title: Acceptability of the female condom among sex workers in Thailand: results from a prospective study.
abstract: BACKGROUND
  The female condom may provide women with the first female-controlled barrier method that is effective against sexually transmitted diseases, including HIV infection.
  
  
  OBJECTIVE
  This study evaluated the acceptability of the female condom among sex workers in Thailand.
  
  
  METHODS
  Data on use and acceptability of the female condom were collected using a structured questionnaire during an 8-week follow-up.
  
  
  RESULTS
  Analyses included 148 women who were still in follow-up at week 8. Sex workers used, on average, 2.8 female condoms per week. The overall satisfaction rate with the female condom was 68%, although, among users, 31% had difficulties in device insertion, 37% had pain from the inner ring, and 22% reported itching sensations. The main reason for using the female condom in the future was its perceived safety, and the main reason for not using it would be the client's refusal.
  
  
  CONCLUSIONS
  Two-thirds of the sex workers were satisfied with the female condom. Difficulties at insertion, discomfort during use, and clients' attitude were potential obstacles to the use of the female condom in the future.
authors.affiliation: Siriraj Reproductive Health Research Center, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors.forename: S
authors.initials: S
authors.lastname: Jivasak-Apimas
authors.forename: J
authors.initials: J
authors.lastname: Saba
authors.forename: V
authors.initials: V
authors.lastname: Chandeying
authors.forename: C
authors.initials: C
authors.lastname: Sakondhavat
authors.forename: O
authors.initials: O
authors.lastname: Kiriwat
authors.forename: S
authors.initials: S
authors.lastname: Rugpao
authors.forename: W
authors.initials: W
authors.lastname: Rojanapithayakorn
authors.forename: A L
authors.initials: AL
authors.lastname: Fontanet
mesh_terms: D000328:Adult; D019111:Single-Use Internal Condom / Q000706:statistics & numerical data*; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D011477:Sex Work / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D013785:Thailand / Q000453:epidemiology