Nguyen Hoa Ngan, Liamputtong Pranee, Murphy Gregory
Centre for Gender and Family Studies, The Institute of Social Sciences, Ho Chi Minh City, Vietnam.
Health Care Women Int. 2006 May;27(5):399-417. doi: 10.1080/07399330600629542.
In this article, we examine knowledge of contraceptives and sexually transmitted diseases (STDs) and contraceptive practices amongst young Vietnamese people. We conducted a qualitative study on sexuality and abortion with young people in Ho Chi Minh City, Vietnam. Twelve female and 4 male young people were individually interviewed using an in-depth interview technique. We found that condoms and pills were contraceptives known by almost all young people, but their knowledge of condoms and pills was still inadequate. Fears of side effects of taking pills and rumors and beliefs regarding condoms were quite common among young people. The limitations in young people's knowledge of contraceptives and STDs were a reflection of limited sources of their knowledge. Sexual education provided by educational institutions and within families was very basic. It did not provide clear knowledge on the sensitive topics such as contraceptive methods, and other issues related to sexuality for unmarried people. From a gender perspective, there are two points to note here: While sex issues were discussed openly among unmarried men, most unmarried women felt uncomfortable or expressed difficulty when talking about these issues; and the passiveness of unmarried women in making the decision of using condoms as well as contraceptives was marked. Amongst young people, the use of contraceptives was based mainly on ineffective methods including withdrawal and periodic abstinence. Further, young people's understanding of these methods was neither clear nor adequate. For the young people who did not use any contraceptives, sexual relations occurred unexpectedly. We conclude that creating a climate in which sexual issues can be discussed openly is an important step for the improvement of sexual health for young people. This will inevitably improve knowledge and understanding of contraceptives and STDs and may lead to a safer sexual life among this group of young people.
在本文中,我们研究了越南年轻人对避孕方法和性传播疾病(STD)的了解以及他们的避孕行为。我们在越南胡志明市对年轻人进行了一项关于性与堕胎的定性研究。采用深度访谈技术,对12名年轻女性和4名年轻男性进行了单独访谈。我们发现,几乎所有年轻人都知道避孕套和避孕药,但他们对避孕套和避孕药的了解仍然不足。年轻人中,担心服用避孕药的副作用以及关于避孕套的谣言和观念相当普遍。年轻人在避孕方法和性传播疾病方面知识的局限性反映出他们知识来源有限。教育机构和家庭提供的性教育非常基础。它没有就避孕方法等敏感话题以及与未婚人士性行为相关的其他问题提供清晰的知识。从性别角度来看,这里有两点需要注意:虽然未婚男性会公开讨论性问题,但大多数未婚女性在谈论这些问题时会感到不舒服或表示有困难;未婚女性在决定使用避孕套和避孕药方面表现出明显的被动性。在年轻人中,避孕主要采用包括体外射精和定期禁欲等无效方法。此外,年轻人对这些方法的理解既不清晰也不充分。对于那些未采取任何避孕措施的年轻人来说,性行为往往是意外发生的。我们得出结论,营造一个能够公开讨论性问题的氛围是改善年轻人性健康的重要一步。这将不可避免地增进对避孕方法和性传播疾病的知识与理解,并可能使这群年轻人的性生活更安全。