Vaginal Practices among Women at High Risk of HIV Infection in Uganda and Tanzania: Recorded Behaviour from a Daily Pictorial Diary
Vaginal Practices among Women at High Risk of HIV Infection in Uganda and Tanzania: Recorded Behaviour from a Daily Pictorial Diary
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DOI：
10.1371/journal.pone.0059085
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发表时间：
2013-03-26
期刊：
影响因子：
3.7
通讯作者：
Hayes, Richard J.
中科院分区：
文献类型：
--
作者：
Francis, Suzanna C.;Baisley, Kathy;Hayes, Richard J.
背景：阴道内实践（IVP）在撒哈拉以南非洲地区非常流行，并被认为是艾滋病毒感染的危险因素。然而，不同人群的IVP类型不同，需要关于不同人群中有艾滋病毒风险的妇女IVP的详细信息。我们调查了两个人群中进行交易性性行为的女性的IVP：坦桑尼亚从事机会主义性工作的半城市设施工作者;以及乌干达的城市、自我认同的性工作者和酒吧工作者。该研究的目的是描述和比较IVP使用每日图片diary.Methodology/主要调查结果：200名妇女被招募的艾滋病毒预防干预可行性研究在坎帕拉，乌干达和坦桑尼亚西北部。给妇女日记，每天记录IVP，持续6周。基线数据显示，乌干达参与者比坦桑尼亚参与者有更多的终身伴侣和性交易。日记的结果显示，96%的坦桑尼亚参与者和100%的乌干达参与者在六周的研究期间报告了阴道内清洗。最常见的清洁方式是只用水或水和肥皂。在这两个国家，阴道内插入（例如，用草药）比清洁更不常见，但乌干达（46%）的参与者比坦桑尼亚（10%）更多。在乌干达，参与者还报告了更频繁的性行为，以及更多与性有关的插入。在这两个人群中，清洁更经常在报告性别的日子和月经期间报告，而在乌干达，当参与者经历阴道不适时。参与者更有可能清洗后的性行为，如果他们报告没有避孕套use.Conclusions：虽然阴道内清洗是常见的，在这两个队列中，有较高的频率清洗和插入在乌干达。IVP的差异可能反映了人群之间性行为的差异，并可能需要针对IVP采取不同的干预措施。乌干达和坦桑尼亚高危妇女的阴道习俗：每日图片日记中记录的行为。
Background: Intravaginal practices (IVP) are highly prevalent in sub-Saharan African and have been implicated as risk factors for HIV acquisition. However, types of IVP vary between populations, and detailed information on IVP among women at risk for HIV in different populations is needed. We investigated IVP among women who practice transactional sex in two populations: semi-urban, facility workers in Tanzania who engage in opportunistic sex work; and urban, self-identified sex workers and bar workers in Uganda. The aim of the study was to describe and compare IVP using a daily pictorial diary.Methodology/Principal Findings: Two hundred women were recruited from a HIV prevention intervention feasibility study in Kampala, Uganda and in North-West Tanzania. Women were given diaries to record IVP daily for six weeks. Baseline data showed that Ugandan participants had more lifetime partners and transactional sex than Tanzanian participants. Results from the diary showed that 96% of Tanzanian participants and 100% of Ugandan participants reported intravaginal cleansing during the six week study period. The most common types of cleansing were with water only or water and soap. In both countries, intravaginal insertion (e.g. with herbs) was less common than cleansing, but insertion was practiced by more participants in Uganda (46%) than in Tanzania (10%). In Uganda, participants also reported more frequent sex, and more insertion related to sex. In both populations, cleansing was more often reported on days with reported sex and during menstruation, and in Uganda, when participants experienced vaginal discomfort. Participants were more likely to cleanse after sex if they reported no condom use.Conclusions: While intravaginal cleansing was commonly practiced in both cohorts, there was higher frequency of cleansing and insertion in Uganda. Differences in IVP were likely to reflect differences in sexual behaviour between populations, and may warrant different approaches to interventions targeting IVP. Vaginal practices among women at high risk in Uganda and Tanzania: recorded behaviour from a daily pictorial diary.