Acceptability and use of the female condom and diaphragm among sex workers in Dominican Republic: Results from a prospective study
To assess the acceptability and use of the female condom and diaphragm among female sex workers in the Dominican Republic, 243 participants were followed for 5 months. Participants received female and male condoms and a diaphragm along with proper counseling at monthly visits. Seventy-six percent reported used of female condom at least once during the final month of the study, compared with 50% that used the diaphragm with male condoms and 9% that used the diaphragm alone. The proportion of women reporting every sex act protected with some barrier method increased from 66% at first month to 77% at final month (p < 0.05). Participants reported higher acceptability and use of the female condom than the diaphragm. The introduction of female-controlled barrier methods resulted in the use of a wide range of prevention methods and a significant reduction in unprotected sex.
Lara, Diana K., Daniel Grossman, Jhoanne Munoz, Santo Rosario, Bayardo Gomez, and Sandra G. Garcia. 2009. "Acceptability and use of the female condom and diaphragm among sex workers in Dominican Republic: Results from a prospective study," AIDS Education and Prevention 21(6): 538–551.