Original Article

Qualitative Exploration of Contraceptive Knowledge in Men and Women

Authors: Olivia Moumne, MD, Lori M. Gawron, MD, Kathryn E. Storck, MD, Jessica N. Sanders, PhD, David K. Turok, MD, Misha Pangasa, MD

Abstract

Objectives: The level of knowledge about contraceptives overall is low in the United States. This qualitative study adds to the literature that explores gendered differences in contraceptive knowledge. Specifically, we examined knowledge regarding different contraceptive methods, directions on use, mechanism of action, efficacy, and adverse effects. We also looked at men’s perspectives on their partner’s knowledge.

Methods: Participants were interviewed at a Planned Parenthood Association of Utah clinic. They were asked about contraception knowledge, attitudes, and male involvement in contraceptive decision making. In this secondary analysis, we reanalyzed codes that were previously identified under primary analysis for specific content about contraceptive knowledge and differences by sex.

Results: We found an overall low level of knowledge about contraceptives, particularly in men as compared with women. Men often overestimate their female partners’ knowledge. Men were more likely to understand how to use methods that require their direct participation. Although women’s contraceptive knowledge was better than that of the male participants, it was still poor overall.

Conclusions: A low level of knowledge about contraceptives is associated with increased rates of unintended pregnancy. This study demonstrates a need for improved education about contraception. Given the impact of male opinion in contraceptive use, efforts to increase their knowledge could be important interventions to increase contraceptive uptake.
Posted in: Family Planning & Reproductive Health16

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References

1. Bearak J, Popinchalk A, Ganatra B, et al. Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019. Lancet Glob Health 2020;8:e1152–e1161.
 
2. Frost JJ, Lindberg LD, Finer LB. Young adults’ contraceptive knowledge ,norms and attitudes: associations with risk of unintended pregnancy. Perspect Sex Reprod Health 2012;44: 107–116.
 
3. Marshall CJ, Gomez AM. Young men’s awareness and knowledge of intrauterine devices in the United States. Contraception 2015;92:494–500.
 
4. Ritter T, Dore A, McGeechan K. Contraceptive knowledge and attitudes among 14–24-yearolds in New South Wales, Australia. Aust N Z J Public Health 2015;39:267–269.
 
5. Kim HW. Sex differences in the awareness of emergency contraceptive pills associated with unmarried Korean university students’ intention to use contraceptive methods: an online survey. Reprod Health 2015;12:91.
 
6. Jonas K, Kalichman M, Mathews C. Factors affecting men’s support for the use of the contraceptive implant by their female intimate partners. Contracept Reprod Med 2020;5:36.
 
7. Campbell AD, Turok DK, White K. Fertility intentions and perspectives on contraceptive involvement among low-income men aged 25 to 55. Perspect Sex Reprod Health 2019;51: 125–133.
 
8. Storck KE, Gawron LM, Turok DK. “I just had to pay the money and be supportive”: a qualitative exploration of the male-partner role in contraceptive decision-making in Salt Lake City, Utah family planning clinics. Contraception 2022;113:78–83.
 
9. Yee L, Simon M. The role of the social network in contraceptive decision-making among young, African American and Latina women. J Adolesc Health Off Publ Soc Adolesc Med 2010;47:374–380.
 
10. Danielson R, Marcy S, Greenlick MR. Reproductive health counseling for young men: what does it do? Fam Plann Perspect 1990;22:115–121.
 
11. Guttmacher Institute. State laws and policies. Sex and HIV education. https://www.guttmacher.org/state-policy/explore/sex-and-hiv-education. Published March 14, 2016. Accessed October 17, 2023.
 
12. Guttmacher Institute. Fact sheet: American adolescents’ sources of sexual health information. https://www.guttmacher.org/fact-sheet/facts-american-teens-sources-information-about-sex. Published April 12, 2016. Accessed October 17, 2023.
 
13. Eisenberg ME, Bearinger LH, Sieving RE. Parents’ beliefs about condoms and oral contraceptives: are they medically accurate? Perspect Sex Reprod Health 2004; 36:50–57.
 
14. Pfender EJ, Devlin MM. What do social media influencers say about birth control? A content analysis of YouTube vlogs about birth control. Health Commun 2023;38:3336–3345.
 
15. Sütcüoğlu BM, Güler M. Social media videos on contraceptive implants: an assessment of video quality and reliability. J Pediatr Adolesc Gynecol 2024;37:39–44.
 
16. Boekeloo BO. Will you ask? Will they tell you? Are you ready to hear and respond? Barriers to physician-adolescent discussion about sexuality. JAMA Pediatr 2014;168:111.
 
17. Alexander SC, Fortenberry JD, Pollak KI, et al. Sexuality talk during adolescent health maintenance visits. JAMA Pediatr 2014;168:163.