{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:29:52Z","timestamp":1777915792989,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2008,10,1]],"date-time":"2008-10-01T00:00:00Z","timestamp":1222819200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2008,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Intravaginal topical microbicides are being investigated for prevention of HIV transmission. Use of vaginal microbicides will constitute a new type of practice, occurring in the context of other vaginal practices related to contraception, hygiene, and self-care, which are affected by cultural norms and personal beliefs. Given the high rate of HIV infection among black women, research on practices and decision making relevant to microbicide acceptability is needed in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twenty-three black women in New York City, aged 25\u201364, completed in-person semistructured interviews and self-administered questionnaires. Quantitative analyses examined vaginal practices and willingness to use microbicides. Qualitative analyses explored underlying decision-making processes involved in choices regarding vaginal practices and general healthcare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Willingness to use vaginal products for HIV prevention was high, especially among more educated women. Safety was a major concern, and women were cautious about using vaginal products. Whereas some viewed synthetic products as having potentially harmful side effects, others perceived natural products as risky because of insufficient testing. Choices about vaginal practices were affected by assessments of risk and efficacy, prior experience, cultural background, and general approach to healthcare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The majority of women in the sample expressed willingness to use a vaginal product for HIV prevention. Decision-making processes regarding vaginal practices were complex and were affected by social, cultural, and personal factors. Although specific preferences may vary, attitudes toward using a vaginal product are likely to be positive when side effects are minimal and the product is considered safe.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2008.0886","type":"journal-article","created":{"date-parts":[[2008,9,14]],"date-time":"2008-09-14T08:19:13Z","timestamp":1221380353000},"page":"1345-1351","source":"Crossref","is-referenced-by-count":11,"title":["Health Practices and Vaginal Microbicide Acceptability among Urban Black Women"],"prefix":"10.1177","volume":"17","author":[{"given":"Marian","family":"Reiff","sequence":"first","affiliation":[{"name":"Columbia University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Wade","sequence":"additional","affiliation":[{"name":"Columbia University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria T.","family":"Chao","sequence":"additional","affiliation":[{"name":"Columbia University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fredi","family":"Kronenberg","sequence":"additional","affiliation":[{"name":"Columbia University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda F.","family":"Cushman","sequence":"additional","affiliation":[{"name":"Columbia University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,10,1]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Alliance for Microbicide Development. Microbicide Research and Development Database. www.microbicide.org. 2007 August 1."},{"key":"e_1_3_3_3_2","first-page":"67","volume":"61","author":"Koo HP","year":"2005","unstructured":"Koo HP, , Woodsong C, , Dalberth BT, , Viswanathan M, , Simons-Rudolph A. Context of acceptability of topical microbicides: Sexual relationships, 2005; 61:67\u201393.","journal-title":"Context of acceptability of topical microbicides: Sexual relationships"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.05.011"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.80.4.460"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0022-4537.2005.00393.x"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/152460901300039502"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-005-1687-y"},{"key":"e_1_3_3_9_2","unstructured":"CDC. HIV\/AIDS among women 2007. www.cdc.gov\/hiv\/topics\/women\/resources\/factsheets\/women.htm. 2007 July 1."},{"key":"e_1_3_3_10_2","unstructured":"Kaiser Family Foundation. African Americans and HIV\/AIDS. www.kff.org\/hivaids\/upload\/6089-04.pdf."},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2005.14.424"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1363\/3009404"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2007.028597"},{"key":"e_1_3_3_14_2","unstructured":"WHO. Multi-country study on gender sexuality and vaginal practices. www.who.int\/reproductivehealth\/fgm\/harmfulpractices.htm. 2008 April 14."},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2004.13.1048"},{"key":"e_1_3_3_16_2","unstructured":"CDC. Fertility family planning and reproductive health of U.S. women\u2013National survey of family growth. Vital and health statistics series 23 number 25. www.cdc.gov\/nchs\/data\/series\/sr_23\/sr23_025.pdf. 2007 August 1."