title: Acceptability and use of the female condom and diaphragm among sex workers in Dominican Republic: results from a prospective study.
abstract: To assess the acceptability and use of the female condom and diaphragm among female sex workers in the Dominican Republic, 243 participants were followed for 5 months. Participants received female and male condoms and a diaphragm along with proper counseling at monthly visits. Seventy-six percent reported used of female condom at least once during the final month of the study, compared with 50% that used the diaphragm with male condoms and 9% that used the diaphragm alone. The proportion of women reporting every sex act protected with some barrier method increased from 66% at first month to 77% at final month (p < 0.05). Participants reported higher acceptability and use of the female condom than the diaphragm. The introduction of female-controlled barrier methods resulted in the use of a wide range of prevention methods and a significant reduction in unprotected sex.
authors.affiliation: Population Council, Mexico City, Mexico. Population Council, Mexico City, Mexico
authors.forename: Diana K
authors.initials: DK
authors.lastname: Lara
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Grossman
authors.forename: Jhoanne E
authors.initials: JE
authors.lastname: Muñoz
authors.forename: Santo R
authors.initials: SR
authors.lastname: Rosario
authors.forename: Bayardo J
authors.initials: BJ
authors.lastname: Gómez
authors.forename: Sandra G
authors.initials: SG
authors.lastname: García
mesh_terms: D000282:Administration, Intravaginal; D000293:Adolescent; D000328:Adult; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage; D017280:Condoms / Q000706:statistics & numerical data; D019111:Single-Use Internal Condom / Q000706:statistics & numerical data*; D003268:Contraception Behavior / Q000706:statistics & numerical data; D003274:Contraceptive Devices, Female / Q000706:statistics & numerical data*; D004293:Dominican Republic; D005260:Female; D006801:Humans; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011446:Prospective Studies; D011477:Sex Work / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D012959:Socioeconomic Factors; D014622:Vaginal Creams, Foams, and Jellies / Q000008:administration & dosage; D055815:Young Adult
chemical_list: D000891:Anti-Infective Agents, Local; D014622:Vaginal Creams, Foams, and Jellies