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An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection

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Microbicides: information, beliefs, and preferences for insertion.

Beth A Auslander¹, Michelle M Perfect, Daniel M Breitkopf

¹Department of Pediatrics, University of Texas Medical Branch at Galveston, Galveston, Texas 77555-0319, USA. baauslan@utmb.edu

Journal of Women'S Health (2002)

|December 8, 2007

Summary

Women expect to get information on microbicides from doctors and pharmacists. They believe factors like menstruation may affect effectiveness and prefer inserting them before intercourse, often with partner involvement.

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Area of Science:

Reproductive Health
Infectious Disease Prevention
Social and Behavioral Science

Background:

Microbicides are under development to prevent sexually transmitted infections (STIs) and HIV acquisition.
These products are not yet publicly available, necessitating research into user expectations and preferences.

Purpose of the Study:

To determine where women would seek information about microbicides.
To identify factors women believe may affect microbicide effectiveness.
To understand women's anticipated preferences for microbicide use, including timing, location, and partner involvement.

Main Methods:

A cross-sectional study involving face-to-face interviews with 126 women aged 18-35 years.
Participants were recruited from a gynecology clinic and shown a microbicide surrogate.
Data collected via closed-ended questions on demographics, information sources, perceived effectiveness factors, and usage preferences; analyzed using univariate descriptive statistics.

Main Results:

Physicians (89%), package inserts (86%), and pharmacists (70%) were the most anticipated information sources.
Two-thirds of women believed menstruation or other medications could reduce effectiveness; one-third cited bathing or birth control.
Most women preferred pre-intercourse insertion (90%) in the bathroom (73%), with 95% anticipating informing partners and 38% considering partner insertion.

Conclusions:

Anticipatory guidance and package inserts should address women's beliefs about factors potentially limiting microbicide effectiveness.
Partner involvement is anticipated, thus education and marketing strategies must include partner perspectives and preferences.