Contraception · 2026
Socio-behavioral factors linked to willingness to use new male contraceptives: A cross-sectional survey of men and female partners across four low- and middle-income countries.
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Nguyen Brian T, Kidula Nancy, Kapp Nathalie, Nosirov Khurshed, Ali Mohamed Mahmoud, Maamri Abdellatif, Manu Kwasi Adu, Boateng Kojo Asamoah, Sánchez Marcela, Montenegro Paola C, Dzotsi Koffi E, Kiarie James
Аннотация
OBJECTIVE: Numerous population-level surveys support willingness to use new male contraceptives (MC) among men and their female partners across a range of cultures and geographies, despite unproven efficacy and uncertain risk. Whether such willingness is related to attitudes about gender equity and/or key reproductive experiences warrants further exploration. We explore socio-behavioral factors linked to variations in willingness to use new MCs in Colombia, Ghana, Morocco, and Togo.
STUDY DESIGN: We conducted approximately two thousand surveys examining new MC attitudes with sexually active, reproductive age (18-50 years) men and their female sexual partners, recruited from both clinic and community settings from July-September 2023. We additionally collected socio-demographics, reproductive histories, and contraceptive attitudes and behaviors, examining their associations with willingness to use new MCs via regression modeling.
RESULTS: Nearly 75% (72.3% male, 76.2% female partners; n = 1444/1945) of survey respondents reported willingness to use new MCs. Willingness ranged from 69.4% in Togo to 82.2% in Colombia. Factors independently linked to willingness to use new MCs among men included having multiple current sex partners and having been involved in an unintended pregnancy; those for female partners included wanting to avoid pregnancy, and current use of or desire for contraception. For both partners, willingness to use new MCs was linked to increasing gender equitable attitudes.
CONCLUSIONS: Regardless of gender, geography, class, culture, and reproductive experience, the significant association of gender equitable attitudes on willingness to use new male contraceptives suggests a potential role for gender equity initiatives to increase their uptake when available.
IMPLICATIONS: Our findings both broaden and deepen published support for new MC development worldwide. Regardless of variations in culture and social norms across populations, our findings emphasize the influence of the individual's desire to avoid an unwanted pregnancy and gender-equitable attitudes.
STUDY DESIGN: We conducted approximately two thousand surveys examining new MC attitudes with sexually active, reproductive age (18-50 years) men and their female sexual partners, recruited from both clinic and community settings from July-September 2023. We additionally collected socio-demographics, reproductive histories, and contraceptive attitudes and behaviors, examining their associations with willingness to use new MCs via regression modeling.
RESULTS: Nearly 75% (72.3% male, 76.2% female partners; n = 1444/1945) of survey respondents reported willingness to use new MCs. Willingness ranged from 69.4% in Togo to 82.2% in Colombia. Factors independently linked to willingness to use new MCs among men included having multiple current sex partners and having been involved in an unintended pregnancy; those for female partners included wanting to avoid pregnancy, and current use of or desire for contraception. For both partners, willingness to use new MCs was linked to increasing gender equitable attitudes.
CONCLUSIONS: Regardless of gender, geography, class, culture, and reproductive experience, the significant association of gender equitable attitudes on willingness to use new male contraceptives suggests a potential role for gender equity initiatives to increase their uptake when available.
IMPLICATIONS: Our findings both broaden and deepen published support for new MC development worldwide. Regardless of variations in culture and social norms across populations, our findings emphasize the influence of the individual's desire to avoid an unwanted pregnancy and gender-equitable attitudes.