Meta Analysis: The Effects of Attitude, Spouse Support, and Education Level on Men Participation in Male Contraceptive Use


  • Yuliana Yuvrista Master's Program in Public Health, Universitas Sebelas Maret
  • Argyo Demartoto Universitas Sebelas Maret
  • Bhisma Murti Master's Program in Public Health, Universitas Sebelas Maret



Background: One of the government's strategies to support women's equal rights is to issue a policy in which people of reproductive age, both men and women, are expected to participate in the Family Planning program as an effort to raise awareness, willingness and ability of the community to improve their welfare independently. This study aims to analyze the influence of attitude, partner support, and level of education on men's participation in the use of contraception. Subjects and Method: This was a systematic review and meta-analysis. The study population was men of reproductive age. Intervention= positive attitude, strong partner support, and high education. Comparison= negative attitude, weak support, and low education. Outcome= the use of contraceptives. Data search was carried out syste­ma­tically using electronic databases from Pub­med, Google Scholar, Europe PMC, Science Direct, and Springer Link. Keywords used “Attitude” AND “Partner support” OR “Discuss with partner” AND “Educational status” OR “Educational level” AND “Men parti­ci­pa­tion” OR “Men Involvement” AND “Contraception” OR “Family Plann­ing” OR “Vasec­tomy” OR “Con­dom”. The selection of primary articles used the PRISMA flowchart which was analyzed using Review Manager 5.3. Results: Six studies showed that men with a positive attitude were 3.69 times more likely to use contraception than men with a negative attitude (aOR= 3.69; 95% CI= 2.23 to 6.09; p<0.001). Six studies showed that men with strong partner support are 2.48 times more likely to use contra­ception than men with weak partner support (aOR= 2.48; 95% CI= 2.04 to 3.02; p<0.001). Eight studies showed that men with a high level of education increased the likelihood of male contra­ceptive use (aOR= 2.07; CI 95%= 1.45 to 2.96). Conclusion: Positive attitude, strong partner support, and a high education increase the use of male contraceptives. Keywords: attitude, partner support, level of education, contraception. Correspondence: Yuliana Yuvrista. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: Mobile: +6285­333622880.

Author Biography

Argyo Demartoto, Universitas Sebelas Maret

Faculty of Social and Political Sciences


Abose A, Adhena G, Dessie Y (2021). Assessment of male involvement in long-acting and permanent contraceptive use of their partner in West Bade-wacho, Southern Ethiopia. Open Access J Contracept, 12: 63–72. doi: 10.2147/oajc.s297267

Agyekum MW, Henry EG, Kushitor MK, Obeng-Dwamena AD, Agula C, Opoku AP, Toprah T et al. (2022). Partner support and women’s contraceptive use: insight from urban poor communities in Accra, Ghana. BMC Womens Health, 22(1): 1–10. doi: 10.1186/s-12905-022-01799-7

Ali A, Zar A, Wadood A (2022). Factors associated with modern contraceptive use among men in Pakistan: Evidence from Pakistan demographic and health survey 2017-18. PLoS One, 17(9): 1–12. doi: 10.1371/journal.pone.0273907

Amuzie CI, Nwamoh UN, Ukegbu A, Umeo-konkwo CD, Azuogu BN, Agbo UO, Balogun MS (2022). Determinants of male involvement in family planning services in Abia State, Southeast Nigeria. Contracept Reprod Med, 7(1): 1–9. doi: 10.1186/s40834-022-00182z

Anbesu EW, Aychiluhm SB, Kahsay ZH (2022). Male involvement in family planning use and its determinants in Ethiopia: a systematic review and meta-analysis protocol. Syst Rev, 11(1): 1–5. doi: 10.1186/s13643-022-01891-x

Ayele AD, Beyene FY, Wudineh KG, Kassa BG, Goshu YA, Mihretie GN (2020). Intention to use vasectomy and its associated factors among married men in Debre Tabor Town, North West Ethiopia, 2019. PLoS One, 15(9): 1–14. doi: 10.1371/journal.pone.0238293

Challa S, Johns N, Nouhou AM, Vera-Monroy R, Silverman JG, Shakya H (2022). Characterizing Nigerien men’s social networks and their influence on family planning related attitudes and behaviors. SSM - Popul Health, 19(2): 101-203. doi: 10.1016/j.ssmph.2022.101203

Chekole MK, Kahsay ZH, Medhanyie AA, Gebreslassie MA, Bezabh AM (2019). Husbands’ involvement in family planning use and its associated factors in pastoralist communities of Afar, Ethiopia. Reprod Health, 16(1): 1–7. doi: 10.1186/s12978-019-0697-6

