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The Male Role in Family Planning Today

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Female and Male Contraception

Abstract

Over the last century, the development of contraception has focused on women and men have generally been left out of family planning programs. At the International Conference on Population and Development (Cairo 1994), men were recognized as legitimate targets for sexual and reproductive health programs due to their role in the prevention of sexually transmitted diseases, unwanted pregnancies, and their involvement in reproductive decisions.

Male partner involvement in hormonal contraception has been associated with lower discontinuation rates and more consistent contraceptive use, in addition to increasing emotional, pragmatic or economic support. Overall, data published thus far show lack of awareness and knowledge in the male population regarding female contraceptives and false myths about hormonal methods that may preclude men from helping female partners in this field. Worldwide a large percentage of men perceives contraception as the female’s responsibility, whereas most women consider it to be a joint decision. In spite of the fact that there are few male contraceptive options available and their shortcomings, the relatively high percentage of their use (around 30% in developed regions) may be interpreted as evidence of men’s interest in birth control.

We should question why men perceive contraception to be disassociated from them and to identify any barriers that justify this theory. Furthermore, there is a need to educate men regarding effective contraceptive options, to increase contraceptive knowledge and the number of male contraceptive methods, in order to give men the opportunity of performing an active role in family planning.

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References

  1. Hines NE. Medical history of contraception. New York: Gamut Press; 1963. 71 p

    Google Scholar 

  2. Hatcher RA. Contraceptive technology: 1990–1992. New York: Irvington Publishers; 1990. 159 p

    Google Scholar 

  3. Flamigni C. Il controllo della fertilità. Storia, problemi e metodi dall'antico Egitto a oggi. UTET, 2006.

    Google Scholar 

  4. Edwards SR. The role of men in contraceptive decision-making: current knowledge and future implications. Fam Plan Perspect. 1994;26(2):77–82.

    Article  CAS  Google Scholar 

  5. Temmerman M. Sexually transmitted diseases and reproductive health. Sex Transm Dis. 1994;21(2 Suppl):S55–8.

    CAS  PubMed  Google Scholar 

  6. UN Population Fund (UNFPA). Report of the International Conference on Population and Development, Cairo, 5–13 September 1994. 1995.

    Google Scholar 

  7. Dudgeon MR, Inhorn MC. Men’s influences on women’s reproductive health: medical anthropological perspectives. Soc Sci Med 1982. 2004;59(7):1379–95.

    Google Scholar 

  8. Helzner FJ. Men’s involvement in family planning. Reprod Health Matters. 1996;4(7):146–54.

    Article  Google Scholar 

  9. Sternberg P, Hubley J. Evaluating men’s involvement as a strategy in sexual and reproductive health promotion. Health Promot Int. 2004;19(3):389–96.

    Article  PubMed  Google Scholar 

  10. Collumbien M, Hawkes S. Missing men’s messages: does the reproductive health approach respond to men’s sexual health needs? Cult Health Sex. 2000;2(2):135–50.

    Article  CAS  PubMed  Google Scholar 

  11. Hawkes S. Why include men? Establishing sexual health clinics for men in rural Bangladesh. Health Policy Plan. 1998;13(2):121–30.

    Article  CAS  PubMed  Google Scholar 

  12. Mundigo AI. Review symposium: re-conceptualizing the role of men in the post-Cairo era. Cult Health Sex. 2000;2(3):323–37.

    Article  Google Scholar 

  13. Berer M. Men reproductive maters. Afr J Reprod Health. 1996;7:7–11.

    Google Scholar 

  14. Cornwall A. Beyond reproduction: changing perspectives on gender and health. Bridges. 1998;7(2):34–44.

    Google Scholar 

  15. Finkelstein MA, Brannick MT. Making decisions about condoms: whose attitude is it anyway? Soc Behav Personal Int J. 2000;28(6):539–53.

    Article  Google Scholar 

  16. Soet JE, DiIorio C, Dudley WN. Women’s self-reported condom use: intra and interpersonal factors. Women Health. 1998;27(4):19–32.

    Article  CAS  PubMed  Google Scholar 

  17. Cabral RJ, Posner SF, Macaluso M, Artz LM, Johnson C, Pulley L. Do main partner conflict, power dynamics, and control over use of male condoms predict subsequent use of the female condom? Women Health. 2003;38(1):37–52.

    Article  PubMed  Google Scholar 

  18. Kerns J, Westhoff C, Morroni C, Murphy PA. Partner influence on early discontinuation of the pill in a predominantly Hispanic population. Perspect Sex Reprod Health. 2003;35(6):256–60.

