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Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda

BACKGROUND: Uganda has one of the highest fertility rates in Sub-Saharan Africa (SSA). Improving contraceptive uptake in all genders, including males, may be critical to meeting family planning goals in such a setting. Yet, data on male contraception uptake and associated factors in SSA, including U...

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Autores principales: Tumwesigye, Raymond, Kigongo, Eustes, Nakiganga, Stella, Mbyariyehe, Godfred, Nabeshya, Joel, Kabunga, Amir, Musinguzi, Marvin, Migisha, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353552/
https://www.ncbi.nlm.nih.gov/pubmed/37469524
http://dx.doi.org/10.2147/OAJC.S418820
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author Tumwesigye, Raymond
Kigongo, Eustes
Nakiganga, Stella
Mbyariyehe, Godfred
Nabeshya, Joel
Kabunga, Amir
Musinguzi, Marvin
Migisha, Richard
author_facet Tumwesigye, Raymond
Kigongo, Eustes
Nakiganga, Stella
Mbyariyehe, Godfred
Nabeshya, Joel
Kabunga, Amir
Musinguzi, Marvin
Migisha, Richard
author_sort Tumwesigye, Raymond
collection PubMed
description BACKGROUND: Uganda has one of the highest fertility rates in Sub-Saharan Africa (SSA). Improving contraceptive uptake in all genders, including males, may be critical to meeting family planning goals in such a setting. Yet, data on male contraception uptake and associated factors in SSA, including Uganda, are limited. We determined the uptake and associated factors of male contraception use in Lira City, Northern Uganda. METHODS: We conducted a community-based cross-sectional study from November 12, 2022, to December 12, 2022, among men aged ≥18 years. We used multi-stage sampling to select participants from 12 cells of Lira City divisions of East and West. Data were collected using interviewer-administered structured questionnaires. We defined uptake in males who had used any contraceptive method, including periodic abstinence, withdrawal, condoms, and vasectomy in the previous four weeks. We performed modified Poisson regression to identify associated factors of male contraception uptake. RESULTS: We recruited 401 participants with mean age of 30.4 (±9.3) years. Male contraceptive uptake was 46.4%, 95% CI: 41.5–51.3%. Ever heard about male contraception (adjusted prevalence ratio [aPR] =1.73, 95% CI: 1.172–2.539, p=0.006), willingness to use novel methods (aPR=2.90, 95% CI: 1.337–6.293, p=0.007), both partners being responsible for contraception (aPR: 1.53, 95% CI: 1.113–2.119, p=0.009) were the factors associated with male contraception uptake. CONCLUSION: We found that nearly half of the men surveyed had used male contraceptive methods in Lira City. Factors associated with the uptake of male contraception included having heard about male contraception, joint couple decision regarding contraception, and the use of novel methods of male contraception. We recommend comprehensive education and awareness campaigns to promote male contraception, with a particular emphasis on encouraging shared decision-making within couples and introducing innovative contraceptive options.
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spelling pubmed-103535522023-07-19 Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda Tumwesigye, Raymond Kigongo, Eustes Nakiganga, Stella Mbyariyehe, Godfred Nabeshya, Joel Kabunga, Amir Musinguzi, Marvin Migisha, Richard Open Access J Contracept Original Research BACKGROUND: Uganda has one of the highest fertility rates in Sub-Saharan Africa (SSA). Improving contraceptive uptake in all genders, including males, may be critical to meeting family planning goals in such a setting. Yet, data on male contraception uptake and associated factors in SSA, including Uganda, are limited. We determined the uptake and associated factors of male contraception use in Lira City, Northern Uganda. METHODS: We conducted a community-based cross-sectional study from November 12, 2022, to December 12, 2022, among men aged ≥18 years. We used multi-stage sampling to select participants from 12 cells of Lira City divisions of East and West. Data were collected using interviewer-administered structured questionnaires. We defined uptake in males who had used any contraceptive method, including periodic abstinence, withdrawal, condoms, and vasectomy in the previous four weeks. We performed modified Poisson regression to identify associated factors of male contraception uptake. RESULTS: We recruited 401 participants with mean age of 30.4 (±9.3) years. Male contraceptive uptake was 46.4%, 95% CI: 41.5–51.3%. Ever heard about male contraception (adjusted prevalence ratio [aPR] =1.73, 95% CI: 1.172–2.539, p=0.006), willingness to use novel methods (aPR=2.90, 95% CI: 1.337–6.293, p=0.007), both partners being responsible for contraception (aPR: 1.53, 95% CI: 1.113–2.119, p=0.009) were the factors associated with male contraception uptake. CONCLUSION: We found that nearly half of the men surveyed had used male contraceptive methods in Lira City. Factors associated with the uptake of male contraception included having heard about male contraception, joint couple decision regarding contraception, and the use of novel methods of male contraception. We recommend comprehensive education and awareness campaigns to promote male contraception, with a particular emphasis on encouraging shared decision-making within couples and introducing innovative contraceptive options. Dove 2023-07-14 /pmc/articles/PMC10353552/ /pubmed/37469524 http://dx.doi.org/10.2147/OAJC.S418820 Text en © 2023 Tumwesigye et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Tumwesigye, Raymond
Kigongo, Eustes
Nakiganga, Stella
Mbyariyehe, Godfred
Nabeshya, Joel
Kabunga, Amir
Musinguzi, Marvin
Migisha, Richard
Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda
title Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda
title_full Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda
title_fullStr Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda
title_full_unstemmed Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda
title_short Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda
title_sort uptake and associated factors of male contraceptive method use: a community-based cross-sectional study in northern uganda
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353552/
https://www.ncbi.nlm.nih.gov/pubmed/37469524
http://dx.doi.org/10.2147/OAJC.S418820
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