Attitudes toward male fertility control: results of a multinational survey on four continents

TLDR

Following extensive research to develop an effective male fertility control agent that may be available within about five years, little is known about men’s contraceptive knowledge, desires, attitudes, and acceptance of male fertility control across countries. The study aimed to compare cross‑culturally men’s knowledge, attitudes, and acceptability of male fertility control and to evaluate how product characteristics influence acceptance by men and their partners. The authors conducted a 2002 survey of over 9,000 men aged 18–50 across nine countries on four continents to assess MFC knowledge, attitudes, and willingness. Among respondents, 50–83% currently use contraception, 55–81.5% report joint partner selection, overall acceptance of hormonal MFC exceeded 55%, with 28.5–71.4% willing to use it, though willingness varied widely by population group.

Abstract

BACKGROUND: Following extensive research activity to develop an effective agent to control male fertility, such a product may be available for use within ∼5 years. However, little is known concerning contraceptive knowledge, desires and attitudes of men in different countries, and their acceptance of male fertility control (MFC). METHODS: A survey of >9000 males aged 18–50 years was performed in nine countries on four continents in 2002. The objective was to compare, on a cross-cultural basis, the knowledge, attitudes and acceptability of MFC among men and assess their willingness to use such a method. RESULTS: Between 50 and 83% of the male respondents currently use contraceptive methods, and 55–81.5% reported that both partners participate in selecting the method of contraception employed. Overall acceptance of hormonal MFC was high (>55%), with 28.5–71.4% of survey participants of various nationalities expressing the willingness to use such a method. CONCLUSION: While MFC appears to be well accepted overall, the willingness to use this type of contraception varies widely between differing population groups. The specific characteristics and profile of any MFC product will have to be carefully evaluated to accurately assess its acceptance, both by men and their female partners.