    Article  PubMed  Google Scholar 

  19. Johnson AZ, Sieving RE, Pettingell SL, McRee A-L. The roles of partner communication and relationship status in adolescent contraceptive use. J Pediatr Health Care Off Publ Natl Assoc Pediatr Nurse Assoc Pract. 2015;29(1):61–9.

    Google Scholar 

  20. Crosby RA, DiClemente RJ, Wingood GM, Cobb BK, Harrington K, Davies SL, et al. Condom use and correlates of African American adolescent females’ infrequent communication with sex partners about preventing sexually transmitted diseases and pregnancy. Health Educ Behav Off Publ Soc Public. Health Educ. 2002;29(2):219–31.

    Google Scholar 

  21. Davies SL, DiClemente RJ, Wingood GM, Person SD, Dix ES, Harrington K, et al. Predictors of inconsistent contraceptive use among adolescent girls: findings from a prospective study. J Adolesc Health Off Publ Soc Adolesc Med. 2006;39(1):43–9.

    Article  Google Scholar 

  22. Kenyon DB, Sieving RE, Jerstad SJ, Pettingell SL, Skay CL. Individual, interpersonal, and relationship factors predicting hormonal and condom use consistency among adolescent girls. J Pediatr Health Care. 2010;24(4):241–9.

    Article  PubMed  Google Scholar 

  23. Martínez-Astorquiza-Ortiz de Zarate T, Díaz-Martín T, Martínez-Astorquiza-Corral T, MIA Study Investigators. Evaluation of factors associated with noncompliance in users of combined hormonal contraceptive methods: a cross-sectional study: results from the MIA study. BMC Womens Health. 2013;13:38.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Wright RL, Fawson PR, Frost CJ, Turok DK. U.S. Men’s perceptions and experiences of emergency contraceptives. Am J Mens Health. 2017;11(3):469–78.

    Article  PubMed  Google Scholar 

  25. Wright RL, Frost CJ, Turok DK. A qualitative exploration of emergency contraception users’ willingness to select the copper IUD. Contraception. 2012;85(1):32–5.

    Article  PubMed  Google Scholar 

  26. Raine TR, Gard JC, Boyer CB, Haider S, Brown BA, Ramirez Hernandez FA, et al. Contraceptive decision-making in sexual relationships: young men’s experiences, attitudes and values. Cult Health Sex. 2010;12(4):373–86.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Grady WR, Klepinger DH, Billy JOG, Cubbins LA. The role of relationship power in couple decisions about contraception in the US. J Biosoc Sci. 2010;42(3):307–23.

    Article  PubMed  PubMed Central  Google Scholar 

  28. World Health Organization. Family planning: a global handbook for providers: evidence-based guidance developed through worldwide collaboration, 2018.

    Google Scholar 

  29. Fennell JL. Men bring condoms, women take pills: men’s and women’s roles in contraceptive decision making. Gend Soc. 2011;25(4):496–521.

    Article  Google Scholar 

  30. Merkh RD, Whittaker PG, Baker K, Hock-Long L, Armstrong K. Young unmarried men’s understanding of female hormonal contraception. Contraception. 2009;79(3):228–35.

    Article  PubMed  Google Scholar 

  31. Vargas G, Borus J, Charlton BM. Teenage pregnancy prevention: the role of young men. Curr Opin Pediatr. 2017;29(4):393–8.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Borrero S, Farkas A, Dehlendorf C, Rocca CH. Racial and ethnic differences in men’s knowledge and attitudes about contraception. Contraception. 2013;88(4):532–8.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Marshall CJ, Gomez AM. Young men’s awareness and knowledge of intrauterine devices in the United States. Contraception. 2015;92(5):494–500.

    Article  PubMed  Google Scholar 

  34. Dempsey AR, Billingsley CC, Savage AH, Korte JE. Predictors of long-acting reversible contraception use among unmarried young adults. Am J Obstet Gynecol. 2012;206(6):526.e1–5.

    Article  Google Scholar 

  35. Frost JJ, Lindberg LD, Finer LB. Young adults’ contraceptive knowledge, norms and attitudes: associations with risk of unintended pregnancy. Perspect Sex Reprod Health. 2012;44(2):107–16.

    Article  PubMed  Google Scholar 

  36. Hooke A, Capewell S, Whyte M. Gender differences in Ayrshire teenagers’ attitudes to sexual relationships, responsibility and unintended pregnancies. J Adolesc. 2000;23(4):477–86.

    Article  CAS  PubMed  Google Scholar 

  37. Flood M. Lust, trust and latex: why young heterosexual men do not use condoms. Cult Health Sex. 2003;5(4):353–69.

    Article  Google Scholar 

  38. Smith JL, Fenwick J, Skinner R, Merriman G, Hallett J. Young males’ perspectives on pregnancy, fatherhood and condom use: where does responsibility for birth control lie? Sex Reprod Healthc Off J Swed Assoc Midwives. 2011;2(1):37–42.

