Exploring the Barriers to Sexual and Reproductive Health Education for Men in Iran: A Qualitative Study

Khadigeh MirzaiiNajmabadi, Leila Karimi, Abbas Ebadi

Abstract


Background: Considering the obvious reasons for the necessity of men’s sexual and reproductive health education, the present qualitative study aims to identify and contextualize the barriers to sexual and reproductive health education to men in Iran.

Materials and Methods: This qualitative research was conducted using conventional procedures of content analysis. A total of 34 participants consisting of authorities in health organizations, healthcare providers, clergies, and adult men in a general population were interviewed in two large cities of Iran including Tehran and Mashhad in 2016. Purposive sampling continued until data saturation was ensured. Data were collected through individual in‑depth semi‑structured interviews. All interviews were tape‑recorded and transcribed in verbatim. Finally, the data were analyzed using conventional qualitative content analysis.

Results: Participants’ experiences were categorized into three main themes including (1) individual barriers, (2) sociocultural barriers, and (3) structural barriers along with seven subthemes including low perceived threat, unwillingness to learn, sociocultural taboos, family’s lack of knowledge and malperformance, policy‑making barriers, executive barriers, and health system deficiency barriers. Conclusions:

Considering the results obtained, many barriers to men’s sexual and reproductive health education could be eliminated through overcoming the individual and structural barriers and sociocultural taboos, as major obstacles. The findings suggest overcoming these barriers and promoting men’s health require raising awareness overcoming sociocultural taboos. In this regard, policy‑makers should provide sexual and reproductive health education programs and create opportunities and facilities along with appropriate learning environments for men.


Keywords


Iran, men, qualitative research, reproductive health, sex education

Full Text:

PDF

References


United Nations Population Information Network (POPIN) UN Population Division, Department of Economic and Social Affairs, with support from the UN Population Fund (UNFPA) Available from: http://www.un.org/popin/unfpa/taskforce/guide/ iatfreph.gdl.html. [Last accessed on 2016 Jul 22].

Karimi L, Najmabadi KM, Ebadi A, Pormehr‑Yabandeh A. Exploration of reproductive healthcare needs among adult men regarding sexual transmitted diseases and HIV/AIDS. Electron Physician 2017;9:5250‑6.

Onyango MA, Owoko S, Oguttu M. Factors that influence male involvement in sexual and reproductive health in western Kenya: A qualitative study. Afr J Reprod Health 2010;14:32‑42.

Marcell AV, Morgan AR, Sanders R, Lunardi N, Pilgrim NA, Jennings JM, et al. The socioecology of sexual and reproductive health care use among young urban minority males. J Adolesc Health 2017;60:402‑10.

Shahjahan M, Mumu SJ, Afroz A, Chowdhury HA, Kabir R, Ahmed K. Determinants of male participation in reproductive healthcare services: A cross‑sectional study. Reprod Health 2013;10:27.

Karimi L, Mirzaii Najmabadi K, Ebadi A, Makvandi S, Mahdavianm M. Exploring educational structure needed for reproductive health in men related to sexually transmitted diseases and HIV/AIDS: A qualitative study. RJMS 2016;23:82‑90.

Makenzius M, Gådin KG, Tydén T, Romild U, Larsson M. Male students’ behaviour, knowledge, attitudes, and needs in sexual and reproductive health matters. Eur J Contracept Reprod Health Care 2009;14:268‑76.

Mbu RE, Takang WA, Fouedjio HJ, Joan E, Fouelifack FY, Tumasang FN, et al. Reproductive health needs of women living with HIV/AIDS in Yaounde, Cameroon. World J AIDS 2014;2014.

Graham E. Perceived barriers to African American male education completion. 2016. p. 27.

United Nation Population Fund. Supporting the Constellation of Reproductive Rights. 2007. Available from: http://www.unfpa. org/resources/supporting‑constellation‑reproductive‑rights. [Last accessed on 2016 Jan 09].

The Alan Guttmacher Institute. In Their Own Right Addressing the Sexual and Reproductive Health Needs of American Men; 2002 May. 74 p. Available from: www.guttmacher.org. [Last accessed on 2016 Feb 09].

