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Female Condom Use in High Risk Women as Predictor of Microbicide Readiness
Research Method:
Basic Research
Principal Investigators:
Margaret R. Weeks, Ph.D.
Grant:
National Institute of Mental Health (NIMH) Office of AIDS Research (OAR) Supplement to R01 MH63631
Partners: National Institute of Mental Health
Dates of Study: 2002-2003

Abstract
The female condom has been available on the U.S. market and internationally for 10 years. While it has had little impact in the U.S., numerous studies of female condom use and acceptability have shown its initial acceptability among both women and men in the U.S. and internationally. Vaginal microbicides, which may offer some of the same benefits as the female condom, are still in development, making the female condom the one women-controlled HIV/STI prevention method available and an important option, particularly for high-risk women. This one-year supplement to the "Microbicide Acceptability to Prevent HIV in High-Risk Women" study explores the parallels between potential use and perceived effectiveness of the female condom and vaginal microbicides, and potential barriers to adoption by high-risk women. The study uses in-depth interviews and a short term trial as part of its methodology. Results from the study will be used to help identify additional issues that may impede or facilitate the adoption of female-controlled prevention methods such as microbicides and the female condom.
Project Goals and Objectives
Explore factors related to female condom awareness, use, and adoption that are similar to, or different from knowledge, use, and adoption of vaginal microbicides for HIV/STI and pregnancy prevention in high-risk women.
Explore factors that enhance or impede the diffusion of innovative, women-controlled HIV/STI prevention approaches (like female condoms and microbicides) through networks and communities of high-risk women.
Assess the willingness of high-risk women and their male partners to participate in and comply with protocols of a short-term trial of female condoms in regular sexual activity with primary, casual and paying partners.
Project Details
The study uses a combination of qualitative and quantitative methods. Staff will recruit 30 women whom are familiar with the female condom for in-depth interviewing on their perceptions of and experiences with the female condom. These interviews will document issues related to how personal networks impact the dissemination of information about and use of the female condom. The interviews will also explore factors supporting or hindering its adoption (e.g., effectiveness, perception of use, cost, visibility to male partners, feel, partner response), contexts of sexual activity in which use of the female condom is more or less acceptable, and what conditions are needed for them to be used on a regular basis. In addition to the interviews, staff will recruit 50 high-risk women and 50 male partners of high-risk women participate in a survey and a two-week trial of female condom use during regular sexual activity. The structured survey explores current sexual partners and activity, HIV risk, and knowledge of, attitudes about, and prior experience with the female condom. Participants will receive an unlimited supply of female and male condoms (in case they reject or cannot use the female condoms). They will then be asked to complete a coital diary in which they record daily sexual activity and use/non-use of female/male condoms. Following the two-week period, they are asked to bring the diary to ICR and complete a follow-up survey regarding sexual activity, types of partners with whom female condoms were/weren't used, responses to the experience and likelihood of incorporating female condoms into ongoing sexual activity. Participants are asked to repeat the trial one time; data from the second trial will be kept separate from the first for analytical purposes.

Project Contact:
Margaret Weeks, Ph.D.
Principal Investigator
Executive Director, ICR

Project Staff:

ICR

Margaret Weeks, Ph.D., Principal Investigator

Jean J. Schensul, Ph.D.,
Co-Principal Investigator

Maryann Abbott, M.A.,
Project Coordinator

Katie Mosack, Ph.D.,
Data Analyst

Michelle Corbett, B.A., Ethnographer

Barbara Valdez, R.N., Outreach Interviewer

Mary Prince, H.S.,
Outreach Interviewer

CT AIDS Education & Training, Yale University School of Nursing

Laurie Sylla, M.H.S.A.,
Co-Principal Investigator

Link to Research Methods page

Link to Basic Research Methods page

Link to Other ICR Projects
Microbicide Acceptability to Prevent HIV in High-Risk Women
Sustained Safer Behavior (Female Condom Use) in High-Risk Women to Prevent HIV

Microbicide Acceptability for HIV/STD Prevention Among Female Sex Workers in Southern China

Links to External Sites
CT AIDS Education and Training
National Institute of Mental Health
Global Campaign for Microbicides
FC Female Condom