Variations in microbicide gel acceptability among young women in the USA and Puerto Rico

Rebecca Giguere, Alex Carballo-Diéguez, Ana Ventuneac, Marina Mabragaña, Curtis Dolezal, Beatrice A. Chen, Jessica A. Kahn, Gregory Zimet, Ian McGowan

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

In a multi-site study of vaginal microbicide acceptability conducted with sexually active young women, quantitative assessments revealed significant differences in acceptability by site. Participants in Puerto Rico rated the gel more favourably than mainland US participants in terms of liking the gel and likelihood of future use. To explain these differences, we examined responses to qualitative behavioural assessments. Young women in mainland USA associated gel leakage with uncomfortable sensations experienced during menstruation, while young women in Puerto Rico had positive associations of gel use with douching. These negative or positive associations affected assessments of the gel's physical qualities. In addition, young women's perceptions of primary partners' support for microbicide use influenced sexual satisfaction with the gel and, ultimately, product acceptability. Finally, geographic HIV-risk context contributed to heightened HIV-risk perception, which influenced likelihood of future microbicide use, even for women in stated monogamous relationships. Future microbicide acceptability studies should take into account potential differences in acceptability by site such as HIV-risk perception based on local HIV prevalence, popularity of vaginal hygiene products in a specific area and male attitudes in different cultures concerning women's use of HIV protection strategies.

Original languageEnglish
Pages (from-to)151-166
Number of pages16
JournalCulture, Health and Sexuality
Volume14
Issue number2
DOIs
StatePublished - Feb 2012

Fingerprint

Puerto Rico
Anti-Infective Agents
Gels
HIV
Orgasm
menstruation
Menstruation
Therapeutic Irrigation
hygiene
Hygiene
popularity

Keywords

  • HIV risk
  • microbicide acceptability
  • Puerto Rico
  • USA
  • young women

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Medicine(all)

Cite this

Giguere, R., Carballo-Diéguez, A., Ventuneac, A., Mabragaña, M., Dolezal, C., Chen, B. A., ... McGowan, I. (2012). Variations in microbicide gel acceptability among young women in the USA and Puerto Rico. Culture, Health and Sexuality, 14(2), 151-166. https://doi.org/10.1080/13691058.2011.630099

Variations in microbicide gel acceptability among young women in the USA and Puerto Rico. / Giguere, Rebecca; Carballo-Diéguez, Alex; Ventuneac, Ana; Mabragaña, Marina; Dolezal, Curtis; Chen, Beatrice A.; Kahn, Jessica A.; Zimet, Gregory; McGowan, Ian.

In: Culture, Health and Sexuality, Vol. 14, No. 2, 02.2012, p. 151-166.

Research output: Contribution to journalArticle

Giguere, R, Carballo-Diéguez, A, Ventuneac, A, Mabragaña, M, Dolezal, C, Chen, BA, Kahn, JA, Zimet, G & McGowan, I 2012, 'Variations in microbicide gel acceptability among young women in the USA and Puerto Rico', Culture, Health and Sexuality, vol. 14, no. 2, pp. 151-166. https://doi.org/10.1080/13691058.2011.630099
Giguere R, Carballo-Diéguez A, Ventuneac A, Mabragaña M, Dolezal C, Chen BA et al. Variations in microbicide gel acceptability among young women in the USA and Puerto Rico. Culture, Health and Sexuality. 2012 Feb;14(2):151-166. https://doi.org/10.1080/13691058.2011.630099
Giguere, Rebecca ; Carballo-Diéguez, Alex ; Ventuneac, Ana ; Mabragaña, Marina ; Dolezal, Curtis ; Chen, Beatrice A. ; Kahn, Jessica A. ; Zimet, Gregory ; McGowan, Ian. / Variations in microbicide gel acceptability among young women in the USA and Puerto Rico. In: Culture, Health and Sexuality. 2012 ; Vol. 14, No. 2. pp. 151-166.
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