Acceptability of Carraguard vaginal microbicide gel among HIV-infected women in Chiang Rai, Thailand.

<h4>Background</h4>Few studies of microbicide acceptability among HIV-infected women have been done. We assessed Carraguard® vaginal gel acceptability among participants in a randomized, controlled, crossover safety trial in HIV-infected women in Thailand.<h4>Methodology/principal...

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Autores principales: Sara J Whitehead, Catherine McLean, Supaporn Chaikummao, Sarah Braunstein, Wat Utaivoravit, Janneke H van de Wijgert, Philip A Mock, Taweesap Siraprapasiri, Barbara A Friedland, Peter H Kilmarx, Lauri E Markowitz
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spelling oai:doaj.org-article:836193a7f99d4bc1893ca8f4da864d312021-11-18T06:46:36ZAcceptability of Carraguard vaginal microbicide gel among HIV-infected women in Chiang Rai, Thailand.1932-620310.1371/journal.pone.0014831https://doaj.org/article/836193a7f99d4bc1893ca8f4da864d312011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21915249/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Few studies of microbicide acceptability among HIV-infected women have been done. We assessed Carraguard® vaginal gel acceptability among participants in a randomized, controlled, crossover safety trial in HIV-infected women in Thailand.<h4>Methodology/principal findings</h4>Participants used each of 3 treatments (Carraguard gel, methylcellulose placebo gel, and no product) for 7 days, were randomized to one of six treatment sequences, and were blinded to the type of gel they received in the two gel-use periods. After both gel-use periods, acceptability was assessed by face-to-face interview. Responses were compared to those of women participating in two previous Carraguard safety studies at the same study site. Sixty women enrolled with a median age of 34 years; 25% were sexually active. Self-reported adherence (98%) and overall satisfaction rating of the gels (87% liked "somewhat" or "very much") were high, and most (77%) considered the volume of gel "just right." For most characteristics, crossover trial participants evaluated the gels more favorably than women in the other two trials, but there were few differences in the desired characteristics of a hypothetical microbicide. Almost half (48%) of crossover trial participants noticed a difference between Carraguard and placebo gels; 33% preferred Carraguard while 12% preferred placebo (p = 0.01).<h4>Conclusions/significance</h4>Daily Carraguard vaginal gel use was highly acceptable in this population of HIV-infected women, who assessed the gels more positively than women in two other trials at the site. This may be attributable to higher perceived need for protection among HIV-infected women, as well as to study design differences. This trial was registered in the U.S. National Institutes of Health clinical trials registry under registration number NCT00213044.Sara J WhiteheadCatherine McLeanSupaporn ChaikummaoSarah BraunsteinWat UtaivoravitJanneke H van de WijgertPhilip A MockTaweesap SiraprapasiriBarbara A FriedlandPeter H KilmarxLauri E MarkowitzPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 9, p e14831 (2011)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Sara J Whitehead
Catherine McLean
Supaporn Chaikummao
Sarah Braunstein
Wat Utaivoravit
Janneke H van de Wijgert
Philip A Mock
Taweesap Siraprapasiri
Barbara A Friedland
Peter H Kilmarx
Lauri E Markowitz
Acceptability of Carraguard vaginal microbicide gel among HIV-infected women in Chiang Rai, Thailand.
description <h4>Background</h4>Few studies of microbicide acceptability among HIV-infected women have been done. We assessed Carraguard® vaginal gel acceptability among participants in a randomized, controlled, crossover safety trial in HIV-infected women in Thailand.<h4>Methodology/principal findings</h4>Participants used each of 3 treatments (Carraguard gel, methylcellulose placebo gel, and no product) for 7 days, were randomized to one of six treatment sequences, and were blinded to the type of gel they received in the two gel-use periods. After both gel-use periods, acceptability was assessed by face-to-face interview. Responses were compared to those of women participating in two previous Carraguard safety studies at the same study site. Sixty women enrolled with a median age of 34 years; 25% were sexually active. Self-reported adherence (98%) and overall satisfaction rating of the gels (87% liked "somewhat" or "very much") were high, and most (77%) considered the volume of gel "just right." For most characteristics, crossover trial participants evaluated the gels more favorably than women in the other two trials, but there were few differences in the desired characteristics of a hypothetical microbicide. Almost half (48%) of crossover trial participants noticed a difference between Carraguard and placebo gels; 33% preferred Carraguard while 12% preferred placebo (p = 0.01).<h4>Conclusions/significance</h4>Daily Carraguard vaginal gel use was highly acceptable in this population of HIV-infected women, who assessed the gels more positively than women in two other trials at the site. This may be attributable to higher perceived need for protection among HIV-infected women, as well as to study design differences. This trial was registered in the U.S. National Institutes of Health clinical trials registry under registration number NCT00213044.
format article
author Sara J Whitehead
Catherine McLean
Supaporn Chaikummao
Sarah Braunstein
Wat Utaivoravit
Janneke H van de Wijgert
Philip A Mock
Taweesap Siraprapasiri
Barbara A Friedland
Peter H Kilmarx
Lauri E Markowitz
author_facet Sara J Whitehead
Catherine McLean
Supaporn Chaikummao
Sarah Braunstein
Wat Utaivoravit
Janneke H van de Wijgert
Philip A Mock
Taweesap Siraprapasiri
Barbara A Friedland
Peter H Kilmarx
Lauri E Markowitz
author_sort Sara J Whitehead
title Acceptability of Carraguard vaginal microbicide gel among HIV-infected women in Chiang Rai, Thailand.
title_short Acceptability of Carraguard vaginal microbicide gel among HIV-infected women in Chiang Rai, Thailand.
title_full Acceptability of Carraguard vaginal microbicide gel among HIV-infected women in Chiang Rai, Thailand.
title_fullStr Acceptability of Carraguard vaginal microbicide gel among HIV-infected women in Chiang Rai, Thailand.
title_full_unstemmed Acceptability of Carraguard vaginal microbicide gel among HIV-infected women in Chiang Rai, Thailand.
title_sort acceptability of carraguard vaginal microbicide gel among hiv-infected women in chiang rai, thailand.
publisher Public Library of Science (PLoS)
publishDate 2011
url https://doaj.org/article/836193a7f99d4bc1893ca8f4da864d31
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