Kısa Sezer, Savaş Esen, Zeyneloğlu Simge, Dönmez Sevgül
1 Oslo and Akershus University College of Applied Sciences, Kjeller, Norway.
2 Gaziantep University, Gaziantep, Turkey.
Am J Mens Health. 2017 May;11(3):531-541. doi: 10.1177/1557988315620275. Epub 2015 Dec 3.
This study was conducted as a descriptive study, designed to determine the opinions and attitudes of married couples living in Turkey about vasectomy. The sample consisted of 350 women. Researchers used a questionnaire to collect data. Descriptive statistics and chi-square analysis were used. The results showed that 14% of women and 43.0% of men were of the opinion that undergoing a vasectomy procedure was a sin. Chi-square analysis determined statistically significant differences between the male and female groups ( p < .05). More than 88.0% of the men were not willing to have vasectomy and 35.4% thought that vasectomy had a negative effect on marriage and sexual health. In addition, 58.9% thought that vasectomy had a negative effect on men's health. Women were more likely than men to see vasectomy as merely a cultural taboo instead of a sin. Sociocultural factors, such as ideas that contraception is the woman's responsibility, that sterilized men lose status in society, or that sterilized men lose authority in the family, as well as misconceptions about vasectomy such as concerns about sexual functioning, psychological effects, and effects on physical strength, were determined to be the main barriers for vasectomy use in Turkish culture. The study recommends determining strategies for overcoming sociocultural barriers by raising awareness and increasing the utilization of vasectomy. Couple-specific family planning programs can make an important contribution toward improving awareness of the benefits of vasectomy.
本研究作为一项描述性研究开展,旨在确定居住在土耳其的已婚夫妇对输精管切除术的看法和态度。样本包括350名女性。研究人员使用问卷收集数据。采用描述性统计和卡方分析。结果显示,14%的女性和43.0%的男性认为接受输精管切除术是一种罪过。卡方分析确定了男性和女性群体之间具有统计学意义的差异(p <.05)。超过88.0%的男性不愿意接受输精管切除术,35.4%的男性认为输精管切除术对婚姻和性健康有负面影响。此外,58.9%的男性认为输精管切除术对男性健康有负面影响。女性比男性更倾向于将输精管切除术视为一种文化禁忌而非罪过。社会文化因素,如认为避孕是女性的责任、绝育男性在社会中失去地位或在家庭中失去权威的观念,以及对输精管切除术的误解,如对性功能、心理影响和体力影响的担忧,被确定为土耳其文化中输精管切除术应用的主要障碍。该研究建议通过提高认识和增加输精管切除术的利用率来确定克服社会文化障碍的策略。针对夫妇的计划生育项目可为提高对输精管切除术益处的认识做出重要贡献。