Document Type : Original Article
Department of Health Services, James Madison University, Harrisonburg, VA, USA
Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA
University of Cincinnati College of Education, Criminal Justice and Human Services, Cincinnati, Ohio, USA
Purpose: Currently, men have two choices for contraception: the male condom and vasectomy. Male condoms have limited user efficacy, and vasectomies are not easily reversible. To supplement vasectomy and condom use, the World Health Organization has backed the urgent development of male-directed contraception (MDC). Using the Theory of Planned Behavior (TPB), this study was guided by the following aims: (1) describe college men’s attitudes, subjective norms, and perceived behavioral control towards male birth control methods and (2) determine if the following factors are associated with intention to use MDC methods: masculinity, attitudes, subjective norms, and perceived behavior control.
Methods: This study used a cross-sectional design. Data were collected online, via email, from male college students at one Midwestern University.
Results: Attitudes, subjective norms, and perceived behavioral control were statistically significant predictors of intention to use a male hormonal pill, transdermal gel, and hormonal injection. Attitudes and subjective norms were also found to be associated with intention to use a male birth control implant.
Conclusions: These results suggest the TPB may be a suitable theory for further investigation into the intended use of MDC. Attitudes and subjective norms accounted for the most variability in intention to use MDC. Future research should therefore investigate specific attitudes and subjective norms that influence the intention to use developmental methods of MDC. Future research should also consider additional theoretical models, such as the Health Belief Model, to continue investigating intention to use developmental methods of MDC.