SOCIODEMOGRAPHIC AND REPRODUCTIVE FACTORS AFFECTING KNOWLEDGE OF MARRIED MEN ACCEPTING VASECTOMY
Abstract
Background: Men's attitude is very important in the adoption of methods of contraception and limiting the family size. Men represent half the world's population, but account for less than one-third of contraceptive use. Knowledge of men about vasectomy as contraceptive method is also limited. The objectives of the study were to assess the knowledge of males about vasectomy in age group 25-50 years and to identify the factors affecting the knowledge of men regarding vasectomy. Methods: It was cross-sectional descriptive study. All the clients coming for vasectomy at Lahore General Hospital and Family Health Hospital were included in the study. Data was collected through questionnaire, which was entered in to computer using SPSS-17. Confidentiality of the data was ensured and verbal consent was obtained before data collection. Results: Majority (85.6%) of the men had adequate knowledge about vasectomy. Major source of knowledge, motivation and decision making regarding vasectomy were healthcare providers followed by friends and colleagues. Socio-demographic factors like age of the wife, education of men, income of men, media, friends and relatives showed association with knowledge about vasectomy. Conclusions: Almost all the respondents had formal education. Majority of the respondents had knowledge about vasectomy. Respondents acquired knowledge from health personnel, television, radio, newspapers, spouses and friends/colleagues. Misconception of the general population regarding vasectomy needs to be cleared and men should be involved actively in family planning programs. Health education program should be held at community level to educate people about the utilization of procedure.
Keywords: Married male, vasectomy, factors, knowledgeReferences
National Institute of Population Studies (NIPS) and Macro International 2009. Pakistan Demographic and Health Survey 2006-07. Calverton, Maryland, U.S.A: NIPS and Macro International.
Jabeen S, Afshan S, Ramzan MA, Chaudhry HR. Psychosocial factors and male sterilization. Pak J Med Sci 2006;22(3):277-81.
Bibi S, Memon A, Memon Z, Bibi M. Contraceptive knowledge and practices in two districts of Sindh, Pakistan: A hospital based study. J Pak Med Assoc 2008;58(5):254-8.
Dahal GP, Padmadas SS, Hinde PR. Fertility-limiting behavior and contraceptive choice among men in Nepal. Int Fam Plan Perspect 2008;34(1):6-14.
Reddy R, Premarajan KC, Narayan KA, Mishra AK. Rapid appraisal of knowledge, attitude and practices related to family planning methods among men within 5 years of married life. Indian J PrevSoc Med 2003;34(1&2):63-7.
Key facts about men and contraception [Internet]. [cited 2015 Aug 25]. Available from: http://www.affection.org/sante/asvc/www.igc.apc.org/avsc/emerging/map/emkey.html
Babar NF, Ahmed M, Khan MB, Khan MW. Assessment of knowledge & practice of contraceptives in females of reproductive age group at a tertiary care hospital. Pak Armed Forces Med J 2009;59(4):425-8.
Onasoga O, Edoni E, Ekanem J. Knowledge and attitude of men towards vasectomy as family planning method in Edo State, Nogeria. J Res Nurs Midwifery 2013;2(1):13-21.
Keramat A, Zarei A, Arabi M. Barriers and Facilitators Affecting Vasectomy Acceptability( A multistage study in a sample from north east Iran), 2005-07. Asia Pac Fam Med 2011;10(1):5.
Roy J, Pile JM. Vasectomy: The Unfinished Agenda. ACQUIRE Project working Paper. 2007.
Kiani MFK. Motivation and Involvement of men in Family Planning in Pakistan. Pak Dev Rev 2003;42(3)1:97-217.
Akpamu U, Mwoke EO, Osifo UC, Igbinovia EN, Adisa AW. Knowledge and acceptance of'Vasectomy as a method of contraception' amongst literate married men in Ekpoma, Nogeria. Afr J Biomed Res 2010;13(2):153-6.
Pakistan's Demographic and Household Survey 2012-13. [Internet]. [cited 2015 Aug 25]. Available from: www.nips.org.pk/abstract_files/Priliminary%20Report%20Final.pdf
Pile JM, Barone MA. Demographics of Vasectomy-USA and international. Urol Clin North Am 2009;36(3):295-305.
Trussell J. Update on and correction to the cost-effectiveness of contraceptives in the United States. Contraception 2012;85(6):611.
Umber A. Bilateral tubal ligation versus Vascetomy: Which method of surgical contraception is more prevalent? Ann king Edw Med Univ 2010;16(1):11-3.
Christiana O, Sonachi C, Chinomso N. Knowledge and attitude of men about vasectomy as a method of family planning among married men working in Babcock University, Ogun state, Nigeria. Int J Nurs Midwifery 2015;7(3):30-5.
Garg PK, Jain BK, Choudhary D, Chaurasia A, Pandey SD. Nonscalpel vasectomy as Family Planning Method: A battle yet to be conquered. ISRN Urol 2013;2013:752174.
Lynam P, Dwyer J, Wilkinson D, Landry E. Vasectomy in Kenya: the first steps. Association for Voluntary Surgical Contraception; 1993.
Akpamu U, Nwoke EO, Osifo UC, Igbinovia E, Adisa A. Knowledge and acceptance of vasectomy as a method of contraceptionamongst literate married men in Ekpoma, Nigeria. Afr J Biomed Res 2013;13(2):153-6.
Saoji A, Gumashta R, Hajare S, Nayse J. Denial mode for vasectomy among married men in central India: causes and suggested strategies. J Psychol Psychother 2013;2013:4-7.
Bunce A, Guest G, Searing H, Frajzyngier V, Riwa P, Kanama J, et al. Factors affecting Vasectomy Acceptability in Tanzania. Int Fam Plan Perspect 2007;33(1):13-21
Downloads
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
