Marseille 2007
| Abstract #238 - Potential markers of female condom use among inner city African American Women in Houston, Texas, USA | ||||
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Session: 26.47: Posters B (Poster) on Tuesday in Chaired by Authors: Presenting Author: Dr GBADEBO OGUNGBADE - UNIVERSITY OF HOUSTON, United States |
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| Additional Authors: Dr EKERE ESSIEN, Dr DORIEL WARD, Dr LAURENS HOLMESJr, | ||||
| Aim: Despite decreased incidence of AIDS in the USA, AIDS epidemic remains to plateau among African Americans (AAs), especially women, representing an estimated 68-72% of AIDS cases among USA women. We aimed to determine female condom use (FCU) prevalence, and the potential markers among AA women. | ||||
| Method / Issue: In a prospective study of the efficacy of theory-based behavioral intervention in increasing condom use (CU), we utilized the baseline data of 280 AA women and examined knowledge of FCU, oral contraceptives, sexual relationship, sociodemographics, sexual relationship, condom negotiation, male condom, and attitudes towards male condom and FCU as potential markers of FCU. Chi square statistic was used to test for group difference among users and non-users of FC while unconditional logistic regression was used to assess the independent variables as potential markers of FCU. | ||||
| Results / Comments: The prevalence of FCU was relatively low, 44 (15.9%) compared with male condom use, 77 (27.9%). In the univariable analysis, women with CU self-efficacy were two times more likely to use FC, prevalence odds ratio (POR) = 2.34, 95% Confidence Interval (CI) = 0.79-6.91. Likewise, women with high school education compared to those without were two times more likely to use FC, POR = 2.06, 95% CI = 0.91-4.66. There was a 50% increased likelihood of FCU among women with positive attitude towards CU, POR = 1.50, 95% CI = 0.67-3.60. Women without knowledgeable of FC, compared to those with were 52% less likely to use FC, POR = 0.48, 95% CI = 0.24-0.96. Likewise, male CU was associated with six times likelihood of using FC, POR = 6.20, 95% CI = 1.86-20.70. Compared with those aged 18-30 years, those aged 31-40, 41-50, and 51 and older were 45%, 59%, and 72% less likely to use FC, POR = 0.55, 0.42, and 0.22, 95% CI = 0.25-1.24, 0.16-1.10, and 0.06-0.78 respectively. Women having multiple sexual partners (MSP) compared with monogamous relationship were 3.5 times more likely to use FC, POR = 3.5, 95% CI = 1.46-8.47. After adjustment for relevant covariates associated independently with FCU, the significant potential markers for FCU were age, sexual relationship, knowledge of FC, and educational status. Women having MSP compared with monogamous relationship were 5 times more likely to use FC, while women with high school education were three times more likely to use FC, adjusted prevalence odds, APOR, = 5.32, 95% CI=1.79-15.83 and APOR = 3.01, 95% CI = 1.01 8.93. Compared with women in the age group 18-30, those in the age group 31-40 years were 78% less likely to use FC, APOR = 0.22, 95% CI = 0.07-0.67. Women who were knowledgeable of FC compared to those without were 81% less likely to use FC, APOR = 0.19, 95% CI = 0.08-0.45. | ||||
| Discussion: Among AA women in this sample, knowledge of FCU, age, educational status, and sexual relationship were significant markers of FCU. This study is therefore suggestive of the need to educate AAs on FC, and increase positive attitude towards FCU given the obstacles in male condom negotiation. | ||||
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