Transforming masculine norms to improve men's contraceptive acceptance: results from a pilot intervention with men in western Kenya

Men's adherence to constraining male gender norms can lead them to resist contraceptive use. Very few interventions have attempted to transform masculine norms to encourage greater contraceptive acceptance and gender equality. We designed and evaluated a small-scale community-based intervention...

Full description

Saved in:
Bibliographic Details
Published in:Sexual and reproductive health matters 2023-12, Vol.31 (1), p.2170084-2170084
Main Authors: Newmann, Sara J., Zakaras, Jennifer Monroe, Rocca, Corinne H., Gorrindo, Phillip, Ndunyu, Louisa, Gitome, Serah, Withers, Mellissa, Bukusi, Elizabeth A., Dworkin, Shari L.
Format: Article
Language:English
Subjects:
Contraceptive Agents
contraceptive use
family planning
gender norms
Humans
Kenya
Male
Masculinity
measurement
Men
Pilot Projects
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c482t-1af68705b5c6c399d50f121a23cfd770be87be5a07957755a3276668be7b0eee3
container_end_page 2170084
container_issue 1
container_start_page 2170084
container_title Sexual and reproductive health matters
container_volume 31
creator Newmann, Sara J.
Zakaras, Jennifer Monroe
Rocca, Corinne H.
Gorrindo, Phillip
Ndunyu, Louisa
Gitome, Serah
Withers, Mellissa
Bukusi, Elizabeth A.
Dworkin, Shari L.
description Men's adherence to constraining male gender norms can lead them to resist contraceptive use. Very few interventions have attempted to transform masculine norms to encourage greater contraceptive acceptance and gender equality. We designed and evaluated a small-scale community-based intervention targeting the masculine norms tied to contraceptive resistance among partnered men (N = 150) in two western Kenya communities (intervention vs. control). Pre-post survey data fit to linear and logistic regression models evaluated differences in post-intervention outcomes, accounting for pre-intervention differences. Intervention participation was associated with increases in contraceptive acceptance scores (adjusted coefficient (aβ) 1.04; 95% confidence interval (CI) 0.16, 1.91; p = 0.02) and contraceptive knowledge scores (aβ 0.22; 95% CI 0.13, 0.31; p 
doi_str_mv 10.1080/26410397.2023.2170084
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_2779350703</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_4d650acb888e4acc985d72096d93fe6c</doaj_id><sourcerecordid>2779350703</sourcerecordid><originalsourceid>FETCH-LOGICAL-c482t-1af68705b5c6c399d50f121a23cfd770be87be5a07957755a3276668be7b0eee3</originalsourceid><addsrcrecordid>eNp9Uk1v1DAQjRCIVkt_Asg3uOzijzi2OSBQxUdFJS7lbDnOZOsqsYPt7GrP_HEcdlu1F04evXnzZjzzquo1wRuCJX5Pm5pgpsSGYso2lAiMZf2sOl_w9ZJ4_ig-qy5SusMYU8IJFeRldcYaSYjCzXn15yYan_oQR-e3aDTJzoPzgHxBEsoBuXGKYQdoBP82IRt8jsbClF3BjF0i4y18QBHSPOSE-hhGZNDkhpCR8xniDnx2waO9y7eLTEHRHlLJePQD_MG8ql70ZkhwcXpX1a-vX24uv6-vf367uvx8vba1pHlNTN9IgXnLbWOZUh3HPaHEUGb7TgjcghQtcIOF4kJwbhgVTdPIFkSLAYCtqqujbhfMnZ6iG0086GCc_geEuNUmZmcH0HXXcGxsK6WEunxTSd4JilXTKdZDab-qPh61prkdobOw7GV4Ivo0492t3oadVkqUQ9Ai8O4kEMPvuaxDjy5ZGAbjIcxJUyEU41hgVqj8SLUxpBShf2hDsF78oO_9oBc_6JMfSt2bxzM-VN1fvxA-HQnOLw4w-xCHTmdzGELsiy-sS5r9v8dfTTLIBg</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2779350703</pqid></control><display><type>article</type><title>Transforming masculine norms to improve men's contraceptive acceptance: results from a pilot intervention with men in western Kenya</title><source>PubMed (Medline)</source><source>Taylor &amp; Francis Open Access</source><source>JSTOR Archival Journals and Primary Sources Collection</source><creator>Newmann, Sara J. ; Zakaras, Jennifer Monroe ; Rocca, Corinne H. ; Gorrindo, Phillip ; Ndunyu, Louisa ; Gitome, Serah ; Withers, Mellissa ; Bukusi, Elizabeth A. ; Dworkin, Shari L.</creator><creatorcontrib>Newmann, Sara J. ; Zakaras, Jennifer Monroe ; Rocca, Corinne H. ; Gorrindo, Phillip ; Ndunyu, Louisa ; Gitome, Serah ; Withers, Mellissa ; Bukusi, Elizabeth A. ; Dworkin, Shari L.