Family Planning Perspectives | |
The Acceptability of a Vaginal Microbicide Among South African Men |
Table 1. Percentage distribution of men, by demographic characteristics, according to group, South Africa, 1999 | |||
Characteristics | Clinic patients | General population | University students |
(N=95) | (N=98) | (N=50) | |
Age | |||
<20 | 7.4 | 8.2 | 14.0 |
20-24 | 22.1 | 31.6 | 60.0 |
25-19 | 27.4 | 25.5 | 20.0 |
30-34 | 15.8 | 18.4 | 6.0 |
35-39 | 12.6 | 6.1 | 0.0 |
>=40 | 14.7 | 10.2 | 0.0 |
Education | |||
<5 years | 19.2 | 5.2 | 0.0 |
6-8 years | 24.5 | 17.7 | 0.0 |
9-10 years | 37.2 | 43.7 | 90.0 |
Tertiary schooling | 19.2 | 33.3 | na |
Employment | |||
Full-time | 39.4 | 36.1 | 11.8 |
Part-time | 22.3 | 34.0 | 9.8 |
Unemployed | 19.2 | 15.5 | 7.8 |
Student | 19.2 | 14.4 | 70.6 |
Ethnicity | |||
Black | 91.5 | 47.9 | 89.7 |
Indian | 5.3 | 0.0 | 7.7 |
White | 3.2 | 13.3 | 0.0 |
Other | 0.0 | 38.8 | 2.6 |
Marital/relationship status | |||
Married, no girlfriend | 19.8 | 14.7 | 15.2 |
Married, girlfriend | 20.9 | 8.4 | 0.0 |
Single, regular partner | 20.9 | 27.4 | 17.4 |
Single, casual partner | 34.1 | 31.6 | 52.2 |
Single, no partner | 4.4 | 17.9 | 15.2 |
Total | 100.0 | 100.0 | 100.0 |
Notes: The three study groups were statistically compared using chi-square tests. All p-values were statistically significant at p=.001. na=not applicable. |
Table 2. Percentage of South African men responding positively to questions about their knowledge of and attitudes toward a vaginal microbicide, by question, according to group | |||
Knowledge/attitude | Clinic patients | General population | University students |
(N=95) | (N=98) | (N=50) | |
Knows HIV researchers are looking for product women can use to prevent HIV and other STDs* | 33.3 | 33.6 | 62.2 |
Would like partner to use some kind ofWould like partner to use some kind of protection to prevent infection | 83.0 | 87.5 | 89.6 |
Woman has the right to protect herself | 88.3 | 94.7 | 93.8 |
Would like partner to use a microbicide if one should become available | 77.4 | 79.3 | 86.7 |
Have concerns about a product that would be used in a woman's vagina | 52.7 | 44.7 | 47.8 |
Would like to be informed if partner chooses to use a microbicide | 79.6 | 86.3 | 90.0 |
Would like to be involved in the decision to use a microbicide | 65.6 | 70.8 | 82.0 |
Would pay for such a product* | 54.3 | 68.8 | 74.5 |
*Difference between men who responded to the questions is statistically significant at p<.05. Note: Responses of the three study groups were statistically compared using chi-square tests. |
Table 3. Percentage distribution of South African men, by their preferences for a vaginal microbicide, according to group | |||
Preference | Clinic patients | General population | University students |
(N=95) | (N=98) | (N=50) | |
Would prefer which product if a microbicide should become available | |||
Condom | 21.6 | 6.0 | 13.0 |
Vaginal product | 54.5 | 68.7 | 60.9 |
Both | 23.9 | 25.3 | 26.0 |
Would like a vaginal product that becomes available to:** | |||
Prevent STD only | 95.0 | 61.2 | 84.0 |
Prevent pregnancy only | 5.4 | 39.4 | 8.2 |
Would like partner to use a product:** | |||
Just before sex | 30.4 | 15.6 | 22.4 |
Hours before sex | 29.3 | 23.3 | 16.3 |
After daily wash | 21.7 | 25.6 | 6.1 |
