Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran.
Int J Community Based Nurs Midwifery. 2022 Jul;10(3):197-209. doi: 10.30476/IJCBNM.2022.92155.1831.
Males' viewpoint about sexual and reproductive health (SRH) and their situation are essential components of men's and women's health in the community. Men have been overlooked in reproduction health, especially with reproductive issues such as contraception, sexually transmitted infections (STIs), infertility, and sexual function. This study aimed to investigate the males' perceptions of their SRH situation in Iran.
A qualitative study was conducted from May 2016 to April 2017 on data retrieved through semi-structured interviews with 19 adult males aged 18 to 59 years. The participants were purposefully recruited from among populations of health centers in Alborz province, Iran. Conventional content analysis in OneNote software version 2016 was used for data analysis.
Three main themes and nine categories emerged including 1) Perceived SRH needs, including "need to increase men's awareness about SRH", "need to have an accessibility to SRH services", and "need to have a high-quality sexual relationship"; 2) perceived SRH responsibilities, including "health-seeking behaviors", "sexual skills", "childbearing responsibilities", and "ethical commitment", and 3) Men' perception of trends of social and cultural norms, including "changing SRH priorities" and "changing marital prototype".
In this study, men perceived SRH as an important issue due to the changes in social and cultural trends, and many of their SRH needs have not yet been addressed. Hence, along with socio-economic changes, the policymakers of the health system should develop strategies and interventions to meet these needs.
男性对性与生殖健康（SRH）的看法及其状况是社区中男性和女性健康的重要组成部分。男性在生殖健康方面一直被忽视，尤其是在避孕、性传播感染（STI）、不育和性功能等生殖问题上。本研究旨在探讨伊朗男性对其 SRH 状况的看法。
本研究采用定性研究方法，于 2016 年 5 月至 2017 年 4 月期间，通过半结构式访谈对 19 名 18 至 59 岁的成年男性进行数据收集。参与者是从伊朗阿尔博兹省卫生中心的人群中经过有目的的招募而获得的。采用 OneNote 软件版本 2016 中的常规内容分析法进行数据分析。
出现了三个主要主题和九个类别，包括 1）感知的 SRH 需求，包括“提高男性对 SRH 的认识的需求”、“获得 SRH 服务的机会”和“拥有高质量性关系的需求”；2）感知的 SRH 责任，包括“寻求健康的行为”、“性技能”、“生育责任”和“道德承诺”；3）男性对社会文化规范趋势的看法，包括“改变 SRH 优先事项”和“改变婚姻原型”。
在这项研究中，由于社会文化趋势的变化，男性认为 SRH 是一个重要的问题，他们的许多 SRH 需求尚未得到满足。因此，随着社会经济的变化，卫生系统的政策制定者应该制定战略和干预措施来满足这些需求。
