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Omar B, Larsson EC, Calza S, Osman F. Perceptions of family planning among some Somali men living in Sweden: A phenomenographic study. SEXUAL & REPRODUCTIVE HEALTHCARE 2022; 32:100732. [PMID: 35490478 DOI: 10.1016/j.srhc.2022.100732] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 03/23/2022] [Accepted: 04/21/2022] [Indexed: 11/19/2022]
Abstract
OBJECTIVE A growing body of research in Sweden has focused on migration and reproductive health, particularly on women's perspectives, including family planning and contraception. However, knowledge is limited on how immigrant men perceive family planning. The topic is important because women's use of family planning has been shown to be influenced by their partners and community. Therefore, this study aims to explore perceptions of family planning among Somali men living in Sweden. METHODS A qualitative phenomenographic approach was used. Four focus group discussions were conducted with 41 men aged 28-59 years. Data were analysed using phenomenographic analysis. FINDINGS The following four categories were identified in the analysis: 1) a happier and more sustainable family; 2) ideal family size versus cultural commitment; 3) fears of using modern family planning methods; and 4) a need to be included in family planning. The findings illuminated the complexities of perceptions of family planning. Although Somali men understood the benefits of family planning, they seemed to prefer a large family. However, due to their new social context in Sweden, they had also changed their views on having as large a family as in their home country. CONCLUSION Our findings suggest that Somali men living in Sweden want to be involved in family planning counselling, which may increase women's use of contraception. However, healthcare providers must ensure that the woman desires her partner's involvement and be culturally sensitive about couples' needs.
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Affiliation(s)
- Bakar Omar
- Department of Molecular and Translational Medicine, Università degli Studi di Brescia, Viale Europa, 11 25123 Brescia, Italy; School of Public Health and Research, Somali National University. Columbia Rd, Hamar Weyne, P.O Box 15, Mogadishu, Somalia.
| | - Elin C Larsson
- Department of Global Public Health and Department of Women's and Children's Health, Karolinska Institutet, GPH Ekström, 171 77 Stockholm, Sweden.
| | - Stefano Calza
- Department of Molecular and Translational Medicine, Università degli Studi di Brescia, Viale Europa, 11 25123 Brescia, Italy.
| | - Fatumo Osman
- School of Health and Welfare, Dalarna University, Falun 791 88, Falun, Sweden.
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Abstract
Despite improvements in health access, many underserved women abstain from cervical cancer screening. A self-administered questionnaire was used to identify factors determining whether medically underserved women attending a safety net health system regularly are screened for cervical cancer. Approximately 11 % of study subjects had never received a Pap test despite an average of nearly four clinic visits in the preceding 12 months. Never screeners were significantly younger, more likely to be Hispanic, non-U.S. born and less likely to have healthcare continuity. In multivariable analysis, odds for never screening were independently lower among women with male partner support (aOR 0.29) and physician's recommendation for screening (aOR 0.34) and higher among women who believed screening visits are too long (aOR 2.53). Educating male partners of Hispanic and immigrant women in addition to addressing recognized situational barriers may help to improve cervical cancer screening rates.
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Matsuda Y. Actor-Partner Interdependence Model Analysis of Sexual Communication and Relationship/Family Planning Factors Among Immigrant Latino Couples in the United States. HEALTH COMMUNICATION 2017; 32:612-620. [PMID: 27367797 PMCID: PMC5253322 DOI: 10.1080/10410236.2016.1160317] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The Latino population in the United States is quickly growing, and its unintended pregnancy rate is increasing. To decrease unintended pregnancies, couples must mutually agree on family planning. Communication between partners is one key factor identified in successful family planning for couples. Therefore, the purpose of this study was to examine sexual communication and its associations with sexual relationship power, general communication, and views on family planning. The Actor-Partner Interdependence Model was used to analyze dyadic influences of the chosen variables. Forty immigrant Latino couples were recruited from prenatal care clinics. The study results were grouped according to the three types of power structures: exhibition of men's traditional machismo values, exhibition of women's increased power in their relationships, and exhibition of men's and women's own empowerment with sexual communication. There was a negative association between men's views on family planning and women's sexual communication (exhibition of machismo values); a negative association between women's sexual relationship power and their partners' sexual communication (exhibition of women's increased power); and positive associations between men's and women's general communication and sexual communication (exhibition of men's and women's own empowerment). Dyadic influences of sexual communication and associated variables need to be incorporated into interventions to facilitate family planning for couples.
