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Dual-method use among an ethnically diverse group of women at risk of HIV infection.
Fam Plann Perspect. 1998 Sep-Oct; 30(5):212-7.FP

Abstract

CONTEXT

Few U.S. women protect themselves against both pregnancy and sexually transmitted diseases (STDs) by using an efficient contraceptive method and a condom. Understanding the factors that influence dual-method use could help improve interventions aimed at encouraging protective behaviors.

METHODS

Interviews were conducted with 552 low-income women at risk of HIV who attended public health or economic assistance facilities in Miami in 1994 and 1995. Multinomial logit analyses were used to determine the influence of women's background characteristics, perceived vulnerability to pregnancy and AIDS, and relationship characteristics on the odds of dual-method use.

RESULTS

Overall, 20% of the women used dual methods. Women who were not married, who worried about both pregnancy and AIDS, who had ever had an STD, who were confident they could refuse a sexual encounter in the absence of a condom and who made family planning decisions jointly with their partner were the most likely to use dual methods rather than a single method (odds ratios, 2.0-3.5); those who considered the condom only somewhat effective in preventing AIDS or who shared economic decision-making with their partner were the least likely to use dual methods rather than a single method (0.5-0.6). The results were generally similar in analyses examining the odds of dual-method use involving an efficient contraceptive, except that black and Hispanic women were significantly more likely than whites to use condoms in conjunction with efficient contraceptives (3.3-7.1).

CONCLUSIONS

Both women's individual characteristics and the context of their sexual relationships influence whether they simultaneously protect themselves from pregnancy and HIV. The involvement of male partners in family planning decision-making and women's control over economic decision-making ensure greater protection against HIV infection.

Authors+Show Affiliations

UCLA Drug Abuse Research Training Center, UCLA School of Medicine, Los Angeles, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

9782043

Citation

Riehman, K S., et al. "Dual-method Use Among an Ethnically Diverse Group of Women at Risk of HIV Infection." Family Planning Perspectives, vol. 30, no. 5, 1998, pp. 212-7.
Riehman KS, Sly DF, Soler H, et al. Dual-method use among an ethnically diverse group of women at risk of HIV infection. Fam Plann Perspect. 1998;30(5):212-7.
Riehman, K. S., Sly, D. F., Soler, H., Eberstein, I. W., Quadagno, D., & Harrison, D. F. (1998). Dual-method use among an ethnically diverse group of women at risk of HIV infection. Family Planning Perspectives, 30(5), 212-7.
Riehman KS, et al. Dual-method Use Among an Ethnically Diverse Group of Women at Risk of HIV Infection. Fam Plann Perspect. 1998 Sep-Oct;30(5):212-7. PubMed PMID: 9782043.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dual-method use among an ethnically diverse group of women at risk of HIV infection. AU - Riehman,K S, AU - Sly,D F, AU - Soler,H, AU - Eberstein,I W, AU - Quadagno,D, AU - Harrison,D F, PY - 1998/10/22/pubmed PY - 1998/10/22/medline PY - 1998/10/22/entrez KW - Acquired Immunodeficiency Syndrome--prevention and control KW - Americas KW - Barrier Methods KW - Behavior KW - Condom KW - Contraception KW - Contraceptive Methods KW - Contraceptive Usage--determinants KW - Cross Sectional Analysis KW - Cultural Background KW - Demographic Factors KW - Developed Countries KW - Diseases KW - Ethnic Groups KW - Family Planning KW - Florida KW - Hiv Infections--prevention and control KW - Infections KW - North America KW - Northern America KW - Population KW - Population Characteristics KW - Reproductive Tract Infections KW - Research Methodology KW - Research Report KW - Risk Reduction Behavior--determinants KW - Sex Behavior KW - Sexually Transmitted Diseases--prevention and control KW - United States KW - Viral Diseases SP - 212 EP - 7 JF - Family planning perspectives JO - Fam Plann Perspect VL - 30 IS - 5 N2 - CONTEXT: Few U.S. women protect themselves against both pregnancy and sexually transmitted diseases (STDs) by using an efficient contraceptive method and a condom. Understanding the factors that influence dual-method use could help improve interventions aimed at encouraging protective behaviors. METHODS: Interviews were conducted with 552 low-income women at risk of HIV who attended public health or economic assistance facilities in Miami in 1994 and 1995. Multinomial logit analyses were used to determine the influence of women's background characteristics, perceived vulnerability to pregnancy and AIDS, and relationship characteristics on the odds of dual-method use. RESULTS: Overall, 20% of the women used dual methods. Women who were not married, who worried about both pregnancy and AIDS, who had ever had an STD, who were confident they could refuse a sexual encounter in the absence of a condom and who made family planning decisions jointly with their partner were the most likely to use dual methods rather than a single method (odds ratios, 2.0-3.5); those who considered the condom only somewhat effective in preventing AIDS or who shared economic decision-making with their partner were the least likely to use dual methods rather than a single method (0.5-0.6). The results were generally similar in analyses examining the odds of dual-method use involving an efficient contraceptive, except that black and Hispanic women were significantly more likely than whites to use condoms in conjunction with efficient contraceptives (3.3-7.1). CONCLUSIONS: Both women's individual characteristics and the context of their sexual relationships influence whether they simultaneously protect themselves from pregnancy and HIV. The involvement of male partners in family planning decision-making and women's control over economic decision-making ensure greater protection against HIV infection. SN - 0014-7354 UR - https://www.unboundmedicine.com/medline/citation/9782043/Dual_method_use_among_an_ethnically_diverse_group_of_women_at_risk_of_HIV_infection_ L2 - https://www.guttmacher.org/pubs/journals/3021298.html DB - PRIME DP - Unbound Medicine ER -