Academic journal article International Family Planning Perspectives

Diaphragm Adds No HIV Protection to Condom

Academic journal article International Family Planning Perspectives

Diaphragm Adds No HIV Protection to Condom

Article excerpt

Women provided with a dia-phragm and lubricant gel in addition to condoms to use during sex do not have a lower risk of becoming infected with HIV than women provided with condoms only, according to a study conducted in South Africa and Zimbabwe between September 2003 and December 2006. (1) Among the 2,472 sexually active, HIV-negative women aged 18-49 in the intervention group, who were given and instructed to use a latex diaphragm with lubricant gel and condoms during sex, the incidence of HIV infection over the study period was 4.1 seroconversions per 100 woman-years; HIV incidence was 3.9 seroconversions per 100 woman-years among the 2,476 similar women in the control group, who were provided with condoms only. The relative hazard of HIV infection for the intervention group compared with the control group was 1.05, a nonsignificant finding. Although there was no difference at enrollment in the proportions of women in the intervention and control groups who had used condoms at last sex, over the course of the study, a smaller proportion of women in the intervention group than of those in the control group reported using condoms at last sex (54% vs. …

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