    Article  Google Scholar 

  39. Ekstrand M, Tydén T, Darj E, Larsson M. Preventing pregnancy: a girls’ issue. Seventeen-year-old Swedish boys’ perceptions on abortion, reproduction and use of contraception. Eur J Contracept Reprod Health Care Off J Eur Soc Contracept. 2007;12(2):111–8.

    Article  Google Scholar 

  40. Marsiglio W, Menaghan EG. Couples and the male birth control pill: a future alternative in contraceptive selection. J Sex Res. 1987;23(1):34–49.

    Article  Google Scholar 

  41. Glasier AF, Anakwe R, Everington D, Martin CW, van der Spuy Z, Cheng L, et al. Would women trust their partners to use a male pill? Hum Reprod Oxf Engl. 2000;15(3):646–9.

    Article  CAS  Google Scholar 

  42. Brown S. “They think it’s all up to the girls”: gender, risk and responsibility for contraception. Cult Health Sex. 2015;17(3):312–25.

    Article  PubMed  Google Scholar 

  43. Kabagenyi A, Jennings L, Reid A, Nalwadda G, Ntozi J, Atuyambe L. Barriers to male involvement in contraceptive uptake and reproductive health services: a qualitative study of men and women’s perceptions in two rural districts in Uganda. Reprod Health. 2014;11(1):21.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Hardee K, Croce-Galis M, Gay J. Are men well served by family planning programs? Reprod Health. 2017;14(1):14.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Kanakis GA, Goulis DG. Male contraception: a clinically-oriented review. Horm Athens Greece. 2015;14(4):598–614.

    Google Scholar 

  46. Le Guen M, Ventola C, Bohet A, Moreau C, Bajos N, Fecond Group. Men’s contraceptive practices in France: evidence of male involvement in family planning. Contraception. 2015;92(1):46–54.

    Article  PubMed  Google Scholar 

  47. Ringheim K. Reversing the downward trend in men’s share of contraceptive use. Reprod Health Matters. 1999;7(14):83–96.

    Article  Google Scholar 

  48. Davis J, Vyankandondera J, Luchters S, Simon D, Holmes W. Male involvement in reproductive, maternal and child health: a qualitative study of policymaker and practitioner perspectives in the Pacific. Reprod Health. 2016;13(1):81.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Ezeanolue EE, Iwelunmor J, Asaolu I, Obiefune MC, Ezeanolue CO, Osuji A, et al. Impact of male partner’s awareness and support for contraceptives on female intent to use contraceptives in southeast Nigeria. BMC Public Health. 2015;15(1):879.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  50. Bawah AA, Akweongo P, Simmons R, Phillips JF. Women’s fears and men’s anxieties: the impact of family planning on gender relations in northern Ghana. Stud Fam Plan. 1999;30(1):54–66.

    Article  CAS  Google Scholar 

  51. Hartmann M, Gilles K, Shattuck D, Kerner B, Guest G. Changes in couples’ communication as a result of a male-involvement family planning intervention. J Health Commun. 2012;17(7):802–19.

    Article  PubMed  Google Scholar 

  52. Nzioka C. Programming for Male Involvement in Reproductive Health. Report of the Meeting of WHO Regional Advisors in Reproductive Health. Geneva, Switzerland: WHO/PAHO World Health Organization; 2002. p. 143–52.

    Google Scholar 

  53. Oyediran K, Isiugo-Abanihe U. Husband-wife communication and couple’s fertility desires among the Yoruba of Nigeria. Afr Popul Stud. 2002;17:61–80.

    Google Scholar 

  54. Shahjahan M, Mumu SJ, Afroz A, Chowdhury HA, Kabir R, Ahmed K. Determinants of male participation in reproductive healthcare services: a cross-sectional study. Reprod Health. 2013;10:27.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Hulton L, Falkingham J. Male contraceptive knowledge and practice: what do we know? Reprod Health Matters. 1996;4(7):90–100.

    Article  Google Scholar 

  56. Amory JK. Male contraception. Fertil Steril. 2016;106(6):1303–9.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Kim YM, Kols A. Programming for male involvement in reproductive health. WHO/PAHO, World Health Organization, Geneva, Switzerland: Report of the meeting of WHO Regional Advisors in Reproductive Health; 2002. p. 29–41.

    Google Scholar 

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Mancini, I., Giacomelli, G., Meriggiola, M.C. (2021). The Male Role in Family Planning Today. In: Meriggiola, M.C., Gemzell-Danielsson, K. (eds) Female and Male Contraception. Trends in Andrology and Sexual Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-70932-7_22

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  • DOI: https://doi.org/10.1007/978-3-030-70932-7_22

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