男性对避孕知识和态度的种族和民族差异。
Racial and ethnic differences in men's knowledge and attitudes about contraception.
机构信息
Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, USA; Center for Health Equity, Research, and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
出版信息
Contraception. 2013 Oct;88(4):532-8. doi: 10.1016/j.contraception.2013.04.002. Epub 2013 Apr 18.
BACKGROUND
Little is known about racial/ethnic differences in men's contraceptive knowledge and attitudes.
STUDY DESIGN
We used multivariable logistic regression to examine racial/ethnic differences in contraceptive knowledge and attitudes among 903 men aged 18-29 in the 2009 National Survey of Reproductive and Contraceptive Knowledge.
RESULTS
Black and Hispanic men were less likely than Whites to have heard of most contraceptive methods, including female and male sterilization, and also had lower knowledge about hormonal and long-acting reversible methods. They were less likely to know that pills are ineffective when 2-3 pills are missed [Blacks: adjusted odds ratio (aOR)=0.42; Hispanics: aOR=0.53] and that fertility was not delayed after stopping the pill (Blacks: aOR=0.52; Hispanics: aOR=0.27). Hispanics were less likely to know that nulliparous women can use the intrauterine device (aOR=0.47). Condom knowledge was similar by race/ethnicity, but Blacks were less likely to view condoms as a hassle than Whites (aOR=0.46).
CONCLUSIONS
Efforts to educate men, especially men of color, about contraceptive methods are needed.
背景
关于男性避孕知识和态度的种族/民族差异知之甚少。
研究设计
我们使用多变量逻辑回归分析，在 2009 年全国生殖和避孕知识调查中，对 903 名年龄在 18-29 岁的男性进行了种族/民族差异的避孕知识和态度研究。
结果
与白人相比，黑人男性和西班牙裔男性不太可能听说过大多数避孕方法，包括女性和男性绝育，对激素和长效可逆方法的了解也较少。他们不太可能知道，当漏服 2-3 片避孕药时，药物就会失效[黑人：调整后的优势比（aOR）=0.42；西班牙裔：aOR=0.53]，而且停药后生育能力不会延迟[黑人：aOR=0.52；西班牙裔：aOR=0.27]。西班牙裔不太可能知道未生育的女性可以使用宫内节育器（aOR=0.47）。不同种族/民族的避孕套知识相似，但与白人相比，黑人男性认为使用避孕套更麻烦（aOR=0.46）。
结论
需要努力向男性，特别是有色人种男性，普及避孕方法的知识。
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