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Transforming masculine norms to improve men's contraceptive acceptance: results from a pilot intervention with men in western Kenya.
Newmann, Sara J; Zakaras, Jennifer Monroe; Rocca, Corinne H; Gorrindo, Phillip; Ndunyu, Louisa; Gitome, Serah; Withers, Mellissa; Bukusi, Elizabeth A; Dworkin, Shari L.
Afiliación
  • Newmann SJ; Professor of Clinical Obstetrics, Gynecology & Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California, 1001 Potrero Avenue, 6D22, San Francisco, CA 94110, USA.
  • Zakaras JM; Research Associate, Bixby Center for Global Reproductive Health, University of California, San Francisco, CA, USA.
  • Rocca CH; Professor, Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, University of California, San Francisco, Oakland, CA, USA.
  • Gorrindo P; GloCal Fellow, Bixby Center for Global Reproductive Health, University of California, San Francisco, CA, USA.
  • Ndunyu L; Lecturer, Maseno University, Maseno, Kenya.
  • Gitome S; Research Officer, Kenya Medical Research Institute, Nairobi, Kenya.
  • Withers M; Associate Professor, University of Southern California Institute for Global Health, Los Angeles, CA, USA.
  • Bukusi EA; Chief Research Officer, Kenya Medical Research Institute, Nairobi, Kenya.
  • Dworkin SL; Dean and Professor, School of Nursing and Health Studies, University of Washington, Bothell, WA, USA.
Sex Reprod Health Matters ; 31(1): 2170084, 2023 Dec.
Article en En | MEDLINE | ID: mdl-36811906
Men's adherence to constraining male gender norms can lead them to resist contraceptive use. Very few interventions have attempted to transform masculine norms to encourage greater contraceptive acceptance and gender equality. We designed and evaluated a small-scale community-based intervention targeting the masculine norms tied to contraceptive resistance among partnered men (N = 150) in two western Kenya communities (intervention vs. control). Pre-post survey data fit to linear and logistic regression models evaluated differences in post-intervention outcomes, accounting for pre-intervention differences. Intervention participation was associated with increases in contraceptive acceptance scores (adjusted coefficient (aß) 1.04; 95% confidence interval (CI) 0.16, 1.91; p = 0.02) and contraceptive knowledge scores (aß 0.22; 95% CI 0.13, 0.31; p < 0.001) and with contraceptive discussions with one's partner (adjusted Odds Ratio (aOR) 3.96; 95% CI 1.21, 12.94; p = 0.02) and with others (aOR 6.13; 95% CI 2.39, 15.73; p < 0.001). The intervention was not associated with contraceptive behavioural intention or use. Our findings demonstrate the promise of a masculinity-driven intervention on increasing men's contraceptive acceptance and positive contraceptive involvement. A larger randomised trial is needed to test the effectiveness of the intervention among men as well as among couples.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anticonceptivos / Hombres Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Humans / Male País/Región como asunto: Africa Idioma: En Revista: Sex Reprod Health Matters Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anticonceptivos / Hombres Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Humans / Male País/Región como asunto: Africa Idioma: En Revista: Sex Reprod Health Matters Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido