Compensatory payments and vasectomy acceptance in urban Sri Lanka.
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Humans↗
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Results for “Low Income Population--men”
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Why are men so irresponsible?
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Behavior↗
Increasing the availability of vasectomy in public-sector clinics.
A program designed to improve the availability of vasectomy in public-sector clinics trained physicians at 43 facilities in no-scalpel vasectomy between 1993 and 1995. Among the 38 clinics that responded to a follow-up survey in 1996, the number of clinics providing vasectomies rose from 23 to 32, an increase of almost 40%, while the number of vasectomies performed rose by 18%. Seventeen of the 32 clinics performed more vasectomies after the training; 10 of the 17 had not previously provided the procedure. In-depth interviews with staff from seven sites that experienced large caseload increases and from seven that experienced decreases identified three elements for the successful establishment or expansion of vasectomy services-sufficient numbers of trained providers, funds to subsidize vasectomies for men who cannot afford them and activities to raise awareness about the availability of low-cost or free vasectomy.
Ambulatory Care Facilities↗
Condom use with casual partners by men in Kampala, Uganda.
OBJECTIVE: To estimate the prevalence and correlates of condom use with casual sex partners by men in urban Uganda and to identify barriers to condom use that are amenable to intervention. DESIGN: Cross-sectional, door-to-door survey of men residing in a poor area of Kampala, Uganda. SUBJECTS AND METHODS: A multistage, probability sample was approximated by recruiting participants within randomly selected neighborhoods. A total of 301 men between the ages of 18 and 45 years answered questions about condom knowledge, attitudes, beliefs and practices. The respondents also provided demographic and HIV risk-related information. RESULTS: Condom use was higher than previously found in studies in Uganda: 46% of men reported using a condom at the last casual sexual encounter; 31% reported always using condoms with casual partners. In multivariate analysis, independent correlates of condom use included higher condom self-efficacy (4-item scale, odds ratio 1.3 per scale point), lower embarrassment around condoms (3-item scale, odds ratio 0.44 per scale point), knowing where to buy a condom (odds ratio 3.9), knowing how to use a condom (8-item scale, odds ratio 1.4 per scale point), and increasing number of casual sex partners (odds ratio 1.4 per partner). CONCLUSIONS: These data suggest that condom use may be further increased in this population by conducting demonstrations of condom use skills, preparing individuals to anticipate circumstances that make using condoms difficult and using a variety of outlets to dispense condoms.
Acquired Immunodeficiency Syndrome↗
Attitudes toward sexual responsibility and parenting: an exploratory study of young urban males.
The self-reported sexual and parenting behaviors and attitudes of 42 urban males aged 16-22 who had fathered a child were compared with those of 49 demographically similar young men who were not fathers when they sought medical care at a public health center. Use of a questionnaire and structured interviews established that both groups had similar levels of self-esteem and similar ages at first intercourse. Fathers were less likely than the other respondents to feel that parenthood would interfere with their future (71% vs. 92%) or to have a concrete five-year plan (57% vs. 90%). They were more likely to believe that family (62% vs. 37%) and peers (68% vs. 40%) looked favorably upon early parenthood, to have a mother who was a teenage parent (74% vs. 47%) and to state that they lacked an adequate father figure while growing up (50% vs. 18%). Fathers also reported more frequent sexual activity and less consistent contraceptive use than did the others.
Adolescent↗
Coronary risk in a British Punjabi population: comparative profile of non-biochemical factors.
OBJECTIVES: To develop a profile of non-biochemical coronary risks for the South Asian population (predominantly Punjabi with origins in the Indian subcontinent) and the general population in Glasgow, with a focus on dietary patterns, and potential causes of stress. DESIGN: Cross-sectional survey of South Asian men and women of 30-40 years (mean 35), compared with a general population sample aged 35 years. MEASUREMENTS: Data were collected on socioeconomic circumstances, smoking, diet, alcohol, exercise, past health, perceptions of stress and other psychological morbidity, blood pressure, height, weight and waist and hip girth. RESULTS: The socioeconomic circumstances of the South Asian group were worse than the general population. The prevalence of several circumstances potentially associated with stress, such as length of working day, low income, crowded housing, liability to attack and perceived lack of social support (women), was greater in South Asians. Smoking was less common in South Asians, particularly among women and non-Muslims. Amongst South Asians, alcohol use was uncommon in women and Muslims. South Asians ate meat, and fruit, salad and raw vegetables more frequently than the general population though there were large variations by religion. South Asian men were less likely to take vigorous exercise than the general population. Diastolic, but not systolic, blood pressure was higher in South Asian males than general population males, but there were no differences among women. Men were shorter and weighed less than general population men, with no difference in body mass index. South Asian women were shorter but had higher mean body mass index than the general population. Waist and hip circumference in both South Asian men and women were higher although waist/hip ratios were not different. Self-reported diabetes was commoner in Asian men than in general population men, and angina symptoms commoner in South Asian women. CONCLUSIONS: Among established risk factors studied here or reported in an earlier paper the only one to which South Asians had less exposure was smoking. In either men or women (or both) there was a relative excess of the other known risk factors. There was evidence in support of three newer hypotheses for the high incidence of coronary heart disease (CHD), namely, insulin resistance, stress, and socioeconomic deprivation. The high CHD rates in South Asians are likely to result from a complex interaction of risk factors.
Adult↗