Introducing Female Condoms to Female Sex Workers In Central America
Introducing Female Condoms to Female Sex Workers In Central America
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DOI：
10.1363/3614910
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发表时间：
2010-09-01
影响因子：
4.4
通讯作者：
Matta, Claudia Interiano
中科院分区：
文献类型：
--
作者：
Mack, Natasha;Grey, Thomas G.;Matta, Claudia Interiano
背景：女用避孕套在减少中美洲女性性工作者感染艾滋病毒方面具有潜在作用。研究如何向这一人群介绍女用避孕套是有必要的。方法：2007-2008年在萨尔瓦多和尼加拉瓜进行了两轮性工作者焦点小组调查（第一轮115人，第二轮81人）。此外，我们对95名性工作者进行了结构化访谈，并对6名健康教育者进行了直接观察。结果：妇女报告女用避孕套的设计使插入和取出难以学习。大约三分之一的参与者报告说这是第一次单独插入。大多数女性报告说，在感觉熟练到可以和伴侣一起使用之前，她们要练习2-10次。积极的看法包括润滑、尺寸、舒适度和强度。负面看法包括：包装太大、最初的身体不适，以及该设备可能会吓跑客户。参与者更愿意从指导手册和在工作场所进行的指导培训中学习使用女用避孕套。他们指出，男性和女性缺乏对女用避孕套的接触是使用女用避孕套的一个障碍，并建议对男性和女性进行教育；他们还建议在有男用避孕套的地方分发女用避孕套。结论：如果在妇女不会感到耻辱的地方提供指导妇女使用女用避孕套的规定，并且如果供应容易和持续可用，那么中美洲的女性性工作者似乎有可能使用女用避孕套。强烈建议卫生教育工作者使用清单和标准化信息等宣传工具。性与生殖健康国际展望，2010,36(3):149-156
CONTEXT: Female condoms have a potential role in reducing HIV infection among female sex workers in Central America. Research on how to introduce female condoms to this population is warranted.METHODS: Two rounds of focus groups with sex workers (115 in round one and 81 in round two) were conducted in El Salvador and Nicaragua in 2007-2008. In addition, we conducted structured interviews with 95 sex workers and direct observations of six health educators.RESULTS: Women reported that the design of the female condom made insertion and removal difficult to learn. About one-third of participants reported inserting it for the first time alone. Most women reported practicing 2-10 times before feeling skilled enough to use it with partners. Positive perceptions included lubrication, size, comfort and strength. Negative perceptions included the large package, initial physical discomfort and the possibility that the device would scare clients away. The participants preferred to learn to use female condoms from an instructional brochure plus instructor-led training in their workplace. They cited lack of exposure to female condoms among men and women as a barrier to female condom use and recommended education for both men and women; they also recommended distribution of female condoms at places where male condoms are available.CONCLUSIONS: If provisions are made for instructing women on female condom use in places where women will not feel stigmatized, and if supplies are easily and consistently available, uptake of the female condom among female sex workers in Central America seems likely. Health educators' use of promotional tools such as checklists and standardized messages is strongly recommended. International Perspectives on Sexual and Reproductive Health, 2010,36(3):149-156