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Recent News and Articles on the Keywords: latex diaphragm + women using + hiv  Related to the article below (Last Update: 5/19/2008)

Shoshana Bennett: The Unique Contraceptive Needs of New Moms
EmpowHer, AZ - Apr 22, 2008
The diaphragm is a latex cup which is filled with spermicide and inserted into the vagina prior to sexual intercourse. The cervical cap is similar, ...
Source: Google News

Effectiveness of the non-spermicidal fit-free diaphragm -
C Smith, G Farr, PJ Feldblum, A Spence - Contraception, 1995 - Elsevier
... for the prophylactic effect of the diaphragm, it would be a disservice to instruct
women to omit ... to add spermicide to fitted latex diaphragms, especially ...

Diaphragm and lubricant gel for prevention of HIV acquisition in southern African women: a … -
NS Padian, A van der Straten, G Ramjee, T Chipato, … - The Lancet, 2007 - Elsevier
... Known sensitivity or allergy to latex. ... at using the diaphragm than those in the control
group, all women were fitted for a diaphragm before randomisation ...

Predictors of Diaphragm Use as a Potential Sexually Transmitted Disease/HIV Prevention Method in … -
A van der Straten, MS Kang, SF Posner, M Kamba, T … - Sexually Transmitted Diseases, 2005 - stdjournal.com
... Those who were allergic to latex, pregnant, or intending to get pregnant over the
next 8 months were ... The proportion of women using a diaphragm for every sex ...

Current Contraceptive Research -
JL Schwartz, HL Gabelnick - Perspectives on Sexual and Reproductive Health, 2002 - JSTOR
... For example, among all women at risk ... pregnancy, the proportion who use the diaphragm
declined from ... to improve over the standard latex diaphragm, which Margaret ...

… , service delivery requirements, and use-effectiveness of the diaphragm in Colombia, Philippines, … -
A Bulut, N Ortayli, K Ringheim, J Cottingham, TMM … - Contraception, 2001 - Elsevier
... Women interested in the diaphragm were screened via ... They were excluded from using
the diaphragm if they had a known allergy to spermicides or latex, a history ...

Reproductive Decision-Making and Determinants of Contraceptive Use in HIV-Infected Women. -
HA WILLIAMS, BSN RNC, CE WATKINS, BSN RNC, JA … - Clinical Obstetrics and Gynecology, 1996 - clinicalobgyn.com
... be as high as 98%, if the diaphragm is properly ... that sexual partners of HIV-seropositive
women using OCPs or ... The latex condom is the only contraceptive method ...

New FDA-approved woman-controlled, latex-free barrier contraceptive device ?FemCap?
A Shihata - International Congress Series, 2004 - Elsevier
... New FDA-approved woman-controlled, latex-free barrier contraceptive device ?FemCap ...
be significantly less than the risk to those women using the diaphragm. ...

… barrier methods in preventing sexually transmitted infections and HIV: current evidence and future … -
AM Minnis, NS Padian - British Medical Journal, 2005 - sti.bmj.com
... options have expanded from traditional latex diaphragms and ... varied and consisted
of either women using non-barrier ... about the role of the diaphragm in HIV and ...

A new look at an old method: the diaphragm -
SM Harvey, ST Bird, MR Branch - Perspectives on Sexual and Reproductive Health, 2003 - JSTOR
... unacceptable to some women, other women may find ... non- hormonal contraceptive methods
such as the diaphragm. CONCLUSION Without question, latex male condoms are ...

Women and the heterosexual transmission of HIV: Risks and prevention strategies -
N Gavey, K McPhillips - WOMEN HEALTH, 1997 - haworthpress.com
... in almost one third of the latex condoms tested (Carey ... of the protective effects
of traditional women-controlled barrier ... methods, such as the diaphragm and the ...

Source: Google Scholar

Women Using Latex Diaphragm With Condoms Had Same HIV Incidence As Those Who Only Used Condoms, Study Says
Women who used latex diaphragms and condoms as an HIV prevention method had the same HIV incidence as those who only used condoms, according to a study published online on Thursday in advance of the July 14 issue of the journal Lancet, the Wall Street Journal reports (Chase, Wall Street Journal, 7/13).

For the study -- funded by a $37 million grant from the Bill & Melinda Gates Foundation -- Nancy Padian of the University of California-San Francisco and colleagues enrolled nearly 5,000 women ages 18 to 49 in Durban and Johannesburg, South Africa, and in Harare, Zimbabwe. The researchers followed the study participants for an average of 18 months, the San Francisco Chronicle reports. Half the participants were given diaphragms, gel lubricant and condoms, while the other half were provided with condoms only. Both groups also received extensive counseling on condom use, the Chronicle reports.
The study found that HIV incidence between the two groups was almost identical, with about 4% of women in both groups becoming HIV-positive annually. According to the study, 158 women who were given diaphragms, lubricant, condoms and counseling became HIV-positive and 151 women who were given condoms and counseling became HIV-positive. Padian said one of the more disappointing and surprising results was that women given diaphragms reported using them 70% of the time. The same group of participants also reported that their partners used condoms 54% of the time, compared with 85% condom usage in the group given condoms only. The almost identical HIV incidence between the two groups might suggest that diaphragm use is at least as effective as condoms at preventing HIV, but because the trial was not designed to compare the two methods, there is no proof of equivalence, Padian said (Russell, San Francisco Chronicle, 7/13).

The study's findings should be investigated further, but they do not "warrant using [diaphragms] as a protective mechanism now," Padian said (Russell, San Francisco Chronicle, 7/13). She added, "Condoms remain the only proven barrier method for HIV prevention" (Reuters, 7/12).

Comments
"It's very, very disappointing, of course," Padian said, adding, "We were hoping to find a protective effect" (San Francisco Chronicle, 7/13). The study's findings are especially disappointing for women "who still can't negotiate condom use by men," Padian said. Women worldwide urgently need HIV prevention methods they can control, an accompanying Lancet opinion piece said (Wall Street Journal, 7/13).

Nick Hellmann, interim director of HIV/AIDS and tuberculosis at the Gates Foundation, said although the results of the study are disappointing, they are simply part of the scientific process. He added that the findings will not deter the Gates Foundation from continuing to fund for research in the field. "There have been setbacks, but we know we can do this," Hellmann said, adding, "It's a matter of finding the right intervention."
Zeda Rosenberg, CEO of the International Partnership for Microbicides, said the study provides valuable information for future investigations into such products. "These studies are incredibly difficult to do, but it is a difficulty that can and must be overcome," she said, adding, "Women are at high risk of [HIV] infection throughout the world, and they don't have a means of protecting themselves under their control" (San Francisco Chronicle, 7/13).

The study is available online.

"Reprinted with permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation . © 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
 
 
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