Аннотация
Background: Family Planning (FP) is central to fertility and maternal mortality reduction. Unfortunately, the contraceptive prevalence rate is low in Nigeria and the prevalence of the only permanent method for male is strikingly low. The objectives of the study are to determine knowledge of vasectomy and identify barriers to modern contraception among married men in Ife Central Local Government Area (LGA), Nigeria.
Methods: The study design was cross-sectional and involved a mix-method approach. One thousand married men participated in the study; 3focused group discussions and 2 key informant interviews were also conducted. Data were analysed using thematic approach and logistic regression model (Alpha=0.05).
Results: Mean age of the respondents was 38.5±5.2 years and 1.3% was sterilized. About 3.5% had adequate knowledge of vasectomy (AKV). The identified predictors of AKV were; place of residence, occupation, income and level of education. Living in the rural areas inhibits AKV (OR=0.39;C.I=0.27- 0.59,p<0.001). Sexual pleasure, fear of side effect, limited number of contraceptive choices for men, promiscuity, infertility and financial incapacity to manage complications were cited as reasons for nonuse of FP.
Conclusion: Adequate knowledge of vasectomy is low among married men in Ife Central LGA. Strategies to scale-up male involvement in FP should be enhanced in the study area.
Keywords: Family planning, Vasectomy, Ile-Ife
Résumé
Contexte: La planification familiale (PF) est essentielle à la fertilité et à la réduction de la mortalité maternelle. Malheureusement, le taux de prévalence contraceptive est faible au Nigéria et la prévalence de la seule méthode permanente pour les hommes est très faible. Les objectifs de l’étude sont de déterminer la connaissance de la vasectomie et d’identifier les obstacles à la contraception moderne chez les hommes mariés dans la commune d’Ife Centrale, au Nigeria.
Méthodes: La conception de l’étude était transversale et impliquait une approche de méthode mixée. Mille hommes mariés ont participé à l’étude; 3 discussions de groupes focalisés et 2 entrevues avec des informateurs clés ont également été menées. Les données ont été analysées à l’aide d’une approche thématique et d’un modèle de régression logistique (Alpha = 0,05).
Résultats: L’âge moyen des répondants était de 38,5 ± 5,2 ans et 1,3% était stérilisé. Environ 3,5% avaient une Connaissance Adéquate de la Vasectomie (CAV). Les prédicteurs identifiés de la CAV sont: le lieu de résidence, l’occupation, le revenu et le niveau de scolarité. La vie dans les zones rurales inhibe la CAV (OR = 0,39; IC = 0,27-0,59 ; p <0,001). Le plaisir sexuel, la peur des effets secondaires, le nombre limité de choix de contraceptifs pour les hommes, la promiscuité, l’infertilité et l’incapacité financière de gérer les complications ont été cités comme des raisons de non-utilisation de la PF.
Conclusion: La connaissance adéquate de la vasectomie est faible chez les hommes mariés dans la commune d’Ife Centrale. Les stratégies visant à accroître l’implication des hommes dans la PF devraient être améliorées dans la zone d’étude.
Mots-clés: Planification familiale, Vasectomie, Ile-Ife
Correspondence: Dr. A.S. Adebowale, Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: adehamilt2008@yahoo;com
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