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Cultural differences in acceptability of a vaginal microbicide: a comparison between potential users from Nashville, Tennessee, USA, and Kafue and Mumbwa, Zambia

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Author(s): Montgomery Rice V | Maimbolwa MC | Nkandu EM | Fleming Hampton J | Lee JE | Hildreth JEK

Journal: HIV/AIDS - Research and Palliative Care
ISSN 1179-1373

Volume: 2012;
Issue: default;
Start page: 73;
Date: 2012;
Original page

ABSTRACT
Valerie Montgomery Rice,1 Margaret C Maimbolwa,2 Esther Munalula Nkandu,2 Jacqueline Fleming Hampton,3,* Jae-Eun Lee,4 James EK Hildreth51Morehouse School of Medicine, Atlanta, GA, USA; 2School of Medicine, University of Zambia, Lusaka, Zambia; 3Meharry Medical College, Center for AIDS Health Disparities Research, Nashville, TN, USA; 4RCMI Translational Research Network Data and Technology Coordinating Center, Jackson State University, Jackson, MS, USA; 5Dean, College of Biological Sciences, University of California Davis, Davis, CA, USANote: at the time the research was conducted, Dr Montgomery Rice was the Executive Director, Center for Women&#39;s Health Research, Meharry Medical College, Nashville, TN, USA, and Dr Hildreth was the Director, Center for AIDS Health Disparities Research, Meharry Medical College, Nashville, TN*Dr Fleming Hampton has passed away since this manuscript was written. We wish to honor her memory by including her as an authorPurpose: We sought to determine the relationship between acceptability of a hypothetical vaginal microbicide, cultural factors, and perceived HIV risk among African-American women in Nashville, TN, USA, and African women in Kafue and Mumbwa, Zambia.Patients and methods: Women in both sites completed a survey. Regression analyses were performed on valid samples (Nashville, 164; Zambia, 101) to determine cultural differences affecting microbicide acceptability. Regression analyses also tested whether individual risk perception affected acceptability.Results: In Zambia, 89.6% of women were willing to use a microbicide versus 81.6% in Nashville (P < 0.0001). One cultural difference is that women in the Zambian cohort viewed risk of HIV infection as distinct from risk of acquiring STIs, with 48% believing they were certain to become infected with AIDS, compared to 4% of Nashville participants.Conclusion: These results suggest a high degree of acceptability toward use of a vaginal microbicide to prevent HIV infection.Keywords: HIV/AIDS, women, birth control, sexually transmitted infections
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