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北京协和医学院 聂黎 PUMC Nie Li

凭祥性服务妇女的国产与进口女用安全套使用情况比较 Comparison of FC to Chinese FC with applicator among female sex workers in PX. 北京协和医学院 聂黎 PUMC Nie Li. 中美项目总结会 海南三亚 2011 年 10 月 24 日. 1 Two kinds of female condom (FC). Domestic Phoenix female condom

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北京协和医学院 聂黎 PUMC Nie Li

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  1. 凭祥性服务妇女的国产与进口女用安全套使用情况比较Comparison of FC to Chinese FC with applicator among female sex workers in PX 北京协和医学院 聂黎 PUMCNie Li 中美项目总结会 海南三亚 2011年10月24日

  2. 1 Two kinds of female condom (FC) Domestic Phoenix female condom (DPFC) FC1 Similarities: 1. Material 2. Size Differences: 1. Insertion Using fingers v.s. using applicator 2. Shape straight v.s. dumbbell

  3. 2. Comparison 1. Different insertions 2. Disparities of shape 3. Use and willingness to use FC

  4. 3. Data collection CHINA/U.S. WOMEN’S HEALTH PROJECT REGULAR INTERVENTION WITH FC1 , DPFC AND MALE CONDOM Aug. 2010---May.2011 Oct. 2008---July. 2010 24-month follow-up survey Interview user of DPFC

  5. 3. Data collection 1. Interviews with users of DPFC Date:2010.8—9; Target recruited:Female sex workers (FSWs) who used more than two FC1s before ; Method:FSWs used 3 to 5 DPFC during 2 or 3 weeks , and they were interviewed ; Results:16FSWs recruited,11 of them interviewed , 50DPFCs used with 44 men,40 of them used with applicator. 8 FSWs used the applicator every sex.

  6. 3. Data collection 2. 24-month follow-up survey Date:2011.5; Target:the same with WOMEN’S HEALTH PROJECT Method:face-to-face questionnaire; Sample: 152; Questionnaire:add the use of DPFC

  7. 4 Compare with insertions (1)inner ring is slippery and hard to be squeezed, and using applicator avoid this problem. “比以前好捏,以前是要用手捏的,那个内环有点滑,抓不住,我就感觉用棍子好放进去。 ”(P310XW, 39岁) “这个工具省时间,方便。以前那个放1个,这个都可以放10个了,闭着眼睛都能放进去。以前那个难拿住(内环)塞进去。现在这个办法想的好。”(P304PD, 54岁)

  8. 4 Compare with insertions (2)The applicator is longer than the finger, so that the inner ring is pushed deeper. “我喜欢用棍子放,用手放就好像放不到子宫那个地方,每次都要用指甲从里面把内环套上(宫颈口)去,而且是要弄一会(意思就是用手调整内环的时候比较长)。 用棍子的话一推进去就到底了,再往旁边捅一下,很容易把内环套上(宫颈口)。因为用指头的话就没有用棍子那么深,棍子比较长。”(P310LM, 39岁)

  9. 4 Compare with insertions Applicator< fingers 1、feel the inner ring directly using fingers ; 2、still need to adjust the inner ring; 3、waste time ; Applicator > fingers • 1、The applicator avoid the problem of slippery inner ring • 2、The inner ring is easier to be pushed using applicator ; • 3、 The inner ring is easier to be put on the right place ; • 4、much cleaner ; • 5、save time; Also need to study and practice

  10. 4 Compare with insertions 24m follow-up survey Scale of the applicator acceptability 6 items,4 ranks(strongly disagree–strongly agree) Results:mean score=16.5(full score 24) Positive attitude towards the applicator

  11. 5. Comparison of shape 1. Hardly had perception of differences of shape 2. 3 FSWs mentioned,that the area of protection of DPFC was smaller, and they worried about the out ring would be pushed into the vagina. “我觉得他一用力的时候,感觉外环要被推进去了,就好像是跟着(阴茎)进去了。”(P304AL,32岁)

  12. 6 Use of FC1 and DPFC Background :95% used male condom 90% heard of female condom

  13. 6. Use of FC1 and DPFC Proportion of FSWs who ever used FC1 and DPFC (%), grouped by time they first heard of female condom Used imported FC Used China FC Heard of FC more than 1 year ago Heard of FC less than 1 year ago

  14. 6. Use of FC1 and DPFC Proportion of FSWs who used FC1 or DPFC more than once among female condom users China FC Imported FC

  15. 7. Willingness to use Proportion of FSWs who hope to use female condom Proportion of FSWs who hope to use female condom in different groups. Heard of FC more than 1 year ago Heard of FC less than 1 year ago

  16. 7. Willingness to use Which female condom do FSWs prefer? Imported Chinese Equal preference Undecided

  17. 7. Willingness to use Which female condom do FSWs prefer by group? Heard of FC more than 1 year ago (35 women) Heard of FC less than 1 year ago (34 women) Imported Equal preference Chinese Undecided

  18. Summary 1. It is easier to squeeze the inner ring into the vagina when using an applicator than fingers, but the attitude towards placement for application of inner ring is variable; 2. Hardly had perception of differences of shape ; 3. Different proportions of FSWs using FC1 and DPFC, but FSWs prefer DPFC to FC1.

  19. Acknowledgements 谢 谢 CDC of Guangxi Autonomous Region Beijing Municipal Commission of Education --- Program of main discipline establishment Global foundation CDC of Pingxiang Liu Wei, Zhou Yuejiao He Bo, Nong Liping, Bi Suzhang, Li Bing

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