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Female Condom Use and Its Acceptability Among HIV-serodiscordant Couples in China

Ju, Lahong MD; Shi, Cynthia X. MSc; Lv, Fan PhD*; Tang, Houlin PhD; Zeng, Gang PhD; Xu, Peng PhD; Chen, Wanying MD; He, Huijing MD; Ma, Liping MD; Zhang, Linglin MD; Chen, Xi MD

Journal of the Association of Nurses in AIDS Care: July-August 2019 - Volume 30 - Issue 4 - p 428–439
doi: 10.1097/JNC.0000000000000004
Research Article
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Intimate partners of people living with HIV are at risk of HIV infection. We assessed the acceptability of female condom use among 89 married, heterosexual, HIV-serodiscordant couples from Sichuan and Hunan provinces in China for this prospective observational cohort study. Participants used female condoms for 3 months, reporting use and attitudes in written logs and questionnaires. At the end of the study, 58.4% of couples expressed willingness to continue using female condoms. Factors associated with willingness to use female condoms were (a) the female partner reporting having experienced forced sex by the male partner, (b) applying a lubricant to the penis, (c) understanding the correct application method, (d) being married more than 20 years, and (e) experiencing no difficulty during the first use. Most HIV-serodiscordant couples found female condoms to be acceptable. Increasing access to female condoms could be an acceptable alternative barrier method to male condoms for preventing HIV transmission.

Lahong Ju, MD, is an Associate Professor, National Center for AIDS/STD Control and Prevention and National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China. Cynthia X. Shi, MSc, is a Doctoral Student, Department of Epidemiology of Microbial Diseases and Center for Interdisciplinary Research on AIDS, Yale School of Public Health, Yale University, New Haven, Connecticut, USA. Fan Lv, PhD, is a Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Houlin Tang, PhD, is an Associate Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Gang Zeng, PhD, is an Associate Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Peng Xu, PhD, is a Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Wanying Chen, MD, is an Assistant Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Huijing He, MD, is an Assistant Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Liping Ma, MD, is an Assistant Professor, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Linglin Zhang, MD, is a Professor, Sichuan Center for Disease Control and Prevention, Sichuan, China. Xi Chen, MD, is a Professor, Hunan Center for Disease Control and Prevention, Hunan, China.

Corresponding author: Fan Lv, e-mail: lvfan_1965@163.com

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
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