</creatorcontrib><description>Men's adherence to constraining male gender norms can lead them to resist contraceptive use. Very few interventions have attempted to transform masculine norms to encourage greater contraceptive acceptance and gender equality. We designed and evaluated a small-scale community-based intervention targeting the masculine norms tied to contraceptive resistance among partnered men (N = 150) in two western Kenya communities (intervention vs. control). Pre-post survey data fit to linear and logistic regression models evaluated differences in post-intervention outcomes, accounting for pre-intervention differences. Intervention participation was associated with increases in contraceptive acceptance scores (adjusted coefficient (aβ) 1.04; 95% confidence interval (CI) 0.16, 1.91; p = 0.02) and contraceptive knowledge scores (aβ 0.22; 95% CI 0.13, 0.31; p &lt; 0.001) and with contraceptive discussions with one's partner (adjusted Odds Ratio (aOR) 3.96; 95% CI 1.21, 12.94; p = 0.02) and with others (aOR 6.13; 95% CI 2.39, 15.73; p &lt; 0.001). The intervention was not associated with contraceptive behavioural intention or use. Our findings demonstrate the promise of a masculinity-driven intervention on increasing men's contraceptive acceptance and positive contraceptive involvement. A larger randomised trial is needed to test the effectiveness of the intervention among men as well as among couples.</description><identifier>ISSN: 2641-0397</identifier><identifier>EISSN: 2641-0397</identifier><identifier>DOI: 10.1080/26410397.2023.2170084</identifier><identifier>PMID: 36811906</identifier><language>eng</language><publisher>England: Taylor &amp; Francis</publisher><subject>Contraceptive Agents ; contraceptive use ; family planning ; gender norms ; Humans ; Kenya ; Male ; Masculinity ; measurement ; Men ; Pilot Projects</subject><ispartof>Sexual and reproductive health matters, 2023-12, Vol.31 (1), p.2170084-2170084</ispartof><rights>2023 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group 2023</rights><rights>2023 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group 2023 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c482t-1af68705b5c6c399d50f121a23cfd770be87be5a07957755a3276668be7b0eee3</cites><orcidid>0000-0002-2672-0191</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9970212/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9970212/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,733,786,790,891,27535,27957,27958,53827,53829,59498,59499</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36811906$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Newmann, Sara J.</creatorcontrib><creatorcontrib>Zakaras, Jennifer Monroe</creatorcontrib><creatorcontrib>Rocca, Corinne H.</creatorcontrib><creatorcontrib>Gorrindo, Phillip</creatorcontrib><creatorcontrib>Ndunyu, Louisa</creatorcontrib><creatorcontrib>Gitome, Serah</creatorcontrib><creatorcontrib>Withers, Mellissa</creatorcontrib><creatorcontrib>Bukusi, Elizabeth A.</creatorcontrib><creatorcontrib>Dworkin, Shari L.</creatorcontrib><title>Transforming masculine norms to improve men's contraceptive acceptance: results from a pilot intervention with men in western Kenya</title><title>Sexual and reproductive health matters</title><addtitle>Sex Reprod Health Matters</addtitle><description>Men's adherence to constraining male gender norms can lead them to resist contraceptive use. Very few interventions have attempted to transform masculine norms to encourage greater contraceptive acceptance and gender equality. We designed and evaluated a small-scale community-based intervention targeting the masculine norms tied to contraceptive resistance among partnered men (N = 150) in two western Kenya communities (intervention vs. control). Pre-post survey data fit to linear and logistic regression models evaluated differences in