Nelson KE, Celentano DD, Eiumtrakol S, Hoover DR, Beyrer C, Suprasert S, et al. Changes in sexual behavior and a decline in HIV infection among young men in Thailand. N Engl J Med 1996;335:297‑303.

Javadnoori M, Roudsari RL, Hasanpour M, Hazavehei SM, Taghipour A. Female adolescents’ experiences and perceptions regarding sexual health education in Iranian schools: A qualitative content analysis. Iran J Nurs Midwifery Res 2012;17:539‑46.

Pourmarzi D, Rimaz S. Pre‑marrital reproductive health educational needs of the youth. Scientific J School Public Health Inst Public Health Res 2012;10.

World Health Organization. Programming for Male Involvement in Reproductive Health. Report of the Meeting of WHO Regional Advisers in Reproductive Health. Washington DC, USA: WHO/PAHO; 5‑7 September 2001. 180 p.

Adhikari R, Tamang J. Premarital sexual behavior among male college students of Kathmandu, Nepal. BMC Public Health 2009;9:241.

Agampodi SB, Agampodi TC, Ukd P. Adolescents perception of reproductive health care services in Sri Lanka. BMC Health Serv Res 2008;8:98.

Hadi N, Azizi M. Evaluation of male reproductive health in Shiraz students high school. HMJ 2002;1:49‑55.

Kamalkhah T, Rahmati NF, Karami M. Barriers of reproductive healtheducation in schools. Zahedan J Res Med Sci (Tabib‑e‑Shargh) 2012;14:71‑5 [Persian].

Mortazavi F, Mirzaii K. Reason of, barriers to, and outcomes of husbands’involvement in prenatal and intrapartum care program based on midwives’experiences: A qualitative study. Arak Med Univ J 2012;15:104‑15.

Latifnejad Roudsari R, Javadnoori M, Hasanpour M, Hazavehei SM, Taghipour A. Socio‑cultural challenges to sexual health education for female adolescents in Iran. Iran J Reprod Med 2013;11:101‑10.

Streubert H, Carpenter DR. Qualitative Research in Nursing; Advancing the Humanistic Imperative, 4th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2007. p. 47‑50.

Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005;15:1277‑88.

Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Mental Health 2015;42:533‑44.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24:105‑12.

Mbugua N. Factors inhibiting educated mothers in Kenya from giving meaningful sex‑education to their daughters. Soc Sci Med 2007;64:1079‑89.

Moodi M, Miri M‑R, Sharifirad GR. The effect of instruction on knowledge and attitude of couples attending pre‑marriage counseling classes. J Educ Health Promot 2013;2.

Mortazavi F, Keramat A. The study of male involvement in prenatal care in Shahroud and Sabzevar, Iran. Qom Univ Med Sci J 2012;6:66‑74.

Sridawruang C, Pfeil M, Krozier K. Why Thai parents do not discuss sex with their children: A qualitative study. Nurs Health Sci 2010;12:437‑43.

Avusabo‑Asare k, Bankole A, Kumi‑kyereme A. Views of Adults on Adolescent Sexual and Reproductive Health: Qualitative Evidence from Ghana. New York: Guttmacher Institute; 2008.

Turnbull T, van Wersch A, van Schaik P. A review of parental involvement in sex education: The role for effective communication in British families. Health Educ J 2008;67:182‑95.

Regmi PR, Van Teijlingen E, Simkhada P, Acharya DR. Barriers to sexual health services for young people in Nepal. J Health Populat Nutri 2010;28:619‑27.

Farahani FKA, Shah I, Cleland J, Mohammadi MR. Adolescent males and young females in Tehran: Differing perspectives, behaviors and needs for reproductive health and implications for gender sensitive interventions. J Reprod Infertil 2012;13:101.

Arousell, Carlbom A. Culture and religious beliefs in relation to reproductive health. Best Pract Res Clin Obstet Gynaecol 2016;32:77‑87.

Hadi N, Mirzaie K. The level of knowledge about HIV/AIDS in high school students of Shiraz in 2004. Iran South Med J 2004;7:88‑94.


Refbacks

  • There are currently no refbacks.