Dismore Lorelle, Van Wersch Anna, Swainston Katherine
Teesside University, UK.
Teesside University, UK
J Health Psychol. 2016 May;21(5):788-97. doi: 10.1177/1359105314539528. Epub 2014 Jul 4.
Social constructions of men towards the availability of a male hormonal contraceptive, the 'male pill', were explored. A qualitative approach applying semi-structured interviews and scenarios with 22 men (mean age 35 years) from the North East of England revealed two core constructs and six sub-constructs using a Thematic-Construct Analysis in line with the method of Toerien and Wilkinson and Clarke and Kitzinger. Verbal accounts were inductively used to balance the deductively created two core constructs 'Constructing the male pill norm: dominant system of sensemaking' and 'Living by the male pill norm' to represent a normative framework within a changing ideology of shared responsibility in contraceptive choice. Constructing the male pill norm was divided into two sub-constructs: 'Male pill: we are going to join the women and become responsible - too!' and 'Male pill: you look so girly - what are they going to think of me?' The 'Living by the male pill norm' was further divided into four sub-constructs 'Male pill - thank you for giving me promises not to have to become a dad as yet!'; 'Male pill: thank you for the idea of fun - sorry about my morals!'; 'Male pill: in stable relations - yes, I would have you now - sorry, I am too late!' and 'Male pill, we love you - but we are too anxious - we are not ready as yet!' From this male discourse, it is clear that discussions over the male pill follow the line of a vicious circle. In order to establish long-term side effects, Phase IV studies are necessary, and these cannot commence without the male hormonal contraception being a marketable product. So, unless this circle gets broken by some brave men, the male pill will remain a virtual rotating idea for a long time.
本研究探讨了男性对于男性荷尔蒙避孕药（“男性避孕药”）可用性的社会建构。采用定性研究方法，对来自英格兰东北部的22名男性（平均年龄35岁）进行了半结构化访谈并设置了情景，运用主题建构分析法，依据托里恩和威尔金森以及克拉克和基辛格的方法，揭示了两个核心建构和六个子建构。通过归纳口头叙述，以平衡演绎得出的两个核心建构：“构建男性避孕药规范：主导的意义建构系统”和“遵循男性避孕药规范生活”，以代表在不断变化的避孕选择共同责任意识形态中的一个规范框架。构建男性避孕药规范分为两个子建构：“男性避孕药：我们要加入女性行列，也要承担责任！”和“男性避孕药：你看起来太娘娘腔了——他们会怎么看我？”“遵循男性避孕药规范生活”进一步分为四个子建构：“男性避孕药——感谢你给我承诺，让我暂时不必成为父亲！”；“男性避孕药：感谢你带来有趣的想法——抱歉我的道德观念！”；“男性避孕药：在稳定关系中——是的，我现在想要你——抱歉，我太迟了！”和“男性避孕药，我们爱你——但我们太焦虑了——我们还没准备好！”从这种男性话语中可以明显看出，关于男性避孕药的讨论陷入了恶性循环。为了确定长期副作用，需要进行IV期研究，而如果男性荷尔蒙避孕药不是可销售的产品，这些研究就无法开始。所以，除非这个循环被一些勇敢的男性打破，否则男性避孕药在很长一段时间内仍将只是一个虚拟的、反复出现的想法。
