Men's attitudes towards a potential vaginal microbicide in Zimbabwe, Mexico and the USA
Men's attitudes towards a potential vaginal microbicide in Zimbabwe, Mexico and the USA
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DOI：
10.1016/s0968-8080(00)90015-6
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发表时间：
2000-05-01
影响因子：
--
通讯作者：
Friedland, B
中科院分区：
文献类型：
--
作者：
Coggins, C;Blanchard, K;Friedland, B
正在开发阴道杀微生物剂，试图扩大妇女和男子保护自己免受艾滋病毒和其他性传播感染的选择。在产品开发和引进过程中考虑到男性的态度可能会增加产品被接受和使用的可能性。为了从不同的文化背景捕捉城市和农村男性的视角，我们与津巴布韦、墨西哥和美国的出租车司机和农民进行了焦点小组讨论。这些研究探讨了艾滋病毒/性传播疾病风险认知和预防策略、阴道产品和杀微生物剂的可取特性，以及对潜在产品的使用态度。男性普遍支持杀微生物剂的想法；城市男性略多于农村男性。大多数人认为杀菌剂比避孕套更可取，尽管许多人对潜在的副作用表示担忧。男性希望这些产品像避孕套一样便宜，容易获得，但在女性是否应该获得伴侣的许可使用它的问题上存在分歧。男性认为，要想广泛使用这些产品，这些产品不仅必须安全有效，而且应该不会对性快感产生负面影响。当一种产品上市时，介绍性信息必须解释其有效性的限制，并鼓励与避孕套一起使用。还需要进一步研究愉快性行为的定义及其对杀微生物剂配方的影响，以及围绕性行为和预防感染问题的伴侣沟通。
Vaginal microbicides are being developed in an attempt to Expand women's and men's options for protecting themselves against HIV and other sexually transmitted infections. Taking account of men's attitudes during product development and introduction could increase the likelihood that products are acceptable and used. To capture the perspectives of urban and rural men from a range of cultural settings, we conducted focus group discussions with taxi drivers and farmers in Zimbabwe, Mexico and the USA. These explored HIV/STD risk perception and prevention strategies, desirable characteristics of vaginal products and of a microbicide, and attitudes towards use of a potential product. Men were generally supportive of the idea of a microbicide; urban somewhat more than rural men. Most thought microbicides would be preferable to condoms though many raised concerns about potential side effects. The men wanted these products to be as inexpensive and readily available as condoms, and differed as to whether a woman should have permission from her partner to use it. For them to be widely used the men thought these products must not only be safe and effective, but should also have no negative effect on sexual pleasure. When a product becomes available, introductory messages must explain the limits on its effectiveness and encourage use with condoms. Fur ther research is needed on definitions of pleasurable sex and the ramifications of this for microbicide formulation, and on partner communication around issues of sexuality and prevention of infection.