"A sweet in a polythene is not sweet": men's perceptions of their roles and experiences with family planning in East Uganda.

IF 1.8 3区 医学 Q2 FAMILY STUDIES
Amrita Namasivayam, Philip J Schluter, Sarah Namutamba, Sarah Lovell
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Abstract

The significance of men's influence as partners in contraceptive decision-making and family size is often understated, particularly in patriarchal societies. Understanding men's experiences and perceptions of family planning is necessary to address women's unmet needs for contraception. This study examined men's involvement in contraceptive use and decision-making in the Busoga region of east Uganda. Twenty-four in-depth interviews were conducted with both male users and non-users of contraception living in urban and rural areas. Among participants, differences in preferred family size were influenced by competing norms valuing large families and economic wellbeing as reflections of men's role as a provider. Although the majority of interviewees were not opposed in principle to contraception, some men felt contraceptives undermined their own desire for a larger family. Men who supported family planning cited the economic benefits of smaller, healthier families and being able to fulfil their role as the primary breadwinner. Resistance to vasectomy and perceptions of condom use as protection against unwanted pregnancies and STIs/HIV in casual relationships, meant participants were unlikely to use male contraceptives. Efforts to increase contraceptive uptake among men should recognise the socio-cultural context of men's place within Ugandan society, to design reproductive health initiatives that engage men effectively.

"聚乙烯中的糖果不甜":乌干达东部男性对其在计划生育中的作用和经验的看法。
作为避孕决策和家庭规模的合作伙伴,男性的影响力往往被低估,尤其是在父权制社会。要解决妇女避孕需求得不到满足的问题,就必须了解男性在计划生育方面的经验和看法。本研究考察了乌干达东部布索加地区男性参与避孕药具使用和决策的情况。研究人员对居住在城市和农村地区的男性避孕药具使用者和非使用者进行了 24 次深入访谈。在参与者中,家庭规模偏好的差异受到了相互竞争的规范的影响,这些规范重视大家庭和经济福利,认为它们反映了男性作为供养者的角色。尽管大多数受访者原则上并不反对避孕,但有些男性认为避孕药具损害了他们对大家庭的渴望。支持计划生育的男性则提到了小家庭、更健康的家庭以及能够履行主要养家糊口者角色所带来的经济利益。对输精管结扎术的抵制,以及将使用避孕套作为在偶然关系中防止意外怀孕和性传播疾病/艾滋病毒的保护措施的观念,意味着参与者不太可能使用男性避孕药具。在努力提高男性避孕率的过程中,应认识到男性在乌干达社会中的社会文化背景,从而设计出能让男性有效参与的生殖健康计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
4.50%
发文量
80
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