Increasing use of long-acting methods of contraception, such
as intrauterine devices (IUDs), has been recognized as a promising strategy to
reduce the incidence of unintended pregnancy. While men may play an important
role in promoting or discouraging contraceptive use, very little research has
examined men's knowledge of and attitudes toward IUDs.
We used data from the 903 men included in the 2009 National
Survey of Reproductive and Contraceptive Knowledge to examine their awareness
and knowledge of IUDs and other contraceptive methods by several
individual-level characteristics.
Men's awareness and perceived knowledge of IUDs is low in
comparison to condoms and birth control pills. Men's perceived knowledge of
IUDs was lower than their objective knowledge, as measured by true/false
questions about IUDs, suggesting that men may be more knowledgeable of IUDs
than they perceive. In the multivariate models, men who were uninsured,
identified as Christian and who had never had a
sexual health visit were less likely to have heard
of IUDs. Among men who had heard of the method, Hispanic men were less likely to be more knowledgeable of the method.
Young men report low awareness of IUDs in comparison to
other methods, and this varies by demographic characteristics including health
insurance status. Family planning programs should consider targeted knowledge
promotion for young men, with a focus on contraceptive methods besides condoms and
oral contraception.
Male partners are influential in contraceptive use, yet
little research has examined their IUD knowledge. Our findings indicate that
healthcare providers may play important role in increasing young men's
knowledge of contraceptive methods, including IUDs. This study highlights the
need to better incorporate young men into contraception research and programs.
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By:
- 1School of Public Health, University of California, Berkeley, 50 University Hall MC 7360, Berkeley, CA 94720-7360, USA.
- 2School of Social Welfare, University of California, Berkeley, 120 Haviland Hall MC 7400, Berkeley, CA 94720-7400, USA. Electronic address: anugomez@berkeley.edu.
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