Mofoluwake P. Ajayi

Male reproductive health challenges: appraisal of wives coping strategies

BackgroundSystematic studies on the association between men’s sexual dysfunction (low sexual desire, ejaculation disorders, erectile dysfunctions, genital ulcers, testicular disorders, prostate cancer or sexually transmitted infections) and marital conflict are emerging. However, the coping strategies adopted by wives in such circumstances are not commonly reported in the literature. Male sexual functioning is vital to the marital relationship, lack of it can result in intolerable cohabitation or relationship breakdown, and could also cause infertility, infidelity, and arouse stigma in Nigeria. The understanding of coping strategies by female partners could guide in the counselling and treatment of men’s sexual health problems. Effective coping has the potential to lessen or prevent negative outcomes, and thereby could reduce marital conflict.ObjectivesThis study examined the coping strategies adopted by women whose husbands have reproductive health challenges in two of the five states with the highest proportion of divorce/separation in Nigeria.MethodsFour focus group discussions were conducted in two local government areas. The women were recruited from a quantitative couple-study for men with sexual health problems. Focus group responses were transcribed and analysed using systematic-content-analysis with thematic organisation of the summaries and systematic typologies of participants’ responses.ResultsThe results revealed the coping strategies employed by women in this environment: seeking guidance from their religious leaders and family doctors, physical-sexual-therapy, abstinence and concubinage. The participants indicated that they encountered difficulties in discussing their husbands’ sexual health problems with a third party.ConclusionThe study concludes that husband’s sexual ability is crucial to the sustenance of the marital relationship. Religious leaders and family doctors often serve as mediators to husband-wife conflict management. Counselling is recommended in cases of sexual health problems. Husbands should be encouraged to seek treatment and share their sexual challenges with their spouse. The medical officers and religious leaders could also be trained in family-conflict management.

Are Men’s Reproductive Health Problems and Sexual Behavior Predictors of Welfare?:

The study examined men’s reproductive health problems and sexual behavior and their implications for men’s welfare in Nigeria. It used the Nigeria Demographic and Health Survey data set of 2013. The analysis used only male recode files, representing 17,359 males. The dependent variable is the computed wealth index, which was selected as proxy for welfare condition. Analysis involved univariate and multivariate levels. The findings indicated that 49.3% of the respondents currently have more than one sexual partner. The total lifetime sexual partner index identifies 70.2% of the men interviewed have had at least two sexual partners in their lifetime. It revealed that men who experience reproductive health challenges, such as sexually transmitted infections and genital ulcer, are 44% and 93%, respectively, less likely to enjoy good welfare condition. It also indicated that men in urban area are 7.256 times more likely to enjoy good welfare condition compared with their rural counterparts. There is a negative association between total lifetime sexual partnerships and exposure to good welfare. The study concludes that social workers, marriage counselors, other health personnel, and policy makers need to focus on the practice of multiple sexual partnership and reproductive health diseases as major determinants of men’s welfare. The authors suggest that the index of welfare should include reproductive health issues and indicators of sexual behavior. Also, there is need for the establishment of specialized reproductive health care services and centers that are accessible to all men for effective servicing of reproductive health needs of men in the country.

Spousal desertion and coping strategies among women with cervical cancer in Nigeria: a schematic framework for wellbeing

Background: Women that are not in good health cannot contribute to sustainable development but effective coping during and after sickness could enhance their contributions to development. Objective: The study examined the coping strategies among women with cervical cancer in different marital context in Nigeria Methods: In-depth interview from eight women survivors and patients of cervical cancer in two distinct marital contexts characterised by the presence or absence of husband from two states of Nigeria. Data were analysed using content analytic procedures and premised upon relationship-focused coping strategy theory. Results: The study identified basic coping strategies as seeking support from religious organisations and adjustment of sexual lifestyle. Conclusion: The study concluded that women’s coping strategies on cervical cancer varied according to marital context. The authors recommend counselling, increasing cervical cancer risk awareness and husband-wife support, especially during life-threatening sicknesses to engender quick recovery and improved well-being for sustaining women contributions to development.