Beckman Linda J, Harvey S Marie, Thorburn Sheryl, Maher Julie E, Burns K L
Alliant International University, Los Angeles, USA.
J Sex Res. 2006 Nov;43(4):297-306. doi: 10.1080/00224490609552329.
The vaginal diaphragm is a candidate for a female-controlled method of reducing risk of HIV/STI acquisition. We examined the association between relationship and partner factors and three measures of diaphragm acceptability: current use, consistency of use, and satisfaction with use. We conducted a telephone survey with 448 female members of a managed care organization, aged 18-49, who currently used contraception (including 140 diaphragm users, 187 pill users, and 121 male condom users). Use of a specific contraceptive was significantly associated with relationship length, condom-use negotiation self-efficacy, importance of covert use, perceived motivation of partner to prevent HIV/STIs, and perceived satisfaction of partner with current method. In addition, among diaphragm users, communication about HIV/STIs and perceived partner motivation to use a diaphragm were related to consistent use. These results suggest that acceptability of contraceptive methods among women is influenced by their perceptions of their male partner and relationship factors.
阴道隔膜是一种由女性控制的降低感染艾滋病毒/性传播感染风险的方法。我们研究了关系和伴侣因素与隔膜可接受性的三个指标之间的关联：当前使用情况、使用的一致性以及使用满意度。我们对一家管理式医疗组织中448名年龄在18至49岁之间、目前使用避孕方法的女性成员进行了电话调查（其中包括140名使用阴道隔膜的女性、187名使用避孕药的女性和121名使用男用避孕套的女性）。使用特定的避孕方法与关系持续时间、避孕套使用谈判自我效能感、隐蔽使用的重要性、伴侣预防艾滋病毒/性传播感染动机的感知以及伴侣对当前方法的感知满意度显著相关。此外，在使用阴道隔膜的女性中，关于艾滋病毒/性传播感染的沟通以及伴侣使用阴道隔膜的动机感知与持续使用有关。这些结果表明，女性对避孕方法的可接受性受其对男性伴侣的认知和关系因素的影响。
