant gap exists between future FP intentions and current FP practices, and integration of individual and couple FP services into routine HIV care, treatment and support services is needed in order to avoid unintended pregnancies and to prevent mother-to-child HIV transmission.
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Factors associated with contraceptive use and intention to use contraceptives among married women in Ethiopia.
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Socio-Demographic Determinants of Condom Use Among Sexually Active Young Adults in Rural KwaZulu-Natal, South Africa
TL;DR: In this article, the authors investigated patterns, levels and socio-demographic determinants of condom use and consistency of use among young adults aged 15-24 years in rural KwaZulu- Natal.
References
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TL;DR: It is now 20 years since the first cases of acquired immune deficiency syndrome (AIDS) were discovered in sub-Saharan Africa; mortality among the population aged 15–49 has increased manyfold, even in countries with modest epidemics.
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Risk perception and condom use among married or cohabiting couples in KwaZulu-Natal, South Africa.
Pranitha Maharaj,John Cleland +1 more
TL;DR: The common belief that mens resistance to condom use within stable relationships cannot be overcome may be exaggerated and HIV prevention programs should address the reproductive health needs of married and cohabiting couples.
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Condom Use Within Marital and Cohabiting Partnerships in KwaZulu‐Natal, South Africa
Pranitha Maharaj,John Cleland +1 more
TL;DR: Resistance to condoms within marital and cohabiting partnerships is not immutable, however, and women may not be as powerless to protect themselves as is often reported.
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Till Bärnighausen,Frank Tanser,Zanomsa Gqwede,Clifford Mbizana,Kobus Herbst,Marie-Louise Newell +5 more
TL;DR: In this high HIV prevalence community in rural South Africa HIV incidence is very high, and the present focus on antiretroviral treatment needs to be balanced with a renewed emphasis on HIV prevention for both sexes.
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Trends and determinants of contraceptive method choice in Kenya.
Monica Magadi,Siân L. Curtis +1 more
TL;DR: The analysis of data from the 1989, 1993, and 1998 Kenya Demographic and Health Surveys shows that, over time, the use of modern contraceptive methods, especially long-term methods, is higher in urban than in rural areas, whereas the pattern is reversed for traditional methods.