A qualitative examination of men's condom use attitudes and resistance: "it's just part of the game".

A qualitative examination of men's condom use attitudes and resistance: "it's just part of the game".
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DOI:
10.1007/s10508-013-0150-9
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发表时间:
2014-04
影响因子:
3.8
通讯作者:
George WH
George WH
中科院分区:
法学2区
文献类型:
--
作者:
Davis KC;Schraufnagel TJ;Kajumulo KF;Gilmore AK;Norris J;George WH

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本研究的目的是调查年轻的异性恋男子的看法的优势和劣势,安全套使用在他们的随意性关系的变化。因为那些认为使用安全套的缺点更大的男性可能更有可能抵制使用它们,我们还探讨了男性避免使用安全套的策略。半结构化的焦点小组进行了单身男性与女性发生性关系(n = 60),年龄在21至35岁,所有的人都报告使用避孕套不一致。使用框架分析方法对成绩单进行分析。正如预期的那样,参与者报告了使用避孕套的优点和缺点,涉及到性行为的可能性和质量,性交时的身体感觉,以及性传播感染和意外怀孕的风险。然而,在每个主题中,参与者对使用安全套的相对利弊的评价差异很大。此外,参与者报告说,男性使用广泛的避孕套使用阻力策略-包括诱惑,欺骗和避孕套破坏-这些策略的使用被视为他们这个年龄的男性的规范行为。这些研究结果表明,性健康预防工作的有效性可以通过增加年轻男子使用避孕套的动机和针对社会规范避孕套的使用阻力。此外,男性避孕套使用阻力问题显然值得增加实证调查和干预关注。
The purpose of this study was to investigate the variability in young heterosexual men’s perceptions of the advantages and disadvantages of condom use in their casual sexual relationships. Because men who perceive greater disadvantages of condom use may be more likely to resist using them, we also explored the tactics that men employ to avoid using condoms. Semi-structured focus groups were conducted with single men who have sex with women (n = 60), aged 21 to 35, all of whom reported using condoms inconsistently. Transcripts were analyzed using a framework analysis approach. As expected, participants reported advantages and disadvantages to condom use that pertained to the likelihood and quality of sex, physical sensations during intercourse, and the risk of STIs and unwanted pregnancies. Within each of these topics, however, participants’ appraisals of the relative pros and cons of condom use varied considerably. Additionally, participants reported that men use a wide range of condom use resistance tactics - including seduction, deception, and condom sabotage – and that the use of these tactics is viewed as normative behavior for men their age. These findings suggest that the effectiveness of sexual health prevention efforts could be enhanced by increasing young men’s motivations to use condoms and by targeting social norms regarding condom use resistance. Additionally, the issue of men’s condom use resistance clearly merits increased empirical investigation and intervention attention.
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