title: Modern contraceptive use among sexually active men in Uganda: does discussion with a health worker matter?
abstract: BACKGROUND
  Family planning programs have recently undergone a fundamental shift from being focused on women only to focusing on men individually, or on both partners. However, contraceptive use among married men has remained low in most high-fertility countries including Uganda. Men's role in reproductive decision-making remains an important and neglected part of understanding fertility control both in high-income and low-income countries. This study examines whether discussion of family planning with a health worker is a critical determinant of modern contraceptive use by sexually active men, and men's reporting of partner contraceptive use.
  
  
  METHODS
  The study used data from the 2011 Uganda Demographic and Health Survey comprising 2,295 men aged 15-54 years. Specifically, analyses are based on 1755 men who were sexually active 12 months prior to the study. Descriptive statistics, Pearson's chi-square test, and logistic regression were used to identify factors that influenced modern contraceptive use among sexually active men in Uganda.
  
  
  RESULTS
  Findings indicated that discussion of family planning with a health worker (OR=1.85; 95% CI: 1.29-2.66), region (OR=0.41; 95% CI: 0.21-0.77), education (OR=2.13; 95% CI: 1.01-4.47), wealth index: richer (OR=2.52; 95% CI: 1.58-4.01), richest (OR=2.47; 95% CI: 1.44-4.22), surviving children (OR=2.04; 95% CI:1.16-3.59) and fertility preference (OR=3.50; 95% CI: 1.28-9.61) were most significantly associated with modern contraceptive use among men.
  
  
  CONCLUSIONS
  The centrality of the role of discussion with health workers in predicting men's participation in family planning matters may necessitate creation of opportunities for their further engagement at health facilities as well as community levels. Men's discussion of family planning with health workers was significantly associated with modern contraceptive use. Thus, creating opportunities through which men interact with health workers, for instance during consultations, may improve contraceptive use among couples.
authors.affiliation: Department of Population Studies, School of Statistics and Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda. allenka79@yahoo.com.
authors.forename: Allen
authors.initials: A
authors.lastname: Kabagenyi
authors.forename: Patricia
authors.initials: P
authors.lastname: Ndugga
authors.forename: Stephen Ojiambo
authors.initials: SO
authors.lastname: Wandera
authors.forename: Betty
authors.initials: B
authors.lastname: Kwagala
mesh_terms: D000293:Adolescent; D000328:Adult; D003150:Community Health Workers / Q000706:statistics & numerical data*; D003267:Contraception / Q000379:methods / Q000706:statistics & numerical data*; D005193:Family Planning Services / Q000379:methods / Q000706:statistics & numerical data*; D005783:Gender Identity; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016013:Likelihood Functions; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011159:Population Surveillance; D012747:Sexual Partners; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014454:Uganda; D055815:Young Adult