post-intervention outcomes, accounting for pre-intervention differences. Intervention participation was associated with increases in contraceptive acceptance scores (adjusted coefficient (aβ) 1.04; 95% confidence interval (CI) 0.16, 1.91; p = 0.02) and contraceptive knowledge scores (aβ 0.22; 95% CI 0.13, 0.31; p &lt; 0.001) and with contraceptive discussions with one's partner (adjusted Odds Ratio (aOR) 3.96; 95% CI 1.21, 12.94; p = 0.02) and with others (aOR 6.13; 95% CI 2.39, 15.73; p &lt; 0.001). The intervention was not associated with contraceptive behavioural intention or use. Our findings demonstrate the promise of a masculinity-driven intervention on increasing men's contraceptive acceptance and positive contraceptive involvement. A larger randomised trial is needed to test the effectiveness of the intervention among men as well as among couples.</description><subject>Contraceptive Agents</subject><subject>contraceptive use</subject><subject>family planning</subject><subject>gender norms</subject><subject>Humans</subject><subject>Kenya</subject><subject>Male</subject><subject>Masculinity</subject><subject>measurement</subject><subject>Men</subject><subject>Pilot Projects</subject><issn>2641-0397</issn><issn>2641-0397</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>DOA</sourceid><recordid>eNp9Uk1v1DAQjRCIVkt_Asg3uOzijzi2OSBQxUdFJS7lbDnOZOsqsYPt7GrP_HEcdlu1F04evXnzZjzzquo1wRuCJX5Pm5pgpsSGYso2lAiMZf2sOl_w9ZJ4_ig-qy5SusMYU8IJFeRldcYaSYjCzXn15yYan_oQR-e3aDTJzoPzgHxBEsoBuXGKYQdoBP82IRt8jsbClF3BjF0i4y18QBHSPOSE-hhGZNDkhpCR8xniDnx2waO9y7eLTEHRHlLJePQD_MG8ql70ZkhwcXpX1a-vX24uv6-vf367uvx8vba1pHlNTN9IgXnLbWOZUh3HPaHEUGb7TgjcghQtcIOF4kJwbhgVTdPIFkSLAYCtqqujbhfMnZ6iG0086GCc_geEuNUmZmcH0HXXcGxsK6WEunxTSd4JilXTKdZDab-qPh61prkdobOw7GV4Ivo0492t3oadVkqUQ9Ai8O4kEMPvuaxDjy5ZGAbjIcxJUyEU41hgVqj8SLUxpBShf2hDsF78oO_9oBc_6JMfSt2bxzM-VN1fvxA-HQnOLw4w-xCHTmdzGELsiy-sS5r9v8dfTTLIBg</recordid><startdate>20231231</startdate><enddate>20231231</enddate><creator>Newmann, Sara J.</creator><creator>Zakaras, Jennifer Monroe</creator><creator>Rocca, Corinne H.</creator><creator>Gorrindo, Phillip</creator><creator>Ndunyu, Louisa</creator><creator>Gitome, Serah</creator><creator>Withers, Mellissa</creator><creator>Bukusi, Elizabeth A.</creator><creator>Dworkin, Shari L.</creator><general>Taylor &amp; Francis</general><general>Taylor &amp; Francis Group</general><scope>0YH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-2672-0191</orcidid></search><sort><creationdate>20231231</creationdate><title>Transforming masculine norms to improve men's contraceptive acceptance: results from a pilot intervention with men in western Kenya</title><author>Newmann, Sara J. ; Zakaras, Jennifer Monroe ; Rocca, Corinne H. ; Gorrindo, Phillip ; Ndunyu, Louisa ; Gitome, Serah ; Withers, Mellissa ; Bukusi, Elizabeth A. ; Dworkin, Shari L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c482t-1af68705b5c6c399d50f121a23cfd770be87be5a07957755a3276668be7b0eee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Contraceptive Agents</topic><topic>contraceptive use</topic><topic>family planning</topic><topic>gender norms</topic><topic>Humans</topic><topic>Kenya</topic><topic>Male</topic><topic>Masculinity</topic><topic>measurement</topic><topic>Men</topic><topic>Pilot Projects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Newmann, Sara J.</creatorcontrib><creatorcontrib>Zakaras, Jennifer Monroe</creatorcontrib><creatorcontrib>Rocca, Corinne H.</creatorcontrib><creatorcontrib>Gorrindo, Phillip</creatorcontrib><creatorcontrib>Ndunyu, Louisa</creatorcontrib><creatorcontrib>Gitome, Serah</creatorcontrib><creatorcontrib>Withers, Mellissa</creatorcontrib><creatorcontrib>Bukusi, Elizabeth A.</creatorcontrib><creatorcontrib>Dworkin, Shari L.</creatorcontrib><collection>Taylor &amp; Francis Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Sexual and reproductive health matters</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Newmann, Sara J.