首页> 中文期刊> 《中国计划生育学杂志》 >全球男性节育方法的应用状况

全球男性节育方法的应用状况

         

摘要

Objective; Globally, 62.7 percent of women aged 15-29, married or in a union, were practicing contraception in 2010. The great majority (79.1% ) were relying on a female orientated method. Of these, female sterilization was the most common one (31.7% ) . The prevalence of male methods ( vasectomy, condom and withdrawal) was high in 39 countries or regions, raging from about 21.9% to 64.7%. The prevalence of male method was 3 times higher in more developed regions than in less developed regions. Compared with the world contraceptive use in 1998, the overall prevalence of withdrawal and condom has increased. The overall vasectomy prevalence has declined but increased in those who used to have the highest rates of vasectomy, including UK, Korean, Australia, Canada and New Zealand. China has the highest contraceptive prevalence (89% ) in the world. The overall prevalence of male method was 12.3%. Condom prevalence increased from 3.8% in 2000 to 7.5% in 2009 and vasectomy prevalence decreased from 8% to 4. 9% , and the average annual increase of overall male method use was 0.4%. Unmet family planning need is estimated to be 2.3% in China. Men should be encouraged and promoted to take more responsibility in contraception, from the perspective of gender equity and equality, and also male methods are even safer, simpler and less expensive. Male participation in family planning is one of the indicators of socio - economic development and human development, and important for improving women's health and achieving the United Nations Millennium Development Goals, which deserves great concern and attention by all sectors of the community.%2010年全球有62.7%的育龄妇女采用了避孕措施,其中79.1%依赖女用方法.全球有39个国家或地区男用避孕方法现用率超过20%(21.9% ~64.7%),发达地区男用方法(输精管绝育、避孕套、体外排精)现用率是欠发达地区的3倍.与10年前相比,体外排精和避孕套现用率呈现上升趋势;除英国、韩国、澳大利亚、加拿大和新西兰等国家外,男性节育总体现用率呈下降趋势.我国已婚育龄妇女避孕率高达89%,男用方法现用率仅为12.3%,2000~2009年,避孕套现用率由3.8%上升至7.5%,男性绝育术现用率从8%降至4.9%,男用方法总体现用率年均增长0.4%.我国尚未满足的避孕需求估计为2.3%.鼓励男子承担更多的避孕责任并采用避孕措施,提高男用节育方法的应用比例,不仅是基于性别公平、公正,同时男用节育方法也更安全、简便、经济.男子参与计划生育是社会文明和进步的标志之一,对改善和提高妇女的健康水平,促进社会经济和人的全面发展,以及联合国千年目标的实现具有重要意义.对公众的引导和教育应引起相关政府部门的高度关注和重视.

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