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Affiliation(s)
- Yui Matsuda
- a School of Nursing and Health Studies , University of Miami
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Abstract
Human immunodeficiency virus (HIV) infection rates in the United States continue unabated among some groups, with young adults of color at greater risk than others. This study sought to determine college students' knowledge, perceptions, and behaviors related to HIV/AIDS. Undergraduate students ( N = 443) at a large, urban Hispanic-serving institution in south Texas were surveyed. Participants' self-reported knowledge of HIV transmission was moderate; significant differences exist between age and ethnic groups for some items. Implications for education and prevention campaigns are discussed.
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Villarreal KM, Wiley DC, Housman J, Martinez-Ramos G. Attitudes about partner communication regarding contraceptive use among hispanic male college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2016; 64:279-287. [PMID: 26731287 DOI: 10.1080/07448481.2015.1117467] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
OBJECTIVE The purpose of this exploratory study was to examine cultural factors that influence Hispanic male college students' intention to communicate with partners about contraception use. PARTICIPANTS A sample of 239 self-identified Hispanic participants enrolled in at least 1 college course participated in this study in the spring 2014 semester. METHODS Students completed a 47-item paper survey. Data were analyzed with multiple regression and descriptive methods. RESULTS Participants with more siblings were more likely to intend to communicate with partners about contraception use than those with fewer siblings. Participants who received contraceptive information exclusively from fathers exhibited a more favorable attitude toward partner communication. Mother's education level was positively correlated with participants' contraceptive knowledge. CONCLUSIONS These results emphasize the importance of support from family members to this sample's intentions to communicate with partners about contraceptive use. Parental involvement and male responsibility, in regards to contraceptive use, should be integrated into Hispanic-focused sexual health improvement efforts.
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Affiliation(s)
- Koreena M Villarreal
- a Teen Pregnancy Prevention Program, Southern Nevada Health District , Las Vegas , Nevada , USA
| | - David C Wiley
- b Department of Health and Human Performance , Texas State University , San Marcos , Texas , USA
| | - Jeff Housman
- b Department of Health and Human Performance , Texas State University , San Marcos , Texas , USA
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Wright RL, Fawson PR, Frost CJ, Turok DK. U.S. Men's Perceptions and Experiences of Emergency Contraceptives. Am J Mens Health 2015; 11:469-478. [PMID: 26186949 DOI: 10.1177/1557988315595857] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Research suggests that men should be included in reproductive health decision making to help enhance positive health outcomes for their partners. Men affect the use of contraception and what method is used. Men's decisions may be affected by different factors such as gender, education, and the nature of their sexual relationship. A qualitative study was conducted to explore males' experiences and perceptions about emergency contraception (EC), and the meanings males assign to EC. Semistructured in-depth focus groups were held with 15 men who engage in heterosexual activity recruited from a university setting in the United States. Participants expressed egalitarian views of the contraception decision-making processes, a sense of responsibility regarding reproductive decision making, and that society has a negative stigma toward those who use EC. However, there was a lack of knowledge regarding the copper intrauterine device, which was not viewed as a method of EC. Exploring the role and needs of men in reproductive health care discussions and research is an important and growing area. Recommendations are provided for health care practitioners, policy, and future research around men and EC.
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Hoga LAK, Rodolpho JRC, Sato PM, Nunes MCM, Borges ALV. Adult men's beliefs, values, attitudes and experiences regarding contraceptives: a systematic review of qualitative studies. J Clin Nurs 2013; 23:927-39. [DOI: 10.1111/jocn.12262] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/04/2013] [Indexed: 11/29/2022]
Affiliation(s)
- Luiza AK Hoga
- University of São Paulo; School of Nursing; São Paulo SP Brazil
| | | | - Priscila M Sato
- Institute Dante Pazzanese of Cardiology; São Paulo SP Brazil
| | | | - Ana LV Borges
- University of São Paulo; School of Nursing; São Paulo SP Brazil
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Harvey SM, Branch MR, Hudson D, Torres A. Listening to Immigrant Latino Men in Rural Oregon. Am J Mens Health 2012; 7:142-54. [DOI: 10.1177/1557988312463600] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This study explored factors that affect access to and use of sexual and reproductive health services including family planning among immigrant Latino men residing in rural Oregon communities that have experienced a high growth in their Latino population. In-depth interviews were conducted with 49 sexually active men aged 18 to 30 years who recently immigrated to the United States. Findings from content analysis identified multiple overlapping individual-level barriers, including lack of knowledge, perception of personal risk for unintended pregnancy and STIs, and fear of disease. On a service delivery level, structural factors and the importance of confianza when interacting with providers and clinic staff were dominant themes. The majority of these themes were grounded in a cultural context and linked to men’s cultural background, beliefs, and experiences. Examining the needs of immigrant Latino men through this cultural lens may be critically important for improving access and use of sexual and reproductive health services.
