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  • Title: [Survey of men provides reliable data on contraception in the Dominican Republic].
    Journal: Perspect Int Planif Fam; 1987; (Spec No):38-9. PubMed ID: 12269052.
    Abstract:
    Comparison of the results of 2 contraceptive prevalence surveys in the Dominican Republic, 1 of a sample of 4741 women in 1983 and the other of a sample of 4203 men in 1984, indicated that men and women have similar levels of knowledge and reported similar levels of use of contraceptives. Differences were noted in such areas as the acceptability of methods and the number of children each spouse desired. Both surveys were conducted by the National Council of Population and the Family. The women were aged 15-49 years and the men were 15-59. 2037 of the men were in union at the time of the survey and 2166 were single. The majority of respondents in both groups were under age 30. 44% of the men and 29% of the women under 30 were single. Dominican men are 5-10 years older than women on average when they enter stable unions. A comparison of age specific fertility rates of men and women showed that men have their highest level of fertility between 25-30 years and continue to reproduce beyond age 50, while women's fertility is highest between the ages of 20-29 and declines considerably thereafter. The total fertility rate was 4.2 for men aged 15-49 and 4.6 for men aged 15-59. It was 4.1 for women aged 15-49. Over 1/2 of men and 1/2 of women in union who had 2 or more children stated they wanted no more children, but at each parity men were more disposed to want another child. Women at all parities overestimated the number of children their partners wanted. The pill was the only contraceptive method that the majority of men and women who had ever been in union named spontaneously. When other methods were named, 94% of men and 97% of women ever in union knew about pills and female sterilization, 71% of men and 89% of women knew about IUDs, 71% of men and 80% of women knew about injectables, and 61% of men and 75% of women knew about vaginal methods. 92% of men and 88% of women knew about condoms. 46% of the women in union had been using a family planning method, including 27% who were sterilized and 9% who used pills. The responses of men when asked about their wives' contraceptive use were about the same. However, men reported higher use of male methods. 9% of men but only 1% of women reported using rhythm, 7% of men but 3% of women withdrawal, and 5% of men and 2% of women condoms. Among men not using a method, 61% reported they might use rhythm, condoms, withdrawal, or vasectomy in the future. 94% of men approved of at least 1 female method, but approval of specific methods varied widely. Over 80% of men in union approved of female sterilization and rhythm, but only 37% approved of pills and 41% of IUDs. The researchers concluded that men cooperate sufficiently to justify similar surveys in other Latin American countries, and that men can be reliable sources of information for programming and evaluation of family planning programs.
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