Women's Global Health Imperative, RTI International, 351 California St Suite 500, San Francisco, CA, 94104, USA.
School of Public Health, University of California, Berkeley, CA, USA.
AIDS Behav. 2018 Jan;22(1):133-145. doi: 10.1007/s10461-017-1911-6.
A multipurpose prevention technology (MPT) that combines HIV and pregnancy prevention is a promising women's health intervention, particularly for young women. However, little is known about the drivers of acceptability and product choice for MPTs in this population. This paper explores approval ratings and stated choice across three different MPT delivery forms among potential end-users. The Trio Study was a mixed-methods study in women ages 18-30 that examined acceptability of three MPT delivery forms: oral tablets, injections, and vaginal ring. Approval ratings and stated choice among the products was collected at baseline. Factors influencing stated product choice were explored using multivariable multinomial logistic regression. The majority (62%) of women in Trio stated they would choose injections, 27% would choose tablets and 11% would choose the ring. Significant predictors of choice included past experience with similar contraceptive delivery forms, age, and citing frequency of use as important. Ring choice was higher for older (25-30) women than for younger (18-24) women (aRR = 3.1; p < 0.05). These results highlight the importance of familiarity in MPT product choice of potential for variations in MPT preference by age.
一种集 HIV 预防和妊娠预防于一体的多用途预防技术(MPT)是一种有前途的妇女健康干预措施,特别是对年轻妇女而言。然而,对于该人群对 MPT 的可接受性和产品选择的驱动因素知之甚少。本文探讨了潜在最终用户对三种不同 MPT 给药形式的认可率和选择。Trio 研究是一项在 18-30 岁女性中进行的混合方法研究,考察了三种 MPT 给药形式的可接受性:口服片剂、注射剂和阴道环。在基线时收集了对产品的认可率和选择。使用多变量多项逻辑回归探索了影响产品选择的因素。在 Trio 中,大多数(62%)女性表示她们会选择注射剂,27%会选择片剂,11%会选择环。选择的重要预测因素包括过去使用类似避孕给药形式的经验、年龄和使用频率。年龄较大(25-30 岁)的女性比年龄较小(18-24 岁)的女性选择环的可能性更高(aRR=3.1;p<0.05)。这些结果强调了 MPT 产品选择中熟悉程度的重要性,也表明了年龄可能会对 MPT 偏好产生影响。