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Perceived male partner attitudes toward the female condom predict female university students' use of the female condom. | LitMetric

AI Article Synopsis

  • Female and male condoms are the only contraceptive methods that effectively prevent both STIs and unintended pregnancies, yet few studies examine why women continue to use female condoms (FC).
  • A study among female university students in South Africa found that factors like believing partners have positive attitudes toward FC and prior use increased the likelihood of continued FC use after five months.
  • The research suggests that improving men's attitudes and actively involving them in promoting FC could lead to better acceptance and higher usage rates among women.

Article Abstract

Female and male condoms are the only methods that prevent both sexually transmitted infections (STIs), including HIV, and unintended pregnancy. Despite continuing high STI rates, few studies investigate factors predicting whether women initiating female condom (FC) use sustain use. Using data from a randomized trial, we examined predictors of sustained FC use at five-month follow-up (FU2) among female university students in South Africa who participated in either a one-session, information-only, group-delivered or a two-session, group-delivered . In the final multiple logistic regression model, believing one's partner holds positive attitudes toward the FC (aOR = 1.40; p = 0.028), and greater FC use for vaginal sex at previous assessment (aOR) = 1.19; p = 0.008) were associated with greater odds of FC use at FU2. Excluding number of FC-protected occasions at FU1 from the analysis, discussing FC use with partner (aOR = 2.89; p = 0.071) and believing one's partner holds positive attitudes toward the FC (aOR = 1.63; p < 0.001) were associated with greater odds of use at FU2. The FC empowers women to protect themselves from both STIs and unintended pregnancy, but targeted interventions are needed to address men's negative attitudes toward the device. Engaging men as FC champions to support and promote FC use, along with marketing campaigns targeted to men, may expand FC coverage and enhance uptake.

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Source
http://dx.doi.org/10.1177/0956462420912986DOI Listing

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