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Titolo:
Achieving safer sex with choice: Studying a women's sexual risk reduction hierarchy in an STD clinic
Autore:
Gollub, EL; French, P; Latka, M; Rogers, C; Stein, Z;
Indirizzi:
Univ Penn, Ctr Addict Studies, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 t Studies, Philadelphia, PA 19104 USA Philadelphia Dept Publ Hlth, Philadelphia, PA USA Philadelphia Dept Publ Hlth Philadelphia PA USA th, Philadelphia, PA USA SmithKline Beecham, Collegeville, PA USA SmithKline Beecham Collegeville PA USA ine Beecham, Collegeville, PA USA Med Coll Penn & Hahnemann Univ, Philadelphia, PA USA Med Coll Penn & Hahnemann Univ Philadelphia PA USA Philadelphia, PA USA New York Acad Med, New York, NY USA New York Acad Med New York NY USANew York Acad Med, New York, NY USA Columbia Univ, New York, NY USA Columbia Univ New York NY USAColumbia Univ, New York, NY USA
Titolo Testata:
JOURNAL OF WOMENS HEALTH & GENDER-BASED MEDICINE
fascicolo: 8, volume: 10, anno: 2001,
pagine: 771 - 783
SICI:
1524-6094(200110)10:8<771:ASSWCS>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CONTROLLED TRIAL; NEW-YORK-CITY; TRANSMITTED DISEASES; FEMALE-CONDOM; AIDS-PREVENTION; HIV-INFECTION; BEHAVIORAL INTERVENTION; CONTRACEPTIVE SPONGE; INCARCERATED WOMEN; DRUG-USERS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
69
Recensione:
Indirizzi per estratti:
Indirizzo: Gollub, EL Univ Penn, Penn VA Ctr Addict Studies, 3535 Market St,4th Floor, Philadelphia, PA 19104 USA Univ Penn 3535 Market St,4th Floor Philadelphia PA USA 19104 SA
Citazione:
E.L. Gollub et al., "Achieving safer sex with choice: Studying a women's sexual risk reduction hierarchy in an STD clinic", J WOMEN H G, 10(8), 2001, pp. 771-783

Abstract

A flexible, risk-reduction approach, as compared with a single method approach, may increase sexually transmitted disease (STD)/HIV protection for women attending STD clinics. A brief intervention was tested in an observational study of 292 STD clinic patients in three distinct cohorts. These included subjects counseled on (1) the "women's safer sex hierarchy of prevention methods" (hierarchy cohort, n = 118), including the female condom (FC), male condom (MC), diaphragm, cervical cap, and spermicides, (2) MC only (n =62), or (3) FC (n = 112) only. We evaluate method use and level of protection achieved at 6-month follow-up among the women in the hierarchy cohort and compare the level of unprotected sex across the three cohorts, using ordinal logistic regression analyses and an imputation procedure to account for attrition. In the hierarchy cohort, the MC, FC, spermicidal film, foam, suppository, and diaphragm were used with main partners by 80%, 46%, 37%, 28%, 17%, and 5% of women, respectively. Spermicides were used frequently, mainly in conjunction with condoms. As compared with hierarchy subjects, bothMC cohort subjects (OR = 2.3, p = 0.01) and FC cohort subjects (OR = 1.6, p = 0.11) were more likely to report 100% unprotected sex. The tendency forsubjects to move toward higher levels of protection was observed most strongly in the hierarchy group. Hierarchical-type counseling, compared with single method counseling, leads to increased protection during sex among women at high risk of STD/HIV infection and should be implemented in STD clinics.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 00:48:05