How Do Iranian Men Perceive Their Sexual and Reproductive Health Situation? A Qualitative Content Analysis

Document Type : Original Article


1 Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran;

2 Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran;

3 Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

4 Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran


Background: Males’ viewpoint about sexual and reproductive health (SRH) and their situation are
essential components of men’s and women’s health in the community. Men have been overlooked in
reproduction health, especially with reproductive issues such as contraception, sexually transmitted
infections (STIs), infertility, and sexual function. This study aimed to investigate the males’ perceptions
of their SRH situation in Iran.
Methods: A qualitative study was conducted from May 2016 to April 2017 on data retrieved through
semi-structured interviews with 19 adult males aged 18 to 59 years. The participants were purposefully
recruited from among populations of health centers in Alborz province, Iran. Conventional content
analysis in OneNote software version 2016 was used for data analysis.
Results: Three main themes and nine categories emerged including 1) Perceived SRH needs, including
“need to increase men’s awareness about SRH”, “need to have an accessibility to SRH services”, and
“need to have a high-quality sexual relationship”; 2) perceived SRH responsibilities, including “healthseeking
behaviors”, “sexual skills”, “childbearing responsibilities”, and “ethical commitment”, and 3)
Men’ perception of trends of social and cultural norms, including “changing SRH priorities” and
“changing marital prototype”.
Conclusion: In this study, men perceived SRH as an important issue due to the changes in social and
cultural trends, and many of their SRH needs have not yet been addressed. Hence, along with socioeconomic
changes, the policymakers of the health system should develop strategies and interventions
to meet these needs.