Department of Basic Medical Sciences, Durban University of Technology, KwaZulu-Natal, South Africa.
Department of Anatomy, Olabisi Onabanjo University, Ogun State, Nigeria.
Afr Health Sci. 2021 Sep;21(3):1362-1374. doi: 10.4314/ahs.v21i3.48.
The female condom (FC) is a critical component in a comprehensive and sustainable approach to prevent HIV, other sexually transmitted infections and unintended pregnancies.
This review provides comprehensive information about Nigerian's knowledge and use of FC.
We screened search output, evaluated study eligibility, and extracted data in duplicate. Data from similar studies were combined in a meta-analysis.
There was a significantly (p < 0.0001) high-level of awareness amongst the respondents. However, the use of the FC was very low at 5.5% among female respondents. There was a significant (p < 0.0001) difference between FC awareness and use. The main reasons for FC use were prevention of unintended pregnancy (55%) and STIs/HIV (31%). We observed a significant difference between reasons of non-use of the FC [F (5, 13) = 5.195, P = 0.0077]. Furthermore, there were significant differences between the sources of information on FC [F (3, 8) = 32.89, P < 0.0001].
Despite the high levels of awareness, especially among the female respondents, the use of the FC has remained extremely low even among the young, educated undergraduate students. There is aneed for robust and consistent advocacy to make the FC available and affordable.
女用避孕套（FC）是预防艾滋病毒、其他性传播感染和非意愿妊娠的全面和可持续方法的重要组成部分。
本综述提供了关于尼日利亚人对 FC 的了解和使用情况的全面信息。
我们筛选了搜索结果，评估了研究的合格性，并进行了重复的数据提取。来自相似研究的数据被合并进行荟萃分析。
在受访者中，FC 的知晓率显著（p<0.0001）较高。然而，女性受访者中 FC 的使用率非常低，仅为 5.5%。FC 的知晓率和使用率之间存在显著差异（p<0.0001）。使用 FC 的主要原因是预防意外怀孕（55%）和性传播感染/艾滋病毒（31%）。我们观察到 FC 非使用者的原因存在显著差异 [F（5,13）=5.195，P=0.0077]。此外，FC 信息来源之间存在显著差异 [F（3,8）=32.89，P<0.0001]。
尽管知晓率很高，尤其是在女性受访者中，但 FC 的使用率仍然极低，即使是在年轻的、受过教育的大学生中也是如此。需要强有力和一致的宣传，使 FC 能够获得并负担得起。
