Fertility Intentions and Perspectives on Contraceptive Involvement Among Low-Income Men Aged 25 to 55
Fertility Intentions and Perspectives on Contraceptive Involvement Among Low-Income Men Aged 25 to 55
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DOI：
10.1363/psrh.12115
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发表时间：
2019-08-26
影响因子：
5.8
通讯作者：
White, Kari
中科院分区：
文献类型：
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作者：
Campbell, Anthony D.;Turok, David K.;White, Kari
背景 在美国，低收入人群报告的意外怀孕现象不成比例，而关于男性在预防怀孕方面的作用的研究主要集中在青少年和年轻人。人们对 24 岁以上男性与怀孕相关的态度和行为知之甚少，他们参与了大多数以分娩告终的妊娠。方法 2015年12月至2016年8月，对阿拉巴马州26名年龄在25-55岁、性活跃且不想要更多孩子的低收入男性进行了深度访谈。访谈探讨了男性不想要更多孩子的原因、他们的避孕知识和态度以及他们对避孕决策的参与。使用内容分析对成绩单进行检查，以确定与男性对预防怀孕和使用避孕药具的观点相关的主题。结果 参与者避孕的动机主要集中在他们的年龄和经济状况。大多数男性的避孕知识有限，并且认为无论使用何种方法，自己怀孕的风险都很低。很少有男性参与有关避孕药具使用的决定，尽管他们相信男性和女性有共同的责任来预防怀孕。尽管有些男性对输精管结扎术感兴趣，但也有一些男性对接受该手术犹豫不决，因为如果生活环境发生变化，他们可能想稍后再要孩子，而另一些男性则担心输精管结扎术可能会影响性能力。结论 一些低收入成年男性不确定自己的怀孕意愿，许多人缺乏有助于避免意外怀孕的避孕知识。需要进行研究以确定哪些类型的计划可以有效促进男性在其生殖生命过程中建设性地参与预防怀孕。
CONTEXT Unintended pregnancy is disproportionately reported by low-income individuals in the United States, and studies of men's roles in preventing pregnancy have largely focused on adolescents and young adults. Less is known about the pregnancy-related attitudes and behaviors among men older than 24, who are involved in the majority of pregnancies ending in a birth. METHODS Between December 2015 and August 2016, in-depth interviews were conducted with 26 low-income men in Alabama who were aged 25-55, were sexually active and did not want more children. Interviews explored men's reasons for not wanting more children, their contraceptive knowledge and attitudes, and their involvement in contraceptive decision making. Transcripts were examined using content analysis to identify themes related to men's perspectives about preventing pregnancy and using contraceptives. RESULTS Participants' motivations to prevent a pregnancy centered primarily on their age and financial circumstances. Most men had limited contraceptive knowledge and perceived their risk of causing a pregnancy to be low, regardless of method use. Few men engaged in decisions about contraceptive use, despite their beliefs that men and women had a shared responsibility to prevent pregnancy. Although some men were interested in vasectomy, a few were hesitant about undergoing the procedure because they might want to have children later if their life circumstances changed, and others worried that vasectomy might affect sexual performance. CONCLUSIONS Some low-income adult men were uncertain about their pregnancy desires, and many lacked contraceptive knowledge that would help them avoid unwanted pregnancy. Research is needed to identify the types of programs that could effectively promote men's constructive engagement in preventing pregnancies over their reproductive life course.