269571 Relationship type, negotiated safety, and dual protection in Brazil

Tuesday, October 30, 2012 : 9:15 AM - 9:30 AM

Kiyomi Tsuyuki, MPH , Department of Community Health Sciences, University of California, Los Angeles, Los Angeles, CA
Regina Maria Barbosa, MD, PhD , Center for Population Studies, University of Campinas (UNICAMP), Campinas, Brazil
Jessica D. Gipson, MPH, PhD , Department of Community Health Sciences, School of Public Health, University of California, Los Angeles, Los Angeles, CA
Worldwide, women of reproductive age in committed relationships are becoming infected with HIV and experiencing unintended pregnancy. A recent body of research has emerged around dual protection, or the simultaneous protection against HIV and unintended pregnancy. Most dual protection studies measure either condom use or dual method use (condoms plus another method) and many researchers agree that definitions of dual protection must expand to include condom use consistency and other safe sex strategies. This study first assesses condom use consistency and dual method use by relationship type (e.g. married, cohabiting, union, and single). Second, we expand the definition of dual protection to include strategies of negotiated safety, which refers to an agreement between partners on rules regarding their sexual practices within and outside of their relationship.

We use data from the 2006 National Demographic and Health Survey of Women and Children (PNDS), a nationally-representative household survey of Brazilian women of reproductive age (N=15,575). In-depth data were collected on condom use consistency, contraceptive behavior, and partner communication around condom use, contraception, and sexual relations. We use descriptive techniques and logistic regression to examine variation in dual protection behavior (e.g. condom use consistency, long-/short-term methods, and reversible/permanent methods) by relationship type and partner communication.

This presentation will explain and discuss dual protection among sexually active women of reproductive age in Brazil. Findings emphasize the importance of considering relationship type when defining dual protection and highlight negotiated safety as a risk reduction technique for partners in committed relationships.

Learning Areas:
Administer health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
(1) Identify nuances in the type of dual protection used by women in different types of sexual relationships. (2) Identify how and to what extent consistent condom use is affected by the use of another contraceptive method (e.g. long-/short-term methods, reversible/permanent methods) (3) Discuss the importance of expanding dual protection definitions to encourage negotiated safety among partners in committed relationships.

Keywords: STD Prevention, Contraception

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a PhD candidate in the Department of Community Health Sciences at the School of Public Health at UCLA. I have an MPH in Health Behavior and Health Education and have worked on issues of sexual and reproductive health for over 10 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.