Adherence to Diaphragm Use for Infection Prevention: A Prospective Study of Female Sex Workers in Kenya
Table 6
Reasons cited for not using diaphragm in previous 2 weeks, overall and by partner type, Nairobi, Kenya, 2004-2005.
Partner type
Overall ()
“Helping” ()
“Other” ()
Reasons for not using condoms
No.
(%)
No.
(%)
No.
(%)
Reasons related to partner or coital act
Afraid to ask
6
(7)
4
(6)
2
(3)
Did not need protection from STD
1
(1)
0
(0)
1
(1)
Trust each other
44
(48)
43
(61)
2
(3)
Know each other well enough not to use it
43
(47)
43
(61)
4
(5)
Used condoms instead
69
(75)
27
(38)
61
(82)
Diaphragm uncomfortable for partner
8
(9)
8
(11)
0
(0)
Partner objected to use
28
(30)
20
(28)
11
(15)
Unexpected sex/did not have diaphragm
46
(50)
21
(30)
39
(53)
Could not use because drunk
16
(17)
9
(13)
11
(15)
Forgot to use diaphragm
28
(30)
14
(20)
17
(23)
Lost diaphragm
2
(2)
2
(3)
2
(3)
Device-related reasons
Diaphragm uncomfortable for participant
3
(3)
1
(1)
2
(3)
Do not like having genitals touched
3
(3)
3
(4)
0
(0)
Difficulties inserting or removing
0
(0)
0
(0)
0
(0)
Did not need pregnancy protection
3
(3)
2
(3)
1
(1)
Do not think effective against STD
1
(1)
1
(1)
0
(0)
Barriers reported during at least one bimonthly follow-up visit. Participant could give multiple reasons. Analysis restricted to the subset of participants reporting inconsistent diaphragm use in the past two weeks with the relevant partner type during at least one bimonthly visit.
