Abstract：
OBJECTIVE: This study aimed to (1) provide a comprehensive overview of contraceptive methods self-reported by men in England, over 5 years, focusing on condoms in comparison to any male method; and (2) explore condom as a contraceptive method by region and ethnicity.
METHODS: Data were from the Sexual and Reproductive Health Services (Contraception) England census data set from 2014/15 to 2018/19. Once missing data were removed, this left a total of 365,292 men. Two binomial logistic regression models were performed. Model 1 examined ethnicity, region, and time on condom as a method of contraception; and Model 2 examined ethnicity, region, and time by any male contraceptive. Descriptive statistics were run for natural family planning and spermicide.
RESULTS: Model 1 revealed a significant model, χ2 (15) = 30,976, P < 0.001, and predicted that condoms as a method decreased in London with a greater decrease in Midlands. London saw the lowest rate of decline among the non-White ethnic group, whereas North and South regions increased probability over time. The North started at a higher probability and the South at the lowest. Model 2 also revealed a significant model, χ2 (15) = 32,472, P < 0.001, with a similar pattern to Model 1. Contingency tables showed natural family planning and spermicide were the least reported methods and decreased over time.
CONCLUSIONS: As any male contraceptive method appears to be decreasing in both models, reproductive health promotion is required. This study has implications for commissioning funds and for identifying regional areas of further investigation.
METHODS: Data were from the Sexual and Reproductive Health Services (Contraception) England census data set from 2014/15 to 2018/19. Once missing data were removed, this left a total of 365,292 men. Two binomial logistic regression models were performed. Model 1 examined ethnicity, region, and time on condom as a method of contraception; and Model 2 examined ethnicity, region, and time by any male contraceptive. Descriptive statistics were run for natural family planning and spermicide.
RESULTS: Model 1 revealed a significant model, χ2 (15) = 30,976, P < 0.001, and predicted that condoms as a method decreased in London with a greater decrease in Midlands. London saw the lowest rate of decline among the non-White ethnic group, whereas North and South regions increased probability over time. The North started at a higher probability and the South at the lowest. Model 2 also revealed a significant model, χ2 (15) = 32,472, P < 0.001, with a similar pattern to Model 1. Contingency tables showed natural family planning and spermicide were the least reported methods and decreased over time.
CONCLUSIONS: As any male contraceptive method appears to be decreasing in both models, reproductive health promotion is required. This study has implications for commissioning funds and for identifying regional areas of further investigation.
摘要：
目的：本研究旨在（1）全面概述英国男性自我报告的避孕方法，超过5年,与任何男性方法相比，重点关注避孕套；(2)按地区和种族探索避孕套作为避孕方法。
方法：数据来自2014/15至2018/19年英格兰性与生殖健康服务（避孕）人口普查数据集。删除丢失的数据后，这总共留下了365,292名男子。进行了两个二项逻辑回归模型。模型1检查了种族，区域,和避孕套作为避孕方法的时间；模型2检查了种族，区域,和任何男性避孕药的时间。对自然计划生育和杀精剂进行了描述性统计。
结果：模型1揭示了一个重要的模型，χ2（15）=30,976，P<0.001，并预测避孕套作为一种方法在伦敦减少，在中部地区减少更多。伦敦的下降率是非白人种族中最低的，而北方和南方地区的概率随着时间的推移而增加。北方的开始概率较高，南方的开始概率最低。模型2也揭示了一个重要的模型，χ2(15)=32,472,P<0.001,与模型1相似。应急表显示，自然计划生育和杀精子剂是报道最少的方法，并且随着时间的推移而减少。
结论：由于两种模式中任何男性避孕方法似乎都在减少，需要促进生殖健康。这项研究对委托资金和确定进一步调查的区域区域具有重要意义。
方法：数据来自2014/15至2018/19年英格兰性与生殖健康服务（避孕）人口普查数据集。删除丢失的数据后，这总共留下了365,292名男子。进行了两个二项逻辑回归模型。模型1检查了种族，区域,和避孕套作为避孕方法的时间；模型2检查了种族，区域,和任何男性避孕药的时间。对自然计划生育和杀精剂进行了描述性统计。
结果：模型1揭示了一个重要的模型，χ2（15）=30,976，P<0.001，并预测避孕套作为一种方法在伦敦减少，在中部地区减少更多。伦敦的下降率是非白人种族中最低的，而北方和南方地区的概率随着时间的推移而增加。北方的开始概率较高，南方的开始概率最低。模型2也揭示了一个重要的模型，χ2(15)=32,472,P<0.001,与模型1相似。应急表显示，自然计划生育和杀精子剂是报道最少的方法，并且随着时间的推移而减少。
结论：由于两种模式中任何男性避孕方法似乎都在减少，需要促进生殖健康。这项研究对委托资金和确定进一步调查的区域区域具有重要意义。