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Abstract
Reducing unintended pregnancies - particularly among Hispanic and Black women, who have relatively high rates - is a key public health goal in the United States. However, descriptive literature has suggested that Hispanic women are happier about these pregnancies compared with White and Black women, which could mean that there is variation across groups in the consequences of the resulting births. The purpose of this study was to examine variations in happiness about unintended births by race-ethnicity and to assess possible explanations for these differences. Using data from the National Survey of Family Growth (n=1,462 births) I find that Hispanic women report being happier about unintended births compared with White and Black women. Higher happiness among Hispanics was particularly pronounced among a subgroup of women: those who were foreign-born and very religious. Overall, results confirm previous findings that intention status alone is incomplete for capturing pregnancy experiences. Happiness offers complementary information that is important when making comparisons by race-ethnicity and nativity.
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Affiliation(s)
- Caroline Sten Hartnett
- University of Michigan Institute for Social Research 426 Thompson Street, Room 2030 Ann Arbor, MI 48104
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Warren JT, Harvey SM, Bovbjerg ML. Characteristics related to effective contraceptive use among a sample of nonurban Latinos. PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH 2011; 43:255-262. [PMID: 22151513 DOI: 10.1363/4325511] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
CONTEXT A better understanding of effective contraceptive use among Latinos is needed to reduce their high rate of unintended pregnancy. Most research has focused on urban Latinas and has overlooked the relationship context of effective contraceptive use. METHODS Interviews were conducted among a sample of 450 Latino women and men aged 18-25 in sexual relationships, who were recruited from community sites in four rural Oregon counties in 2006. Bivariate and multinomial logistic regression analyses were used to examine the associations between effective contraceptive use and -individual, cultural and relationship characteristics. RESULTS Half of participants reported effective contraceptive use in their primary relationships: Thirty-six percent consistently used a female method, and 15% consistently used condoms. Acculturation and confidence in one's -ability to practice contraception with a primary partner were associated with female method use rather than no effective use (risk ratios, 0.7 and 1.7, respectively). Participation in sexual decision making was positively associated with condom use rather than no effective method use (2.2) or female method use (1.9); partner involvement in birth control was positively associated with condom use rather than female method use (1.8). CONCLUSIONS Variations in effective contraceptive use among nonurban Latinos appear related to relationship characteristics and dynamics. Contraceptive counseling and unintended pregnancy prevention programs that are tailored to reflect relationship contexts and to include male partners where appropriate could improve the quality and cultural relevance of services among nonurban Latinos.
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Affiliation(s)
- Jocelyn T Warren
- Department of Public Health, Oregon State University, Corvallis, Oregon, USA.
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Gonzalez EU, Sable MR, Campbell JD, Dannerbeck A. The influence of patriarchal behavior on birth control access and use among recent Hispanic immigrants. J Immigr Minor Health 2010; 12:551-8. [PMID: 19618271 DOI: 10.1007/s10903-009-9272-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
It is commonly assumed that Hispanic immigrants in the United States subscribe to a patriarchal ideology that keeps women subordinated to men, often through violence and exploitative reproductive behaviors. If this assumption is true, we might expect to find that in the Hispanic culture patriarchal males control decision-making about access to and use of birth control. Structured interviews of 100 Hispanic men and 100 Hispanic women who were recent immigrants to a Midwest community were conducted to examine this assumption. Results did not support this assumption among this study population. We found no patriarchal ideology supporting women's subordination to men, violence as a mechanism of control, reproduction as a way of exploitation, or cultural influences discouraging access to and use of birth control in the Hispanic community. Rather, these immigrants revealed adequate knowledge of birth control use and positive perceptions of gender equality. Gaining a better understanding of the limited influence of patriarchal ideology on the use of birth control and family planning services among this Hispanic community may inform the development of family planning services tailored for new Hispanic immigrants.
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Affiliation(s)
- Eleazar U Gonzalez
- Department of Rural Sociology, University of Missouri-Columbia, 5201 S Cowan Rd, Columbia, MO 65201, USA.
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Branch M, Harvey SM, Zukoski AP, Warren J. Prevention of Unintended Pregnancy and HIV/STIs Among Latinos in Rural Communities: Perspectives of Health Care Providers. Health Care Women Int 2010; 31:718-36. [DOI: 10.1080/07399331003759274] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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