An assessment of the likely acceptability of vaginal microbicides for HIV prevention among women in rural Ghana
Identifieur interne : 000743 ( Main/Exploration ); précédent : 000742; suivant : 000744An assessment of the likely acceptability of vaginal microbicides for HIV prevention among women in rural Ghana
Auteurs : Martha A. Abdulai [Ghana] ; Frank Baiden [Ghana] ; George Adjei [Ghana] ; Samuel Afari-Asiedu [Ghana] ; Kwame Adjei [Ghana] ; Charlotte Tawiah [Ghana] ; Sam Newton [Ghana]Source :
- BMC Women's Health [ 1472-6874 ] ; 2012.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (), Administration par voie vaginale, Adulte, Anti-infectieux (usage thérapeutique), Comportement en matière de santé, Crèmes, mousses et gels vaginaux (usage thérapeutique), Femelle, Ghana (épidémiologie), Humains, Infections à VIH (), Infections à VIH (traitement médicamenteux), Intervalles de confiance, Jeune adulte, Modèles logistiques, Odds ratio, Population rurale (), Vagin (), Études transversales.
- MESH :
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Anti-infectieux, Crèmes, mousses et gels vaginaux.
- épidémiologie : Ghana.
- Acceptation des soins par le patient, Administration par voie vaginale, Adulte, Comportement en matière de santé, Femelle, Humains, Infections à VIH, Intervalles de confiance, Jeune adulte, Modèles logistiques, Odds ratio, Population rurale, Vagin, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Administration, Intravaginal, Adult, Anti-Infective Agents (therapeutic use), Confidence Intervals, Cross-Sectional Studies, Female, Ghana (epidemiology), HIV Infections (drug therapy), HIV Infections (prevention & control), Health Behavior, Humans, Logistic Models, Odds Ratio, Patient Acceptance of Health Care (statistics & numerical data), Rural Population (statistics & numerical data), Vagina (drug effects), Vaginal Creams, Foams, and Jellies (therapeutic use), Young Adult.
- MESH :
- chemical , therapeutic use : Anti-Infective Agents, Vaginal Creams, Foams, and Jellies.
- geographic , epidemiology : Ghana.
- drug effects : Vagina.
- drug therapy : HIV Infections.
- prevention & control : HIV Infections.
- statistics & numerical data : Patient Acceptance of Health Care, Rural Population.
- Administration, Intravaginal, Adult, Confidence Intervals, Cross-Sectional Studies, Female, Health Behavior, Humans, Logistic Models, Odds Ratio, Young Adult.
Abstract
The findings of the CAPRISA tenofovir studies have raised expectations that soon an approved microbicide would be available. However it is in only a limited number of countries in sub-Saharan Africa that the acceptability of microbicides has been evaluated. We conducted a study to assess the acceptability of vaginal microbicides among women in rural Ghana.
The study employs a mixed method design, using cross-sectional survey and focus group discussions to further understand issues related to awareness and attitudes towards microbicide development, acceptability and perceived partner attitudes among pregnant women attending antenatal clinic in two health facilities in the Kintampo North municipality of Ghana. We used logistic regression to identify possible predictors of microbicide acceptability among the women surveyed.
Although only 2% of the 504 women were aware of the development of microbicides, 95% were willing to use one when it became available. The cost of a microbicide that will be considered affordable to 50% of women was US$0.75. Although there were concerns about possible wetting effect, gel or creams were the most preferred (68% of women) formulation. Although 71% thought their partners will find microbicide acceptable, apprehensions about the feasibility of and consequences of failed discreet use were evident. 49% of women were concerned about possible negative effect of microbicide on sexual pleasure. Perceived partner acceptability (O.R. =17.7; 95%C.I. 5.03-62.5) and possibility of discreet use (O.R. =8.9 95%C.I. 2.63-30.13) were the important predictors of microbicide acceptability.
Achieving microbicide acceptability among male partners should be made a part of the promotive interventions for ensuring effective use among women in rural Ghana.
