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避孕套在婚姻中是个“闯入者”:来自马拉维农村的证据。

The condom is an 'intruder' in marriage: evidence from rural Malawi.

作者信息

Chimbiri Agnes M

机构信息

College of Medicine, University of Malawi, Blantyre, Malawi.

出版信息

Soc Sci Med. 2007 Mar;64(5):1102-15. doi: 10.1016/j.socscimed.2006.10.012. Epub 2007 Jan 22.

Abstract

This paper assesses the condom situation within marriage in Malawi with particular attention to people's perceptions about the compatibility of condoms and marriage by analyzing the Malawi Demographic and Health Surveys 1992 and 2000, and via semi-structured interviews with married men and women from three districts in rural Malawi. There are four striking findings. First, condom use is negligible inside marriage. Second, there is considerable talk about condoms, especially among male social network partners. Third, virtually all the discussion of condoms, by both men and women, is in the context of preventing STI/HIV-AIDS infection in extramarital partnerships. Lastly, and critical for this paper, is that initiating a discussion of condom use for preventing infection in marriage is like bringing an intruder into the domestic space. Thus, there is evidence that change in attitudes about condom use may be occurring, but only outside marriage. This evidence concurs with Malawian government policy that advocates for condom use in marriage only if either spouse has more than one sexual partner. The AIDS epidemic is therefore bringing sexual behavior change outside marriage and not within.

摘要

本文通过分析1992年和2000年的马拉维人口与健康调查,并对马拉维农村三个地区的已婚男女进行半结构化访谈,评估了马拉维婚姻内的避孕套使用情况,尤其关注人们对避孕套与婚姻兼容性的看法。有四个显著发现。第一,婚姻内避孕套的使用可忽略不计。第二,关于避孕套有很多讨论,特别是在男性社交网络伙伴中。第三,几乎所有男性和女性对避孕套的讨论都是在预防婚外性伴侣感染性传播感染/艾滋病毒-艾滋病的背景下进行的。最后,也是本文的关键在于,发起关于在婚姻中使用避孕套预防感染的讨论就像是将一个闯入者带入家庭空间。因此,有证据表明人们对避孕套使用的态度可能正在发生变化,但仅发生在婚姻之外。这一证据与马拉维政府的政策一致,该政策主张仅当夫妻一方有多个性伴侣时才提倡在婚姻中使用避孕套。因此,艾滋病疫情正在促使婚外性行为发生变化,而非婚内性行为。

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