Degu AA, Yenealem BF, Getnet KB, Nibret MG (2021). Men’s knowledge of vasectomy and its associated factors in Debre Tabor Town, Northwest Ethiopia: a community-based cross-sectional study. Open Access J Contracept, 12: 27–34. doi: 10.2147/oajc.-s296798

Demissie TW, Tegegne EM, Nigatu AM (2021). Involvement in family plann¬ing service utilization and associated factors among married men at debre tabor town, Northwest Ethiopia, 2017. Pan Afr Med J, 38. doi: 10.11604/pamj.2021.38.211.2240

Dougherty A, Kayongo A, Deans S, Mun¬daka J, Nassali F, Sewanyana J, Migadde E et. al (2018). Knowledge and use of family planning among men in rural Uganda 11 medical and health sciences 1117 public health and health services. BMC Public Health,18(1): 1–5. doi: 10.1186/s12889-018-61733

Geltore TE and Lakew YY (2022). Preva-lence of male participation in modern contraceptive use among married men in Durame Town Southern Ethiopia: a community based cross sectional study, 2021. Pan Afr Med J, 41. doi: 10.11604/pamj.2022.41.307.3242

Girum T, Shegaze M, Tariku Y (2017). The role of currently married men in family planning and its associated factors in Agaro Town, South West Ethiopia. Ann Med Health Sci Res, 7(1): 119–124.

Hardee K, Croce-Galis M, Gay J (2017). Are men well served by family planning programs? Reprod Health, 14(1): 1–12. doi:10.1186/s12978-017-0278-5

Kassa BG, Tenaw LA, Ayele AD, Tiruneh GA (2022). Prevalence and determinants of the involvement of married men in family planning services in Ethiopia: a systematic review and meta-analysis. Women’s Heal, 18. doi: 10.1177/17455057221099083

Kassim M dan Ndumbaro F (2022). Factors affecting family planning literacy among women of childbearing age in the rural Lake zone, Tanzania. BMC Public Health, 22(1): 1–11. doi: 10.1186/s12889-022-13103-1

Koffi TB, Weidert K, Bitasse EO, Mensah MAE, Emina J, Mensah S, Bongi-ovanni A et. al (2018). Engaging men in family planning: Perspectives from married men in Lomé, Togo. Glob Heal Sci Pract, 6(2): 316–327. doi: 10.9745/GHSP-D-17-00471

Mulatu T, Sintayehu Y, Dessie Y, Dheresa M (2022). Male involvement in family planning use and associated factors among currently married men in rural Eastern Ethiopia. SAGE Open Med, 10: 205-312. doi: 10.1177/2050312-1221094178

Nesro J, Sendo EG, Yesuf NT, Sintayehu Y (2020). Intention to use vasectomy and associated factors among married men in Addis Ababa, Ethiopia. BMC Public Health, 20(1): 1–8. doi: 10.1186/s12889-020-09316-x

Njotang PN, Yakum MN, Ajong AB, Essi MJ, Akoh EW, Mesumbe NE, Ako S, Mbu ER (2017). Determinants of modern contraceptive practice in Yaoundé-Cameroon: a community based cross sectional study. BMC Res Notes, 10(1): 4–9. doi: 10.1186/s13104-017-2543-7

Parija PP, Anjali P, Sunil KP, Pushpawati T, Rahul P (2022). Male involvement in family planning in a rural area of India. J Fam Med Prim Care, 6(2): 169–170. doi: 10.4103/jfmpc.jfmpc

Sidibe AM, Kadetz PI, Hesketh T (2020). Factors impacting family planning use in mali and senegal. Int J Environ Res Public Health, 17(12): 1–15. doi: 10.3390/ijerph17124399

Temach AJ, Fekadu GA, Achamyeleh AA (2017). Educational status as deter-minant of men’s knowledge about vasectomy in Dangila town administration, Amhara region, Northwest Ethiopia. Reprod Health, 14(1): 4–9. doi: 10.1186/s12978-017-0314-5

Walia M, Mittal A, Kumar D (2021). Male participation in reproductive health care of women and factors associated with interpersonal relationship: a cross-sectional study in a rural community of Ambala District in Haryana. Indian J Public Health,65(2): 178–184. doi: 10.4103/ijph.IJPH_262_20

White AL, Davis RE, Billings DL, Mann ES (2020). Men’s vasectomy knowledge, attitudes, and information-seeking behaviors in the Southern United States: results from an exploratory survey. Am J Mens Health, 14(4). doi: 10.1177/1557988320949368







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