Evidence is needed in low‐ and middle‐income countries regarding men's willingness to use new male contraceptive methods in development, preferences regarding method attributes, and what shapes willingness/preferences. We analyzed data from cross‐sectional surveys with 611 men in Malawi, concerning willingness to use each of four types of new male methods. Mean age was 24.5 years; half (50 percent) were married/cohabiting. Over half (51 percent) of men expressed willingness to use at least one new male method, including a topical contraceptive gel (33 percent), injection (32 percent), pill (29 percent), and implant (14 percent). Many male product attributes were considered important (with 59–67 percent endorsement), including ease of use, comfort of use, side effects, partner approval, type of method, frequency of facility visits, and cost. A prevalent reported reason for willingness was to “share responsibility for family planning with my partner” (44 percent). In multivariate regression analyses, willingness was inversely associated with inequitable gender attitudes (p < 0.001) and was not associated with married/cohabiting status, using condoms, or perceived risk for HIV. These findings add to growing evidence that a majority of men express willingness to use new male contraceptive methods like a topical gel, injectable, or pill. Reflection around gender roles is likely critical within future education about male contraceptive methods.

中文翻译：

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马拉维男性使用新型男性避孕方法的意愿和偏好


低收入和中等收入国家需要证据来说明男性在开发过程中使用新的男性避孕方法的意愿、对方法属性的偏好以及影响意愿/偏好的因素。我们分析了对马拉维 611 名男性进行的横断面调查数据，了解使用四种新男性方法的意愿。平均年龄为 24.5 岁；一半（50%）已婚/同居。超过一半（51%）的男性表示愿意使用至少一种新的男性避孕方法，包括外用避孕凝胶（33%）、注射（32%）、避孕药（29%）和埋植剂（14%）。许多男性产品属性被认为很重要（59-67% 的人认可），包括易用性、使用舒适度、副作用、合作伙伴认可、方法类型、设施访问频率和成本。据报道，愿意的一个普遍原因是“与我的伴侣分担计划生育的责任”（44％）。在多变量回归分析中，意愿与不平等的性别态度呈负相关（p < 0.001），并且与已婚/同居状况、使用安全套或感知的艾滋病毒风险无关。这些发现进一步证明，大多数男性表示愿意使用新的男性避孕方法，如外用凝胶、注射剂或药丸。在未来有关男性避孕方法的教育中，围绕性别角色的反思可能至关重要。