Brindis C, Boggess J, Katsuranis F, Mantell M, McCarter V, Wolfe A
Center for Reproductive Health Policy Research, Institute for Health Policy Studies, University of California, San Francisco, USA.
Fam Plann Perspect. 1998 Mar-Apr;30(2):63-6, 88.
Family planning programs and policies increasingly focus on the male partner's roles and responsibilities in contraceptive decision-making and use. To effectively tailor services for males, policymakers and providers must refine their understanding of men's psychosocial and reproductive health needs.
Using self-administered questionnaires, 1,540 sexually active males aged 19 and younger who attended family planning clinics in California provided information about their sexual behavior, contraceptive use, pregnancy and parenting history, and psychosocial characteristics. Logistic regression was used to examine factors that contributed to effective contraceptive use.
Although 73% of participants reported having used a birth control method at first intercourse, only 59% said that they or their partner had used an effective method at last intercourse, and 35% had used no method. If the client was uncomfortable with his method, the odds that he had used an effective method at last intercourse were reduced (odds ratio, 0.4). The likelihood of use at last intercourse was increased among males who agreed with their partner about their method and those who had never impregnated a partner (1.4 and 1.9, respectively).
To adequately serve young males, clinics must take into account their sexual and contraceptive histories. But screening should go beyond traditional family planning techniques to discuss how to improve communication with partners and other lifestyle issues that may interfere with consistent use.
计划生育项目和政策越来越关注男性伴侣在避孕决策和使用方面的角色与责任。为了有效地为男性量身定制服务，政策制定者和服务提供者必须加深对男性心理社会和生殖健康需求的理解。
通过自行填写问卷，1540名年龄在19岁及以下、在加利福尼亚州计划生育诊所就诊的性活跃男性提供了有关他们性行为、避孕措施使用、怀孕和育儿史以及心理社会特征的信息。采用逻辑回归分析来研究有助于有效使用避孕措施的因素。
虽然73%的参与者报告在首次性交时使用了避孕方法，但只有59%的人表示他们或其伴侣在最近一次性交时使用了有效方法，35%的人未使用任何方法。如果服务对象对其使用的方法不满意，那么他在最近一次性交时使用有效方法的几率会降低（优势比为0.4）。在与伴侣就避孕方法达成一致的男性以及从未使伴侣怀孕的男性中，最近一次性交时使用避孕措施的可能性增加（分别为1.4和1.9）。
为了充分服务年轻男性，诊所必须考虑他们的性和避孕史。但筛查应超越传统的计划生育技术，讨论如何改善与伴侣的沟通以及其他可能干扰持续使用避孕措施的生活方式问题。
