A model: which factors affect the use of contraceptive method of husbands
in Turkey?
A.N. Özaydin Gülersoy (1), L. Akin (2)
Department of Public Health, Marmara University School of Medicine,
Istanbul, Turkey (1); Department of Public Health, Hacettepe University School
of Medicine, Ankara, Turkey (2)
Introduction: Some family planning (FP) programs had avoided men
because they assumed that men were indifferent or even opposed to family
planning. Indeed, men as a group are frequently blamed of many of women’s
reproductive health (RH) problems. Men often dominate decision-making. In order
to increase men’s participation and men’s responsibility in RH as mentioned
in International Congress of Population and Development ICPD (1994), it is
important to determine the factors affecting men’s contraceptive usage
nationally.
Aims and Methods: 1998 Turkey DHS-husband, women and household data
groups has been analyzed in order to gain detailed and comparative information
about men’s knowledge and attitudes of RH to develop some recommendations
under the light of scientific findings for the health planner and health
decision-makers to improve national RH services. A weighted, multistage,
stratified cluster sampling approach was used in selection of the sample.
Interviews were carried out in 8059 households, with 8576 women and with 1971
husbands. The husband’s reports related with the current use of contraception
were defined as the dependent factor. Some husbands, women’s and household’s
characteristics were put in the model. Data groups were analysed in SPSS 11.05
and binary logistics regression analyses were done.
Results: In this study, it was found that 37.4% of husbands did not
use any FP methods but 62.6% of them currently used some methods. The 9 factors
were defined in this model as the most important factors to affect men using
some FP methods (X2:425.384, df: 18, p<0.001, R2
(Cox&Snell):0.228). Model can explain 23% of the variation and estimate
79.8% of all observation and %93.4 of any FP users correctly.
Conclusion: It is needed to understand that the factors affecting men’s
FP methods usage nationally, in order to increase men’s participation in
reproductive health. This model defined in this study will help to understand
deeply the factors affecting men’s FP methods usage.
