Ha Bui Thi Thu, Jayasuriya Rohan, Owen Neville
Hanoi School of Public Health, Vietnam.
Health Educ Behav. 2005 Dec;32(6):738-50. doi: 10.1177/1090198105277332.
Studies have shown family planning adoption is likely to be more effective for women when men are actively involved. The transtheoretical model of behavior change was used to examine men's involvement in general contraception and intrauterine device (IUD) use by their wives. The study was carried out in rural Vietnam with 651 eligible participants. Cons of IUD use for men in precontemplation and contemplation/preparation were significantly higher than those in the action/maintenance stages, whereas the reverse was true for pros of IUD. The self-efficacy for convincing wife to have IUD in precontemplation was significantly lower than for those in higher stages. Women's education and ages, spontaneous recall of modern contraceptive method, cons for IUD, and self-efficacy for contraception and for convincing wives to get IUD inserted (or continue use) were significant predictors of men's readiness to accept IUD. Interventions are targeted to reduce cons and increase self-efficacy for IUD use.
研究表明，当男性积极参与时，计划生育的采用对女性可能更有效。行为改变的跨理论模型被用于研究男性在妻子使用一般避孕方法和宫内节育器（IUD）方面的参与情况。该研究在越南农村地区对651名符合条件的参与者进行。处于未考虑阶段和考虑/准备阶段的男性对宫内节育器使用的负面看法显著高于行动/维持阶段的男性，而宫内节育器的正面看法则相反。在未考虑阶段说服妻子使用宫内节育器的自我效能感显著低于处于较高阶段的男性。女性的教育程度和年龄、对现代避孕方法的自发回忆、对宫内节育器的负面看法以及避孕和说服妻子插入（或继续使用）宫内节育器的自我效能感是男性接受宫内节育器意愿的重要预测因素。干预措施旨在减少负面看法并提高使用宫内节育器的自我效能感。
