Transcript IRMA Lube Survey (preliminary results)

IRMA Survey on Lubes Used for
Anal Sex:
Preliminary Results
National HIV Prevention Conference
December 3, 2007 - Atlanta
Marc-André LeBlanc, IRMA
Jim Pickett, IRMA
Marjan Javanbakht MPH, PhD, UCLA
Ryan Murphy MPH, UCLA
Pamina Gorbach, M.H.S, Dr.P.H., UCLA
Who we are,
why we did this
 IRMA = 500 advocates and scientists
from 38 countries on 6 continents united
in support of research and development
for safe and effective rectal microbicides
for the women and men around the
world who need them. Visit IRMWG.org.
 IRMA launched this survey because
 Need to test lubes for rectal safety
 Need to know most popular lubes
 Acceptabilty to inform development
Survey Information
 Internet-based Survey
 Survey Monkey with e-promotion
 Ran 29 weeks: Feb 14th 2007 – August 31st
2007
 6 languages (EN/FR/SP/POR/GER/TUR)
 8,945 Responses from 107 countries
 6,273 reported AI within the past 6 months
(70.1%)
 Analysis by UCLA
And the survey says…
 Most commonly used lubes for anal
sex
 How lubes are used
 Preferred lube characteristics
Useful for informing research &
development and programming
Demographics - Age
Figure 1: Age distribuiton of web survery respondents reporting AI within the
past 6 months (N = 6,248)
30
28.3
27.0
24.7
25
20.1
Percent (%)
20
15
10
5
0
< 25
25 - 34
35 - 44
Age Group
≥ 45
Demographics - Gender
Figure 2: Gender distribution of web survey respondents reporting AI within the
past 6 months (N = 6,246)
Female, 6.9%
Transgender, 1.3%
Male, 91.9%
Demographics - Region
Figure 3: Geographic distribution of web survey respondents reporting AI within
the past 6 months (N = 6,061)
80
69.6
70
50
40
30
21.7
20
10
3.3
2.8
1.9
0.5
0.3
er
ic
Am
La
tin
Region
M
id
dl
e
Ea
st
a
ric
Af
ia
O
ce
an
ia
As
a/
C
ar
ib
be
an
Eu
ro
pe
or
th
Am
er
ic
a
0
N
Percent (%)
60
Demographics - Language
Figure 4: Language distribution of web survey respondents reporting AI within
the past 6 months (N = 6,273)
90
81.2
80
70
Percent (%)
60
50
40
30
20
12.1
10
3.0
1.7
1.0
1.0
Spanish
Portuguese
French
German
0
English
Turkish
Language
Caveats
 Given demographics, note influence of
 Men (92%)
 English-language (81%)
 North America (70%)
on broad overview of results.
Condom use by sex act
Figure 5: Condom use practices by sex act, am ong w eb survey respondents
reporting AI w ithin the past 6 m onths
Never Use/Change Condoms
60
50.9
Rarely/Often Use/Change Condoms
50
Always Use/Change Condoms
36.7 35.7
Percent (%)
40
28.7
30
34.8
37.1
28.1
27.7
20.4
20
10
0
Shared Anal Sex Toy
(n=2,377)
IAI (n=4,731)
Sex Act
RAI (n=5,053)
Reasons for not using
lubricant
Figure 6: Reasons for not using lubricant, among web survey respondents
reporting AI within the past 6 months (n=1,746)
56.9
60
47.7
40
27.5
30
24.9
19.1
20
17.0
15.1
7.7
10
7.6
6.9
2.5
C
Reasons for not using Lubricant
e
ik
is
l
D
th
er
O
Lu
be
rd
ffo
no
tA
er
Va
U
se
d
ou
ld
R
ef
us
ed
d
in
er
Pa
rtn
a
gi
na
l
R
Fl
ui
us
h
h
us
R
a
Pa
rtn
be
r
U
se
d
Lu
In
C
ic
a
te
d
ef
er
D
ry
on
do
m
Se
x
e
bl
ila
Pr
Lu
be
N
se
d
ot
Av
a
Sa
liv
a
0
U
Percent (%)
50
Flavor, color
& smell preferences
Figure 7: Preference for lubricant flavor, color, and smell among web survey
respondents reporting AI within the past 6 months
100%
2.0
4.4
6.6
90%
80%
Percent (%)
70%
60%
50%
95.6
98.0
Flavor (n=5,155)
Color (n=5,089)
93.4
40%
30%
20%
10%
0%
Lube Characteristic
Preference for lube with characteristic
Preference for lube without characteristic/does not matter
Smell (n=5,092)
Lubricant consistency
preference
Figure 8: Lubricant Consistency Preference, among web survey respondents
reporting AI within the past 6 months (n=5,104)
60
50
49.5
Percent (%)
40
36.5
30
20
14.0
10
0
Liquid
Neither
Consistency
Thick
Lubricant dispenser
preference
Figure 9: Lubricant dispenser preference, among web survey respondents
reporting AI within the past 6 months (n=5,043)
60
50
49.4
49.0
Percent (%)
40
28.2
30
21.0
20
13.0
9.9
10
0
Pop-up Lid
Pump
Tube
Single Use
Packets
Dispenser Type
Screw-top/Snap- Disposable Tube
off Lid
Lubricant base
preferences
Figure 10: Lubricant Base Preference, among web survey respondents
reporting AI within the past 6 months (n=5,034)
70
64.4
60
47.3
Percent (%)
50
40
30
20
13.3
8.1
10
2.7
0
Water
Silicone
Oil
Lubricant Base
Does Not Matter
Other
Does application of lube
interrupt sex?
Figure 11: Response to: Does the application of lube interrupt sex?, among web
survey respondents reporting AI within the past 6 months (n=5,022)
60
52.8
50
41.4
Percent (%)
40
30
20
10
5.8
0
No
Yes/Does not Bother Me
Response
Yes/Does Bother Me
Substances added to
lubricant
Figure 12: Substances added to lubricant, among web survey respondents
reporting AI within the past 6 months (n=5,005)
60
55.0
50
41.0
Percent (%)
40
30
20
8.5
10
6.2
4.2
0
None
Spit/Saliva
Water
Substance
Vaginal Fluid
Other
Conclusions
 Low condom use, but lube use is
relatively common
 High acceptability of RMs formulated
as lubes?
 No flavour, colour or smell
 Consistency: Both thick and liquid
 Base: both water and silicone
 Take into account saliva, water and
vaginal fluid
Next Steps
 Finish analysis
 Age, gender, region, language
 Translation and qualitative analysis
 Most commonly used lubes
 Disseminate results
 Work with researchers to test lube
safety and integrate findings
around acceptability and preferred
characteristics
Using web-based surveys
 Reaches hidden or difficult-toreach populations
 Facilitates openness and
disclosure on sensitive issues
 Low research costs
BUT
 How representative?
 Limited to settings and
populations that are online
Deep appreciation to:
 UCLA for assistance with
survey development and
analysis
 IRMA members and partners
for promoting survey
 Translators for extending the
reach of the survey
 All survey respondents!
And thanks to you
Stay in touch
IRMA
 www.irmwg.org
 [email protected] Marc-André LeBlanc
 [email protected] Jim Pickett
UCLA
 [email protected]
 [email protected]
 [email protected]
Ryan Murphy
Marjan Javanbakht
Pamina Gorbach