中国 HIV 血清不一致夫妇中女用避孕套的使用及其可接受性。
Female Condom Use and Its Acceptability Among HIV-serodiscordant Couples in China.
机构信息
Lahong Ju, MD, is an Associate Professor, National Center for AIDS/STD Control and Prevention and National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China. Cynthia X. Shi, MSc, is a Doctoral Student, Department of Epidemiology of Microbial Diseases and Center for Interdisciplinary Research on AIDS, Yale School of Public Health, Yale University, New Haven, Connecticut, USA. Fan Lv, PhD, is a Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Houlin Tang, PhD, is an Associate Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Gang Zeng, PhD, is an Associate Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Peng Xu, PhD, is a Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Wanying Chen, MD, is an Assistant Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Huijing He, MD, is an Assistant Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Liping Ma, MD, is an Assistant Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Linglin Zhang, MD, is a Professor, Sichuan Center for Disease Control and Prevention, Sichuan, China. Xi Chen, MD, is a Professor, Hunan Center for Disease Control and Prevention, Hunan, China.
出版信息
J Assoc Nurses AIDS Care. 2019 Jul-Aug;30(4):428-439. doi: 10.1097/JNC.0000000000000004.
Intimate partners of people living with HIV are at risk of HIV infection. We assessed the acceptability of female condom use among 89 married, heterosexual, HIV-serodiscordant couples from Sichuan and Hunan provinces in China for this prospective observational cohort study. Participants used female condoms for 3 months, reporting use and attitudes in written logs and questionnaires. At the end of the study, 58.4% of couples expressed willingness to continue using female condoms. Factors associated with willingness to use female condoms were (a) the female partner reporting having experienced forced sex by the male partner, (b) applying a lubricant to the penis, (c) understanding the correct application method, (d) being married more than 20 years, and (e) experiencing no difficulty during the first use. Most HIV-serodiscordant couples found female condoms to be acceptable. Increasing access to female condoms could be an acceptable alternative barrier method to male condoms for preventing HIV transmission.
艾滋病毒感染者的性伴侣有感染艾滋病毒的风险。在这项前瞻性观察队列研究中，我们评估了来自中国四川和湖南的 89 对已婚异性恋 HIV 血清不一致夫妇使用女用避孕套的可接受性。参与者使用女用避孕套 3 个月，在书面日志和问卷中报告使用情况和态度。研究结束时，58.4%的夫妇表示愿意继续使用女用避孕套。愿意使用女用避孕套的因素包括：(a) 女性伴侣报告曾遭受男性伴侣强迫性行为，(b) 在阴茎上涂抹润滑剂，(c) 了解正确的使用方法，(d) 结婚超过 20 年，以及 (e) 在第一次使用时没有遇到困难。大多数 HIV 血清不一致的夫妇认为女用避孕套是可以接受的。增加女用避孕套的可及性可能是一种可接受的替代屏障方法，用于预防艾滋病毒传播。
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