Factors influencing young Malians' reluctance to use hormonal contraceptives
Factors influencing young Malians' reluctance to use hormonal contraceptives
复制标题
DOI：
10.1111/j.1728-4465.2003.00186.x
复制
发表时间：
2003-09-01
影响因子：
2.1
通讯作者：
Castle, S
中科院分区：
文献类型：
--
作者：
Castle, S
在对马里城市三个同伴教育项目的定性评估中，年轻人表示，他们对使用避孕药或注射避孕药持谨慎态度，因为他们认为这些方法会使他们不育。未婚妇女的避孕决定主要不是由于目前需要限制生育，而是由于将来需要最大限度地提高生育能力，以便在婚姻家庭中通过生育获得地位。进一步的访谈探讨了受孕、月经和激素方法对生殖系统的感知作用。调查结果显示，月经中断（以闭经或长时间出血的形式）似乎有可怕的后果，包括巫术和不道德行为的指控，可能导致女性离婚或丈夫多娶一个妻子。副作用的社会后果被认为比它们的生物学表现更重要，再加上对不育的恐惧，导致人们更喜欢避孕套。
During a qualitative evaluation of three peer-education programs in urban Mali, young people stated that they were wary of using either the pill or injectable contraceptives because they believed that these methods would make them sterile. Unmarried women's contraceptive decision making was not primarily driven by a current need to limit fertility, but rather by a future need to maximize it in order to gain status through childbearing in their marital households. Further interviews explored notions of conception, menstruation, and the perceived action of hormonal methods on the reproductive system. Findings revealed that menstrual disruption (in the form of amenorrhea or prolonged bleeding) appeared to have dire repercussions, including accusations of witchcraft and immoral behavior that could result in a woman's being divorced or in her husband's acquiring an additional wife. The social consequences of side effects were perceived to be more important than their biological manifestations, and together with the fear of sterility, resulted in a preference for the condom.