کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3913959 1251454 2011 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Contraception use and effectiveness among women in a trial of the diaphragm for HIV prevention
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Contraception use and effectiveness among women in a trial of the diaphragm for HIV prevention
چکیده انگلیسی

BackgroundThere is little data on contraceptive effectiveness or use patterns from sub-Saharan Africa.Study DesignWe analyzed data from women at risk of pregnancy (n=4905) in the Methods for Improving Reproductive Health in Africa trial of the diaphragm for HIV prevention. We described reported contraceptive method use and calculated rates of pregnancy by contraceptive method. We compared time to first pregnancy by study arm (condoms or condoms plus diaphragm), and estimated a Cox proportional hazards model to identify predictors of pregnancy.ResultsCondoms (25.8%), injectables (25.4%) and OC (21.6%) were the most commonly used methods; long-acting method use was rare. During the trial, 51.6% of women used the same method, 27.4% switched to a more effective method and 20.9% switched to a less effective method; 21.4% of women became pregnant. Pregnancy rates by contraceptive group mirrored published estimates; frequency of study product use was not associated with pregnancy.ConclusionLong-acting methods of contraception should be made available in HIV prevention trials and to women in Southern Africa.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Contraception - Volume 83, Issue 6, June 2011, Pages 556–563
نویسندگان
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