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津巴布韦女性及其伴侣对屏障避孕法的偏好与认知

Barrier method preferences and perceptions among Zimbabwean women and their partners.

作者信息

Buck Jessica, Kang Mi-Suk, van der Straten Ariane, Khumalo-Sakutukwa Gertrude, Posner Samuel, Padian Nancy

机构信息

Pritzker School of Medicine, University of Chicago, 30 East Huron #4601, Chicago, Illinois, USA.

出版信息

AIDS Behav. 2005 Dec;9(4):415-22. doi: 10.1007/s10461-005-9013-2.

Abstract

In Zimbabwe, adult HIV prevalence is over 25% and acceptable prevention methods are urgently needed. Sixty-eight Zimbabwean women who had completed a barrier-methods study and 34 of their male partners participated in focus group discussions and in-depth interviews to qualitatively explore acceptability of male condoms, female condoms and diaphragms. Most men and about half of women preferred diaphragms because they are female-controlled and do not detract from sexual pleasure or carry stigma. Unknown efficacy and reuse were concerns and some women reported feeling unclean when leaving the diaphragm in for six hours following sex. Nearly half of women and some men preferred male condoms because they are effective and limit women's exposure to semen, although they reportedly detract from sexual pleasure and carry social stigma. Female condoms were least preferred because of obviousness and partial coverage of outer-genitalia that interfered with sexual pleasure.

摘要

在津巴布韦,成人艾滋病毒感染率超过25%,迫切需要可接受的预防方法。68名完成屏障法研究的津巴布韦女性及其34名男性伴侣参与了焦点小组讨论和深度访谈,以定性探索男用避孕套、女用避孕套和子宫托的可接受性。大多数男性和大约一半的女性更喜欢子宫托,因为它们由女性控制,不会减少性快感或带来污名。对子宫托的有效性未知和可重复使用存在担忧,一些女性报告说,性交后将子宫托留置6小时会感觉不干净。近一半的女性和一些男性更喜欢男用避孕套,因为它们有效,能减少女性接触精液,尽管据报道它们会减少性快感并带来社会污名。女用避孕套最不受欢迎,因为其明显可见且只能部分覆盖外生殖器,会干扰性快感。

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