Nishtar Noureen Aleem, Sami Neelofar, Faruqi Anum, Khowaja Shaneela, Ul-Hasnain Farid
Community Health Sciences Department, Aga Khan University, Pakistan.
Glob J Health Sci. 2012 Dec 4;5(2):84-93. doi: 10.5539/gjhs.v5n2p84.
Pakistan presently has one of the largest cohorts of young people in its history, with around 36 million people between the ages of 15 and 24 years. One of the main reasons for high population growth in Pakistan is almost stagnant contraceptive prevalence rate of 30% nationally and 17.4% amongst youth. The study was conducted to explore the perceptions regarding myths and fallacies related to male contraceptive methods among married youth aged 18-24 year in Karachi, Pakistan. Qualitative exploratory study design was adopted and a total of eight Focus Group Discussions (FGDs) were conducted. Study was conducted in two Union Councils of Korangi Town in the squatter settlement of Karachi, Pakistan from July to September 2010. Thematic analysis was done manually. General, physical, sexual, psychological, socio-cultural and religious were the common categories which lead to myths and fallacies related to condoms use and vasectomy among the married youth. The foremost myth amongst male and female youth was that use of both condoms and vasectomy cause impotence in males. Additionally, condoms were thought to cause infections, backache and headache in males. Some youth of the area think that vasectomy is meant for prisoners only. In conclusion our findings suggest that the potential reasons behind low use of male contraceptive methods among youth of squatter settlement of Karachi were myths and fallacies about male contraceptive methods. There are some important policy implications like counseling of the couple through peers and well trained family planning service providers to address these myths and misconceptions from the minds of youth.
巴基斯坦目前拥有其历史上规模最大的年轻人群体之一，年龄在15至24岁之间的人口约有3600万。巴基斯坦人口高增长的主要原因之一是全国避孕药具普及率几乎停滞在30%，青年人群中的普及率为17.4%。本研究旨在探讨巴基斯坦卡拉奇18至24岁已婚青年对男性避孕方法相关误区和谬见的看法。采用了定性探索性研究设计，共进行了八次焦点小组讨论（FGD）。研究于2010年7月至9月在巴基斯坦卡拉奇棚户区科兰吉镇的两个联合委员会开展。采用人工进行主题分析。一般、身体、性、心理、社会文化和宗教是导致已婚青年中与使用避孕套和输精管切除术相关的误区和谬见的常见类别。男性和女性青年中最主要的误区是，使用避孕套和输精管切除术都会导致男性阳痿。此外，避孕套被认为会导致男性感染、背痛和头痛。该地区的一些青年认为输精管切除术仅适用于囚犯。总之，我们的研究结果表明，卡拉奇棚户区青年中男性避孕方法使用率低的潜在原因是对男性避孕方法的误区和谬见。存在一些重要的政策影响，比如通过同龄人以及训练有素的计划生育服务提供者对夫妇进行咨询，以消除青年头脑中的这些误区和误解。