},{"key":"e_1_3_3_17_2","volume-title":"Patterns and perceptions of menstruation: A World Health Organization international collaborative study","author":"Snowden R","year":"1983","unstructured":"Snowden R, , Christian B. Patterns and perceptions of menstruation: A World Health Organization international collaborative study. New York: St. Martin's Press, 1983."},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(03)00026-X"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1525\/maq.1998.12.3.319"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1525\/maq.1998.12.3.267"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2007.0579"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2006.M074"},{"key":"e_1_3_3_23_2","unstructured":"National Institutes of Health\/National Center for Complementary Alternative Medicine website. nccam.nih.gov\/health\/whatiscam\/#1. 2008 February 29."},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2004.047688"},{"key":"e_1_3_3_25_2","first-page":"189","article-title":"Religion, spirituality, and healthcare choices of African-American women: Results of a national survey","volume":"14","author":"Dessio W","year":"2004","unstructured":"Dessio W, , Wade C, , Chao M, , Kronenberg F, , Cushman LE, , Kalmuss D. Religion, spirituality, and healthcare choices of African-American women: Results of a national survey. Ethnicity Dis, 2004; 14:189\u2013197.","journal-title":"Ethnicity Dis"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.92.11.1832"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1089\/10755530152755216"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200204000-00011"},{"key":"e_1_3_3_29_2","first-page":"535","article-title":"Use of complementary and alternative medicine among ethnic minority adults in the United States: Results from the 2002 National Health Interview Survey","volume":"97","author":"Graham R","year":"2005","unstructured":"Graham R, , Ahn A, , Davis R, , O'Connor B, , Eisenberg D, , Phillips R. Use of complementary and alternative medicine among ethnic minority adults in the United States: Results from the 2002 National Health Interview Survey. J Natl Med Assoc, 2005; 97:535\u2013545.","journal-title":"J Natl Med Assoc"},{"key":"e_1_3_3_30_2","first-page":"50","article-title":"Ethnic minority use of complementary and alternative medicine (CAM): A national probability survey of CAM utilizers","volume":"9","author":"Mackenzie E","year":"2003","unstructured":"Mackenzie E, , Taylor L, , Bloom B, , Hufford D, , JC J. Ethnic minority use of complementary and alternative medicine (CAM): A national probability survey of CAM utilizers. Alternative Ther Health Med, 2003; 9:50\u201356.","journal-title":"Alternative Ther Health Med"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2006.12.719"},{"key":"e_1_3_3_32_2","first-page":"943","article-title":"Use of CAM in local African-American communities: Community-partnered research","volume":"95","author":"Barnett MC","year":"2003","unstructured":"Barnett MC, , Cotroneo M, , Purnell J, , Martin D, , Mackenzie E, , Fishman A. Use of CAM in local African-American communities: Community-partnered research. J Natl Med Assoc, 2003; 95:943\u2013950.","journal-title":"J Natl Med Assoc"},{"key":"e_1_3_3_33_2","volume-title":"User's manual for ATLAS ti 5.0. Version 5","year":"2004","unstructured":"User's manual for ATLAS ti 5.0. Version 5. Berlin: ATLAS.ti Scientific Software Development GmbH, 2004."},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00450-5"},{"key":"e_1_3_3_35_2","first-page":"547","article-title":"Acceptability of Praneem polyherbal vaginal tablet among HIV uninfected women and their male partners in Pune, India\u2014Phase I study","volume":"123","author":"Joglekar NS","year":"2006","unstructured":"Joglekar NS, , Joshi SN, , Navlakha SN, , Katti UR, , Mehendale SM. Acceptability of Praneem polyherbal vaginal tablet among HIV uninfected women and their male partners in Pune, India\u2014Phase I study. Indian J Med Res, 2006; 123:547\u2013552.","journal-title":"Indian J Med Res"},{"key":"e_1_3_3_36_2","first-page":"719","article-title":"Microbicide development: New challenges","volume":"123","author":"Seth SD","year":"2006","unstructured":"Seth SD, , Sharma B, , Bano R, , Ganguly NK. Microbicide development: New challenges. Indian J Med Res, 2006; 123:719\u2013722.","journal-title":"Indian J Med Res"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1080\/13625180500280753"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1093\/jurban\/78.4.593"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200307000-00005"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jwh.2008.0886","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2008.0886","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2008.0886","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:29:52Z","timestamp":1777656592000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jwh.2008.0886"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,10]]},"references-count":38,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2008,10]]}},"alternative-id":["10.1089\/jwh.2008.0886"],"URL":"https:\/\/doi.org\/10.1089\/jwh.2008.0886","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,10]]}}}