Perceived male partner attitudes toward the female condom predict female university students’ use of the female condom

Mantell, Joanne E.; Exner, Theresa M.; Bai, Dan; Leu, Cheng-Shiun; Beksinska, Mags; Mabude, Zonke; Hoffman, Susie; Smit, Jennifer

doi:10.1177/0956462420912986

Cited by 4 publications

(6 citation statements)

References 49 publications

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“…However, the findings of this study differ from those found by Mantell et al [36] in their randomized trial design on the perceived male partner attitude toward the female condom in South Africa, which indicated that young especially male partners perceived female condoms positively as male condoms. However, the attributable factors to the mismatch are probably differences in the methodological approaches including study designs, timing, and populations.…”

Section: Discussioncontrasting

confidence: 99%

Perceived motivators, knowledge, attitude, self-reported and intentional practice of female condom use among female students in higher training institutions in Dodoma, Tanzania

Shitindi

Millanzi

Herman

2023

Contracept Reprod Med

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Background Unplanned pregnancies and sexually transmitted infections (STIs) Human Immunodeficiency Virus (HIV) inclusive, have remained to be a significant public health challenges among young people, especially across middle and low-income countries. Self-efficacy on the right ways of using condoms appears to be effective against the aforementioned health-related problems. However, most women of reproductive age tend not to use them when they are using highly effective contraceptives such as implants, and/or injectable hormones. It is unknown whether the uptake of female condoms among young girls is significantly high or not. Examining female students’ perceived motivators, knowledge, attitudes, and self-reported and intentional female condom practice in training institutions seems to be a key precursor in addressing the challenge. Methods The institutional-based analytical cross-sectional survey in a quantitative research approach was adopted to study 384 randomly selected female students from higher training institutions, in Tanzania. Interviewer-administered structured questionnaires from previous studies were the main data collection tools. Data analysis was done using a statistical package for social science (SPSS) with the strength of statistical limits set at a 95% confidence interval and a 5% significance level. Results The response rate of the study was 100% with 24 ± 2.122 years respondents’ mean age while and 32.7% of them were in the third year of their studies. Only 6.2% of the respondents reported having used female condoms while 26.3% of them have not ever seen packages of female condoms. The minority of the respondents (21.7%, 23.3%, and 9.4%) demonstrated good knowledge, positive attitude, and intention to use female condoms respectively. Their age, accommodation, marital status, peer groups, previous training, knowledge, and attitude related significantly to their intentional practices of female condom use (p < 0.05). Conclusion Given the existing governmental and non-governmental efforts that advocate awareness creation and the uptake of various contraceptives, this study has found that knowledge, attitude, self-reported and intentional practices of female students admitted in higher training institutions within Dodoma region, Tanzania is low. Institutionalized educational programs on sexual and reproductive health matters may need to be prioritized to increase the availability, accessibility, and uptake of female condoms among female students in higher training institutions.

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Section: Discussioncontrasting

confidence: 99%

Perceived motivators, knowledge, attitude, self-reported and intentional practice of female condom use among female students in higher training institutions in Dodoma, Tanzania

Shitindi

Millanzi

Herman

2023

Contracept Reprod Med

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“…At the first follow up, 62.6% reported having used the FC post-intervention. However, at the second follow up, 38.2% reported that they had used the FC since their first follow up interview 20 .…”

Section: Discussionmentioning

confidence: 99%

“…These students may find it very difficult to use the FC during sexual intercourse to prevent HIV transmission. Discussing FC use with partner and believing one's partner holds positive attitudes toward the FC can also affect its use during sexual intercourse 20 . In South Africa, at the end of an intervention on FC, some women still failed to convince male partners to use the FC, often due to its physical attributes or partners' lack of knowledge about insertion 24 .…”

Section: Discussionmentioning

confidence: 99%

“…This corresponds with a study conducted among tertiary students in Southwestern Nigeria, which revealed that about one-third (35.1%) attested that persuading their partners to accept the utilization of a female condom will be difficult based on health (STI/HIV) reasons while 43.6% participants disagree with the perception 25 . The FC empowers women to protect themselves from both STIs and unintended pregnancy, but targeted interventions are needed to address men's negative attitudes toward the device 20 .…”

Section: Discussionmentioning

confidence: 99%

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Determinants of female condom use among female tertiary students in the Hohoe Municipality of Ghana using the Health Belief Model

Amevor¹,

Tarkang²

2022

Afr H. Sci.

