Condom Use Before Marriage and Its Correlates: Evidence from India

Santhya, K.G.; Acharya, Rajib; Jejeebhoy, Shireen J.

doi:10.1363/3717011

Cited by 28 publications

(24 citation statements)

References 30 publications

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“…In a study conducted in unmarried female undergraduate students in China, 29.1% of sexually active women never or seldom used condoms during sex [20]. Santhya et al [21] reported that only 7% of young women who had had premarital sex had ever used condoms. Overall, unmarried women are unlikely to use condoms consistently, which may predispose them to AV.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Risk Factors for Aerobic Vaginitis: A Case-Control Study

Geng

Wu²,

Fan³

et al. 2015

Gynecol Obstet Invest

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Aims: Aerobic vaginitis (AV) is a newly defined clinical entity which may interfere with women's reproductive health and have negative effects on pregnancy. This study was to identify the risk factors for AV. Methods: Participants in this case-control study included healthy women and women with AV. All participants completed a standardized questionnaire covering sociodemographic factors, sexual behaviors, personal hygiene habits and health behaviors. Uni- and multivariate logistic regression analyses were used for statistical evaluation. Results: A total of 290 women of reproductive age were enrolled. In the multivariate analysis, unmarried status (odds ratio [OR] 2.606, 95% confidence interval [CI] 1.257-5.402), use of an intrauterine device (OR 4.989, 95% CI 1.922-12.952), long-term use of antibiotics (OR 11.176, 95% CI 1.363-91.666) and frequent vaginal douching (OR 4.689, 95% CI 1.363-16.135) were independent risk factors for AV. On the contrary, consistent condom use (OR 0.546, 95% CI 0.301-0.991) and college-level education or above (OR 0.255, 95% CI 0.131-0.497) were independent protective factors. Conclusion: Measures that may be considered to prevent AV include enhancing education to improve women's knowledge related to reproductive health, especially unmarried women, encouraging them to consistently use condoms as a contraceptive method, to avoid long-term use of antibiotics and to stop frequent vaginal douching.

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Section: Discussionmentioning

confidence: 99%

Analysis of the Risk Factors for Aerobic Vaginitis: A Case-Control Study

Geng

Wu²,

Fan³

et al. 2015

Gynecol Obstet Invest

View full text Add to dashboard Cite

show abstract

“…15 A relatively small share of young Indian women may be exposed to pregnancy risk, but for those who are sexually active, condom use is quite rare-a recent study found that only 7% of sexually active young women reported that they had ever used a condom. 16 Because of the stigma associated with premarital sexual activity, offering pericoital contraception via pharmacies may provide a reasonable alternative for young women who find clinic-based family planning services unreceptive and do not feel comfortable purchasing condoms or insisting on condom use by their partners. Moreover, studies suggest that the daily schedule for oral contraceptives is challenging for adolescent women.…”

Section: Lack Of Dual Protectionmentioning

confidence: 99%

Consumer Perspectives on a Pericoital Contraceptive Pill in India and Uganda

Cover¹,

Drake²,

Kyamwanga³

et al. 2013

IPSRH

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A substantial proportion of women in developing countries with an unmet need for family planning cite infrequent sex as a reason for not practicing contraception: 6-39% of women with unmet need in Sub-Saharan Africa and 14-35% in South and Southeast Asia.1 Notably, about one in four adolescent women aged 15-19 with unmet need report that they are not using a method because they do not have sex frequently. 2 For women who have infrequent sex, an oral contraceptive pill taken only at the time of intercourse may offer advantages in terms of convenience and ease of use; because this method is discreet and female-controlled, it may appeal to other women as well. Pericoital contraceptive pills-also referred to as "ondemand" or "real-time" contraceptives-are being considered as a way to address unmet need, especially among women who have sex no more than six times a month. There is currently no oral contraceptive pill marketed for such use. Women could take a pericoital contraceptive pill within 24 hours before or after intercourse, rather than daily. Levonorgestrel, one compound being considered as the active component in a pericoital pill, is a synthetic progestin that has been used as an active hormonal ingredient in daily birth control pills for about 40 years. It is also the key ingredient in contraceptive implants, hormone-releasing IUDs and emergency contraceptive pills. Levonorgestrel is off-patent and has a good safety profile. 3Studies from a number of countries suggest that some women are already using emergency contraception offlabel as an on-demand pill, demonstrating latent demand for a pericoital method.4-6 Women who do not have sex frequently are particularly likely to use emergency contraception as their regular method. 4 Moreover, a survey of women in urban Nigeria found that those who reported having used emergency contraception had done so an average of five times in a six-month period. 7 Interviews with WestAfrican women using emergency contraception as a regular method reveal a preference for the convenience of an "occasional pill" and for episodic, rather than sustained, exposure to hormones (reflecting their safety concerns about hormones that remain in the system). 8 These studies show that in the absence of a coitus-related, female-controlled contraceptive method that does not interrupt sexual activity and is labeled and marketed for routine use, women have adapted an existing method to meet that need. There are obvious similarities between a potential pericoital contraceptive product and currently available emergency contraception; for example, both are coitus-related methods, and the same active ingredient may be used for both. That said, a dedicated pericoital pill would be labeled and marketed for use within 24 hours before or after sex, as a routine contraceptive method. While repeat use of levonorgestrel does not pose any known health risks,

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“…But among those who are sexually active, condom use is rare. A recent study of premarital sexual activity among young people in six Indian states found that only 7 percent of sexually active young women had ever used a condom (Santhya, Acharya, and Jejeebhoy 2011). For young women, in particular, the challenges involved in negotiating condom use and using condoms consistently necessitates the development of contraceptive choices that are readily available and female-controlled.…”

Section: December 2013mentioning

confidence: 99%

Stakeholder and Provider Views Regarding Pericoital Contraceptive Pills in India and Uganda

Cover

Drake

Kyamwanga

et al. 2013

Studies in Family Planning

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The development of pericoital contraceptive pills is under consideration to address unmet need for family planning, especially among women who have infrequent sexual intercourse. Pericoital pills, an oral contraceptive taken 24 hours before or after intercourse, would be a potentially desirable contraceptive option because it could provide convenience, discretion, and female control over contraceptive use. To gauge receptivity to pericoital contraception, a total of 49 in-depth interviews and 5 focus group discussions were conducted in India and Uganda with family planning providers and stakeholders. In India, the method was seen as filling a demonstrated need, based on perceived widespread and/or repeat use of emergency contraceptives. In Uganda, where emergency contraception has met strong opposition from conservative and religious leaders, respondents were more skeptical about the merits of the product. In both settings, using condoms consistently and taking oral contraceptives daily present challenges for consistent use, thus a new contraceptive method that is easy to use and under female control is likely to be appealing.

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Condom Use Before Marriage and Its Correlates: Evidence from India

Abstract: METHODS:Data from a subnationally representative study of Indian youth conducted in 2006Indian youth conducted in -2008

Cited by 28 publications

References 30 publications

Analysis of the Risk Factors for Aerobic Vaginitis: A Case-Control Study

Analysis of the Risk Factors for Aerobic Vaginitis: A Case-Control Study

Consumer Perspectives on a Pericoital Contraceptive Pill in India and Uganda

Stakeholder and Provider Views Regarding Pericoital Contraceptive Pills in India and Uganda

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