Davis Kelly Cue, Schraufnagel Trevor J, Kajumulo Kelly F, Gilmore Amanda K, Norris Jeanette, George William H
School of Social Work, University of Washington, 4101 15th Ave NE, Box 354900, Seattle, WA, 98105, USA,
Arch Sex Behav. 2014 Apr;43(3):631-43. doi: 10.1007/s10508-013-0150-9. Epub 2013 Aug 3.
The purpose of this study was to investigate the variability in young heterosexual men's perceptions of the advantages and disadvantages of condom use in their casual sexual relationships. Because men who perceive greater disadvantages of condom use may be more likely to resist using them, we also explored the tactics that men employ to avoid using condoms. Semi-structured focus groups were conducted with single men who have sex with women (n = 60), aged 21-35 years, all of whom reported using condoms inconsistently. Transcripts were analyzed using a framework analysis approach. As expected, participants reported advantages and disadvantages to condom use that pertained to the likelihood and quality of sex, physical sensations during intercourse, and the risk of sexually transmitted infections and unwanted pregnancies. Within each of these topics, however, participants' appraisals of the relative pros and cons of condom use varied considerably. Additionally, participants reported that men use a wide range of condom use resistance tactics, including seduction, deception, and condom sabotage, and that the use of these tactics was viewed as normative behavior for men their age. These findings suggest that the effectiveness of sexual health prevention efforts could be enhanced by increasing young men's motivations to use condoms and by targeting social norms regarding condom use resistance. Additionally, the issue of men's condom use resistance clearly merits increased empirical investigation and intervention attention.
本研究的目的是调查年轻异性恋男性在其随意性行为关系中对使用避孕套利弊的认知差异。由于那些认为使用避孕套弊端更大的男性可能更有可能拒绝使用，我们还探究了男性为避免使用避孕套所采用的策略。对年龄在21至35岁之间、与女性发生性行为的单身男性（n = 60）进行了半结构化焦点小组访谈，他们均表示使用避孕套的情况并不稳定。使用框架分析方法对访谈记录进行了分析。正如预期的那样，参与者报告了使用避孕套的利弊，这些利弊涉及性行为的可能性和质量、性交过程中的身体感觉以及性传播感染和意外怀孕的风险。然而，在这些主题中的每一个主题内，参与者对使用避孕套相对利弊的评价差异很大。此外，参与者报告称，男性会使用多种拒绝使用避孕套的策略，包括诱惑、欺骗和破坏避孕套，并且这些策略的使用被视为与他们年龄相仿的男性的规范行为。这些发现表明，通过增强年轻男性使用避孕套的动机以及针对有关拒绝使用避孕套的社会规范，可以提高性健康预防工作的有效性。此外，男性拒绝使用避孕套的问题显然值得更多的实证研究和干预关注。
