Montana State University, Bozeman, MT 59715, USA.
Am J Mens Health. 2012 Jul;6(4):324-30. doi: 10.1177/1557988312439226. Epub 2012 Mar 19.
This study examines the extent to which age, fatherhood, relationship status, self-control of birth control method, and the use of birth control influence young Native American men's intention to use family planning services. Data were collected for this study during in-depth interviews with 112 Native American men between the ages of 18 and 24 years. The mean age reported was 21. Thirty-eight percent of the young men reported having children. Almost 70% of the young men reported being in a steady relationship. Eighty-eight percent reported that it was very important that they have self-control of the type of birth control that they use. In addition, 88% of the young men reported that they would use some type of birth control within the next year to prevent a pregnancy with their partner. Logistic regression analysis indicated that as age increased, young men were less likely to seek family planning services for birth control. The young men who reported being fathers were more likely than the young men who did not report being fathers to seek family planning services for birth control. Findings from this study suggest that public health efforts to educate Native American men about family planning services are most effective in their adolescence, before they transition into young adulthood. Fatherhood may also be considered a protective factor that may increase the likelihood that young Native American men will seek family planning services for birth control. Public health efforts that address reproductive health among young Native American men may be effective with Native American men in adolescence, prior to their transition to young adulthood. Family planning services that provide outreach education and care to Native American fathers may also be effective.
本研究旨在探讨年龄、为人父、恋爱关系状况、对避孕方法的自控力以及避孕措施的使用对年轻美洲原住民男性使用计划生育服务的意愿的影响程度。本研究的数据来自对 112 名年龄在 18 至 24 岁之间的美洲原住民男性进行的深入访谈。报告的平均年龄为 21 岁。38%的年轻男性报告有子女。近 70%的年轻男性报告处于稳定的恋爱关系。88%的人表示,他们对自己能够控制所使用的避孕类型非常重要。此外,88%的年轻男性表示,他们将在未来一年内使用某种避孕措施来防止与伴侣怀孕。逻辑回归分析表明,随着年龄的增长,年轻男性寻求计划生育服务来进行避孕的可能性降低。报告自己为人父的年轻男性比报告自己没有子女的年轻男性更有可能寻求计划生育服务来进行避孕。本研究结果表明,向美洲原住民男性普及计划生育服务的公共卫生工作在他们进入青春期之前,即进入青年期之前最有效。为人父也可能是一个保护因素,可能会增加年轻美洲原住民男性寻求计划生育服务进行避孕的可能性。针对年轻美洲原住民男性生殖健康的公共卫生工作可能在青春期对即将进入青年期的男性有效。向美洲原住民父亲提供外展教育和护理的计划生育服务也可能有效。