Does not matter | 18.5 | 35.6 | 55.1 |
Would mind interruption during foreplay to apply product* | |||
Yes | 43.5 | 56.4 | 34.0 |
No | 56.1 | 43.7 | 66.0 |
Would like the product to lubricate the vagina | |||
Yes | 37.0 | 33.0 | 42.1 |
No | 63.0 | 67.0 | 57.9 |
*Difference between men who responded to the question is statistically significant at p<.05. **Difference between men who responded to the question is statistically significant at p<.001. Notes: Percentages do not always add to 100 because of rounding errors, because some people responded to more than one question or because some people did not respond at all. Responses of the three groups were statistically compared using chi-square tests. |
Table 4. Percentage of South African men who responded positively to selected questions on attitudes toward microbicide use, by demographic characteristics | ||||||||
Characteristic | N* | Would like partner to use protection | Woman has right to protect herself | Would likepartner to use microbicide | Would like to be informed of microbicide use | Would like to be involved in decision | Willing to pay for microbicide | Would like microbicide to lubricate vagina |
Age | ||||||||
<20 | 22 | 95.5 | 90.5 | 80.9 | 85.7 | 66.7 | 66.7 | 50.0 |
20-24 | 80 | 96.3 | 96.2 | 89.9 | 88.9 | 76.5 | 73.8 | 28.2 |
25-29 | 60 | 90.0 | 91.7 | 87.5 | 80.3 | 73.3 | 65.6 | 35.6 |
30-34 | 34 | 82.4 | 94.4 | 73.5 | 91.7 | 72.2 | 69.4 | 40.0 |
35-39 | 18 | 50.0 | 83.3 | 41.2 | 82.4 | 61.1 | 44.4 | 37.5 |
>=40 | 23 | 65.2 | 80.9 | 63.6 | 66.7 | 54.6 | 34.8 | 40.9 |
p-value | .001 | .186 | .001 | .129 | .377 | .009 | .537 | |
Education | ||||||||
<5 years | 23 | 82.6 | 76.2 | 72.7 | 66.7 | 66.7 | 47.8 | 52.2 |
6-8 years | 39 | 79.5 | 94.9 | 76.9 | 77.5 | 62.5 | 57.5 | 33.3 |
9-10 years | 81 | 90.1 | 92.7 | 83.3 | 88.9 | 73.2 | 67.1 | 30.4 |
Tertiary | 92 | 86.9 | 94.6 | 80.9 | 87.2 | 74.5 | 69.2 | 38.3 |
p-value | .416 | .033 | .671 | .041 | .506 | .356 | .262 | |
Employment | ||||||||
Full-time | 75 | 76.0 | 92.1 | 66.2 | 81.3 | 70.1 | 63.4 | 37.1 |
Part-time | 57 | 87.7 | 91.1 | 85.2 | 80.7 | 73.2 | 63.2 | 30.9 |
Unemployed | 37 | 91.9 | 88.9 | 86.1 | 91.9 | 78.4 | 64.9 | 43.2 |
Student | 67 | 92.5 | 93.9 | 86.6 | 86.6 | 67.2 | 67.2 | 35.0 |
p-value | .020 | .835 | .008 | .402 | .655 | 964 | .676 | |
Ethnic group | ||||||||
Black | 164 | 85.4 | 91.4 | 84.1 | 85.9 | 71.3 | 63.3 | 30.6 |
Indian | 8 | 87.5 | 87.5 | 62.5 | 87.5 | 100 | 62.5 | 42.9 |
White | 16 | 75.0 | 93.8 | 71.4 | 80.0 | 50.0 | 81.3 | 61.5 |
Other | 38 | 92.1 | 94.6 | 72.2 | 81.6 | 68.4 | 57.9 | 45.9 |
p-value | .420 | .874 | .153 | .850 | .082 | .799 | .059 | |
Marital status | ||||||||
Married, no girlfriend | 39 | 48.6 | 89.2 | 38.2 | 88.9 | 72.9 | 47.4 | 34.3 |
Married, girlfriend | 27 | 88.9 | 88.0 | 76.9 | 85.2 | 81.5 | 48.2 | 50.0 |
Single, regular partner | 53 | 94.2 | 98.1 | 83.7 | 75.5 | 69.2 | 75.5 | 36.0 |
Single, casual partner | 85 | 91.8 | 88.9 | 91.6 | 90.5 | 67.9 | 69.5 | 32.5 |
Single, no partner | 28 | 92.9 | 92.9 | 96.2 | 77.8 | 71.4 | 60.7 | 47.6 |
p-value | .001 | .353 | .001 | .131 | .736 | .020 | .444 | |
*Because not all men responded to all questions, Ns vary and may not add to 243. Note: A p-value of p<.05 is regarded as statistically significant. |