title: Introducing diaphragms into the mix: what happens to male condom use patterns?
abstract: The objective of this analysis was to assess the effect of introducing the diaphragm on condom use patterns. Participants included one hundred eighty-nine women attending family planning clinics in Harare, Zimbabwe who reported less than 100% condom use. The proportion of acts where at least one method was used significantly increased over using follow-up; male condom use remained stable. A diaphragm was used with 50% to 54% of acts; male condoms were also used about 50% of the time. The proportion of acts where a female condom was used decreased. Women who used both male and female condoms were more likely to use diaphragms than those who reported not using female condoms. Introducing the diaphragm increased the overall proportion of protected acts. The proportion of acts where a male condom was used did not change. Female condoms use declined because concurrent use with the diaphragm is not possible.
authors.affiliation: Centers for Disease Control and Prevention, National Center for Chronic Disease, Prevention and Health Promotion, Division of Reproductive Health, 4770 Buford Highway MS K-20, Atlanta, GA 30341, USA. SPosner@cdc.gov
authors.forename: Samuel F
authors.initials: SF
authors.lastname: Posner
authors.forename: Ariane
authors.initials: A
authors.lastname: van der Straten
authors.forename: Mi-Suk
authors.initials: MS
authors.lastname: Kang
authors.forename: Nancy
authors.initials: N
authors.lastname: Padian
authors.forename: Tsungai
authors.initials: T
authors.lastname: Chipato
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D017280:Condoms / Q000706:statistics & numerical data*; D003274:Contraceptive Devices, Female / Q000706:statistics & numerical data*; D005193:Family Planning Services; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D015030:Zimbabwe