National Autonomous University of Mexico, Cuernavaca, Morelos, Mexico.
Qual Health Res. 2010 Jun;20(6):778-87. doi: 10.1177/1049732310362983. Epub 2010 Feb 24.
Contraceptive counseling by physicians plays a decisive role in the contraceptive choices of their patients. We studied male physicians' contraceptive counseling and preferences in Mexico from a gender perspective. Specifically, through in-depth interviews with 31 male physicians working for public health institutions in Mexico, we examined reproductive health providers' contraceptive practices and perceptions about men's roles and responsibilities in reproduction. Through an interpretative analysis we identified the social processes involved in shaping contraceptive preferences. Of special importance are institutional and professional factors-related to prestige and economic concerns-framed by gender determinants which hinder the incorporation of practices that might contribute to gender equality in reproductive health. Thus, female contraceptive methods are preferred by physicians, and use of male contraceptive methods, especially vasectomy, is discouraged by them.
医生提供的避孕咨询对患者的避孕选择起着决定性的作用。我们从性别角度研究了墨西哥男性医生的避孕咨询和偏好。具体来说，通过对在墨西哥公共卫生机构工作的 31 名男性医生进行深入访谈，我们研究了生殖健康提供者的避孕实践以及他们对男性在生殖中的角色和责任的看法。通过解释性分析，我们确定了影响避孕偏好形成的社会过程。特别重要的是与声望和经济利益相关的机构和专业因素——这些因素受到性别决定因素的制约，阻碍了可能有助于生殖健康领域性别平等的实践的采用。因此，医生更倾向于女性避孕方法，而男性避孕方法，尤其是输精管切除术，则受到他们的劝阻。
