Factors Influencing Malaysian Men's Perceptions of Gender Equity in Family Planning

Overview

Journal Malays Fam Physician

Specialty Public Health

Date 2020 Dec 17

PMID 33329862

Authors

N Endut

R Bagheri

A A Azmawati

Ihm Hashim

N H Selamat

L Mohajer

Affiliations

Soon will be listed here.

Abstract

Introduction: Various factors influence men's perceptions regarding gender equity in family planning (FP). Identifying these factors can contribute to a deeper understanding of the roles that men play in family planning and ultimately leads to women's reproductive health outcomes.

Objectives: This paper aims to investigate factors influencing Malaysian men's perceptions of gender equity in family planning. To achieve this, the effects of sociodemographic characteristics (age, education, and marital status), masculine traits, and attitudes towards domestic violence are investigated.

Methodology: This is a cross-sectional study undertaken by administrating questionnaires to a sample of 168 men in Malaysia. The data are analyzed by applying partial least squares-structural equation modeling (PLS-SEM) and by using WarpPLS 6.0.

Results: The results confirmed the significant effects of masculine traits and attitudes supporting domestic violence on perceived gender equity in family planning. In other words, the results showed that men's masculine traits and attitudes supporting domestic violence negatively influenced gender equity in family planning. The hypothesized effects of sociodemographic characteristics on perceived gender equity in family planning could not be verified.

Conclusions: This study suggests some practical implications for local authorities to implement interventions that take a gender transformative approach to reduce men's masculine traits and improve their attitudes towards domestic violence to enhance gender equity in family planning.

References

Mishra A, Nanda P, Speizer I, Calhoun L, Zimmerman A, Bhardwaj R . Men's attitudes on gender equality and their contraceptive use in Uttar Pradesh India. Reprod Health. 2014; 11:41. PMC: 4051668. DOI: 10.1186/1742-4755-11-41. View

Miller E, Jordan B, Levenson R, Silverman J . Reproductive coercion: connecting the dots between partner violence and unintended pregnancy. Contraception. 2010; 81(6):457-9. PMC: 2872678. DOI: 10.1016/j.contraception.2010.02.023. View

Kraft J, Wilkins K, Morales G, Widyono M, Middlestadt S . An evidence review of gender-integrated interventions in reproductive and maternal-child health. J Health Commun. 2014; 19 Suppl 1:122-41. PMC: 4205884. DOI: 10.1080/10810730.2014.918216. View

Oyediran K, Ishola G, Feyisetan B . Factors affecting ever-married men's contraceptive knowledge and use in Nigeria. J Biosoc Sci. 2002; 34(4):497-510. DOI: 10.1017/s0021932002004972. View

Montgomery C, Lees S, Stadler J, Morar N, Ssali A, Mwanza B . The role of partnership dynamics in determining the acceptability of condoms and microbicides. AIDS Care. 2008; 20(6):733-40. DOI: 10.1080/09540120701693974. View

Merkh R, Whittaker P, Baker K, Hock-Long L, Armstrong K . Young unmarried men's understanding of female hormonal contraception. Contraception. 2009; 79(3):228-35. DOI: 10.1016/j.contraception.2008.10.007. View

Cislaghi B, Heise L . Four avenues of normative influence: A research agenda for health promotion in low and mid-income countries. Health Psychol. 2018; 37(6):562-573. DOI: 10.1037/hea0000618. View

Moreau C, Trussell J, Bajos N . Religiosity, religious affiliation, and patterns of sexual activity and contraceptive use in France. Eur J Contracept Reprod Health Care. 2013; 18(3):168-80. PMC: 3656140. DOI: 10.3109/13625187.2013.777829. View

Lusey H, San Sebastian M, Christianson M, Edin K . Factors associated with gender equality among church-going young men in Kinshasa, Democratic Republic of Congo: a cross-sectional study. Int J Equity Health. 2017; 16(1):213. PMC: 5725947. DOI: 10.1186/s12939-017-0707-7. View

10.

Silverman J, Raj A . Intimate partner violence and reproductive coercion: global barriers to women's reproductive control. PLoS Med. 2014; 11(9):e1001723. PMC: 4165751. DOI: 10.1371/journal.pmed.1001723. View

11.

Varga C . The forgotten fifty per cent: a review of sexual and reproductive health research and programs focused on boys and young men in sub-Saharan Africa. Afr J Reprod Health. 2002; 5(3):175-95. View

12.

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. DOI: 10.1080/10810730.2011.650825. View

13.

Mantell J, Needham S, Smit J, Hoffman S, Cebekhulu Q, Adams-Skinner J . Gender norms in South Africa: implications for HIV and pregnancy prevention among African and Indian women students at a South African tertiary institution. Cult Health Sex. 2009; 11(2):139-57. PMC: 2782559. DOI: 10.1080/13691050802521155. View

14.

Santana M, Raj A, Decker M, La Marche A, Silverman J . Masculine gender roles associated with increased sexual risk and intimate partner violence perpetration among young adult men. J Urban Health. 2006; 83(4):575-85. PMC: 2430489. DOI: 10.1007/s11524-006-9061-6. View

15.

Ling J, Tong S . The roles of men in family planning - a study of married men at the UKM primary care clinic. Malays Fam Physician. 2017; 12(1):2-13. PMC: 5420317. View

16.

Peltzer K, Pengpid S . Contraceptive non-use and associated factors among university students in 22 countries. Afr Health Sci. 2016; 15(4):1056-64. PMC: 4765412. DOI: 10.4314/ahs.v15i4.2. View

17.

Bem S . The measurement of psychological androgyny. J Consult Clin Psychol. 1974; 42(2):155-62. View

18.

Berhane A, Biadgilign S, Amberbir A, Morankar S, Berhane A, Deribe K . Men's knowledge and spousal communication about modern family planning methods in Ethiopia. Afr J Reprod Health. 2012; 15(4):24-32. View

19.

Schuberth F, Henseler J, Dijkstra T . Partial least squares path modeling using ordinal categorical indicators. Qual Quant. 2018; 52(1):9-35. PMC: 5794891. DOI: 10.1007/s11135-016-0401-7. View

20.

Barker G, Ricardo C, Nascimento M, Olukoya A, Santos C . Questioning gender norms with men to improve health outcomes: evidence of impact. Glob Public Health. 2009; 5(5):539-53. DOI: 10.1080/17441690902942464. View