Correlates of male involvement in maternal and newborn health: a cross-sectional study of men in a peri-urban region of Myanmar

Frances Ampt, Myo Myo Mon, Kyu Kyu Than, May May Khin, Paul A Agius, Christopher David Morgan, Jessica Davis, Stanley Luchters

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Evidence suggests that increasing male involvement in maternal and newborn health (MNH) may improve MNH outcomes. However, male involvement is difficult to measure, and further research is necessary to understand the barriers and enablers for men to engage in MNH, and to define target groups for interventions. Using data from a peri-urban township in Myanmar, this study aimed to construct appropriate indicators of male involvement in MNH, and assess sociodemographic, knowledge and attitude correlates of involvement. Methods: A cross-sectional study of married men with one or more children aged up to one year was conducted in 2012. Structured questionnaires measured participants involvement in MNH, and their sociodemographic characteristics, knowledge and attitudes. An ordinal measure of male involvement was constructed describing the subject s participation across five areas of MNH, giving a score of 1-4. Proportional-odds regression models were developed to determine correlates of male involvement. Results: A total of 210 men participated in the survey, of which 203 provided complete data. Most men reported involvement level scores of either 2 or 3 (64 ), with 13 reporting the highest level (score of 4). Involvement in MNH was positively associated with wives level of education (AOR = 3.4; 95 CI: 1.9-6.2; p <0.001) and men s level of knowledge of MNH (AOR = 1.2; 95 CI: 1.1-1.3; p <0.001), and negatively correlated with number of children (AOR = 0.78; 95 CI: 0.63-0.95; p = 0.016). Conclusions: These findings can inform the design of programs aiming to increase male involvement, for example by targeting less educated couples and addressing their knowledge of MNH. The composite index proved a useful summary measure of involvement; however, it may have masked differential determinants of the summed indicators. There is a need for greater understanding of the influence of gender attitudes on male involvement in Myanmar and more robust indicators that capture these gender dynamics for use both in Myanmar and globally.
Original languageEnglish
Pages (from-to)1 - 11
Number of pages11
JournalBMC Pregnancy and Childbirth
Volume15
Issue number1 (Art. No: 122)
DOIs
Publication statusPublished - 2015

Cite this

Ampt, Frances ; Mon, Myo Myo ; Than, Kyu Kyu ; Khin, May May ; Agius, Paul A ; Morgan, Christopher David ; Davis, Jessica ; Luchters, Stanley. / Correlates of male involvement in maternal and newborn health: a cross-sectional study of men in a peri-urban region of Myanmar. In: BMC Pregnancy and Childbirth. 2015 ; Vol. 15, No. 1 (Art. No: 122). pp. 1 - 11.
@article{20e8e14e1ff94c559b557e7ec0daa6fe,
title = "Correlates of male involvement in maternal and newborn health: a cross-sectional study of men in a peri-urban region of Myanmar",
abstract = "Background: Evidence suggests that increasing male involvement in maternal and newborn health (MNH) may improve MNH outcomes. However, male involvement is difficult to measure, and further research is necessary to understand the barriers and enablers for men to engage in MNH, and to define target groups for interventions. Using data from a peri-urban township in Myanmar, this study aimed to construct appropriate indicators of male involvement in MNH, and assess sociodemographic, knowledge and attitude correlates of involvement. Methods: A cross-sectional study of married men with one or more children aged up to one year was conducted in 2012. Structured questionnaires measured participants involvement in MNH, and their sociodemographic characteristics, knowledge and attitudes. An ordinal measure of male involvement was constructed describing the subject s participation across five areas of MNH, giving a score of 1-4. Proportional-odds regression models were developed to determine correlates of male involvement. Results: A total of 210 men participated in the survey, of which 203 provided complete data. Most men reported involvement level scores of either 2 or 3 (64 ), with 13 reporting the highest level (score of 4). Involvement in MNH was positively associated with wives level of education (AOR = 3.4; 95 CI: 1.9-6.2; p <0.001) and men s level of knowledge of MNH (AOR = 1.2; 95 CI: 1.1-1.3; p <0.001), and negatively correlated with number of children (AOR = 0.78; 95 CI: 0.63-0.95; p = 0.016). Conclusions: These findings can inform the design of programs aiming to increase male involvement, for example by targeting less educated couples and addressing their knowledge of MNH. The composite index proved a useful summary measure of involvement; however, it may have masked differential determinants of the summed indicators. There is a need for greater understanding of the influence of gender attitudes on male involvement in Myanmar and more robust indicators that capture these gender dynamics for use both in Myanmar and globally.",
author = "Frances Ampt and Mon, {Myo Myo} and Than, {Kyu Kyu} and Khin, {May May} and Agius, {Paul A} and Morgan, {Christopher David} and Jessica Davis and Stanley Luchters",
year = "2015",
doi = "10.1186/s12884-015-0561-9",
language = "English",
volume = "15",
pages = "1 -- 11",
journal = "BMC Pregnancy and Childbirth",
issn = "1471-2393",
publisher = "Springer-Verlag London Ltd.",
number = "1 (Art. No: 122)",

}

Correlates of male involvement in maternal and newborn health: a cross-sectional study of men in a peri-urban region of Myanmar. / Ampt, Frances; Mon, Myo Myo; Than, Kyu Kyu; Khin, May May; Agius, Paul A; Morgan, Christopher David; Davis, Jessica; Luchters, Stanley.

