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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Examining Targets for HIV Prevention: Intravaginal Practices in Urban Lusaka, Zambia</title><author><name sortKey="Alcaide, Maria L" sort="Alcaide, Maria L" uniqKey="Alcaide M" first="Maria L" last="Alcaide">Maria L. Alcaide</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Chisembele, Maureen" sort="Chisembele, Maureen" uniqKey="Chisembele M" first="Maureen" last="Chisembele">Maureen Chisembele</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Mumbi, Miriam" sort="Mumbi, Miriam" uniqKey="Mumbi M" first="Miriam" last="Mumbi">Miriam Mumbi</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Malupande, Emeria" sort="Malupande, Emeria" uniqKey="Malupande E" first="Emeria" last="Malupande">Emeria Malupande</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Jones, Deborah" sort="Jones, Deborah" uniqKey="Jones D" first="Deborah" last="Jones">Deborah Jones</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24568672</idno><idno type="pmc">3948602</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3948602</idno><idno type="RBID">PMC:3948602</idno><idno type="doi">10.1089/apc.2013.0309</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001489</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001489</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Examining Targets for HIV Prevention: Intravaginal Practices in Urban Lusaka, Zambia</title><author><name sortKey="Alcaide, Maria L" sort="Alcaide, Maria L" uniqKey="Alcaide M" first="Maria L" last="Alcaide">Maria L. Alcaide</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Chisembele, Maureen" sort="Chisembele, Maureen" uniqKey="Chisembele M" first="Maureen" last="Chisembele">Maureen Chisembele</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Mumbi, Miriam" sort="Mumbi, Miriam" uniqKey="Mumbi M" first="Miriam" last="Mumbi">Miriam Mumbi</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Malupande, Emeria" sort="Malupande, Emeria" uniqKey="Malupande E" first="Emeria" last="Malupande">Emeria Malupande</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Jones, Deborah" sort="Jones, Deborah" uniqKey="Jones D" first="Deborah" last="Jones">Deborah Jones</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author></analytic><series><title level="j">AIDS Patient Care and STDs</title><idno type="ISSN">1087-2914</idno><idno type="eISSN">1557-7449</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p>Intravaginal practices (IVP) are the introduction of products inside the vagina for hygienic, health, or sexuality reasons. The influence of men and Alengizis, traditional marriage counselors for girls, in promoting IVP has not been explored. We conducted gender-concordant focus groups and key informant interviews with Alengizis. The responses were conducted grouped into three themes: (1) cultural norms, (2) types and reasons for IVP, and (3) health consequences. We found that IVP were used by all participants in our sample and were taught from generation to generation by friends, relatives, or Alengizis. The reasons for women to engage in IVP were hygienic, though men expect women to engage in IVP to enhance sexual pleasure. Approximately 40% of women are aware that IVP can facilitate genital infections, but felt they would not feel clean discontinuing IVP. All men were unaware of the vaginal damage caused by IVP, and were concerned about the loss of sexual pleasure if women discontinued IVP. Despite the health risks of IVP, IVP continue to be widespread in Zambia and an integral component of hygiene and sexuality. The frequency of IVP mandates exploration into methods to decrease or ameliorate their use as an essential component of HIV prevention.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">AIDS Patient Care STDS</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Patient Care STDS</journal-id><journal-id journal-id-type="publisher-id">apc</journal-id><journal-title-group><journal-title>AIDS Patient Care and STDs</journal-title></journal-title-group><issn pub-type="ppub">1087-2914</issn><issn pub-type="epub">1557-7449</issn><publisher><publisher-name>Mary Ann Liebert, Inc.</publisher-name><publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24568672</article-id><article-id pub-id-type="pmc">3948602</article-id><article-id pub-id-type="publisher-id">10.1089/apc.2013.0309</article-id><article-id pub-id-type="doi">10.1089/apc.2013.0309</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical and Epidemiologic Research</subject></subj-group></article-categories><title-group><article-title>Examining Targets for HIV Prevention: Intravaginal Practices in Urban Lusaka, Zambia</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Alcaide</surname><given-names>Maria L</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Chisembele</surname><given-names>Maureen</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Mumbi</surname><given-names>Miriam</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Malupande</surname><given-names>Emeria</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Jones</surname><given-names>Deborah</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><aff id="aff1"><label><sup>1</sup></label>Department of Infectious Diseases,<institution>University of Miami Miller School of Medicine</institution>, Miami, Florida.</aff><aff id="aff2"><label><sup>2</sup></label>Department of Psychiatry and Behavioral Sciences,<institution>University of Miami Miller School of Medicine</institution>, Miami, Florida.</aff><aff id="aff3"><label><sup>3</sup></label><institution>University of Zambia</institution>, Lusaka,<country>Zambia</country>.</aff></contrib-group><author-notes><corresp><addr-line>Address correspondence to:</addr-line><addr-line><italic>Dr. Maria Alcaide</italic></addr-line><addr-line><italic>Department of Infectious Diseases</italic></addr-line><institution><italic>University of Miami Miller School of Medicine</italic></institution><addr-line><italic>1120 NW 14<sup>th</sup> St.</italic></addr-line><addr-line><italic>Suite 864</italic></addr-line><addr-line><italic>Miami, FL 33131</italic></addr-line><italic>E-mail:</italic><email xlink:href="mailto:malcaide@med.miami.edu">malcaide@med.miami.edu</email></corresp></author-notes><pub-date pub-type="ppub"><day>01</day><month>3</month><year>2014</year><pmc-comment>string-date: March 2014</pmc-comment>
</pub-date><volume>28</volume><issue>3</issue><fpage>121</fpage><lpage>127</lpage><permissions><copyright-statement>Copyright 2014, Mary Ann Liebert, Inc.</copyright-statement><copyright-year>2014</copyright-year></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="apc.2013.0309.pdf"></self-uri><abstract><title>Abstract</title><p>Intravaginal practices (IVP) are the introduction of products inside the vagina for hygienic, health, or sexuality reasons. The influence of men and Alengizis, traditional marriage counselors for girls, in promoting IVP has not been explored. We conducted gender-concordant focus groups and key informant interviews with Alengizis. The responses were conducted grouped into three themes: (1) cultural norms, (2) types and reasons for IVP, and (3) health consequences. We found that IVP were used by all participants in our sample and were taught from generation to generation by friends, relatives, or Alengizis. The reasons for women to engage in IVP were hygienic, though men expect women to engage in IVP to enhance sexual pleasure. Approximately 40% of women are aware that IVP can facilitate genital infections, but felt they would not feel clean discontinuing IVP. All men were unaware of the vaginal damage caused by IVP, and were concerned about the loss of sexual pleasure if women discontinued IVP. Despite the health risks of IVP, IVP continue to be widespread in Zambia and an integral component of hygiene and sexuality. The frequency of IVP mandates exploration into methods to decrease or ameliorate their use as an essential component of HIV prevention.</p></abstract><counts><table-count count="1"></table-count><ref-count count="29"></ref-count><page-count count="7"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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