Shahjahan Md, Mumu Shirin Jahan, Afroz Afsana, Chowdhury Hasina Akhter, Kabir Russell, Ahmed Kapil
Reprod Health. 2013 May 16;10:27. doi: 10.1186/1742-4755-10-27.
The role of male's participation in reproductive healthcare is now well-recognized. The present study investigated the role of men in some selected reproductive health issues, characterizing their involvement, including factors influencing their participation in reproductive healthcare services.
This study was conducted in the working areas of urban and rural implemented by NGOs. The sample-size was determined scientifically. The systematic sampling procedure was used for selecting the sample. The study included 615 men aged 25-45 years. Bivariate analysis was performed between male's involvement as the dependent variable with several independent variables. Logistic regression analysis was applied to assess the effects of risk factors on the participation of men in reproductive health care services.
The mean age of the respondents was little over 34 years while their mean years of schooling was 3.7, and their mean monthly income was about Tk 3,400 (US$ 1 = Tk 70) at the time of the study. Rickshaw-pulling and driving was the main occupation of the respondents from the urban while farming were main occupation in the rural area respectively. About two-thirds of the respondents discussed reproductive health issues with their wives and accompanied them to healthcare facilities. The current contraceptive-use rate was 63% among the men who attended the evening clinics. Results of bivariate analysis showed a significant association with education, occupation, income, access to media, and number of living children. Results of logistic regression analysis showed that secondary to higher education level, number of living children, paid employment status, long marital duration, and access to media were important correlates of males' involvement in reproductive healthcare services.
The results imply that a greater integration of reproductive healthcare matters with the Millennium Development Goals and increasing perception of men through enrollment in various components of reproductive activities will produce synergistic effects.
男性参与生殖健康护理的作用如今已得到充分认可。本研究调查了男性在一些特定生殖健康问题中的作用，描述了他们的参与情况，包括影响其参与生殖健康服务的因素。
本研究在非政府组织开展工作的城乡地区进行。样本量经过科学确定。采用系统抽样程序选取样本。该研究纳入了615名年龄在25至45岁之间的男性。以男性参与情况为因变量，与多个自变量进行双变量分析。应用逻辑回归分析来评估危险因素对男性参与生殖健康服务的影响。
在研究时，受访者的平均年龄略超过34岁，平均受教育年限为3.7年，平均月收入约为3400塔卡（1美元 = 70塔卡）。在城市地区，人力车夫和司机是受访者的主要职业，而在农村地区，务农是主要职业。约三分之二的受访者与妻子讨论过生殖健康问题，并陪她们前往医疗机构。在参加晚间诊所的男性中，目前的避孕使用率为63%。双变量分析结果显示，教育程度、职业、收入、媒体接触情况和存活子女数量之间存在显著关联。逻辑回归分析结果表明，除了高等教育水平外，存活子女数量、有偿就业状况、较长的婚姻持续时间和媒体接触情况是男性参与生殖健康服务的重要相关因素。
研究结果表明，将生殖健康护理事务与千年发展目标更紧密地结合起来，以及通过参与各种生殖活动来增强男性的认识，将产生协同效应。
