Original Paper

AIDS and Behavior

, Volume 17, Issue 3, pp 1195-1204

First online:

Awareness and Acceptability of Female Condoms Among Monogamous Hong Kong Chinese Female Sexually Transmitted Infection Patients

  • Hua YouAffiliated withDepartment of Social Medicine and Health Education, School of Public Health, Nanjing Medical University
  • , Joseph T. F. LauAffiliated withFaculty of Medicine, Centre for Health Behaviours Research, The School of Public Health and Primary Care, The Chinese University of Hong KongCentre for Medical Anthropology and Behavioral Health, Sun Yat-sen University Email author 
  • , Jing GuAffiliated withDepartment of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University
  • , Hi Yi TsuiAffiliated withFaculty of Medicine, Centre for Health Behaviours Research, The School of Public Health and Primary Care, The Chinese University of Hong Kong
  • , Zixin WangAffiliated withFaculty of Medicine, Centre for Health Behaviours Research, The School of Public Health and Primary Care, The Chinese University of Hong Kong
  • , Jean H. KimAffiliated withFaculty of Medicine, Centre for Health Behaviours Research, The School of Public Health and Primary Care, The Chinese University of Hong Kong

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Abstract

Female condom is an effective means of HIV prevention. Monogamous female sexually transmitted infection (STI) patients are exposed indirectly to high risk of contracting HIV/STI via their sole male sex partners. There are few interventions to protect such women whilst female condom use is a potential means of self-protection. With informed consent, this cross-sectional study investigated the prevalence of awareness and acceptability of female condoms among 335 Chinese monogamous female STI patients attending a government STI clinic in Hong Kong. Among those who were aware of female condoms (66.9 % of the sample), 68.3 % were willing to use free female condoms. Awareness was associated with having the sex partner being a boyfriend (OR = 3.76, P < 0.001), knowledge about asymptomatic property of HIV (OR = 2.14, P = 0.006) and no immunity for STI (OR = 2.14, P = 0.011), experience of HIV antibody testing (OR = 2.21, P = 0.004) and unemployment (OR = 0.50, P = 0.011). Among those who had heard of female condoms, acceptability was associated with knowledge about possibility to contracting two STI concomitantly (OR = 2.26, P = 0.03) and perceived chance of contracting STI from the sex partner in the coming 6 months (OR = 2.27, P = 0.04). Awareness is relatively low but the prevalence of acceptability is encouraging. Female condoms have been underused and should be promoted among monogamous female STI patients as a means of empowerment as an option for sex protection.

Keywords

Female condom Awareness Acceptability Monogamous STI females HIV/STI prevention