Abstract
Objective: To assess the knowledge and the circumstances and sources from which men in Tunisia gain knowledge about contraception and their subsequent perceptions of different contraceptive methods.
Methods: A cross-sectional study conducted from January 2021 to december 2021, using a self-administered questionnaire. Tunisian men between 20-55 years were included. We examined participant profile, major sources of knowledge about contraception, perceptions of contraceptive side effects among Tunisian men and the factors influencing the level of knowledge of contraception.
Results: 122 men were questioned. The participants’ mean age was 31.3 +/- 8.7 years (range 20 – 57). 65.6% of our participants had a tertiary education. For 70.5% of our respondents the contraception was a shared responsibility within the couple. These participants had a higher level of knowledge about contraception compared to those considering it a woman’s domain (p=0.042). Knowledge of contraception increased with higher level of education (P<0.001). The condom was used by 96% of our respondents. 57,4% refused to use withdrawal as a mean of contraception. 44,3% of the participants had limited knowledge, about emergency contraception illustrated by the lack of awareness. 50% had false belief about the contraception and its interference to sexual life. The internet was main source of information and doctors were the most trusted source.
Conclusion: measures must be taken to remedy to the noted lack of knowledge and false belief through the use of the internet and the healthcare providers as means to achieve this purpose.
References
Soufir JC, Mieusset R. Guide pratique d’une contraception masculine hormonale ou thermique. Basic Clin Androl [Internet]. sept 2012 [cité 22 févr 2021];22(3):211‑5. Disponible sur: http://www.bacandrology.com/content/22/3/
La contraception masculine. Revue Francophone des Laboratoires. avr 2013;2013(451):19.
Kriel Y, Milford C, Cordero J, Suleman F, Beksinska M, Steyn P, et al. Male partner influence on family planning and contraceptive use: perspectives from community members and healthcare providers in KwaZulu-Natal, South Africa. Reprod Health. 25 juin 2019;16(1):89.
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. 16 mai 2013;10:27.
Komasawa M, Yuasa M, Shirayama Y, Sato M, Komasawa Y, Alouri M. Demand for family planning satisfied with modern methods and its associated factors among married women of reproductive age in rural Jordan: A cross-sectional study. PLoS One. 2020;15(3):e0230421.
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. 5 mars 2014;11(1):21.
Hoga LA, Rodolpho JR, Sato PM, Nunes MC, Borges AL. Adult men’s beliefs, values, attitudes and experiences regarding contraceptives: a systematic review of qualitative studies. J Clin Nurs. avr 2014;23(7‑8):927‑39.
Sait M, Aljarbou A, Almannie R, Binsaleh S. Knowledge, attitudes, and perception patterns of contraception methods: Cross-sectional study among Saudi males. Urol Ann. 2021;13(3):243‑53.
World Fertility and Family Planning 2020: Highlights.
Bearak J, Popinchalk A, Alkema L, Sedgh G. Global, regional, and subregional trends in unintended pregnancy and its outcomes from 1990 to 2014: estimates from a Bayesian hierarchical model. Lancet Glob Health. avr 2018;6(4):e380‑9.
Alomair N, Alageel S, Davies N, Bailey JV. Factors influencing sexual and reproductive health of Muslim women: a systematic review. Reprod Health. 5 mars 2020;17(1):33.
Arbab AA, Bener A, Abdulmalik M. Prevalence, awareness and determinants of contraceptive use in Qatari women. East Mediterr Health J. janv 2011;17(1):11‑8.
Spinelli A, Talamanca IF, Lauria L. Patterns of contraceptive use in 5 European countries. European Study Group on Infertility and Subfecundity. Am J Public Health. sept 2000;90(9):1403‑8.
Frankiewicz M, Połom W, Matuszewski M. Can the evolution of male contraception lead to a revolution? Review of the current state of knowledge. Cent European J Urol. 2018;71(1):108‑13.
NSFG - 2017-2019 NSFG - Public-Use Data Files, Codebooks and Documentation [Internet]. 2021 [cité 30 janv 2023]. Disponible sur: https://www.cdc.gov/nchs/nsfg/nsfg_2017_2019_puf.htm
Ben Hassine L. Enquête auprès de la population du Grand Tunis sur les connaissances et les attitudes en matière de santé sexuelle et reproductive ainsi que sur la réception des messages de prévention. Communication Information médias théories pratiques [Internet]. 24 avr 2020 [cité 29 janv 2023];(vol. 37/1). Disponible sur: https://journals.openedition.org/communication/11667#tocto2n8
Zinke-Allmang A, Hassan R, Bhatia A, Gorur K, Shipow A, Ogolla C, et al. Use of digital media for family planning information by women and their social networks in Kenya: A qualitative study in peri-urban Nairobi. Front Sociol. 2022;7:886548.
Kim TY, Igras S, Barker KM, Diakité M, Lundgren RI. The power of women’s and men’s Social Networks to catalyse normative and behavioural change: evaluation of an intervention addressing Unmet need for Family Planning in Benin. BMC Public Health. 7 avr 2022;22(1):672.
