Table 6.
Reasons cited for not using diaphragm in previous 2 weeks, overall and by partner type, Nairobi, Kenya, 2004-2005*.
| Partner type | ||||||
|---|---|---|---|---|---|---|
| Overall (N = 92) | “Helping” (N = 71) | “Other” (N = 74) | ||||
| Reasons for not using condoms | No. | (%) | No. | (%) | No. | (%) |
| Reasons related to partner or coital act | ||||||
| Afraid to ask | 6 | (7) | 4 | (6) | 2 | (3) |
| Did not need protection from STD | 1 | (1) | 0 | (0) | 1 | (1) |
| Trust each other | 44 | (48) | 43 | (61) | 2 | (3) |
| Know each other well enough not to use it | 43 | (47) | 43 | (61) | 4 | (5) |
| Used condoms instead | 69 | (75) | 27 | (38) | 61 | (82) |
| Diaphragm uncomfortable for partner | 8 | (9) | 8 | (11) | 0 | (0) |
| Partner objected to use | 28 | (30) | 20 | (28) | 11 | (15) |
| Unexpected sex/did not have diaphragm | 46 | (50) | 21 | (30) | 39 | (53) |
| Could not use because drunk | 16 | (17) | 9 | (13) | 11 | (15) |
| Forgot to use diaphragm | 28 | (30) | 14 | (20) | 17 | (23) |
| Lost diaphragm | 2 | (2) | 2 | (3) | 2 | (3) |
| Device-related reasons | ||||||
| Diaphragm uncomfortable for participant | 3 | (3) | 1 | (1) | 2 | (3) |
| Do not like having genitals touched | 3 | (3) | 3 | (4) | 0 | (0) |
| Difficulties inserting or removing | 0 | (0) | 0 | (0) | 0 | (0) |
| Did not need pregnancy protection | 3 | (3) | 2 | (3) | 1 | (1) |
| Do not think effective against STD | 1 | (1) | 1 | (1) | 0 | (0) |
*Barriers reported during at least one bimonthly follow-up visit. Participant could give multiple reasons. Analysis restricted to the subset of participants reporting inconsistent diaphragm use in the past two weeks with the relevant partner type during at least one bimonthly visit.