Merki-Feld Gabriele Susanne, Felder Stephanie, Roelli Conrad, Imthurn Bruno, Stewart Mary, Bateson Deborah
a Department for Reproductive Endocrinology, Department of Gynaecology and Obstetrics , Zürich University Hospital , Zürich , Switzerland.
b Family Planning NSW , Ashfield , Australia.
Eur J Contracept Reprod Health Care. 2018 Apr;23(2):154-160. doi: 10.1080/13625187.2018.1458226. Epub 2018 Apr 23.
There is evidence that men's perception of contraceptive methods and of their effectiveness and health risks have a major impact on couples contraceptive choices. Engaging men in decision making improves reproductive health outcomes. If they are better informed, men can potentially contribute to more effective use of contraception, thus reducing the rate of sexually transmitted infections and abortion. In Central European countries, few data are available on male contraceptive knowledge and behaviour.
To collect more data we conducted an anonymous survey among young men studying at Zürich University in Switzerland. A questionnaire was distributed to 1500 male students which included a broad range of items addressing sexual behaviour, condom use and knowledge, and attitudes regarding contraceptive methods.
Three hundred and sixty-one questionnaires were eligible for evaluation. Condoms and the combined oral contraceptive pill were the most frequently used methods. However, at last intercourse 15.6% of respondents had not used any method of contraception. Many respondents (37%) had had a one-night stand without protection. Contraceptive methods most regarded as unhealthy for women were the combined oral contraceptive pill, progestin-only methods, intrauterine devices (IUDs) and emergency contraception. Characteristics considered by young men to be important in determining contraceptive method choice were: efficacy, partner satisfaction and no impact on fertility and libido.
Awareness among male Swiss students about contraceptive methods is high, but in-depth knowledge is limited. Myths were expressed about the combined oral contraceptive pill, progestin-only methods, IUDs and the emergency contraceptive pill. High-risk behaviour occurs frequently. The internet was reported to be the most important source of information about contraception.
有证据表明，男性对避孕方法及其有效性和健康风险的认知对夫妻的避孕选择有重大影响。让男性参与决策可改善生殖健康结果。如果男性了解更多信息，他们可能有助于更有效地使用避孕措施，从而降低性传播感染率和堕胎率。在中欧国家，关于男性避孕知识和行为的数据很少。
为了收集更多数据，我们在瑞士苏黎世大学就读的年轻男性中进行了一项匿名调查。向1500名男学生发放了一份问卷，其中包括一系列涉及性行为、避孕套使用和知识以及对避孕方法态度的项目。
361份问卷符合评估条件。避孕套和复方口服避孕药是最常用的方法。然而，在最后一次性交时，15.6%的受访者未使用任何避孕方法。许多受访者（37%）有过无保护措施的一夜情。大多数被认为对女性不健康的避孕方法是复方口服避孕药、仅含孕激素的方法、宫内节育器（IUD）和紧急避孕。年轻男性认为在决定避孕方法选择时重要的特征是：有效性、伴侣满意度以及对生育能力和性欲无影响。
瑞士男学生对避孕方法的知晓率较高，但深入了解有限。对复方口服避孕药、仅含孕激素的方法、宫内节育器和紧急避孕药存在误解。高风险行为频繁发生。据报告，互联网是避孕信息的最重要来源。
