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首页> 外文期刊>Open access Journal of Contraception >Knowledge, attitudes, practices and behaviors associated with female condoms in developing countries: a scoping review
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Knowledge, attitudes, practices and behaviors associated with female condoms in developing countries: a scoping review

机译：与发展中国家女用避孕套有关的知识，态度，做法和行为：范围界定审查

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Abstract: Women in developing countries are at high risk of HIV, sexually transmitted infections, and unplanned pregnancy. The female condom (FC) is an effective dual protective method regarded as a tool for woman's empowerment, yet supply and uptake are limited. Numerous individual, socioeconomic, and cultural factors influence uptake of new contraceptive methods. We reviewed studies of FC knowledge, attitudes, practices, and behaviors across developing countries, as well as available country-level survey data, in order to identify overarching trends and themes. High acceptability was documented in studies conducted in diverse settings among male and female FC users, with FCs frequently compared favorably to male condoms. Furthermore, FC introduction has been shown to increase the proportion of "protected" sex acts in study populations, by offering couples additional choice. However, available national survey data showed low uptake with no strong association with method awareness, as well as inconsistent patterns of use between countries. We identified a large number of method attributes and contextual factors influencing FC useonuse, most of which were perceived both positively and negatively by different groups and between settings. Male partner objection was the most pervasive factor preventing initial and continued use. Importantly, most problems could be overcome with practice and adequate support. These findings demonstrate the importance of accounting for contextual factors impacting demand in FC programming at a local level. Ongoing access to counseling for initial FC users and adopters is likely to play a critical role in successful introduction.
机译：摘要：发展中国家的妇女感染艾滋病毒，性传播感染和计划外怀孕的风险很高。女用避孕套（FC）是一种有效的双重保护方法，被视为增强妇女权能的工具，但供应和摄取受到限制。许多个人，社会经济和文化因素都会影响对新避孕方法的采用。为了确定总体趋势和主题，我们回顾了发展中国家对FC知识，态度，做法和行为的研究以及可用的国家级调查数据。男女FC使用者在不同环境下进行的研究表明，其可接受性很高，FC通常比男用避孕套好。此外，通过引入FC，可以为夫妇提供更多选择，从而增加了研究人群中“受保护”性行为的比例。但是，现有的国家调查数据显示吸收率低，与方法意识没有强烈关联，而且国家之间的使用方式不一致。我们确定了影响FC使用/不使用的大量方法属性和上下文因素，其中大多数被不同组以及设置之间的正面和负面感觉。男性伴侣的异议是阻止首次使用和持续使用的最普遍因素。重要的是，大多数问题可以通过实践和适当的支持来克服。这些发现证明了在地方层面上考虑影响FC编程需求的环境因素的重要性。最初的FC用户和采用者可以持续获得咨询服务，这可能对成功引入FC至关重要。

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