The determinants of withdrawal use in Turkey: a husband's imposition or a woman's choice?
The determinants of withdrawal use in Turkey: a husband's imposition or a woman's choice?
复制标题
土耳其戒毒的决定因素：丈夫的强制还是女人的选择？
DOI：
10.1016/j.socscimed.2003.12.014
复制
发表时间：
2004
影响因子：
5.4
通讯作者：
A. Kulczycki
中科院分区：
文献类型：
--
作者：
A. Kulczycki
本文旨在了解为什么土耳其是世界上使用性交中断率最高的国家之一。尽管生育率明显下降，避孕普及率显著提高，计划生育活动扩大，但1998年每四对土耳其夫妇中就有一对依赖于停药，这一比例自1983年以来一直保持稳定。在以前的研究，侧重于妇女的报告，在这里，我们使用丈夫的模块，1998年土耳其人口和健康调查，研究用户的特点和态度，以及退出使用的决定因素之间的代表性样本1950年目前在土耳其已婚男子。采用多变量方法来估计这些影响以及使用撤回而不是其他方法的可能性。在其他研究结果中，不那么平等的丈夫更有可能选择其他避孕方法，但在控制其他变量后，男性权威的措施只有部分预测能力。虽然戒断使用通常反映了丈夫的偏好，但由于它满足了使用者的要求并简化了妇女的生活，因此被广泛采用。这项研究的结果进行了讨论，在更广泛的历史和文化背景下，并用于提供洞察土耳其的计划生育和生殖健康方案可能会得到改善。与邻国相比，土耳其几乎没有迹象表明会很快通过现代方法撤离。
This paper seeks to understand why Turkey has one of the highest rates of withdrawal (coitus interruptus) use in the world. Despite a pronounced fertility decline, a marked increase in contraceptive prevalence, and expansion of family planning activities, in 1998 one in four Turkish couples relied on withdrawal, and this fraction has remained stable since 1983. In contrast to previous research that has focused on women's reports, here we use the husbands’ module of the 1998 Turkish Demographic and Health Survey to examine user characteristics and attitudes, as well as the determinants of withdrawal use among a representative sample of 1950 currently married men in Turkey. Multivariate methods are employed to estimate these effects and the likelihood of using withdrawal rather than other methods. Among other findings, less egalitarian-minded husbands were more likely to select withdrawal over other contraceptive methods, but measures of male authority had only partial predictive power after controlling for other variables. Although withdrawal use typically reflects husbands’ preferences, it is widely practiced as it satisfies user requirements and simplifies womens’ lives. The results of this study are discussed in a broader historical and cultural context and used to provide insight into how Turkey's family planning and reproductive health programs might be improved. In contrast to neighboring countries, there is little sign of withdrawal being displaced in Turkey anytime soon by modern methods.