RTI International, Berkeley, CA, USA.
Makerere University - Johns Hopkins University (MU-JHU) Research Collaboration, Kampala, Uganda.
AIDS Behav. 2023 Jan;27(1):198-207. doi: 10.1007/s10461-022-03756-9. Epub 2022 Jul 1.
We conducted a secondary analysis of discrete choice experiment (DCE) data from 395 couples enrolled in the Microbicide Trials Network (MTN)-045/CUPID study in Uganda and Zimbabwe to understand couple decision making around choice of multipurpose prevention technologies (MPTs) to prevent both HIV and pregnancy. Members of couples completed the same DCE, first separately then jointly, choosing between two hypothetical MPTs in a series of nine questions. Most couples either had similar preferences at the outset or had equal decision-making around MPTs (62%). Couples with male influence (17%) were more likely to use contraceptive pills with a male partner's knowledge and couples with female influence (21%) were less likely to have shared decision making about family planning. Males influenced discussion around MPT duration, side effects, menstrual changes, and how the vagina feels during sex. Decision making was relatively shared, though decisions around certain attributes were more likely to be dominated by male partners.
我们对在乌干达和津巴布韦参加避孕方法研究网络（MTN）-045/ cupid 研究的 395 对夫妇进行的离散选择实验（DCE）数据进行了二次分析，以了解夫妇在选择多用途预防技术（MPT）以预防艾滋病毒和怀孕方面的决策。夫妇双方成员分别完成了相同的 DCE，首先是单独完成，然后是共同完成，在九项问题中对两种假设的 MPT 进行选择。大多数夫妇要么一开始就有相似的偏好，要么对 MPT 的决策平等（62%）。有男性影响的夫妇（17%）更有可能在男性伴侣知情的情况下使用避孕药，而有女性影响的夫妇（21%）在计划生育方面不太可能共同决策。男性影响 MPT 持续时间、副作用、月经变化以及阴道在性行为中的感觉等方面的讨论。决策相对共享，但某些属性的决策更有可能由男性伴侣主导。
