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Perceptions of Multipurpose Prevention Technologies Aimed at HIV/STI/Unintended Pregnancy Among African American Women in the Deep South- [electronic resource]
Perceptions of Multipurpose Prevention Technologies Aimed at HIV/STI/Unintended Pregnancy Among African American Women in the Deep South- [electronic resource]
상세정보
- 자료유형
- 학위논문파일 국외
- 최종처리일시
- 20240214101257
- ISBN
- 9798380199186
- DDC
- 614.4
- 서명/저자
- Perceptions of Multipurpose Prevention Technologies Aimed at HIV/STI/Unintended Pregnancy Among African American Women in the Deep South - [electronic resource]
- 발행사항
- [S.l.]: : The University of Alabama at Birmingham., 2023
- 발행사항
- Ann Arbor : : ProQuest Dissertations & Theses,, 2023
- 형태사항
- 1 online resource(163 p.)
- 주기사항
- Source: Dissertations Abstracts International, Volume: 85-03, Section: B.
- 주기사항
- Advisor: Shrestha, Sadeep.
- 학위논문주기
- Thesis (Ph.D.)--The University of Alabama at Birmingham, 2023.
- 사용제한주기
- This item must not be sold to any third party vendors.
- 초록/해제
- 요약Sexual and reproductive health (SRH) needs for women are not being met globally. In addition to efforts towards providing widespread access to currently available contraceptives and sexually transmitted infection (STI) treatment or prevention products, another focus is the development of multipurpose prevention technologies (MPTs). These MPTs are combination methods that prevent pregnancy, and protect against HIV and/or additional STIs. The objective of this dissertation research was to assess factors related to sexual and reproductive decision-making that may influence interest in MPTs and inform MPT implementation strategies for African and African American (AA) women.The first aim of this research, I used hierarchical cluster analysis to assess attitudes toward menstrual suppression of Kenyan women randomized to cyclic or continuous use of an ideal MPT delivery method, the vaginal ring (VR) (N=45), and evaluated the potential relevance of these findings for high risk AA women. We found that overall attitudes toward menstrual suppression were negative and three distinct clusters were identified by the cluster analysis. Women in the 3rd cluster (N=6) were more likely to report worry about side effects and partner perception of the VR. The second and third aim combined, I used a sequential mixed-method design to assess interest in MPTs in AA women in the Southeast US. I conducted in-depth interviews with AA women in Birmingham, AL to understand how socio-cultural menstruation norms, perceived risk of STI/HIV and unintended pregnancy, and contraceptive preferences impact MPT perceptions (N=19). Participants expressed favorable responses to MPTs, however, potential barriers to uptake included concerns about menstrual suppression, low perceived sexual risk, and silence surrounding sexual health in the AA community. Qualitative results helped develop an MPT interest survey completed by AA women in the Deep South (N=1,638). I used proportional odds logistic regression models to report interest in MPTs by sexual or reproductive factors. Women had higher odds of interest in MPTs if they currently used hormonal contraceptives, had high perceived risk for pregnancy or STIs/HIV, and had previously been pregnant.AA women expressed interest in MPTs, and preferences included pill or VR forms that could be used monthly or annually. Future implementation strategies should include SRH education and AA community-engaged strategies to mitigate potential barriers to uptake and adherence.
- 일반주제명
- Epidemiology.
- 일반주제명
- Public health.
- 일반주제명
- Sexuality.
- 키워드
- Contraception
- 키워드
- Pregnancy
- 기타저자
- The University of Alabama at Birmingham Epidemiology
- 기본자료저록
- Dissertations Abstracts International. 85-03B.
- 기본자료저록
- Dissertation Abstract International
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■006m o d
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■020 ▼a9798380199186
■035 ▼a(MiAaPQ)AAI30530697
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614.4
■1001 ▼aWilbekin Walker, Kristina.
■24510▼aPerceptions of Multipurpose Prevention Technologies Aimed at HIV/STI/Unintended Pregnancy Among African American Women in the Deep South▼h[electronic resource]
■260 ▼a[S.l.]:▼bThe University of Alabama at Birmingham. ▼c2023
■260 1▼aAnn Arbor :▼bProQuest Dissertations & Theses, ▼c2023
■300 ▼a1 online resource(163 p.)
■500 ▼aSource: Dissertations Abstracts International, Volume: 85-03, Section: B.
■500 ▼aAdvisor: Shrestha, Sadeep.
■5021 ▼aThesis (Ph.D.)--The University of Alabama at Birmingham, 2023.
■506 ▼aThis item must not be sold to any third party vendors.
■520 ▼aSexual and reproductive health (SRH) needs for women are not being met globally. In addition to efforts towards providing widespread access to currently available contraceptives and sexually transmitted infection (STI) treatment or prevention products, another focus is the development of multipurpose prevention technologies (MPTs). These MPTs are combination methods that prevent pregnancy, and protect against HIV and/or additional STIs. The objective of this dissertation research was to assess factors related to sexual and reproductive decision-making that may influence interest in MPTs and inform MPT implementation strategies for African and African American (AA) women.The first aim of this research, I used hierarchical cluster analysis to assess attitudes toward menstrual suppression of Kenyan women randomized to cyclic or continuous use of an ideal MPT delivery method, the vaginal ring (VR) (N=45), and evaluated the potential relevance of these findings for high risk AA women. We found that overall attitudes toward menstrual suppression were negative and three distinct clusters were identified by the cluster analysis. Women in the 3rd cluster (N=6) were more likely to report worry about side effects and partner perception of the VR. The second and third aim combined, I used a sequential mixed-method design to assess interest in MPTs in AA women in the Southeast US. I conducted in-depth interviews with AA women in Birmingham, AL to understand how socio-cultural menstruation norms, perceived risk of STI/HIV and unintended pregnancy, and contraceptive preferences impact MPT perceptions (N=19). Participants expressed favorable responses to MPTs, however, potential barriers to uptake included concerns about menstrual suppression, low perceived sexual risk, and silence surrounding sexual health in the AA community. Qualitative results helped develop an MPT interest survey completed by AA women in the Deep South (N=1,638). I used proportional odds logistic regression models to report interest in MPTs by sexual or reproductive factors. Women had higher odds of interest in MPTs if they currently used hormonal contraceptives, had high perceived risk for pregnancy or STIs/HIV, and had previously been pregnant.AA women expressed interest in MPTs, and preferences included pill or VR forms that could be used monthly or annually. Future implementation strategies should include SRH education and AA community-engaged strategies to mitigate potential barriers to uptake and adherence.
■590 ▼aSchool code: 0005.
■650 4▼aEpidemiology.
■650 4▼aPublic health.
■650 4▼aSexuality.
■653 ▼aContraception
■653 ▼aMenstrual suppression
■653 ▼aMultipurpose prevention technologies
■653 ▼aSexually transmitted infection
■653 ▼aPregnancy
■690 ▼a0766
■690 ▼a0573
■690 ▼a0211
■71020▼aThe University of Alabama at Birmingham▼bEpidemiology.
■7730 ▼tDissertations Abstracts International▼g85-03B.
■773 ▼tDissertation Abstract International
■790 ▼a0005
■791 ▼aPh.D.
■792 ▼a2023
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16933528▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
■980 ▼a202402▼f2024
