非意愿妊娠妇女性伴侣避孕意识关联因素的调查分析

Investigation of the Contraception Awareness in Male Partners of Unwanted Pregnancy Women

目的:对特定育龄期男性的避孕认知、态度和实践进行调研,为减少非意愿妊娠提供干预依据。方法:对2017年10月—2019年3月陪同性伴侣于上海交通大学附属第一人民医院行人工流产术的男性进行避孕相关知识自填式问卷调查,探讨影响男性避孕认知及态度的关键因素。结果:收到有效问卷984份。该群体绝大多数都有一定的避孕意识,采用安全套避孕是选择最多的避孕方式;嫌避孕麻烦和一次不避孕不会妊娠的侥幸心理是男性不能坚持使用安全套的主要原因;低文化程度、低经济收入、无业者、自由职业者和农民工等群体的避孕积极度较差。结论:针对人工流产妇女及其性伴侣同时进行避孕宣教,尤其是对低收入与低文化程度育龄期男性群体进行避孕相关认知的强化宣教,仍是我国现阶段减少非意愿妊娠、保护生殖健康的有效举措。

Objective:To investigate the contraceptive cognition,attitude and practice in male partners of unwanted pregnancy women,so as to provide a reference for reducing some unwanted pregnancies.Methods:Male partners who are accompanied with their female partners undergoing the induced abortion were investigated by the self-administered questionnaires from October 2017 to March 2019.The key factors affecting male contraceptive cognition and attitude were analyzed.Results:A total of 984 questionnaires were efficient.Most of the surveyed males have a certain awareness of contraception,and condom is the most widely-used contraceptive method.Two main reasons that men cannot insist on using condoms were:taking the trouble of contraception,and having the fluke mind that not taking contraceptives once will not lead to pregnancy.The group of male partners with low education level,low income,unemployed,freelancers and migrant workers were less motivated in contraception.Conclusions:The promotion of reproductive health and contraceptive-related cognition for low-income and low-education male-aged males should be strengthened,and the development and application of male contraceptives should be emphasized.