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首页> 外文期刊>AIDS care. >Young women and limits to the normalisation of condom use: a qualitative study.
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Young women and limits to the normalisation of condom use: a qualitative study.

机译：年轻妇女和安全套使用正常化的局限性：一项定性研究。

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摘要

Encouraging condom use among young women is a major focus of HIV/STI prevention efforts but the degree to which they see themselves as being at risk limits their use of the method. In this paper, we examine the extent to which condom use has become normalised among young women. In-depth interviews were conducted with 20 year old women from eastern Scotland (N=20). Purposive sampling was used to select a heterogeneous group with different levels of sexual experience and from different social backgrounds. All of the interviewees had used (male) condoms but only three reported consistent use. The rest had changed to other methods, most often the pill, though they typically went back to using condoms occasionally. Condoms were talked about as the most readily available contraceptive method, and were most often the first contraceptive method used. The young women had ingrained expectations of use, but for most, these norms centred only on their new or casual partners, with whom not using condoms was thought to be irresponsible. Many reported negative experiences with condoms, and condom dislike and failure were common, lessening trust in the method. Although the sexually transmitted infection (STI) prevention provided by condoms was important, this was seen as additional, and secondary, to pregnancy prevention. As the perceived risks of STIs lessened in relationships with boyfriends, so did condom use. The promotion of condoms for STI prevention alone fails to consider the wider influences of partners and young women's negative experiences of the method. Focusing on the development of condom negotiation skills alone will not address these issues. Interventions to counter dislike, method failure, and the limits of the normalisation of condom use should be included in STI prevention efforts.
机译：鼓励年轻妇女使用避孕套是艾滋病毒/性传播疾病预防工作的主要重点，但她们认为自己处于危险之中的程度限制了她们使用该方法。在本文中，我们研究了年轻女性使用安全套的程度已达到正常水平。对来自苏格兰东部（N = 20）的20岁妇女进行了深入采访。目的抽样被用来选择具有不同水平的性经验和来自不同社会背景的异类。所有受访者都使用过（男性）安全套，但只有三人报告了一致使用。其余的已更改为其他方法，多数为避孕药，尽管它们通常会偶尔恢复使用避孕套。避孕套被认为是最容易获得的避孕方法，并且通常是最早使用的避孕方法。年轻妇女对使用的期望根深蒂固，但对于大多数人来说，这些准则只集中在新的或临时的伴侣上，认为不与他们一起使用避孕套是不负责任的。许多人报告使用安全套有负面经历，并且安全套不喜欢和失败的情况很普遍，从而降低了对该方法的信任。尽管由避孕套提供的性传播感染（STI）预防非常重要，但是这被认为是预防妊娠的附加和次要措施。随着与男友的关系，性传播感染的风险降低，安全套的使用也因此减少。仅推广安全套来预防性传播感染就没有考虑到伴侣的更广泛影响和年轻妇女对该方法的消极经历。仅专注于安全套谈判技巧的发展将无法解决这些问题。预防性传播感染应包括针对不喜欢，方法失败和使用安全套正常化范围的干预措施。

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