Sex partners' knowledge and attitudes towards family planning in the Peruvian rainforest.

Objective. To assess the association of knowledge and attitudes about family planning (FP) with its practice in couples of the Peruvian jungle region. Material and Methods. A cross-sectional study was carried out in the jungle region in Peru (Pucallpa and Tarapoto), among 600 couples. Males were greater than or equal to 15 years old and females between IS and 49 years old, who had resided in the area for at least two years. A questionnaire was used to determine FP practices (defined as the use of modern contraceptive methods (MCM) for greater than or equal to 12 months), as well as attitudes and knowledge regarding FP. Frequencies were compared using the chi-squared test. Logistic regression was used to assess the association between demographic variables and MCM knowledge as well as MCM utilization. The association between sociodemographic variables and attitudes toward MCM was assessed with linear regression models. Results. Males with primary education or with no formal education were twice as likely to have no knowledge about MCM compared with males with professional education (OR : 2.18, 95% CI: 1.05, 4.50). Females with a catholic partner were more likely to know about MCM than those whose partners did not practice any religion (OR: 0.60, 95%CI: 0.37, 0.97). Partner's lower education, older age of women, and rural background of males were all factors associated with a less favorable attitude toward FP practices. Couples in which the man did not know about contraceptive methods were more likely not to use MCM than couples where the man knew about MCM (OR: 1.57,95% CI: 1.07,2.30). Couples where the man had an intermediate level of acceptance towards FP were more likely not to use MCM than those where the man had a high level of acceptance (OR : 1.90,95% CI :1.03, 3.48).The strength of association was higher when the man had a low level of acceptance toward PF (OR: 2.23, 95% CI: 1.10, 4.51). Conclusions. Knowledge of contraceptive methods and attitudes toward FP among men are associated with the practice of FP by couples. Study findings show that male acceptance of MCM and FP is a necessary, important, and influential factor in FP promotion and practice. The English version of this paper is available at: http://www.insp.mx/salud/ index.html.