Does condom social marketing improve health outcomes and increase usage and equitable access?
Does condom social marketing improve health outcomes and increase usage and equitable access?
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DOI：
10.1016/s0968-8080(11)37558-1
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发表时间：
2011-05-01
影响因子：
--
通讯作者：
Knerr, Wendy
中科院分区：
文献类型：
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作者：
Knerr, Wendy
安全套社会营销增加了安全套的供应，扩大了安全套的商业市场，并在发展中国家引进了营销创新。然而，关于对安全套使用和疾病预防的影响的严格可靠的证据有限，关于对贫穷人口、妇女和艾滋病毒感染者公平获得安全套的影响的证据也有限。关于CSM的一系列研究主要报告产出（例如销售和加工）和市场增长;但这些被认为是非常不可靠的避孕套使用措施。另一类研究报告主要是利用调查数据，对性行为、态度或避孕套使用情况的变化进行报告。虽然随机抽样很少，但这些研究通常使用代表性样本，这提供了一些有效性措施。已经尝试提高可靠性或取得良好效果的结果，但研究人员、学者和捐助者仍然面临挑战，包括需要用行为改变的措施补充产出数据，使用事先纳入方案的严格设计，报告公平措施，报告社区服务管理方案的潜在危害，并鼓励外部和系统审查。(C)2011年生殖健康问题。All rights reserved.
Condom social marketing (CSM) has increased condom supplies, broadened commercial markets for condoms and introduced marketing innovations in developing countries. Yet rigorous and reliable evidence of the impact on condom usage and disease prevention is limited, as is evidence of the impact on equity of access to condoms for poor populations, women and people living with HIV. One strand of research on CSM reports mostly on output (e.g. sales and processes) and market growth; but these have been found to be highly unreliable measures of condom usage. Another strand of research reports primarily on changes in sexual behaviour, attitude or condom usage, using survey data. While random sampling is rare, these studies often use representative samples, which provide some measure of validity. There have been attempts to improve the reliability or results to good effect, but challenges remain for researchers, scholars and donors, including the need to supplement output data with measures of behaviour change, use rigorous designs which are built into programmes a priori, report on equity measures, report on potential harms of CSM programmes, and encourage external and systematic reviews. (C) 2011 Reproductive Health Matters. All rights reserved.