Condom use within marital and cohabiting partnerships in KwaZulu-Natal, South Africa
Condom use within marital and cohabiting partnerships in KwaZulu-Natal, South Africa
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DOI：
10.1111/j.1728-4465.2004.00013.x
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发表时间：
2004-06-01
影响因子：
2.1
通讯作者：
Cleland, J
中科院分区：
文献类型：
--
作者：
Maharaj, P;Cleland, J
传统上，安全套推广策略的主要重点是增加婚外情的使用。本研究探讨了南非夸祖鲁-纳塔尔省婚姻和同居伙伴关系中安全套使用的程度和决定因素。在焦点小组讨论、深入访谈和个人调查回复中，人们对安全套作为预防怀孕和疾病风险双重保护的有效方法的了解程度很高。与许多其他研究一致，这项研究发现人们普遍反对婚内使用安全套。只有 14% 的男性和 17% 的女性表示持续或“偶尔”使用安全套。然而，受教育程度较高的城市人群的安全套使用率远高于受教育程度较低的农村人群。除了教育之外，伴侣感染艾滋病毒的感知风险是婚姻和同居伙伴关系中使用艾滋病毒的最有力的决定因素，特别是对于女性而言。然而，婚姻和同居伙伴关系中对安全套的抵制并非一成不变，女性可能并不像经常报道的那样无力保护自己。
Traditionally, the major focus of condom-promotion strategies has been on increasing use outside marriage. This study explores the extent and determinants of condom use within marital and cohabiting partnerships in KwaZulu-Natal, South Africa. In focus-group discussions, in-depth interviews, and individual survey responses, knowledge of condoms as an effective method of dual protection against the risk of pregnancy and disease was found to be high. Consistent with numerous other studies, this study found widespread disapproval of condom use within marriage. Only 14 percent of men and 17 percent of women reported consistent or "occasional" condom use. Nevertheless, condom use is much higher among urban, more-educated individuals than among their rural, less-educated counterparts. Apart from education, perceived risk of HIV infection from the partner is the most powerful determinant of use within marital and cohabiting partnerships, particularly for women. Resistance to condoms within marital and cohabiting partnerships is not immutable, however, and women may not be as powerless to protect themselves as is often reported.