Women's acceptance of the diaphragm: The role of relationship factors |
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| Authors: | Linda J Beckman S Marie Harvey Sheryl Thorburn Julie E Maher K L Burns |
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| Institution: | 1. Alliant International University , 1000 South Fremont, Unit 5, Los Angeles, Alhambra, CA, 91803–1360 E-mail: lbeckman@alliant.edu;2. University of Oregon ,;3. Oregon State University ,;4. Multnomah County Health Department and Oregon Department of Human Services , |
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| Abstract: | The vaginal diaphragm is a candidate for a female‐controlled method that could reduce risk of HIV/STI acquisition. We examined the association between relationship and partner factors and three measures of diaphragm acceptability: current use, consistency of use, and satisfaction with use. We conducted a telephone survey with 448 female members of a managed care organization, aged 18–49, who currently used contraception (including 140 diaphragm users, 187 pill users, and 121 male condom users). Use of a specific contraceptive was significantly associated with relationship length, condom‐use negotiation self‐efficacy, importance of covert use, perceived motivation of partner to prevent HIV/STIs, and perceived satisfaction of partner with current method. In addition, among diaphragm users, communication about HIV/STIs and perceived partner motivation to use a diaphragm were related to consistent use. These results suggest that acceptability of contraceptive methods among women is influenced by their perceptions of their male partner and relationship factors. |
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