Musaba E, Morrison C S, Sunkutu M R, Wong E L
University Teaching Hospital, Lusaka, Zambia.
Sex Transm Dis. 1998 May;25(5):260-4. doi: 10.1097/00007435-199805000-00008.
Few studies have measured female condom use for more than a 6-month period or among persons at high risk of STD.
To measure long-term use of the female condom among couples at high risk of HIV infection and to evaluate the effect of female condom use on unprotected coital acts.
Ninety-nine Zambian couples with symptomatic sexually transmitted diseases (STD) received female condoms, male condoms, and spermicides and were counseled to use either condom plus spermicide for each coital act. Couples were followed up at 3-, 6-, and 12-month visits. Barrier contraceptive use was measured prospectively by coital log.
Among the 99 couples enrolled, 51, 38, and 30 couples were successfully followed up for 3, 6, and 12 months, respectively. Female condoms were reportedly used in 24%, 27%, and 23% of coital acts and by 86%, 79%, and 67% of the returning couples during each time interval. Higher-level female condom users used male condoms less often but had fewer unprotected coital acts (5% vs. 14%; p < 0.05) than lower-level female condom users.
A majority of couples at high risk of HIV infection used the female condom in conjunction with other barrier methods over a 1-year period. The addition of female condoms accompanied by appropriate counseling to the barrier method mix may reduce unprotected sex among couples at high-risk of HIV infection.
很少有研究对女性避孕套使用超过6个月的情况进行测量，或在性传播疾病高风险人群中进行相关测量。
测量感染艾滋病毒高风险夫妇中女性避孕套的长期使用情况，并评估女性避孕套使用对无保护性交行为的影响。
99对患有症状性传播疾病的赞比亚夫妇领取了女性避孕套、男性避孕套和杀精剂，并接受咨询，被告知每次性交时使用避孕套加杀精精剂。在3个月、6个月和12个月的随访中观察这些夫妇。通过性交记录前瞻性地测量屏障避孕法的使用情况。
在登记的99对夫妇中，分别有51对、38对和30对夫妇成功接受了3个月、6个月和12个月的随访。据报告，在每个时间段内，女性避孕套在24%、27%和23%的性交行为中被使用，在回访夫妇中，使用女性避孕套的比例分别为86%、79%和67%。女性避孕套使用频率较高的人群使用男性避孕套的频率较低，但与女性避孕套使用频率较低的人群相比，无保护性交行为较少（5%对14%；p<0.05）。
在一年时间里，大多数感染艾滋病毒高风险夫妇将女性避孕套与其他屏障方法结合使用。在屏障避孕方法组合中增加女性避孕套并给予适当咨询，可能会减少感染艾滋病毒高风险夫妇中的无保护性行为。
