The implications of post-coital intravaginal cleansing for the introduction of vaginal microbicides in South Africa.

AIDS and Behavior
Mitzy GafosMDP team

Abstract

Post-coital intravaginal cleansing (IVC) could counteract the protective effect of a vaginal microbicide. IVC less than 1 h after sex is discouraged in most microbicide trials. During a microbicide trial in KwaZulu-Natal, we collected quantitative data on post-coital IVC. We discussed IVC during in-depth-interviews (IDIs) and focus-group discussions (FGDs) with women enrolled in the trial, and during FGDs with community members. Nearly one-third (336/1,143) of women reported IVC less than an hour after sex. In multivariate analysis, post-coital IVC was associated with younger age, larger household size, greater sexual activity, consistent gel use, and clinic of enrolment. During IDIs and FGDs, respondents described post-coital IVC as a common hygiene practice motivated by the need to remove semen, vaginal fluids and sweat, although this practice may be amenable to change in the context of microbicide use. We need to consider strategies for influencing post-coital IVC practices in future microbicide trials and delivery programmes.

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Citations

Sep 30, 2014·AIDS Research and Human Retroviruses·Sumathi SivapalasingamAnn E Kurth
Feb 15, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Dominika SeidmanSteffanie A Strathdee
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May 5, 2016·Journal of the International AIDS Society·Randy M StalterUNKNOWN Consortium for Ring Adherence
Jan 1, 2017·International Journal of Sexual Health : Official Journal of the World Association for Sexual Health·Zoe DubyAriane van der Straten
Jul 17, 2019·Southern African Journal of HIV Medicine·Erica LazarusFatima Laher

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Methods Mentioned

BETA
contraception

Software Mentioned

Stata
NVivo

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