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Peer-reviewedCC BYInternational journal of public health

Male initiation in contraceptive negotiation among Boda-Boda riders in Kampala, Uganda

  • Kevin Micheal Mugisa1
  • Joseph Rujumba2
  • Li-Yin Chien3
  1. 1International Health Program, National Yang Ming Chiao Tung University , ,
  2. 2Department of Paediatrics and Child Health, College of Health Sciences, Makerere University , ,
  3. 3Institute of Community Health Care, College of Nursing, National Yang Ming Chiao Tung University , ,
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Abstract

Objectives: This study examined male initiation of contraceptive negotiations, related factors, and associations with method agreement and use frequency among Boda-Boda riders motorcycle taxi operators in Uganda.

Methods: A cross-sectional survey (August–September 2023) included 421 sexually active male Boda-Boda riders in Kampala. Logistic and multinomial logistic regression models were used to analyze the data.

Results: Overall, 54.39% of participants initiated contraceptive negotiations, mostly regarding hormonal methods (55%). Initiation was positively associated with age <45 years, history of sexually transmitted infections, recent receipt of family planning information, and partner contraceptive side effects. Factors unexpectedly negatively associated included income ≥1M Ugandan shillings, commercial sex work, and discussing family planning with healthcare workers, the last potentially reflecting reverse causation (men consulting providers after a partner raised the topic). Initiators had significantly higher odds of adopting all contraceptive methods and reporting consistent contraception use.

Conclusion: Results highlight the need for targeted, male-friendly, and couple-centered interventions. Risk-tailored social behavioral change communication practices and inclusive family planning services are recommended to strengthen reproductive health decision-making.

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Cite

BibTeXRIS
BibTeX
@article{mugisa2026male,
  title = {{Male initiation in contraceptive negotiation among Boda-Boda riders in Kampala, Uganda}},
  author = {Kevin Micheal Mugisa and Joseph Rujumba and Li-Yin Chien},
  journal = {International journal of public health},
  year = {2026},
  month = oct,
  doi = {10.3389/ijph.2026.1609598},
  url = {https://europepmc.org/article/PMC/PMC13724552},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Male initiation in contraceptive negotiation among Boda-Boda riders in Kampala, Uganda
AU  - Kevin Micheal Mugisa
AU  - Joseph Rujumba
AU  - Li-Yin Chien
PY  - 2026
DA  - 2026/10/19
JO  - International journal of public health
DO  - 10.3389/ijph.2026.1609598
UR  - https://europepmc.org/article/PMC/PMC13724552
AB  - Objectives: This study examined male initiation of contraceptive negotiations, related factors, and associations with method agreement and use frequency among Boda-Boda riders motorcycle taxi operators in Uganda.  Methods: A cross-sectional survey (August–September 2023) included 421 sexually active male Boda-Boda riders in Kampala. Logistic and multinomial logistic regression models were used to analyze the data.  Results: Overall, 54.39% of participants initiated contraceptive negotiations, mostly regarding hormonal methods (55%). Initiation was positively associated with age <45 years, history of sexually transmitted infections, recent receipt of family planning information, and partner contraceptive side effects. Factors unexpectedly negatively associated included income ≥1M Ugandan shillings, commercial sex work, and discussing family planning with healthcare workers, the last potentially reflecting reverse causation (men consulting providers after a partner raised the topic). Initiators had significantly higher odds of adopting all contraceptive methods and reporting consistent contraception use.  Conclusion: Results highlight the need for targeted, male-friendly, and couple-centered interventions. Risk-tailored social behavioral change communication practices and inclusive family planning services are recommended to strengthen reproductive health decision-making.
SN  - 1661-8564
SN  - 1661-8556
ER  -