In: BMC Pregnancy and Childbirth, Vol. 15, No. 1 (Art. No: 122), 2015, p. 1 - 11.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Correlates of male involvement in maternal and newborn health: a cross-sectional study of men in a peri-urban region of Myanmar

AU - Ampt, Frances

AU - Mon, Myo Myo

AU - Than, Kyu Kyu

AU - Khin, May May

AU - Agius, Paul A

AU - Morgan, Christopher David

AU - Davis, Jessica

AU - Luchters, Stanley

PY - 2015

Y1 - 2015

N2 - Background: Evidence suggests that increasing male involvement in maternal and newborn health (MNH) may improve MNH outcomes. However, male involvement is difficult to measure, and further research is necessary to understand the barriers and enablers for men to engage in MNH, and to define target groups for interventions. Using data from a peri-urban township in Myanmar, this study aimed to construct appropriate indicators of male involvement in MNH, and assess sociodemographic, knowledge and attitude correlates of involvement. Methods: A cross-sectional study of married men with one or more children aged up to one year was conducted in 2012. Structured questionnaires measured participants involvement in MNH, and their sociodemographic characteristics, knowledge and attitudes. An ordinal measure of male involvement was constructed describing the subject s participation across five areas of MNH, giving a score of 1-4. Proportional-odds regression models were developed to determine correlates of male involvement. Results: A total of 210 men participated in the survey, of which 203 provided complete data. Most men reported involvement level scores of either 2 or 3 (64 ), with 13 reporting the highest level (score of 4). Involvement in MNH was positively associated with wives level of education (AOR = 3.4; 95 CI: 1.9-6.2; p <0.001) and men s level of knowledge of MNH (AOR = 1.2; 95 CI: 1.1-1.3; p <0.001), and negatively correlated with number of children (AOR = 0.78; 95 CI: 0.63-0.95; p = 0.016). Conclusions: These findings can inform the design of programs aiming to increase male involvement, for example by targeting less educated couples and addressing their knowledge of MNH. The composite index proved a useful summary measure of involvement; however, it may have masked differential determinants of the summed indicators. There is a need for greater understanding of the influence of gender attitudes on male involvement in Myanmar and more robust indicators that capture these gender dynamics for use both in Myanmar and globally.

AB - Background: Evidence suggests that increasing male involvement in maternal and newborn health (MNH) may improve MNH outcomes. However, male involvement is difficult to measure, and further research is necessary to understand the barriers and enablers for men to engage in MNH, and to define target groups for interventions. Using data from a peri-urban township in Myanmar, this study aimed to construct appropriate indicators of male involvement in MNH, and assess sociodemographic, knowledge and attitude correlates of involvement. Methods: A cross-sectional study of married men with one or more children aged up to one year was conducted in 2012. Structured questionnaires measured participants involvement in MNH, and their sociodemographic characteristics, knowledge and attitudes. An ordinal measure of male involvement was constructed describing the subject s participation across five areas of MNH, giving a score of 1-4. Proportional-odds regression models were developed to determine correlates of male involvement. Results: A total of 210 men participated in the survey, of which 203 provided complete data. Most men reported involvement level scores of either 2 or 3 (64 ), with 13 reporting the highest level (score of 4). Involvement in MNH was positively associated with wives level of education (AOR = 3.4; 95 CI: 1.9-6.2; p <0.001) and men s level of knowledge of MNH (AOR = 1.2; 95 CI: 1.1-1.3; p <0.001), and negatively correlated with number of children (AOR = 0.78; 95 CI: 0.63-0.95; p = 0.016). Conclusions: These findings can inform the design of programs aiming to increase male involvement, for example by targeting less educated couples and addressing their knowledge of MNH. The composite index proved a useful summary measure of involvement; however, it may have masked differential determinants of the summed indicators. There is a need for greater understanding of the influence of gender attitudes on male involvement in Myanmar and more robust indicators that capture these gender dynamics for use both in Myanmar and globally.

UR - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4445797/pdf/12884_2015_Article_561.pdf

U2 - 10.1186/s12884-015-0561-9

DO - 10.1186/s12884-015-0561-9

M3 - Article

VL - 15

SP - 1

EP - 11

JO - BMC Pregnancy and Childbirth

JF - BMC Pregnancy and Childbirth

SN - 1471-2393

IS - 1 (Art. No: 122)

ER -