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首页> 外文期刊>Culture, Health & Sexuality >Secrecy, disclosure and accidental discovery: Perspectives of diaphragm users in Mombasa, Kenya
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Secrecy, disclosure and accidental discovery: Perspectives of diaphragm users in Mombasa, Kenya

机译：保密，披露和意外发现：肯尼亚蒙巴萨的隔膜使用者的观点

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摘要

The diaphragm is receiving renewed attention as a promising female-controlled method of preventing HIV and other sexually-transmitted infections. It is anticipated that female-controlled technologies will reduce women's biological susceptibility and assist in counteracting their sociocultural vulnerability to HIV. Understanding the subjective experiences of diaphragm users in different settings has the potential to inform the development and promotion of such methods. This paper explores the perspectives of female sex workers and women attending sexual and reproductive health services in Mombasa, Kenya. Data are reported from focus group discussions and in-depth interviews with women and men, following a prospective study investigating diaphragm continuation rates over six months. Discussions highlighted covert use of the diaphragm, during sex work or with casual partners, and coital independence as favourable attributes. These features were especially pronounced compared with male condoms. Few difficulties with diaphragm use were reported, although its insertion and removal occasionally presented problems. Many women—especially those in long term partnerships—wished to disclose its use but found the disclosure process highly problematic. Accidental discovery often resulted in partner conflict. Although future uptake of the diaphragm may be high in this setting, its use may be limited to certain types of relationships and relationship context.
机译：作为预防艾滋病毒和其他性传播感染的有前途的女性控制方法，隔膜已受到了越来越多的关注。预计，由女性控制的技术将减少妇女的生物敏感性，并有助于抵消其对艾滋病毒的社会文化脆弱性。理解隔膜使用者在​​不同环境下的主观经验有可能为此类方法的开发和推广提供参考。本文探讨了肯尼亚蒙巴萨的女性性工作者和女性参加性健康和生殖健康服务的观点。一项前瞻性研究调查了六个月内的横diaphragm膜续流率，这些数据来自焦点小组讨论和对男女的深入访谈。讨论强调在性工作期间或与休闲伴侣秘密使用隔膜，以及性交独立是有利的属性。与男性避孕套相比，这些特征尤为明显。尽管隔膜的插入和移除偶尔会带来问题，但报告使用隔膜的困难很少。许多妇女，尤其是长期合作伙伴的妇女，希望公开其使用，但发现公开过程存在很大问题。偶然发现常常导致伴侣冲突。尽管将来在这种情况下隔膜的吸收率可能很高，但隔膜的使用可能仅限于某些类型的关系和关系上下文。

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  • 来源
    《Culture, Health & Sexuality》 |2008年第1期|13-26|共14页
  • 作者

    Jerry Okal; Jonathan Stadler; Wilkister Ombidi; Irene Jao; Stanley Luchters; Marleen Temmerman; Matthew F. Chersich;

  • 作者单位

    International Centre for Reproductive Health (ICRH), Mombasa, Kenya;

    Reproductive Health and HIV Research Unit (RHRU), University of Witwatersrand, South Africa;

    International Centre for Reproductive Health (ICRH), Mombasa, Kenya;

    International Centre for Reproductive Health (ICRH), Mombasa, Kenya;

    International Centre for Reproductive Health (ICRH), Mombasa, Kenya|Faculty of Medicine and Health Sciences, Ghent University, Belgium;

    Faculty of Medicine and Health Sciences, Ghent University, Belgium;

    International Centre for Reproductive Health (ICRH), Mombasa, Kenya|Faculty of Medicine and Health Sciences, Ghent University, Belgium;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Kenya; diaphragm; acceptability; gender;

    机译：肯尼亚;光圈;可接受性性别;

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