提高男性避孕节育知识知晓率和避孕套使用率的干预性试验

An Intervention Trial to Improve the Informed Rate of Contraceptive Knowledge and Rate of Con-dom Use among Married Men

目的:提高已婚男性对计划生育及生殖健康知识的知晓程度,促进男性避孕套的使用。方法:根据基线调查和集体访谈所提供的信息,制定并实施干预计划,在试点厂开展包括专家讲座、咨询服务、宣传折页发放、知识竞赛等内容的干预活动。干预试验结束后,进行终点调查。资料经审核校对后用SAS软件包分析处理。结果:干预后①试点厂男性对男用避孕方法中的体外排精、绝育知晓率极显著高于对照厂(P<0.01),对女用避孕方法中的口服避孕药、绝育、安全期避孕知晓率极显著高于对照厂(P<0.01),宫内节育器、皮下埋植剂、杀精剂、紧急避孕法知晓率,试点厂显著高于对照厂(P<0.05);②试点厂男性知道避孕方法种类的比例极显著高于对照厂(P<0.01);③试点厂男性已生育对象避孕套使用比例显著高于对照厂(P<0.05),试点厂男性已生育对象最后一次性生活使用避孕套的比例极显著高于对照厂(P<0.01);④试点厂男性了解现用避孕方法的避孕原理和优缺点的比例增加。结论:鼓励和推动男性参与的干预项目是成功的,通过开展宣传教育等多种形式的干预活动,提高了男性对计划生育及生殖健康知识的知晓程度以及参与计划生育的意识和责任感,并促进了男性避孕套的使用。

Objective: To improve the informed rate of contraceptive knowledge and rate of condom use among married men. Methods: The intervention plan was worked out and carried out on the baseline interview. The activities of the intervention carried out in experimental including lectures given by experts, counseling service, delivering knowledge foldouts and knowledge competition. The final survey was conducted after intervention activities implemented. Results: ①After intervention activities implemented, the proportion of men knowing male contraception method such as withdrawal and vasectomy in experimental factory was significant higher than that in control ( P < 0. 01) ; the proportion of men knowing fe-male contraception method such as oral contraceptives, sterilization, safety period in experimental factory was significant higher than that in control (P < 0. 01) , the proportion of knowing IUD, Norplant, spermicides and emergency contraceptives in experimental factory was significant higher than that in control (P <0. 05) .②After intervention activities implemented, the proportion of men knowing kinds of contraception methods in experimental was significant higher than that in control( P < 0. 01 ) .③After intervention activities implemen-ted, the proportion of men using condom in experimental factory was significant higher than that in control (P < 0. 05 ) ; the proportion of men using condom at the last intercourse in experimental factory was significant higher than that in control(P <0. 01). ④The proportion of men knowing the principle, advantage and dis-advantage of contraception method currently used in experimental was increased. Conclusions: This program to encourage and improve male involvement was successful. The informed rate of male knowing contraceptive and reproductive health knowledge was increased. There is a powerful impact on conventional conception. The awareness and responsibility of male participation in family planning was improved, as well as condom use among men and women.