</au><au>Zakaras, Jennifer Monroe</au><au>Rocca, Corinne H.</au><au>Gorrindo, Phillip</au><au>Ndunyu, Louisa</au><au>Gitome, Serah</au><au>Withers, Mellissa</au><au>Bukusi, Elizabeth A.</au><au>Dworkin, Shari L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transforming masculine norms to improve men's contraceptive acceptance: results from a pilot intervention with men in western Kenya</atitle><jtitle>Sexual and reproductive health matters</jtitle><addtitle>Sex Reprod Health Matters</addtitle><date>2023-12-31</date><risdate>2023</risdate><volume>31</volume><issue>1</issue><spage>2170084</spage><epage>2170084</epage><pages>2170084-2170084</pages><issn>2641-0397</issn><eissn>2641-0397</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>Supplemental data for this article can be accessed online at https://doi.org/10.1080/26410397.2023.2170084.</notes><abstract>Men's adherence to constraining male gender norms can lead them to resist contraceptive use. Very few interventions have attempted to transform masculine norms to encourage greater contraceptive acceptance and gender equality. We designed and evaluated a small-scale community-based intervention targeting the masculine norms tied to contraceptive resistance among partnered men (N = 150) in two western Kenya communities (intervention vs. control). Pre-post survey data fit to linear and logistic regression models evaluated differences in post-intervention outcomes, accounting for pre-intervention differences. Intervention participation was associated with increases in contraceptive acceptance scores (adjusted coefficient (aβ) 1.04; 95% confidence interval (CI) 0.16, 1.91; p = 0.02) and contraceptive knowledge scores (aβ 0.22; 95% CI 0.13, 0.31; p &lt; 0.001) and with contraceptive discussions with one's partner (adjusted Odds Ratio (aOR) 3.96; 95% CI 1.21, 12.94; p = 0.02) and with others (aOR 6.13; 95% CI 2.39, 15.73; p &lt; 0.001). The intervention was not associated with contraceptive behavioural intention or use. Our findings demonstrate the promise of a masculinity-driven intervention on increasing men's contraceptive acceptance and positive contraceptive involvement. A larger randomised trial is needed to test the effectiveness of the intervention among men as well as among couples.</abstract><cop>England</cop><pub>Taylor &amp; Francis</pub><pmid>36811906</pmid><doi>10.1080/26410397.2023.2170084</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-2672-0191</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2641-0397
ispartof Sexual and reproductive health matters, 2023-12, Vol.31 (1), p.2170084-2170084
issn 2641-0397
2641-0397
language eng
recordid cdi_proquest_miscellaneous_2779350703
source PubMed (Medline); Taylor & Francis Open Access; JSTOR Archival Journals and Primary Sources Collection
subjects Contraceptive Agents
contraceptive use
family planning
gender norms
Humans
Kenya
Male
Masculinity
measurement
Men
Pilot Projects
title Transforming masculine norms to improve men's contraceptive acceptance: results from a pilot intervention with men in western Kenya
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-22T19%3A12%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Transforming%20masculine%20norms%20to%20improve%20men's%20contraceptive%20acceptance:%20results%20from%20a%20pilot%20intervention%20with%20men%20in%20western%20Kenya&rft.jtitle=Sexual%20and%20reproductive%20health%20matters&rft.au=Newmann,%20Sara%20J.&rft.date=2023-12-31&rft.volume=31&rft.issue=1&rft.spage=2170084&rft.epage=2170084&rft.pages=2170084-2170084&rft.issn=2641-0397&rft.eissn=2641-0397&rft_id=info:doi/10.1080/26410397.2023.2170084&rft_dat=%3Cproquest_pubme%3E2779350703%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c482t-1af68705b5c6c399d50f121a23cfd770be87be5a07957755a3276668be7b0eee3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2779350703&rft_id=info:pmid/36811906&rfr_iscdi=true