Males’ Awareness of Female and Male Contraception Methods, Information, Outreach, and Acquisition Locations in Abidjan, Côte d’Ivoire, Nairobi, Kenya, and Lagos, Nigeria
Date
2022-03-16Author
Marcell, Arik V.
Byrne, Meagan E.
Yao-N’dry, Nathalie
Thiongo, Mary
Gichangi, Peter
OlaOlorun, Funmilola M.
Radloff, Scott
Anglewicz, Philip A.
Tsui, Amy O.
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Show full item recordAbstract
Purpose: The aim of this study is to describe modern female and male method awareness, information
sources, outreach exposures, and acquisition source awareness among young men aged
15-24 by sexual behavior status in sub-Saharan Africa.
Methods: Cross-sectional surveys were conducted with unmarried, young men aged 15-24
recruited via respondent-driven sampling in Abidjan, Côte d’Ivoire (n ¼ 1,028), Nairobi, Kenya
(n ¼ 691), and Lagos, Nigeria (n ¼ 706). Descriptive statistics characterized contraception
awareness of male and female methods and information sources, outreach exposures, acquisition
source awareness, and preferred contraception source. Multivariate regressions characterized
factors associated with awareness of each method.
Results: Majority of respondents were aged 15-20 (59%), sexually active (65%), and had secondary
or more education (89%). Awareness was low for all methods (short-acting reversible contraception,
47%; emergency contraception, 35%; long-acting reversible contraception, 32%; withdrawal,
18%), except condoms (85%). Respondents reported low levels of contraception information
sources, recent outreach exposures, and acquisition location awareness that varied by sexual
behavior (higher among sexually active than non sexually active respondents). Multivariate analyses
demonstrated common factors associated across awareness of all methods included information
sources (teacher, friend, Internet, social media for all respondents; pharmacist for sexually active respondents) and acquisition locations (private healthcare, pharmacy, market/store for all
respondents; public healthcare, mobile clinic, faith-based organizations for sexually active respondents).
Sexually active respondents’ rank order for preferred contraception source was doctors/
nurses followed by teachers, friends, mothers, and fathers; and for non sexually active
respondents’ rank order was teachers followed by friends, mothers, doctors/nurses, and health
centers.
Discussion: Findings have implications for increasing young men’s method awareness, specific
sources, and settings to target contraceptive outreach.
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