Promoting Female Condom Use Among Female University Students in KwaZulu-Natal, South Africa: Results of a Randomized Behavioral Trial

AIDS Behav. 2015 Jul;19(7):1129-40. doi: 10.1007/s10461-014-0860-6.

Abstract

Relatively few interventions have tested the efficacy of female condom promotion either alone or in combination with other barrier methods. We evaluated the efficacy of a two-session (enhanced) cognitive-behavioral intervention (EI) (n = 147) against a one-session control (minimal) educational intervention (MI) (n = 149) to promote female condom (FC) use among female students aged 18-28 at a South African university. We assessed change from baseline to 2.5 and 5 months in number of vaginal intercourse occasions unprotected by male or female condoms in EI versus MI using generalized linear models with a log link function and GEE. Both groups reported significant reductions in number of unprotected vaginal intercourse occasions from baseline to each follow-up, with no significant difference between the two-session and single-session intervention. Introduction of a brief group-based MI FC promotion intervention with FC access holds promise for delivery in clinics and other community venues.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Cognitive Behavioral Therapy / methods*
  • Condoms, Female / statistics & numerical data*
  • Female
  • HIV Infections / prevention & control*
  • Health Knowledge, Attitudes, Practice
  • Health Promotion / methods
  • Humans
  • Male
  • Outcome Assessment, Health Care
  • Risk Reduction Behavior
  • Risk-Taking*
  • Sexual Behavior*
  • Sexually Transmitted Diseases / prevention & control
  • South Africa
  • Students / psychology*
  • Universities*