避孕方式及未来男性避孕方法的态度与偏好调查\nSurvey topic: Attitudes and Preferences Towards Contraception and Future Male

感谢您抽出宝贵时间参与本次问卷调查。

本问卷采用匿名形式,旨在了解公众对现有避孕方式以及未来男性避孕方法的态度、经历和偏好。您的回答将帮助我们更好地了解人们在避孕决策中的考虑因素、用户偏好,以及影响未来男性避孕方法接受程度的因素。

本调查完全自愿参加,所有回答均将匿名处理并严格保密。完成本问卷预计需要 5–10 分钟

衷心感谢您的支持与参与。

Thank you for taking the time to participate in this survey.

This anonymous questionnaire aims to explore public attitudes, experiences and preferences regarding current contraceptive methods, as well as perceptions of potential future male contraceptive options. Your responses will help us better understand contraceptive decision-making, user preferences and factors that may influence the acceptance of future male contraceptives.

Your participation is entirely voluntary, and all responses will remain anonymous and confidential. The survey should take approximately 5–10 minutes to complete.

We greatly appreciate your time and valuable contribution to this research.

第一部分 基本信息及当前避孕情况

Part I. Demographic and Current Contraception Methods

How do you describe your gender?

您的性别是?

How old are you?

您的年龄是?

With which ethnic group do you identify?

您的族裔属于以下哪一类?

With which religious group do you identify?

您的宗教信仰是?

What is your highest education level?

您的最高学历是?

What is your current relationship status?

您目前的感情状态是?

Are you currently sexually active?

您目前有性生活吗?

How frequently do you have vaginal sex (intercourse with penile penetration of the vagina)?

您进行阴道性交的频率是?

How often is contraception used when you have vaginal sex?

您进行阴道性交时,采取避孕措施的频率是?

What contraceptive methods have you ever used before?(Select all that apply)

您曾经使用过哪些避孕方式?(可多选)

Who usually takes primary responsibility for contraception?

通常由谁承担主要的避孕责任?

Thinking about the last time you had unprotected vaginal sex, what was the main reason contraception was NOT used?

回想最近一次没有采取避孕措施的阴道性交,未采取避孕措施的主要原因是什么?

If your partner is using contraception, how likely are you to use contraception as well?

如果您的伴侣已经采取了避孕措施,您再次采取避孕措施的可能性有多大?

第二部分 对未来男性避孕方式的偏好

Part II. Preference for future contraceptive methods


以下问题涉及目前已有的避孕方式以及未来可能出现的男性避孕方式。

The following questions relate to currently available contraceptive methods and potential future male contraceptive options.

In your opinion, how effective is each contraceptive method?

您认为以下各种避孕方式的避孕效果如何?
  • 非常无效(Very ineffective)
  • 无效(Ineffective)
  • 略微无效(Slightly ineffective)
  • 一般(Neutral)
  • 略微有效(Slightly effective)
  • 有效(Effective)
  • 非常有效(Very effective)
男用避孕套(Male condom)
口服避孕药(Oral contraceptive pill)
避孕埋植剂(Implant)
避孕针(Injection)
激素宫内节育器(Hormonal IUD)
含铜宫内节育器(Copper IUD)
体外射精法(Withdrawal method)
安全期避孕法(Rhythm method)
输精管结扎术(Vasectomy)
输卵管结扎术(Tubal ligation)

How willing would you be to use each of the following contraceptive methods (or have your partner use them)?

您愿意使用以下避孕方式(或愿意让伴侣使用)的程度如何?
  • 非常不愿意(Very unwilling)
  • 不愿意(Unwilling)
  • 略微不愿意(Slightly unwilling)
  • 一般(Neutral)
  • 略微愿意(Slightly willing)
  • 愿意(Willing)
  • 非常愿意(Very willing)
男用避孕套(Male condom)
口服避孕药(Oral contraceptive pill)
避孕埋植剂(Implant)
避孕针(Injection)
激素宫内节育器(Hormonal IUD)
含铜宫内节育器(Copper IUD)
体外射精法(Withdrawal method)
安全期避孕法(Rhythm method)
输精管结扎术(Vasectomy)
输卵管结扎术(Tubal ligation)

Which of the following factors would discourage you from using a novel male contraceptive? (Select all that apply)

如果未来出现一种新型男性避孕方式,以下哪些因素会使您不愿意使用?(可多选)

Which ONE of the following dosage forms would you most prefer for a novel male contraceptive?

对于未来的新型男性避孕方式,您最希望采用以下哪一种给药形式?

What would be your preferred frequency of use?

您希望这种避孕方式多久使用一次?

When choosing a contraceptive method, which factors are most important to you? (Select up to 3)

在选择避孕方式时,以下哪些因素对您最重要?(最多可选择3项)

If a contraceptive caused the following side effects, how willing would you be to continue using it?

如果某种避孕方式导致您出现以下副作用,您继续使用该避孕方式的可能性有多大?

  • 一定会停止使用(Definitely would stop using it)
  • 很可能会停止使用(Would probably stop)
  • 可能会停止使用(Might stop)
  • 不确定(Unsure)
  • 可能会继续使用(Might continue)
  • 很可能会继续使用(Would probably continue)
  • 一定会继续使用(Definitely continue)
头痛(Headache)
痤疮/长痘(Acne)
恶心(Nausea)
体重增加/体型变化(Weight gain / body changes)
情绪变化(Mood changes)
性欲下降(Decreased sexual libido)
疲劳(Fatigue)
生殖系统异常(例如异常出血、性功能障碍)(Reproductive system abnormalities, e.g. bleeding abnormalities, sexual dysfunction)
乳房增大或胀痛(Breast enlargement and soreness)
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