Key barriers to the use of modern contraceptives among women in Albania: a qualitative study
Key barriers to the use of modern contraceptives among women in Albania: a qualitative study
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DOI：
10.1016/s0968-8080(12)40681-4
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发表时间：
2012-11-01
影响因子：
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通讯作者：
Lazarus, Jeffrey V.
中科院分区：
文献类型：
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作者：
Nielsen, Karoline Kragelund;Nielsen, Siff Malue;Lazarus, Jeffrey V.
尽管自1999年以来在阿尔巴尼亚开展了一些宣传现代避孕药具的宣传运动，但现代避孕药具的使用率仍然很低。在这篇文章中，我们确定并分析了阿尔巴尼亚妇女使用现代避孕药具的主要障碍。还对参与促进现代避孕的组织的11个利益攸关方进行了半结构化访谈，并与地拉那和地拉那外围一个农村的40名妇女进行了4次焦点小组讨论，这些妇女按年龄和居住情况进行了划分。内容分析用于分析访谈和焦点小组讨论。查明的障碍包括社会文化问题，如与伴侣的关系状况和童贞的重要性，谈论性问题和避孕是禁忌的问题，保健问题，特别是费用和可获得性问题，以及个人问题，如社会对避孕措施的不利态度，以及对现代避孕措施的使用和好处缺乏了解。为促进今后避孕措施的使用，宣传活动应消除这些障碍，并将重点从只针对育龄妇女扩大到以青年、男子、保健提供者、家长和学校教师为目标。(C)2012年生殖健康事务
In spite of a number of communication campaigns since 1999 promoting modern contraceptives in Albania, their use remains low. In this paper we identify and analyse key barriers to the use of modern contraception among women in Albania. Semi-structured interviews with 11 stakeholders from organisations involved in promoting modern contraception, and four focus group discussions with 40 women from Tirana and a rural village in the periphery of Tirana, divided according to age and residence, were also conducted. Content analysis was used to analyse both the interviews and focus group discussions. Barriers identified included socio-cultural issues such as status of the relationship with partners and the importance of virginity, problems talking about sexual issues and contraception being taboo, health care issues - especially cost and availability - and individual issues such as unfavourable social attitudes towards contraceptives and a lack of knowledge about the use and benefits of modern contraception. To promote contraceptive use in the future, campaigns should address these barriers and expand from a focus on women of reproductive age only to target youth, men, health care providers, parents and schoolteachers as well. (C) 2012 Reproductive Health Matters