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The Diabetes Educator

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Health Education & Behavior
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Predictors of Men’s Acceptance of Modern Contraceptive Practice: Study in Rural Vietnam

Bui Thi Thu Ha, MD, PhD

Hanoi School of Public Health, habuithu{at}hotmail.com

Rohan Jayasuriya, MD, PhD

Graduate School of Public Health, University of Wollongong, Australia

Neville Owen, PhD

School of Population Health and Cancer Prevention Research Centre, University of Queensland, Brisbane, Australia

Studies have shown family planning adoption is likely to be more effective for women when men are actively involved. The transtheoretical model of behavior change was used to examine men’s involvement in general contraception and intrauterine device (IUD) use by their wives. The study was carried out in rural Vietnam with 651 eligible participants. Cons of IUD use for men in precontemplation and contemplation/preparation were significantly higher than those in the action/maintenance stages, whereas the reverse was true for pros of IUD. The self-efficacy for convincing wife to have IUD in precontemplation was significantly lower than for those in higher stages. Women’s education and ages, spontaneous recall of modern contraceptive method, cons for IUD, and self-efficacy for contraception and for convincing wives to get IUD inserted (or continue use) were significant predictors of men’s readiness to accept IUD. Interventions are targeted to reduce cons and increase self-efficacy for IUD use.

Key Words: intrauterine devices (IUD) • male involvement • transtheoretical model • stages of change • decisional balance • self-efficacy

Health Education & Behavior, Vol. 32, No. 6, 738-750 (2005)
DOI: 10.1177/1090198105277332
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