title: Factors associated with female condom use among HIV-seropositive women.
abstract: Female condoms are an effective option for preventing sexually transmitted diseases (STDs), including HIV transmission. Little is known, however, about female condom use in women living with HIV/AIDS. Ninety HIV-positive women completed measures of demographic characteristics, exposure and use of female condoms, attitudes toward female and male condoms, sexual behaviours, and substance use. Most women (77%) had been exposed to female condoms, however only 30% reported lifetime use, 16% reported recent use, and only 6% of the sample used female condoms as much or more than they used male condoms. The only factors consistently associated with female condom use were positive attitudes toward female condoms. Women who recently used female condoms were also more likely to have multiple male sex partners and reported fewer unprotected intercourse occasions. Female condoms are therefore used by a small number of HIV-infected women, particularly those with more than one male sex partner. Female condom use may be enhanced by removing barriers to their use, increasing cooperation of male partners, and enhancing proficiency of use.
authors.affiliation: Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, Milwaukee 53226, USA. sethk@mcw.edu
authors.forename: S C
authors.initials: SC
authors.lastname: Kalichman
authors.forename: D
authors.initials: D
authors.lastname: Rompa
authors.forename: M
authors.initials: M
authors.lastname: Cage
mesh_terms: D000328:Adult; D019111:Single-Use Internal Condom / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006679:HIV Seropositivity / Q000503:physiopathology / Q000523:psychology*; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D013997:Time Factors