Female Condom Use in South African College Students

南非大学生女用安全套使用情况

• 批准号: 7099503
• 负责人: Joanne Ellen Mantell
• 金额: $ 49.77万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-06 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7099503
• 关键词: AIDS education /prevention; Africa; attitude; behavioral /social science research tag; clinical research; cognitive behavior therapy; communicable disease control; communication; condoms; disease /disorder prevention /control; family planning; female; human subject; human therapy evaluation; interview; longitudinal human study; male; patient oriented research; safe sex /sex abstinence; sex behavior; sex education; sex roles; sexually transmitted diseases; university student; women' s health

DESCRIPTION (provided by applicant): Women's unequal position in sexual negotiations highlights the need for methods, such as the female condom, that they can initiate. In South Africa, the female condom has been endorsed as a pregnancy and disease prevention method, and, since the launch of a government-sponsored introductory strategy, demand has been growing. The female condom has the potential to enhance women's bargaining power within their relationships, but its successful use also depends on male partner cooperation. Few interventions for women to learn female condom negotiation skills have been developed and evaluated, especially in settings such as South Africa, where unequal gender relations pose a special challenge. The proposed study will develop and test a two-session, culture-specific, group-based female condom negotiation and insertion skills intervention on a South African university campus. Specific study aims areto (1) develop, implement, and test the effectiveness in a randomized controlled trial of a brief cognitive-behavioral intervention versus a standard information-only intervention on short- and long-term use of the female condom, total number of male and female condom-unprotected occasions, and female condom attitudes among South African female university students; (2) identify the individual, contextual, and method-related determinants of female condom initiation, maintenance, and discontinuation; (3) explore the context of the introduction and use of the female condom for both women and their male partners using qualitative methods, and (4) explore men's attitudes about the female condom and men's role in female condom use. In the Preparatory Research Phase, formative qualitative work (ethnographic mapping on campus and 20 focus groups, N = 200) and a campus-wide representative cross-sectional survey of 1,000 students will be conducted to understand the social context and characterize the target population, formulate appropriate intervention messages, and serve as a recruitment source for the Phase II trial. The Trial Phase will test the effectiveness of a cognitive-behavioral skills intervention against an information-only control condition on short- and long-term use and discontinuation of the female condom among 280 women. Participants will be assessed prior to and immediately post-intervention, and at three and six months thereafter. In-depth interviews with 70 female trial participants and 70 of their male partners will augment data provided by women participants to increase understanding of the contextual factors that influence initial adoption, long-term use and discontinuation of the female condom. If successful, this brief intervention should be widely replicable in other similar settings.

描述（由申请人提供）：妇女在性谈判中的不平等地位突出了他们可以发起的方法（例如女性避孕套）的需求。在南非，女性避孕套已被称为一种预防妊娠和疾病方法，并且自政府赞助的介绍策略启动以来，需求一直在增长。女性避孕套有可能增强妇女在人际关系内的谈判能力，但其成功使用也取决于男性伴侣的合作。对于女性学习女性避孕套谈判技巧的干预措施很少，尤其是在南非等环境中，不平等的性别关系带来了特别的挑战。拟议的研究将在南非大学校园内开发和测试两项，基于群体的女性避孕套谈判和插入技能干预。具体研究的目的是Areto（1）在短暂的认知行为干预措施的随机对照试验中开发，实施和测试有效性，与对女性避孕套的短期和长期使用，男性和女性避孕套的总数，女性避孕套的总数，以及南非女性女性的女性养老院学生的总数，是对女性避孕套的短期和长期使用的标准信息干预； （2）确定女性避孕套，维护和中断的个人，上下文和方法相关的决定因素； （3）探索使用定性方法为女性及其男性伴侣引入和使用女性避孕套的背景，以及（4）探讨男性对女性避孕套和男性在女性避孕套使用中的作用的态度。在预备研究阶段，将对1,000名学生进行形成性定性工作（校园和20个焦点小组的民族志图，n = 200），以了解社会环境并表征目标人群，制定适当的干预信息，并作为II期试验的招聘来源。试验阶段将测试认知行为技能干预的有效性，以针对280名妇女中女性避孕套的短期和长期使用和停用仅信息控制条件。参与者将在干预前后立即进行评估，此后三个月和六个月。对70名女性审判参与者和70名男性伴侣的深入访谈将增加女性参与者提供的数据，以提高对影响女性避孕套的初始采用，长期使用和终止的上下文因素的理解。如果成功，此简短干预应在其他类似设置中广泛复制。