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Background: Besides abstinence, the condom has proven to be the only effective method of preventing sexually transmitted infections (STIs), including HIV/AIDS. This study investigated the determinants of female condom (FC) use among female tertiary students in the Hohoe Municipality, Ghana using the Health Belief Model (HBM). Methods: A cross-sectional design was adopted. Data were collected using a structured questionnaire in January 2019 and analysed using STATA version 14.0. Logistic regression was used to measure the strength of associations between the dependent and independent variables. A p-value <0.05 was considered statistically significant. Results: The overall utilisation of the FC was 35.0%. Among the constructs of the HBM, it was perceived self-efficacy for FC use that was significantly associated with FC use: respondents who had the confidence to convince their partners to use the FC were 2 times more likely to use it than respondents who did not [AOR =2.15(CI: 1.26, 3.71); p= 0.005]. Conclusion: Female students in the current study exhibited poor utilization of the FC. Health promotion interventions should, therefore, focus on increasing their self-efficacy for FC use. Keywords: Female condom use; Health Belief Model; Female tertiary students; Hohoe; Ghana.

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“…Findings about sexual satisfaction ranged from not detecting the method during sex (e.g., the diaphragm, vaginal ring) to feeling like the method enhanced the sexual experience (e.g., using a female instead of a male condom) (POW PDP 2015; Mathenjwa and Maharaj 2012;Van Dijk et al 2013;Beksinska et al 2019;Bowling et al 2018;Minnis et al 2018;Bharadwaj 2015;Pandit et al 2014;Sahin-Hodoglugil et al 2011;. According to the literature, partners' supportive attitudes toward a method also contributed to women's method continuation (Somesh Kumar et al 2014;Bryant et al 2015;Pandit et al 2014;Wanyenze et al 2011;Soni, Garg, and Bangar 2013;Malik et al 2014;Mantell et al 2020).…”

Section: mentioning

confidence: 99%

Barriers and Enablers Influencing Women's Adoption and Continuation of Vaginally Inserted Contraceptive Methods: A Literature Review

Harris

Dam

Morrison

et al. 2022

Studies in Family Planning

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Most vaginally inserted methods have limited availability and use despite offering characteristics that align with many women's stated preferences (e.g., nonhormonal and/or on demand). The objective of this review was to identify enablers and barriers to women's adoption and continuation of vaginally inserted contraceptive methods in low-and middle-income countries (LMICs). We searched three databases (PubMed, Embase, and Web of Science) and  websites using keywords related to five vaginally inserted contraceptive methods (diaphragm, vaginal ring, female condom, copper intrauterine device [IUD], hormonal IUD) and terms associated with their adoption and continuation. Searches were limited to resources published between January  and September . Studies eligible for inclusion in our review presented results on women's use and perspectives on the enablers and barriers to adoption and continuation of the vaginally inserted contraceptive methods of interest in LMICs. Relevant studies among women's partners were also included, but not those of providers or other stakeholders. Data were coded, analyzed, and disaggregated according to a framework grounded in family planning (FP) literature and behavioral theories common to FP research and program implementation. Our initial search yielded , results, with  studies ultimately included in the analysis. Across methods, we found common enablers for method adoption, including quality contraceptive counseling as well as alignment between a woman's preferences and a method's duration of use and side effect profile. Common barriers included a lack of familiarity with the methods and product cost. Notably, vaginal insertion was not a major barrier to adoption in the literature reviewed. Vaginally inserted methods of contraception have the potential to fill a gap in method offerings and expand choice. Programmatic actions should address key barriers and enable voluntary use.   Danielle M. Harris et al.are unintended (Sully et al. 2020). As a result of unintended pregnancies, some women and their families experience severe social, economic, and health consequences (Singh, Sedgh, and Hussain 2010). Women cite a number of reasons for not using contraception despite wanting to avoid unintended pregnancy: concerns about side effects and health risks; infrequent sex; opposition to contraception; and breastfeeding and/or delayed menstruation postbirth (Sedgh, Ashford, and Hussain 2016). For some, these reasons for nonuse of contraception may reflect misconceptions, stigma, social norms, or other factors, while for others, these reasons may reflect a lack of access to methods that suit their needs and preferences.Expanded access to a wide range of modern contraceptive methods is well-established as a global health priority, recognizing that diverse options are needed to meet women's varying contraceptive needs and preferences (WHO 2014). Despite efforts to broaden options, only two or three methods account for most contraceptive use in LMICs. The predominant methods...

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Perceived male partner attitudes toward the female condom predict female university students’ use of the female condom

Cited by 4 publications

References 49 publications

Perceived motivators, knowledge, attitude, self-reported and intentional practice of female condom use among female students in higher training institutions in Dodoma, Tanzania

Perceived motivators, knowledge, attitude, self-reported and intentional practice of female condom use among female students in higher training institutions in Dodoma, Tanzania

Determinants of female condom use among female tertiary students in the Hohoe Municipality of Ghana using the Health Belief Model

Barriers and Enablers Influencing Women's Adoption and Continuation of Vaginally Inserted Contraceptive Methods: A Literature Review

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