ArticleThe journal of sexual medicine2014
Use of withdrawal (coitus interruptus) for both pregnancy and HIV prevention among young adults in Rakai, Uganda.
Article in The journal of sexual medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Exploratory Qualitative Study to Investigate Factors Influencing Men's Utilization of Sexual and Reproductive Health Services in Kwa-Zulu Natal.International journal of environmental research and public health · 2024Article
- Declining yet persistent use of traditional contraceptive methods in low- and middle-income countries.Journal of biosocial science · 2022Article
- Prevalence and Attitudes Regarding Withdrawal Use for Pregnancy and HIV Prevention Among HIV-Positive Youth.AIDS patient care and STDs · 2019Article
- Which young adults are most likely to use withdrawal? The importance of pregnancy attitudes and sexual pleasure.Contraception · 2015Article
- Understanding Condom Use Decision Making Among Homeless Youth Using Event-Level Data.Journal of sex research · 2015Article
- Pull and pray or extra protection? Contraceptive strategies involving withdrawal among US adult women.Contraception · 2014Article
- The Sexual Acceptability of Contraception: Reviewing the Literature and Building a New Concept.Journal of sex researchReview
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Authors and funding
6 authors.
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Abstract
introductionAlthough understudied in the context of AIDS, use of withdrawal (coitus interruptus) with or in place of other prevention methods affects exposure to both pregnancy and human immunodeficiency virus (HIV).
aimWe used mixed methods to assess use of withdrawal among 15-24-year-olds in a rural Ugandan setting with considerable HIV prevalence.
methodsWe measured withdrawal reporting among (i) sexually active 15-24-year-olds enrolled in a quantitative community survey (n = 6,722) and (ii) in-depth qualitative interview participants systematically selected from the latest round of the community survey (N = 60). Respondents were asked about family planning and HIV prevention practices, including a direct question about withdrawal in the in-depth interviews.
main outcome measuresThe main outcome measures were reports of current use of withdrawal on the quantitative survey (general question about family planning methods) and reports of current or recent use withdrawal in qualitative interviews (specific question about withdrawal). Qualitative interviews also probed for factors associated with withdrawal use.
resultsAlthough less than 1% of quantitative survey participants spontaneously named withdrawal as their current family planning method, 48% of qualitative interview respondents reported current or lifetime use of withdrawal. Withdrawal was often used as a pleasurable alternative to condoms, when condoms were not available, and/or as a "placeholder" method before obtaining injectable contraception. A few respondents described using withdrawal to reduce HIV risk.
conclusionQualitative findings revealed widespread withdrawal use among young adults in Rakai, mainly as a condom alternative. Thus, withdrawal may shape exposure to both pregnancy and HIV. Future behavioral surveys should assess withdrawal practices directly--and separately from other contraceptives and HIV prevention methods. Further clinical research should further document withdrawal's association with HIV risk.
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