Men's attitudes on gender equality and their contraceptive use in Uttar Pradesh India.
Men's attitudes on gender equality and their contraceptive use in Uttar Pradesh India.
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DOI：
10.1186/1742-4755-11-41
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发表时间：
2014-06-04
影响因子：
3.4
通讯作者：
Bhardwaj R
中科院分区：
文献类型：
--
作者：
Mishra A;Nanda P;Speizer IS;Calhoun LM;Zimmerman A;Bhardwaj R
男性在避孕决策中发挥着至关重要的作用，尤其是在高度性别分化的人群中。过去的研究调查了男性对生育和避孕的态度以及与实际避孕实践的关系。关于男性对性别平等的态度是否与避孕行为有关，需要进行更多的研究；这是本研究的目的。这项研究使用了印度北方邦城市健康倡议的测量、学习和评估(MLE)项目的基线数据。数据是从该州四个城市6431名已婚男性的代表性样本中收集的。结果是目前避孕措施的使用和避孕方法的选择。关键的独立变量是三个性别衡量标准：男性对性别平等的态度，对性别敏感的决策，以及对妻子流动的限制。多变量分析被用来确定性别措施和避孕措施之间的联系。在所有四个城市中，大多数男性都有高度或中等程度的对性别问题敏感的决策，对妻子流动的限制程度从低到中等，以及中等到高水平的性别平等态度。性别敏感决策与公平态度呈显着正相关，对妻子行动能力的限制与当前避孕措施使用呈显着负相关。这项研究表明，避孕方案需要让男性参与，并解决性别平等态度；这可以通过同伴接触(人际交流)或通过大众媒体来实现。在男性在家庭决策中发挥关键作用的情况下，让男性更加平等可能会产生比使用避孕措施更大的影响。
Men play crucial role in contraceptive decision-making, particularly in highly gender-stratified populations. Past research examined men’s attitudes toward fertility and contraception and the association with actual contraceptive practices. More research is needed on whether men’s attitudes on gender equality are associated with contraceptive behaviors; this is the objective of this study. This study uses baseline data of the Measurement, Learning, and Evaluation (MLE) Project for the Urban Health Initiative in Uttar Pradesh, India. Data were collected from a representative sample of 6,431 currently married men in four cities of the state. Outcomes are current use of contraception and contraceptive method choice. Key independent variables are three gender measures: men’s attitudes toward gender equality, gender sensitive decision making, and restrictions on wife’s mobility. Multivariate analyses are used to identify the association between the gender measures and contraceptive use. Most men have high or moderate levels of gender sensitive decision-making, have low to moderate levels of restrictions on wife’s mobility, and have moderate to high levels of gender equitable attitudes in all four cities. Gender sensitive decision making and equitable attitudes show significant positive association and restrictions on wife’s mobility showed significant negative relationship with current contraceptive use. The study demonstrates that contraceptive programs need to engage men and address gender equitable attitudes; this can be done through peer outreach (interpersonal communication) or via mass media. Engaging men to be more gender equal may have an influence beyond contraceptive use in contexts where men play a crucial role in household decision-making.
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影响因子：
4.5
作者：
Bogale B;Wondafrash M;Tilahun T;Girma E
通讯作者：
Girma E
影响因子：
3.5
作者：
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通讯作者：
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2.5
作者：
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Smith, HL
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作者：
Dodoo, FNA;Tempenis, M
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