Services on Demand
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Revista Brasileira de Epidemiologia
Print version ISSN 1415-790X
KALCKMANN, Suzana; FARIAS, Norma and CARVALHEIRO, José da Rocha. Evaluation of continuity of use of female condoms among users of the Brazilian National Health System (SUS): longitudinal analysis in units in the metropolitan region of São Paulo, Brazil. Rev. bras. epidemiol. [online]. 2009, vol.12, n.2, pp. 132-143. ISSN 1415-790X. http://dx.doi.org/10.1590/S1415-790X2009000200004.
The new profile of the AIDS epidemic necessarily includes the implementation of alternatives which go beyond HIV prevention, meaning sexual partner negotiation and double protection: against STD (including AIDS) and unplanned pregnancy - the female condom (FC) as a possible alternative. The objective of this study was to assess continuity of the high initial acceptability of FC described in different studies. Vulnerable groups were monitored for 12 months: 16 public services of the São Paulo metropolitan area (7 specialized in STD/AIDS; 6 primary care units and 3 community projects). 2,469 women were enrolled, 713 from STD/AIDS services, 1,417 from primary care units and 339 from community projects. Kaplan-Meier, log-rank and the Cox regression model were used to analyze survival curves, CI=95%. At the end of follow-up, 355 (14.4%) women were using female condom continuously. The mean period of use of all participants was 3.55 months (CI 95%: 3.37- 3.73). Results showed type of service providing the device and frequency of sexual intercourse as factors statistically significant related to continuity of use. The high number of women accepting the use of female condom in different services showed an important demand for the device, the need to provide appropriate access to orientation and of making female condom continuously available.
Keywords : female condom; condom; Aids prevention; follow-up studies.