Bringing Men to the Table

Shih, Grace; Zhang, Ying; Bukowski, Kyle; Chen, Angela

doi:10.1097/grf.0000000000000060

Cited by 13 publications

(9 citation statements)

References 42 publications

(38 reference statements)

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“…For instance, Egyptian physicians are less likely to recommend vasectomy due to religious factors related to male's duty in reproducing (18). Moreover, in the United States, two papers by Shih et al showed that vasectomy remains less widely performed than tubal ligation; particularly in relation to religious and cultural beliefs, especially among the Black and Latino communities (19,20). Our data aligns with ndings in the literature regarding barriers to male surgical sterilization.…”

Section: Discussionsupporting

confidence: 87%

Physicians’ knowledge, attitudes, and beliefs regarding practices of male and female surgical sterilization procedures in Lebanon

Najdi,

Armache,

Chawareb

et al. 2023

Preprint

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Objective Surgical sterilization, including vasectomy in males and tubal ligation in females, is a highly effective but underutilized contraception method. Adoption rates vary globally mostly due to misconceptions by both the general public and practicing physicians. Our survey aims to explore physicians' knowledge, attitudes and beliefs about surgical sterilization techniques.Study Design A web-based survey of four parts was sent to residents and attending physicians of different specialties in Lebanon between April 2022 and April 2023. 183 physicians responded to the survey. Data was analyzed using IBM SPSS Statistics. A descriptive analysis was performed using the chi-square test for categorical variables and ANOVA for continuous variables.Results Physicians specialized in Urology, OB/GYN, Family medicine and Internal medicine, filled the survey. The majority were resident physicians (79%), male (57%), single (72%) and did not receive training in family planning (73%). Knowledge assessment showed an average score of 5/7. After setting this as a passing score, 60.7% of participants passed the assessment with higher likelihood of passing among attending physicians (84.6%), OB/GYN physicians (94.4%), married participants (80.8%), and physicians who received training in family planning (91.8%). Recommendations varied among specialties, with urologists being more likely to recommend vasectomy depending on the clinical scenario (70–97%). Most physicians perceived the general public preferring tubal ligation as a sterilization method (98%).Conclusion Surgical sterilization is underutilized mostly due to lack of knowledge and cultural beliefs among practicing physicians in our region. Ongoing education is needed in medical training to promote family planning.

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Section: Discussionsupporting

confidence: 87%

Physicians’ knowledge, attitudes, and beliefs regarding practices of male and female surgical sterilization procedures in Lebanon

Najdi,

Armache,

Chawareb

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Other fields of medicine, too, offer possible models of working with couples, rather than individuals, such as counseling for infertility, which frequently takes place at the level of the couple. Clinicians could also consider learning to counsel on and perform vasectomy (Shih, Zhang, Bukowski, & Chen, 2014), enabling them to better serve patients in monogamous sexual relationships who do not want future children.…”

Section: Discussionmentioning

confidence: 99%

More Than a Physical Burden: Women’s Mental and Emotional Work in Preventing Pregnancy

Kimport

2017

The Journal of Sex Research

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In the United States, responsibility for preventing pregnancy in heterosexual relationships disproportionately falls on women. While the biotechnological landscape of available methods may explain the assignment of the physical burden for contraception to women, this does not mean the concomitant time, attention, and stress that preventing pregnancy requires must also be primarily assumed by women. Building on work identifying health care providers as contributors to the construction of normative ideas about reproduction, this study analyzed 52 contraceptive counseling visits with women who reported they did not want future children for the construction of responsibility for the mental and emotional aspects of contraception. Offering a case of how gender inequality is (re)produced through clinical encounters, findings demonstrate that clinicians discursively constructed these responsibilities as women's and point to structural aspects of the visit itself that reify this unequal burden as normal. Results are consistent with research identifying the broader feminization of family health work in heterosexual relationships. To the extent that the distribution of the mental and emotional responsibilities of preventing pregnancy is both a product of and contributor to gender inequality, this analysis yields insight into the production-and possible deconstruction-of (reproductive) health care as a gendered social structure.

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“…Vasectomy is one of the few options men have to manage their reproductive capacity and take on a more equitable role in pregnancy prevention. Vasectomy is regarded as a safe, cost-effective, permanent contraceptive method that is 99.9% effective at preventing pregnancy ( Patel & Nguyen, 2019 ; Shih et al, 2011 , 2014 ). As such, it may be an attractive option for men and their female partners to consider when they do not wish to have children or have reached their ideal family size.…”

mentioning

confidence: 99%

Men’s Vasectomy Knowledge, Attitudes, and Information-Seeking Behaviors in the Southern United States: Results From an Exploratory Survey

et al. 2020

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Vasectomy is one of the few options men have to manage their reproductive capacity and take on a more equitable role in pregnancy prevention. While the method is underused throughout the United States, the southern states have a lower prevalence rate compared to the rest of the country. Existing survey research does not assess what men know or think about the procedure as a means of understanding why this is the case. We created and conducted an exploratory survey to assess men’s knowledge, attitudes, and information-seeking behaviors about vasectomy in the Southern United States. We used targeted Facebook advertising to recruit men ages 25–70 years living in 7 southern states to complete an online survey ( n = 397). Using regression analyses, we identify that participants who had a vasectomy knew more about the procedure than participants who had not. Participants who had not had a vasectomy had less positive attitudes about the procedure across all six attitude subscales compared to participants with vasectomies. We highlight potential avenues for future research to understand why this may be the case. Finally, the majority of participants knew someone who had had a vasectomy. This suggests that men disclose having a vasectomy to others. The interpersonal dynamics around vasectomy decision-making and disclosure remain unknown and a viable area for future research. Findings from this exploratory survey may be used by public health officials interested in implementing campaigns to increase knowledge about vasectomy and reduce stigma, which may encourage more positive attitudes about the procedure.

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Bringing Men to the Table

Cited by 13 publications

References 42 publications

Physicians’ knowledge, attitudes, and beliefs regarding practices of male and female surgical sterilization procedures in Lebanon

Physicians’ knowledge, attitudes, and beliefs regarding practices of male and female surgical sterilization procedures in Lebanon

More Than a Physical Burden: Women’s Mental and Emotional Work in Preventing Pregnancy

Men’s Vasectomy Knowledge, Attitudes, and Information-Seeking Behaviors in the Southern United States: Results From an Exploratory Survey

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