"I'd Rather Use a Refuse Bag:" A Qualitative Exploration of a South African Community's Perceptions of Government-Provided Condoms and Participant-Preferred Solutions.
"I'd Rather Use a Refuse Bag:" A Qualitative Exploration of a South African Community's Perceptions of Government-Provided Condoms and Participant-Preferred Solutions.
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“我宁愿使用垃圾袋：“对南非社区对政府提供的避孕套和参与者偏爱的解决方案的看法的定性探索。
DOI：
10.1007/s10508-020-01701-2
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发表时间：
2021-03
影响因子：
3.8
通讯作者：
Siegler A
中科院分区：
文献类型：
--
作者：
Shrader CH;Peters Jefferson K;Kanamori M;Rochat R;Siegler A
尽管南非经历了世界上最大的艾滋病毒流行之一，但自2008年以来，避孕套的使用量有所减少。然而，避孕套是南非唯一广泛可用的低成本艾滋病毒预防技术。这项研究旨在探索南非社区对避孕套的看法、最近避孕套使用量的减少以及增加避孕套使用量的建议。2014年，我们进行了7个焦点小组(n=40名男性)和20次深入访谈(n=9名男性，n=11名女性)，参与者年龄18岁，从南非开普敦的4家城市住区卫生诊所招募。使用一般归纳法收集、编码和分析数据。参与者对政府提供的避孕套持负面看法，主题包括对避孕套物理特性的厌恶，对与免费避孕套相关的社会地位的担忧，以及对性能的担忧。围绕男子气概、避孕套使用和性快感的主题交织在一起。增加避孕套使用的解决方案包括提高免费避孕套的质量和种类，并重新命名免费避孕套。与会者建议分发具有新属性的避孕套(例如，更多的颜色、气味/味道、尺寸和需求品牌)，政府项目应该考虑以免费或低成本提供所有品牌的避孕套。这项研究建议对政府提供的避孕套品牌进行实质性的反思。我们的发现表明，避孕套的传播和推广计划应该主动解决公众对避孕套的担忧。现有的社会和结构规范，如霸权男子气概，也必须使用具有性别变革作用的干预措施加以解决。我们还强烈建议制定一份男性避孕套接受度量表，以了解避孕套使用者的需求。
Despite South Africa experiencing one of the largest HIV epidemics in the world, condom use has decreased since 2008. However, condoms are the only low-cost HIV prevention technology widely available in South Africa. This study aims to explore a South African community’s perceptions of condoms, recent condom use decrease, and suggestions for increasing condom use. In 2014, we conducted seven focus groups (n=40 men) and 20 in-depth interviews (n=9 men, n=11 women) with participants aged ≥18 years recruited from 4 urban settlement health clinics in Cape Town, South Africa. Data were collected, coded, and analyzed using a general inductive approach. Participants perceived government-provided condoms negatively, with themes including ‘disgust’ for condom physical properties, concerns with social status associated with free condoms, and performance concerns. There was an intersection of themes surrounding masculinity, condom use, and sexual pleasure. Solutions to increase condom use included improving the quality and variety of free condoms, and rebranding free condoms. Participants suggested that condoms be distributed with novel attributes (e.g. more colors, smells/flavors, sizes, and in-demand brands) and that government programs should consider offering all brands of condoms at no- or low-cost. This study suggests a substantial rethinking of condom branding for government-provided condoms. Our findings suggest that condom dissemination and promotion programs should proactively address public concerns regarding condoms. Existing societal and structural norms such as hegemonic masculinity must also be addressed using gender transformative interventions. We also strongly suggest the creation of a Male Condom Acceptability Scale to understand condom users’ needs.
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影响因子：
3.6
作者：
Adam, BD;Husbands, W;Maxwell, J
通讯作者：
Maxwell, J
影响因子：
1.6
作者：
Beksinska ME;Smit JA;Mantell JE
通讯作者：
Mantell JE
影响因子：
1.7
作者：
Ashmore J;Henwood R
通讯作者：
Henwood R
DOI：
10.4102/phcfm.v2i1.168
发表时间：
2010-01-01
影响因子：
2
作者：
Kabongo, Diulu;Mash, Bob
通讯作者：
Mash, Bob
影响因子：
6
作者：
Jewkes, Rachel;Morrell, Robert
通讯作者：
Morrell, Robert