Female condom introduction and sexually transmitted infection prevalence: results of a community intervention trial in Kenya

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Date
2001Author
Feldblum, Paul J
Kuyoh, Maureen A
Bwayo, JJ
Omari, Mohamed
Wong, Emelita L
Tweedy, Kathryn G
Welsh, Michael J
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Objective: To measure the impact on sexually transmitted infection (STI) prevalence
of a female condom introduction and risk-reduction program at Kenyan agricultural
sites.
Design: We conducted a cluster-randomized trial to determine whether a replicable,
community-level intervention would reduce STI prevalence.
Methods: Six matched pairs of tea, coffee and ¯ower plantations were identi®ed. The
six intervention sites received an information/motivation program with free distribution
of female and male condoms, and six control sites received only male condoms and
related information. Participants were tested for cervical gonorrhea and chlamydia by
ligase chain reaction on urine specimens, and vaginal trichomoniasis by culture, at
baseline, 6 and 12 months.
Results: Participants at intervention (n 969) and control sites (n 960) were similar;
baseline STI prevalence was 23.9%. Consistent male condom use was more than 20%
at 12 months. Consistent female condom use was reported by 11 and 7% of intervention
site women at 6 and 12 months. Unadjusted STI prevalence was 16.5 and 17.4%
at 6 months, and 18.3 and 18.5% at 12 months, at the intervention and control sites,
respectively. Logistic regression models con®rmed the null effect of the female
condom intervention.
Conclusions: Female condom introduction did not enhance STI prevention at these
sites. It is unclear which aspects of the intervention ± STI education, condom
promotion, case management ± were associated with decreased STI prevalence from
baseline to follow-up.
URI
http://journals.lww.com/aidsonline/Abstract/2001/05250/Female_condom_introduction_and_sexually.12.aspxhttp://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/51351
http://www.ncbi.nlm.nih.gov/pubmed/11399986.
Citation
AIDS: 25 May 2001 - Volume 15 - Issue 8 - pp 1037-1044Publisher
Family Health International, Research Triangle Park, North Carolina, USA, Family Health International, Nairobi Department of Medical Microbiology, University of Nairobi, Nairobi, Kenya.
Subject
Female condomsMale condoms
Sexually transmitted infections
Cluster randomized trial
Intervention trial
Epidemiologic methods
Kenya
Collections
- Faculty of Health Sciences (FHS) [10214]