Family Health International, PO Box 13950, Research Triangle Park, NC 27709, USA.
Am J Public Health. 2011 Jun;101(6):1089-95. doi: 10.2105/AJPH.2010.300091. Epub 2011 Apr 14.
We examined the effect of a peer-delivered educational intervention, the Malawi Male Motivator intervention, on couples' contraceptive uptake. We based the intervention design on the information-motivation-behavioral skills (IMB) model.
In 2008 we recruited 400 men from Malawi's Mangochi province who reported not using any method of contraception. We randomized them into an intervention arm and a control arm, and administered surveys on contraceptive use at baseline and after the intervention. We also conducted in-depth interviews with a subset of intervention participants.
After the intervention, contraceptive use increased significantly within both arms (P < .01), and this increase was significantly greater in the intervention arm than it was in the control arm (P < .01). Quantitative and qualitative data indicated that increased ease and frequency of communication within couples were the only significant predictors of uptake (P < .01).
Our findings indicate that men facilitated contraceptive use for their partners. Although the IMB model does not fully explain our findings, our results show that the intervention's content and its training in communication skills are essential mechanisms for successfully enabling men to help couples use a contraceptive.
我们研究了同伴教育干预措施——马拉维男性促进者干预对夫妇采用避孕措施的影响。我们的干预设计基于信息-动机-行为技能（IMB）模型。
2008 年，我们招募了来自马拉维曼戈乔省的 400 名报告未使用任何避孕方法的男性。我们将他们随机分为干预组和对照组，并在基线和干预后进行避孕使用情况调查。我们还对一部分干预参与者进行了深入访谈。
干预后，两组的避孕措施使用率均显著增加（P<.01），且干预组的增加幅度明显大于对照组（P<.01）。定量和定性数据表明，夫妻间沟通的便利性和频率增加是唯一显著的预测因素（P<.01）。
我们的研究结果表明，男性促进了其伴侣使用避孕措施。尽管 IMB 模型并不能完全解释我们的研究结果，但我们的结果表明，干预的内容及其沟通技能培训是男性成功帮助夫妇使用避孕措施的重要机制。
