Men as Irrational Variables in Family Planning? Understanding the Landscape, Technological Advancements, and Extending Health Psychology Theories and Models

Abstract

Men are often considered by the health care system to be a disengaged accessory when it comes to family planning. In reality they act as an equal part in the reproductive equation. Despite qualitative research suggesting some men currently do take primary responsibility for family planning, men are further marginalised being classed as an irrational variable in large national datasets. Reports ignore men in general by failing to record basic demographics, for example, age is not captured and ethnicity has two options: white and non-white. This leaves little ability to analyse men's family planning knowledge, attitudes and beliefs. Technological advancements have resulted in new forms of male contraceptive methods reaching phase III testing (from pills to gels), and the market is moving towards diversified options that will allow even more men to take primary contraceptive responsibility. Other advancements include the sexual enhancement product Viagra becoming available over the counter, and reproductive wellbeing apps have been created to allow men to test their fertility at home. Without research to understand the ever-changing landscape for men we are ill-prepared to understand what these new products and advancements mean for men's role. Using various forms of publicly available online data and previous empirical research, this chapter will review men's response to new contraceptives, sexual enhancement products, and reproductive wellbeing apps. The results will be discussed in relation to updating the Subjective Expected Utility (SEU) Theory, the Theory of Planned Behaviour and the integrated developmental and decision-making contraceptive models used by health psychologists.

Citation

Wilson, A. (2022), "Men as Irrational Variables in Family Planning? Understanding the Landscape, Technological Advancements, and Extending Health Psychology Theories and Models", Boydell, V. and Dow, K. (Ed.) Technologies of Reproduction Across the Lifecourse (Emerald Studies in Reproduction, Culture and Society), Emerald Publishing Limited, Leeds, pp. 225-246. https://doi.org/10.1108/978-1-80071-733-620221020