Obembe Taiwo A, Odebunmi Kehinde O, Adedokun Babatunde O, Osungbade Kayode O
University of Witwatersrand, School of Public Health, Wits Education Campus, Johannesburg, South Africa.
Department of Hospice and Palliative Medicine, University College Hospital, Ibadan.
Afr J Reprod Health. 2017 Sep;21(3):76-88. doi: 10.29063/ajrh2017/v21i3.7.
In spite of the established roles and influence of men on women's uptake and utilization of reproductive health care interventions, the degree of involvement with intimate issues within the household which could help to understand male involvement and support remains an under-researched topic. The aim of this study was to investigate the degree of involvement at the family level of men within sub-urban communities of Ibadan in South-West Nigeria. A cross sectional survey design was conducted among 380 men selected from sub-urban communities in Ibadan, Oyo State using multi-stage sampling. Data was obtained using pre-tested, semi-structured, interviewer administered questionnaires. Data were analysed using descriptive statistics, bivariate analysis and logistic regression with level of significance set at 5%. Mean age of respondents was 41.1 ± 7.6 years. Men who were knowledgeable of spouse's menstrual cycles and ovulation dates were significantly more likely to have supported some form of public health intervention before (p <0.001). Age over 30, above secondary education, and men aware of menstrual dates of spouse were significant predictors of reproductive health interventions. Men who were aware of menstrual cycles of spouse were 96.6% more likely to be supportive or involved in reproductive health matters compared to those who were not (OR =0.034; 95% CI = 0.02 - 0.07; p <0.001). Involvement of men at family level as demonstrated in this study serves to influence and explain the level of involvement with reproductive health. Further research investigating other proximal factors that influence male participation is recommended.
尽管男性在女性接受和利用生殖健康护理干预措施方面已确立了角色并具有影响力，但在家庭内部涉及亲密问题的参与程度，而这有助于理解男性的参与情况和支持力度，仍然是一个研究不足的课题。本研究的目的是调查尼日利亚西南部伊巴丹市郊社区男性在家庭层面的参与程度。采用多阶段抽样方法，对从奥约州伊巴丹市郊社区选取的380名男性进行了横断面调查设计。通过预先测试的、半结构化的、由访谈员管理的问卷收集数据。使用描述性统计、双变量分析和逻辑回归对数据进行分析，显著性水平设定为5%。受访者的平均年龄为41.1±7.6岁。了解配偶月经周期和排卵日期的男性此前更有可能支持某种形式的公共卫生干预（p<0.001）。30岁以上、受过中等以上教育以及知晓配偶月经日期的男性是生殖健康干预的显著预测因素。知晓配偶月经周期的男性相比不知晓的男性，支持或参与生殖健康事务的可能性高96.6%（OR=0.034；95%CI=0.02-0.07；p<0.001）。本研究中所展示的男性在家庭层面的参与有助于影响和解释生殖健康方面的参与程度。建议进一步研究调查影响男性参与的其他近端因素。
