Gender Norms and Family Planning Practices Among Men in Western Jamaica

Walcott, Melonie; Ehiri, John E.; Kempf, Mirjam Colette; Funkhouser, Ellen; Bakhoya, Marion; Aung, Maung; Zhang, Kui; Jolly, Pauline E.

doi:10.1177/1557988314543792

Cited by 6 publications

(5 citation statements)

References 27 publications

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“…Gender equitable attitudes are believed to be related to contraceptive use [ 23 , 24 , 46 ]. However, in this study, we found that gender attitudes were seldom associated with membership in clusters based on contraceptive and pregnancy experiences.…”

Section: Discussionmentioning

confidence: 99%

“…Knowledge and attitudes about contraception and fertility are considered “intermediate outcomes”, influencing contraceptive use and influenced by SBC interventions, in the aforementioned framework [ 29 ]. This framework does not consider gender attitudes and norms, but we include them in this same group of variables because of multiple studies showing their association with patterns of contraceptive use [ 23 , 24 , 46 – 49 ]. We categorize women as having son preference if they preferred more boys than girls, daughter preference if they preferred more girls than boys, and gender balanced/no preference if they expressed no preference or preferred an equal number of girls and boys.…”

Section: Methodsmentioning

confidence: 99%

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Women’s contraceptive profiles in Burundi: Knowledge, attitudes, and interactions with media and health services

2022

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Reproductive health program managers seek information about existing and potential clients’ motivations, behaviors, and barriers to services. Using sequence and cluster analysis of contraceptive calendar data from the 2016–17 Burundi Demographic and Health Survey, we identified discrete clusters characterizing patterns in women’s contraceptive and pregnancy behaviors over the previous 5 years. This study pairs these clusters with data on factors typically targeted in social behavior change interventions: knowledge, attitudes, and women’s interactions with media and health services, to create composite profiles of women in these clusters. Of six clusters, three are characterized by contraceptive use and three are characterized by its absence. Media exposure and attitudes regarding sex preference, wife beating, and self-efficacy largely do not explain cluster membership. Contraceptive knowledge is positively associated with two clusters (Family Builder 1 and Traditional Mother) and negatively associated with a third (Quiet Calendar). Clusters also differ in their members’ fertility desires, contraceptive intentions, and interactions with health services. Two “Family Builder” clusters are both characterized by the presence (but not timing) of multiple pregnancies in their calendar histories, but differ in that women with high contraceptive knowledge, intentions to use contraception, and well-articulated family size ideals are characteristic of one cluster (Family Builder 1), and low contraceptive knowledge, no use of contraception, and vague family size preferences are characteristic of the other (Family Builder 2). These results can guide reproductive health programs as they target social and behavioral change and other interventions to the unique subpopulations they seek to serve.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Women’s contraceptive profiles in Burundi: Knowledge, attitudes, and interactions with media and health services

2022

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“…2,11,12 Although it was stated that gender perceptions of married men may affect family planning methods that have already been or will be used, there is an insufficient number of studies on this subject. 3,9,13,14 Therefore, the present study was conducted to determine the relationship between social gender perception and use of family planning among married men in eastern Turkey.…”

mentioning

confidence: 99%

Relationship Between Social Gender Perception and Use of Family Planning Among Married Men in Eastern Turkey

Koyuncu¹,

Derya²,

Taşhan³

2020

J Clin Obstet Gynecol

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Within the context of reproductive health services, family planning is a joint responsibility of both males and females. 1 In many societies, however, it is widely believed that reproductive health problems and issues such as fertility and family planning fall under the responsibility of females rather than males. 2 This support given by the society to masculinity norms reduces the likelihood of use of health services among males. Moreover, it is stated that masculinity and unfair gender norms have a negative impact on participation rate in contraceptive use. 3 Social gender is defined as the concept of gender resulting from social roles and responsibilities that society determines for males and females. 4 Especially in patriarchal societies, males are more dominant in the reproductive decisions of the family. 5 In addition, it was determined that family planning methods used by females are often selected by males and that female family planning methods are more frequently preferred. 6,7 Tanrıverdi et al. reported that the withdrawal method was the own preference of males as a family planning method. 8 It is also noted that males

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“…Studies from diverse locations in the Global South suggest that men primarily make family planning decisions -including whether contraception is used, the type, and family size (L. MacDonald et al, 2013;Kabagenyi et al, 2014;Walcott et al, 2014). Men are, however, less likely to assume any responsibility for contraceptive use, as both men and women typically believe that reproductive health, and more specifically contraception, is 'women's business' (Drysdale, 2015;L.…”

Section: Agency Power and Empowermentmentioning

confidence: 99%

“…Studies from diverse locations including Western Jamaica and Brazil have shown that men's family planning practices are directly influenced by inequitable gender norms and masculine behaviours (Pulerwitz & Barker, 2008;Walcott et al, 2014). Men who favoured inequitable gender norms were less likely to actively avoid unplanned pregnancies (Walcott et al, 2014); in contrast support for more equitable norms was associated with higher contraceptive usage (Pulerwitz & Barker, 2008).…”

Section: The Influence Of Gender Norms On Family Planning Practicesmentioning

confidence: 99%

From ‘women’s business’ to ‘men’s business’: Exploring connections between vasectomy acceptance and equitable gender relations in South Tarawa, Kiribati

Å¹

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<p>Engaging men in sexual and reproductive health and rights (SRHR) has implications for gender equality and sustainable development. Promoting vasectomy can foster more equitable gender relations between partners, but research on this topic is extremely limited. My research shows that, in Kiribati, vasectomy uptake is both a cause and a consequence of gender equitable relationships, but connections are complex. Vasectomy uptake can also result from, and lead to, inequitable behaviours. Links between vasectomy uptake and gender relations among couples in South Tarawa, Kiribati were explored using a qualitative case study informed by feminist theory and principles from indigenous methodologies. Semi-structured informal interviews were held with five vasectomised I-Kiribati men and their wives, interviewed as a couple and individually. Comparative analysis was undertaken with two same-sex focus group discussions, one with non-vasectomised men and the other with their wives; and with six key informant interviews. Information generated was analysed thematically and further triangulated with international and Kiribati studies. Among the participant-couples, vasectomy decision-making seemed equitable, consistent with other household decision-making. Notably, the wives were actively involved in their husbands’ decision to be vasectomised. Husbands were often prompted by egalitarian concerns. However, vasectomised men are in the minority and challenge gender normative behaviour. Family planning was widely viewed as women’s responsibility. Most participants felt vasectomy created new opportunities that empowered women. Yet, some participants knew of men who used their vasectomies to control their wives’ sexual and reproductive agency, and to enable extramarital relationships. Although vasectomy freed women from contraceptive responsibility, significant shifts in the gender division of labour did not follow, but exceptions existed. This research shows that gender equity is likely to be a pre-condition of vasectomy, and that vasectomy can lead to equitable outcomes. Moreover, gender relations within and among couples were multifaceted and contradictions existed. My research makes a strong case for why heterosexual men should be central to gender and development.</p>

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Gender Norms and Family Planning Practices Among Men in Western Jamaica

Cited by 6 publications

References 27 publications

Women’s contraceptive profiles in Burundi: Knowledge, attitudes, and interactions with media and health services

Women’s contraceptive profiles in Burundi: Knowledge, attitudes, and interactions with media and health services

Relationship Between Social Gender Perception and Use of Family Planning Among Married Men in Eastern Turkey

From ‘women’s business’ to ‘men’s business’: Exploring connections between vasectomy acceptance and equitable gender relations in South Tarawa, Kiribati

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