Department of Public Health, Pokhara University, Nobel College, Sinamangal, Kathmandu, Nepal.
BMC Pregnancy Childbirth. 2013 Jan 16;13:14. doi: 10.1186/1471-2393-13-14.
Men in patriarchal societies of developing countries are often identified as decision makers in all aspects of day-to-day life. The study explores the factors associated with male involvement in ANC, birth plans, exclusive breastfeeding and immunization of children.
A cross-sectional survey was conducted among 2178 married males between May and December 2010 in Kathmandu, Nepal. Twenty one clusters were selected for data collection using structured questionnaire. Adjusted odds ratios (AORs) and 95% confidence intervals (95% CI) of associated factors were estimated by stepwise backward likelihood ratio method.
This study determined the percentage of males who accompanied their partners for ANC (39.3%), arranged SBA (47.9%) and accompanied them for child immunization (10.9%). Factors found associated with respect to different activities were as follows: accompanied their partners on antenatal visits - uneducated or primary level education (AOR, 5.68, 95% CI, 4.44-7.27), income NPR 5001 (1USD = 85 NPR) or above (1.47, 1.20-1.80) and aged above 25 years (2.51, 1.89-3.33); arranged money for delivery - uneducated or primary level education (7.34, 5.84-9.23), income NPR 5001 or above (1.80, 1.48-2.20) and aged above 25 years (1.55, 1.18-2.03); arranged SBA - uneducated or primary level education (17.14, 12.65-23.22) and income NPR 5001 or above (2.89, 2.36-3.54); arranged transportation - uneducated or primary level education (17.65, 11.84-26.32), income NPR 5001 or above (1.69, 1.40-2.04) and aged above 25 years (1.69, 1.27-2.24); encouraged exclusive breast feeding - uneducated or primary level education (5.48, 4.39-6.83) and aged above 25 years (1.35, 1.03-1.77); accompanied their partners for immunization their children - uneducated or primary level education (3.88, 2.53-5.96) and aged above 25 years (1.72, 1.11-2.64).
Men who were uneducated or had primary level education, aged above 25 years, had higher income, formal employment, came from Hindu religion and non-indigenous ethnicities demonstrated greater involvement and these factors should be emphatically considered during maternal health program development.
在发展中国家的父权制社会中，男性通常被认为是日常生活各个方面的决策者。本研究探讨了与男性参与 ANC、分娩计划、纯母乳喂养和儿童免疫接种相关的因素。
2010 年 5 月至 12 月期间，在尼泊尔加德满都对 2178 名已婚男性进行了横断面调查。使用结构化问卷从 21 个集群中收集数据。通过逐步向后似然比法估计相关因素的调整优势比 (AOR) 和 95%置信区间 (95%CI)。
本研究确定了男性陪同伴侣进行 ANC（39.3%）、安排顺产（47.9%）和陪同儿童免疫接种（10.9%）的比例。与不同活动相关的因素如下：陪同伴侣进行产前检查 - 未受过教育或小学教育（AOR，5.68，95%CI，4.44-7.27），收入 NPR 5001（1USD = 85 NPR）或以上（1.47，1.20-1.80）和年龄在 25 岁以上（2.51，1.89-3.33）；安排分娩资金 - 未受过教育或小学教育（7.34，5.84-9.23），收入 NPR 5001 或以上（1.80，1.48-2.20）和年龄在 25 岁以上（1.55，1.18-2.03）；安排顺产 - 未受过教育或小学教育（17.14，12.65-23.22）和收入 NPR 5001 或以上（2.89，2.36-3.54）；安排交通 - 未受过教育或小学教育（17.65，11.84-26.32），收入 NPR 5001 或以上（1.69，1.40-2.04）和年龄在 25 岁以上（1.69，1.27-2.24）；鼓励纯母乳喂养 - 未受过教育或小学教育（5.48，4.39-6.83）和年龄在 25 岁以上（1.35，1.03-1.77）；陪同伴侣为子女进行免疫接种 - 未受过教育或小学教育（3.88，2.53-5.96）和年龄在 25 岁以上（1.72，1.11-2.64）。
未受过教育或受过小学教育、年龄在 25 岁以上、收入较高、有正式工作、来自印度教和非土著民族的男性表现出更大的参与度，在制定孕产妇健康计划时应着重考虑这些因素。
