农村乌干达男性对计划生育的知识和使用情况。
Knowledge and use of family planning among men in rural Uganda.
机构信息
Department of Obstetrics, Gynecology & Reproductive Sciences, University of Vermont, Burlington, VT, USA.
Department of Medicine, Makerere College of Health Sciences, Kampala, Uganda.
出版信息
BMC Public Health. 2018 Nov 26;18(1):1294. doi: 10.1186/s12889-018-6173-3.
BACKGROUND
Unmet need for family planning exceeds 33% in Uganda. One approach to decreasing unmet need is promoting male involvement in family planning. Male disapproval of use of family planning by their female partners and misconceptions about side effects are barriers to family planning globally and in Uganda in particular. Researchers have conducted a number of qualitative studies in recent years to examine different aspects of family planning among Ugandan men. The present study aimed to quantify men's knowledge of family planning in rural Uganda to understand how better to involve men in couples' contraceptive decision-making, particularly in low-resource settings.
METHODS
Data were derived from in-person, researcher-administered surveys of men in a rural agrarian district in Uganda (N = 178). Participant demographics and knowledge of family planning methods, side effects, and use were queried. Descriptive statistics were used for analysis.
RESULTS
Men were 34 years of age on average (range 18-71) and about half (56%) had a primary school education or less. Ninety-eight percent reported any knowledge of family planning, with 73% of men reporting obtaining information via radio and only 43% from health workers. The most common method known by men was the male condom (72%), but more than half also knew of injections (54%) and pills (52%). Relatively few men reported knowing about the most effective reversible contraceptive methods, intrauterine devices and implants (both 16%). Men identified many common contraceptive side-effects, such as vaginal bleeding (31%), and misconceptions about side effects, such as increased risk of infertility and birth defects, were relatively uncommon (both < 10%). About half of all men reported ever using a family planning method (53%), and 40% reported current use.
CONCLUSIONS
This study's quantitative results build on those of recent qualitative studies and provide information about the types of family planning information men are lacking and avenues for getting this information to them.
背景
在乌干达，计划生育的未满足需求超过 33%。减少未满足需求的一种方法是促进男性参与计划生育。在全球范围内，男性反对其女性伴侣使用计划生育以及对副作用的误解是计划生育的障碍，在乌干达尤其如此。近年来，研究人员进行了多项定性研究，以研究乌干达男性的计划生育的不同方面。本研究旨在量化乌干达农村男性对计划生育的了解程度，以了解如何更好地让男性参与夫妻的避孕决策，特别是在资源匮乏的环境中。
方法
本研究的数据来自乌干达农村农业区的男性面对面、研究员管理的调查（N=178）。询问了参与者的人口统计学特征以及对计划生育方法、副作用和使用的了解。使用描述性统计进行分析。
结果
男性的平均年龄为 34 岁（范围为 18-71 岁），约有一半（56%）接受过小学或以下教育。98%的人报告说对计划生育有任何了解，其中 73%的人通过广播获得信息，只有 43%的人通过卫生工作者获得信息。男性最常见的已知方法是男用避孕套（72%），但超过一半的人也知道注射剂（54%）和避孕药（52%）。相对较少的男性报告说知道最有效的可逆避孕方法，宫内节育器和植入物（均为 16%）。男性识别出许多常见的避孕副作用，例如阴道出血（31%），并且对副作用的误解，例如增加不孕和出生缺陷的风险相对较少（均<10%）。所有男性中有近一半（53%）报告曾使用过计划生育方法，40%报告正在使用。
结论
本研究的定量结果建立在最近的定性研究的基础上，提供了有关男性缺乏的计划生育信息类型以及向他们提供这些信息的途径的信息。
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