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Factors affecting men’s support for the use of the contraceptive implant by their female intimate partners

BACKGROUND: Family planning services have been available at no cost in the public health settings of South Africa since 1994, and now include the long-acting reversible contraceptives (LARCs) namely, the contraceptive implant and intra-uterine device (IUD). However, the uptake of LARCs has been decl...

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Autores principales: Jonas, Kim, Kalichman, Moira, Kalichman, Seth, Morroni, Chelsea, Mathews, Catherine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7685537/
https://www.ncbi.nlm.nih.gov/pubmed/33292739
http://dx.doi.org/10.1186/s40834-020-00140-7
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author Jonas, Kim
Kalichman, Moira
Kalichman, Seth
Morroni, Chelsea
Mathews, Catherine
author_facet Jonas, Kim
Kalichman, Moira
Kalichman, Seth
Morroni, Chelsea
Mathews, Catherine
author_sort Jonas, Kim
collection PubMed
description BACKGROUND: Family planning services have been available at no cost in the public health settings of South Africa since 1994, and now include the long-acting reversible contraceptives (LARCs) namely, the contraceptive implant and intra-uterine device (IUD). However, the uptake of LARCs has been declining in the recent years and little is known about the cause of the decline. In many relationships, men may influence their female intimate partner’s contraceptive choices. Thus, men’s involvement in reproductive health decisions and family programming may improve their support for contraceptive use, including the LARC use by their female intimate partners. This study investigated factors affecting men’s support for the use of contraceptive implant by their female intimate partners. METHODS: A quantitative, cross-sectional survey was conducted among adult men attending a public, primary health clinic in Cape Town, South Africa. Using a structured questionnaire, we measured men’s knowledge, awareness and support of, and attitudes towards use of the contraceptive implant by their female intimate partners. Data were analyzed using SPSS version 25. RESULTS: The sample included 65 men with a mean age of 31.2 years. Most (76.6%) believed that both men and women should be responsible for family planning. Support for general contraception use by their female intimate partners was prevalent at 80.0%, but only 33.9% reported that they would like their partners to use the implant in the future, while 35.6% were unsure and 30.5% did not support their partner’s use of the implant. Factors significantly associated with men’s support of their partner’s future use of the contraceptive implant included men’s reports that their partner wished to have another child in future, knowledge that the implant is safe for use by women who have not had children, knowledge that the implant can effectively prevent pregnancy for 3 years, and a positive attitude towards the implant’s long-lasting effectiveness. CONCLUSION: Improving men’s knowledge of, and attitudes toward the contraceptive implant might increase their support for their partner’s use of the implant, which in turn might promote uptake of the implant among women. The findings of our study suggest the importance of actively engaging men in reproductive health and family planning programs. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40834-020-00140-7.
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spelling pubmed-76855372020-11-25 Factors affecting men’s support for the use of the contraceptive implant by their female intimate partners Jonas, Kim Kalichman, Moira Kalichman, Seth Morroni, Chelsea Mathews, Catherine Contracept Reprod Med Research BACKGROUND: Family planning services have been available at no cost in the public health settings of South Africa since 1994, and now include the long-acting reversible contraceptives (LARCs) namely, the contraceptive implant and intra-uterine device (IUD). However, the uptake of LARCs has been declining in the recent years and little is known about the cause of the decline. In many relationships, men may influence their female intimate partner’s contraceptive choices. Thus, men’s involvement in reproductive health decisions and family programming may improve their support for contraceptive use, including the LARC use by their female intimate partners. This study investigated factors affecting men’s support for the use of contraceptive implant by their female intimate partners. METHODS: A quantitative, cross-sectional survey was conducted among adult men attending a public, primary health clinic in Cape Town, South Africa. Using a structured questionnaire, we measured men’s knowledge, awareness and support of, and attitudes towards use of the contraceptive implant by their female intimate partners. Data were analyzed using SPSS version 25. RESULTS: The sample included 65 men with a mean age of 31.2 years. Most (76.6%) believed that both men and women should be responsible for family planning. Support for general contraception use by their female intimate partners was prevalent at 80.0%, but only 33.9% reported that they would like their partners to use the implant in the future, while 35.6% were unsure and 30.5% did not support their partner’s use of the implant. Factors significantly associated with men’s support of their partner’s future use of the contraceptive implant included men’s reports that their partner wished to have another child in future, knowledge that the implant is safe for use by women who have not had children, knowledge that the implant can effectively prevent pregnancy for 3 years, and a positive attitude towards the implant’s long-lasting effectiveness. CONCLUSION: Improving men’s knowledge of, and attitudes toward the contraceptive implant might increase their support for their partner’s use of the implant, which in turn might promote uptake of the implant among women. The findings of our study suggest the importance of actively engaging men in reproductive health and family planning programs. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40834-020-00140-7. BioMed Central 2020-11-23 /pmc/articles/PMC7685537/ /pubmed/33292739 http://dx.doi.org/10.1186/s40834-020-00140-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Jonas, Kim
Kalichman, Moira
Kalichman, Seth
Morroni, Chelsea
Mathews, Catherine
Factors affecting men’s support for the use of the contraceptive implant by their female intimate partners
title Factors affecting men’s support for the use of the contraceptive implant by their female intimate partners
title_full Factors affecting men’s support for the use of the contraceptive implant by their female intimate partners
title_fullStr Factors affecting men’s support for the use of the contraceptive implant by their female intimate partners
title_full_unstemmed Factors affecting men’s support for the use of the contraceptive implant by their female intimate partners
title_short Factors affecting men’s support for the use of the contraceptive implant by their female intimate partners
title_sort factors affecting men’s support for the use of the contraceptive implant by their female intimate partners
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7685537/
https://www.ncbi.nlm.nih.gov/pubmed/33292739
http://dx.doi.org/10.1186/s40834-020-00140-7
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