Url:
DOI: 10.1186/1472-6874-12-40
PubMed: 23114222
PubMed Central: 3519568
Affiliations:
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Le document en format XML
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<term>Anti-Infective Agents (therapeutic use)</term>
<term>Confidence Intervals</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Ghana (epidemiology)</term>
<term>HIV Infections (drug therapy)</term>
<term>HIV Infections (prevention & control)</term>
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<term>Humans</term>
<term>Logistic Models</term>
<term>Odds Ratio</term>
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<term>Rural Population (statistics & numerical data)</term>
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<term>Vaginal Creams, Foams, and Jellies (therapeutic use)</term>
<term>Young Adult</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient ()</term>
<term>Administration par voie vaginale</term>
<term>Adulte</term>
<term>Anti-infectieux (usage thérapeutique)</term>
<term>Comportement en matière de santé</term>
<term>Crèmes, mousses et gels vaginaux (usage thérapeutique)</term>
<term>Femelle</term>
<term>Ghana (épidémiologie)</term>
<term>Humains</term>
<term>Infections à VIH ()</term>
<term>Infections à VIH (traitement médicamenteux)</term>
<term>Intervalles de confiance</term>
<term>Jeune adulte</term>
<term>Modèles logistiques</term>
<term>Odds ratio</term>
<term>Population rurale ()</term>
<term>Vagin ()</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Infective Agents</term>
<term>Vaginal Creams, Foams, and Jellies</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term>
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<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Vagina</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Patient Acceptance of Health Care</term>
<term>Rural Population</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à VIH</term>
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<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Anti-infectieux</term>
<term>Crèmes, mousses et gels vaginaux</term>
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<term>Adult</term>
<term>Confidence Intervals</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Health Behavior</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Odds Ratio</term>
<term>Young Adult</term>
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<term>Administration par voie vaginale</term>
<term>Adulte</term>
<term>Comportement en matière de santé</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections à VIH</term>
<term>Intervalles de confiance</term>
<term>Jeune adulte</term>
<term>Modèles logistiques</term>
<term>Odds ratio</term>
<term>Population rurale</term>
<term>Vagin</term>
<term>Études transversales</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>The findings of the CAPRISA tenofovir studies have raised expectations that soon an approved microbicide would be available. However it is in only a limited number of countries in sub-Saharan Africa that the acceptability of microbicides has been evaluated. We conducted a study to assess the acceptability of vaginal microbicides among women in rural Ghana.</p>
</sec>
<sec><title>Methods</title>
<p>The study employs a mixed method design, using cross-sectional survey and focus group discussions to further understand issues related to awareness and attitudes towards microbicide development, acceptability and perceived partner attitudes among pregnant women attending antenatal clinic in two health facilities in the Kintampo North municipality of Ghana. We used logistic regression to identify possible predictors of microbicide acceptability among the women surveyed.</p>
</sec>
<sec><title>Results</title>
<p>Although only 2% of the 504 women were aware of the development of microbicides, 95% were willing to use one when it became available. The cost of a microbicide that will be considered affordable to 50% of women was US$0.75. Although there were concerns about possible wetting effect, gel or creams were the most preferred (68% of women) formulation. Although 71% thought their partners will find microbicide acceptable, apprehensions about the feasibility of and consequences of failed discreet use were evident. 49% of women were concerned about possible negative effect of microbicide on sexual pleasure. Perceived partner acceptability (O.R. =17.7; 95%C.I. 5.03-62.5) and possibility of discreet use (O.R. =8.9 95%C.I. 2.63-30.13) were the important predictors of microbicide acceptability.</p>
</sec>
<sec><title>Conclusion</title>
<p>Achieving microbicide acceptability among male partners should be made a part of the promotive interventions for ensuring effective use among women in rural Ghana.</p>
</sec>
</div>
</front>
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<affiliations><list><country><li>Ghana</li>
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<tree><country name="Ghana"><noRegion><name sortKey="Abdulai, Martha A" sort="Abdulai, Martha A" uniqKey="Abdulai M" first="Martha A" last="Abdulai">Martha A. Abdulai</name>
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<name sortKey="Afari Asiedu, Samuel" sort="Afari Asiedu, Samuel" uniqKey="Afari Asiedu S" first="Samuel" last="Afari-Asiedu">Samuel Afari-Asiedu</name>
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</record>
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